Howe C L
Nurs Clin North Am. 1982 Mar;17(1):49-56.
The details of physiological and psychosocial assessment are available in many texts, and the techniques are relatively simple. Several assumptions underlie an excellent labor assessment: 1. that the nurse has a thorough knowledge of the physiological processes of pregnancy and labor; 2. that the nurse has a thorough knowledge of the psychosocial implications of pregnancy and labor; 3. that the nurse has the ability to set priorities and balance the focus of her assessment; 4. that the nurse has the ability to refrain from stereotyping the woman in labor; 5. that the nurse does not let her own expectations of feelings and behavior in labor mask what the patient is really experiencing; and 6. that the nurse is willing to follow up, evaluate, and reassess in order to verify her assessments and improve her assessment skills.
生理和心理社会评估的细节在许多教科书中都有介绍,而且相关技术相对简单。出色的分娩评估基于以下几个假设:1. 护士对妊娠和分娩的生理过程有透彻的了解;2. 护士对妊娠和分娩的心理社会影响有透彻的了解;3. 护士有能力确定优先事项并平衡评估重点;4. 护士有能力避免对分娩中的女性产生刻板印象;5. 护士不会让自己对分娩时的感受和行为的期望掩盖患者的真实体验;6. 护士愿意跟进、评估和重新评估,以核实自己的评估并提高评估技能。