Doctors and nurses should allocate enough time for providing information about prenatal diagnosis before the procedure. This will reduce the anxiety level as well as the felt necessity to search for information from other sources, such as personal or popular which will further increase the level of anxiety.
Rationale, aims, and objectives: The predominant assumption of doctor professionalism may be prone to unpredicted alterations in the face of "a new age of doctoring."The aim in this study is to explore one dimension in the doctor-patient dyadic relationship: the face-to-face interaction between doctors and patients and whether satisfaction of role expectations affects service outcomes as perceived by the patient-consumer.Methods: In the first qualitative phase, 10 physicians and 11 patients were interviewed in-depth for the purposes of understanding the variations in role expectations from doctors. These details were then used to construct the scenarios to be used in the second quantitative phase. Scenario-based experimental data were collected using a cross-sectional sample consisting of 432 individuals.Results: Although positive emotions lead to positive outcomes when the doctor is role-congruent, positive emotions lead to even better outcomes when the doctor is behaving too friendly. In addition, negative emotions lead to negative outcomes in both scenarios; however, outcomes become worse when the doctor is roleincongruent.Conclusions: Role expectations play a moderating role between emotions and service outcomes. The medical performance can be perceived good or bad depending on whether the doctor smiles "too much" or not. Results are discussed within the context of role expectation theory and the changing nature of service relationships in the health care sector.
Objective To investigate the reasons for decision-making and concerns of
patients in the field of prenatal screening, invasive prenatal diagnostic
testing (IPDT), and termination of pregnancy (TOP).
Study Design This questionnaire-based study consisted of 107 pregnant
women who were referred for prenatal screening to the Hacettepe University
Hospital. The questionnaire given to patients was prepared from scratch since
there is no standard set of questions measuring patients’ feelings and
concerns regarding prenatal screening/diagnosis, IPDT, and TOP.
Results Our questionnaire results showed that it is possible to classify
decision-making factors into 6 groups: psychological, social, fear,
religious/faith, support, and trust. The majority of patients were
undecided (48.6%) about IPDT if prenatal screening test results were
risky. Only 23.4% of patients were willing to accept IPDT. On the other
hand, 55.1% of patients were not willing to undergo TOP if the fetal
karyotyping results were abnormal. Religious factors seem to be important in
refusing IPDT and TOP.
Conclusion Physicians should re-evaluate their practice in the field of
prenatal screening and diagnosis in light of the high refusal rates of IPDT and
TOP. Understanding factors influencing womenʼs decision-making processes
provides insight for service providers to help women at high risk of having
foetal anomalies to make better-informed choices.
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