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Certified Nurse-Midwives' Experiences With Provision of Prenatal Genetic Screening: A Case for Interprofessional Collaboration.
- Source :
- Journal of Perinatal & Neonatal Nursing; Oct-Dec2019, Vol. 33 Issue 4, pE3-E14, 12p
- Publication Year :
- 2019
-
Abstract
- Prenatal genetic screening (GS) for the most common autosomal aneuploidies encompasses maternal serum screening (MSS) and noninvasive prenatal testing (NIPT, or cell-free fetal DNA testing). In the United States, most maternity care is provided by obstetrician-gynecologists; however, women are increasingly utilizing the services of certified nurse-midwives (CNMs). Currently, limited research exists on midwives' experiences with providing prenatal GS. Therefore, the purpose of this study was to explore CNMs' experiences in providing prenatal GS. A semistructured guide focused on MSS and NIPT was used to interview a convenience sample of 13 CNMs. Results were coded and analyzed using grounded theory to elicit overarching themes. Results were organized into 6 themes describing CNMs' prenatal GS provision: (1) clinical protocols; (2) patient education; (3) patient-CNM shared decisionmaking process; (4) testing initiation; (5) results delivery; and (6) follow-up coordination. Key influences on midwives' perspectives on offering prenatal GS included a noninterventionist approach to pregnancy and past experiences with false-positive MSS results. Participants had an understanding of prenatal GS that was appropriate to midwifery scope of practice. Results indicate that NIPT utilization is compatible with the midwifery philosophy of noninterventionism, although midwives had limited experiences with NIPT to date. [ABSTRACT FROM AUTHOR]
- Subjects :
- DECISION making
GROUNDED theory
INTERPROFESSIONAL relations
INTERVIEWING
RESEARCH methodology
MEDICAL protocols
MIDWIVES
NURSING specialties
PATIENT education
PRENATAL diagnosis
RESEARCH
RESEARCH funding
STATISTICAL sampling
GENETIC testing
QUALITATIVE research
DATA analysis
THEMATIC analysis
DATA analysis software
ATTITUDES of medical personnel
DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 08932190
- Volume :
- 33
- Issue :
- 4
- Database :
- Supplemental Index
- Journal :
- Journal of Perinatal & Neonatal Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 140217971
- Full Text :
- https://doi.org/10.1097/JPN.0000000000000440