Patient preferences for chaperone use during transvaginal sonography

Davenport, Matthew S.; Brimm, Diane; Rubin, Jonathan M.; Kazerooni, Ella A.

doi:10.1007/s00261-015-0556-z

Cited by 16 publications

(16 citation statements)

References 10 publications

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“…The literature is limited and divided on the use of chaperones specifically for male health care providers working with female patients. Only one study conducted in the United States, a 2016 retrospective review of study data including 155 adult female patients, assessed this question and found that approximately half of respondents scheduled for transvaginal pelvic sonography preferred a chaperone if their sonographer was male . However, a 2003 Scottish survey questioned 1000 women about their attitudes toward pelvic examinations and found that 34% actively objected to a chaperone .…”

Section: Discussionmentioning

confidence: 99%

“…Only one study conducted in the United States, a 2016 retrospective review of study data including 155 adult female patients, assessed this question and found that approximately half of respondents scheduled for transvaginal pelvic sonography preferred a chaperone if their sonographer was male. 15 However, a 2003 Scottish survey questioned 1000 women about their attitudes toward pelvic examinations and found that 34% actively objected to a chaperone. 16 Additionally, the women in this study who reported greater levels of distress regarding the examination were still no more likely to want a chaperone present.…”

Section: Discussionmentioning

confidence: 99%

“…Please explain your answer to question 13. 15. What is the impact of midwives who are men on the midwifery community and profession?…”

mentioning

confidence: 99%

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A Survey of Midwives’ Attitudes Toward Men in Midwifery

Bly¹,

Ellis

Ritter³

et al. 2020

J Midwife Womens Health

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Introduction The midwifery profession in the United States demonstrates a significant lack of diversity. The critical need to address the lack of racial and ethnic diversity in the midwifery workforce is well recognized; little attention, however, has been given to gender diversity. This study focused on gender diversity within midwifery, specifically with regard to men who are midwives. Nearly 99% of midwives in the United States are women. No research has previously explored the attitudes of the predominantly female midwifery workforce toward its male members. Methods An invitation to an internet survey was sent to the American College of Nurse‐Midwives (ACNM) membership. Quantitative and open‐ended questions assessed attitudes toward and experiences with male midwives, whether members thought men belong in the profession, whether gender impacts quality of care, if ACNM should facilitate gender diversification, and whether exposure to male midwives impacts attitudes toward gender diversification. Data analysis of qualitative responses used a qualitative description methodology to identify common themes. Results Six thousand, nine hundred sixty‐five surveys were distributed, and 864 participants completed the survey. Respondents reported beliefs that men belong in midwifery (71.4%), that gender does not affect quality of care (74%), and that ACNM should support gender diversity (72%). Respondents’ perspectives revealed 3 dichotomous themes pertaining to the core nature of midwifery and how men fit within the profession: 1) inclusion versus exclusion, 2) empowerment versus protection, and 3) sharing with versus taking from. Often, the same respondent expressed both aspects of the dichotomy simultaneously. Discussion This study contributes new information about midwives’ attitudes and beliefs toward gender diversity in midwifery in the United States. The values of professionalism, tradition, feminism, protection, and diversification inform participant responses. Findings support efforts toward gender diversification and have implications for implementation in education and practice.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A Survey of Midwives’ Attitudes Toward Men in Midwifery

Bly¹,

Ellis

Ritter³

et al. 2020

J Midwife Womens Health

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“…When imaging women, particularly for examinations of the breast and pelvic region, many patients prefer the presence of a female chaperone when a male radiologist or technologist is present (39). In addition, women who live in rural locations may be considered vulnerable and at-risk when it comes to gaining access to essential radiologic screening tools, such as mammography and breast MRI (40).…”

Section: Womenmentioning

confidence: 99%

Improving Imaging Care for Diverse, Marginalized, and Vulnerable Patient Populations

et al. 2018

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Although much attention has been paid to the reduction of disparities in health care within the United States, these issues continue to exist. Such efforts include increased focus on patient centeredness and cultural responsivity. These concepts are based on the recognition that diverse, marginalized, and vulnerable patients may possess different physical, psychologic, or social characteristics that contribute to their diversity and susceptibility. Such patients may face numerous obstacles and barriers when seeking medical care, including financial constraints, difficulties with communication, a limited understanding of how to navigate the health care system, and not feeling welcomed, respected, or safe. It is essential that the radiologist and members of the radiology care team understand and embrace patients' unique characteristics to provide effective and appropriate care to all patients. This article illustrates the spectrum of knowledge that benefits radiologists and members of the radiology care team when interacting with and providing care for the growing pool of diverse, marginalized, and vulnerable patients. © RSNA, 2018 • Abbreviations: LEP = limited English proficiency, LGBTQ = lesbian, gay, bisexual, transgender, or queer, PTSD = posttraumatic stress disorder

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“…This might be due to embarrassment felt during TVS, even in the presence of a female, which was reported by Davenport et al . [28] The embarrassment experienced is however less than they expected. [29] This is also reflected in the views of 94.8% of postmenopausal women who do not want a third person in the room during TVS.…”

Section: Discussionmentioning

confidence: 99%

Intimate patient examinations: The awareness, acceptance and practice preference of transvaginal ultrasound scan among women in a South-southern State of Nigeria

Akintomide

Obasi

2019

J Family Med Prim Care

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Background: Transvaginal ultrasound scan (TVS) is a relatively new routine intimate examination in Nigeria carried out only in fertility clinics, specialist radio-diagnostic centres and a few public hospitals. It is a procedure, which many patients find intrusive and may result in anxiety. The gender of the practitioner and the presence of a third person in the room may influence patient's acceptance to undergo the procedure. Centres offering this service do not routinely ask for the patient's opinion, which negates the patient-centred care principle. The aim of this study is to assess women's awareness, acceptance and practice preference of TVS to get their opinion about the preferred gender of sonologist and presence of a third person during the procedure in comparison to other intimate examinations. Materials and Methods: It is a questionnaire-based prospective survey involving women referred for various indications to the radiology department of a Navy Hospital in south-southern Nigeria for 1 month. Results: We recruited 204 women. Although only 20.6% knew about TVS, 98.5% accepted to undergo TVS. Forty-six percent were indifferent about the gender of the sonologist, while 45% and 9% preferred a female and a male, respectively. About 50.3% wanted a third person in the room during the TVS and majority preferred their husbands (44.7%) to a chaperone (35.8%). Conclusion: The awareness of TVS is low, but it enjoys wide acceptance. Patient's preference for practitioner's gender and chaperone use are variable similar to findings from other intimate examinations, so consent should be sought before the procedure.

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Patient preferences for chaperone use during transvaginal sonography

Cited by 16 publications

References 10 publications

A Survey of Midwives’ Attitudes Toward Men in Midwifery

A Survey of Midwives’ Attitudes Toward Men in Midwifery

Improving Imaging Care for Diverse, Marginalized, and Vulnerable Patient Populations

Intimate patient examinations: The awareness, acceptance and practice preference of transvaginal ultrasound scan among women in a South-southern State of Nigeria

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