Differences Between Patient and Provider Perceptions of Informed Decision Making About Epidural Analgesia Use During Childbirth

Abstract

The objective of this study was to determine whether differences exist between patient and provider perceptions regarding the decision-making process around use of epidural analgesia during childbirth. The dyadic patient-provider Decisional Confl ict Scale was modifi ed to measure fi rst-time mother ( n ϭ 35) and maternity care provider ( n ϭ 52) perceptions. Providers perceived a greater degree of informed decision making than patients (84.97 vs. 79.41, p ϭ .04) and were more likely to recall they upheld patients' rights to make informed choices than patients were to perceive their rights had been upheld (85.95 vs. 71.73, p Ͻ .01). This incongruity highlights the need to align legal principles with practice to create mutual agreement between stakeholder perceptions of informed decision making.

Epidural analgesia and related ethical issues among pregnant women: Literature review

“…They found a considerable difference between provider and patient in defining and recognizing pain relief methods. Providers were expected to support the rights of women toward informed decisions compare to the women who are expected to respect the healthcare providers decisions [ 15 ]. In another research study to compare the differences in decision-making among health care providers and women regarding utilizing EA throughout childbirth process.…”

“…In another research study to compare the differences in decision-making among health care providers and women regarding utilizing EA throughout childbirth process. It was obvious that choosing of EA depend on the information that women were received from the healthcare providers [ 15 , 16 ].…”

Long-term support referrals to enhance food security and well-being in older adults: Texas physicians and nurses on what works

“…As a secondary source of information, the speculations of healthcare providers may not accurately reflect the perceptions of their patients. As studies have shown, there are often gaps in alignment between the perceptions of healthcare providers and their patients (Coppola et al 2014 ; Goldberg and Shorten 2014 ; Abuosi 2015 ; Williams et al 2016 ). Consequently, although the opinions of healthcare providers are valuable sources of information to use in developing and modifying targeted initiatives and programs, considering their perceptions alongside patient perceptions would better speak to the motivations and challenges of patients.…”

Identifying and Exploring the Informational and Emotional Support Needs of Primipara Women: A Focus on Supportive Communication

“…The results illustrated that participants, especially those with pregnancy complications, felt anxious or uncomfortable when residents were appointed to administer care. The literature suggests that competence is an important element in professional labor support because expecting mothers anticipate that their health-care professional will be well equipped, with the experience and knowledge required, to help birth their child (Halldorsdottir & Karlsdottir, 1996;Probst, Schenk, & Clarain, 1994;Tumblin & Simkin, 2001). Therefore, residents or other caregivers need to establish their professional competence by fostering a trusting relationship with their patients (Bowers, 2002).…”