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学生助产士对生殖伦理的反应:使用案例情景的定性焦点小组方法。

Student midwives' responses to reproductive ethics: a qualitative focus group approach using case scenarios.

机构信息

University of Northampton, Boughton Green Road, Northampton, UK.

出版信息

Midwifery. 2013 Aug;29(8):895-901. doi: 10.1016/j.midw.2012.10.005. Epub 2013 Feb 8.

DOI:10.1016/j.midw.2012.10.005
PMID:23399320
Abstract

OBJECTIVE

the aim of this study was to gain an understanding of how midwifery students respond to a range of ethical dilemmas which they may encounter in clinical practice in relation to the use of reproductive technologies.

DESIGN

during a series of focus groups, student midwives were asked to consider four novel scenarios, which highlighted some of the most controversial issues in contemporary reproductive ethics. These included assisted reproduction for older women, surrogacy and mental health, sex selection and reproductive cloning.

SETTING

a University in the East Midlands, England.

PARTICIPANTS

purposeful sampling was adopted which resulted in four focus groups with a total of 16 student midwives.

FINDINGS

a process of thematic analysis generated four key themes: choice and expectation, consumer society; distributive justice; parental rights and welfare of the child.

CONCLUSIONS

our results suggest that student midwives are sensitive to the range of ethical dilemmas associated with the increased use of technology in human reproduction, and construct distinct boundaries in relation to what is considered of benefit or good to the mother, parents, the child and to society and what is considered harmful to the individual, the child and society. They also expressed their opposition to the excessive use of technological intervention, preferring instead to maintain a more naturalistic approach to reproduction. This is especially significant where concerns about the welfare of the child are articulated.

摘要

目的

本研究旨在了解助产学生如何应对他们在与生殖技术相关的临床实践中可能遇到的一系列伦理困境。

设计

在一系列焦点小组中,要求助产学生考虑四个新的情景,这些情景突出了当代生殖伦理中一些最具争议性的问题。其中包括为老年妇女提供辅助生殖、代孕和心理健康、性别选择和生殖克隆。

地点

英格兰东米德兰兹的一所大学。

参与者

采用有目的的抽样,结果有 16 名助产学生参加了四个焦点小组。

发现

主题分析过程产生了四个关键主题:选择和期望、消费社会;分配正义;父母权利和儿童福利。

结论

我们的研究结果表明,助产学生对与人类生殖技术日益增加相关的一系列伦理困境非常敏感,并在哪些被认为对母亲、父母、孩子和社会有益或有益,哪些被认为对个人、孩子和社会有害方面建立了明确的界限。他们还表示反对过度使用技术干预,而是更倾向于对生殖采取更自然主义的方法。当涉及到对孩子福利的关注时,这一点尤其重要。

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