Wendt Eva, Fridlund Bengt, Lidell Evy
The Youth Clinic Halmstad, County Council Halland, Halmstad, Sweden.
Acta Obstet Gynecol Scand. 2004 Dec;83(12):1208-15. doi: 10.1111/j.0001-6349.2004.00597.x.
Gynecologic examination is a common measure in reproductive health care. Many women experience the examination as a more or less negative event, with shortcomings in the examiner's behavior. The aim of the study was to describe, in terms of critical incidences, women's experiences concerning the personnel's behavior in the situation of gynecologic examination.
The informants were strategically chosen and consisted of 30 Swedish women between the ages of 18-82 years old. The data collection method was qualitative research interviews analyzed by critical incident technique.
The result consisted of 30 subcategories, five categories, and two main areas - trust and confirmation. The personnel enabled trust when they promoted participation, created confidence, and were supportive. The opposite behavior contributed to the lack of trust. Confirmation described behavior that confirmed, respectively, did not confirm the women. This was shown through the presence or lack of respect and engagement.
The personnel's positive behavior enabled trust and confirmed the women as individuals, while negative behavior was decisive in an unfavorable way. A complexity of patterns of knowing in nursing was identified. Participation through information that contributed to trust was important and amounted to one fourth of the incidents in the material. Respect and engagement, which confirmed the women, facilitated a positive caring relationship. The examination situation can be improved through reflection of the personnel's own behavior and further research about women's own experiences.
妇科检查是生殖健康护理中的一项常见措施。许多女性或多或少将该检查视为一件负面事件，认为检查人员的行为存在缺陷。本研究的目的是通过关键事件来描述女性在妇科检查时对医护人员行为的体验。
通过策略性选择，研究对象包括30名年龄在18至82岁之间的瑞典女性。数据收集方法为采用关键事件技术进行分析的定性研究访谈。
结果包括30个子类别、5个类别以及两个主要方面——信任和认可。当医护人员促进参与、建立信心并给予支持时，能让女性产生信任。相反的行为则导致信任缺失。认可描述的是分别对女性起到认可或未认可作用的行为。这通过是否存在尊重和投入表现出来。
医护人员的积极行为能产生信任并认可女性个体，而消极行为则会产生不利影响。研究发现了护理中知识模式的复杂性。通过提供有助于建立信任的信息来促进参与很重要，这在资料中的事件里占四分之一。对女性表示认可的尊重和投入有助于建立积极的护理关系。通过反思医护人员自身行为以及进一步研究女性自身经历，检查情况可以得到改善。
