Sandra P. Souto MSc, RM, RN, Ana Paula Prata PhD, MSc, RM, RN, Rosemeire S. Albuquerque PhD, MSc, RM, RN, Sílvia Caldeira PhD, MSc, RN
{"title":"妇女在怀孕期间对分娩的恐惧：概念分析","authors":"Sandra P. Souto MSc, RM, RN, Ana Paula Prata PhD, MSc, RM, RN, Rosemeire S. Albuquerque PhD, MSc, RM, RN, Sílvia Caldeira PhD, MSc, RN","doi":"10.1111/2047-3095.12458","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Purpose</h3>\n \n <p>To map and analyze the concept of women's fear of childbirth (FOC) during pregnancy and to develop a new nursing diagnosis (ND).</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Concept analysis based on Walker and Avant's methodology. An integrative literature search was conducted in Scopus, Web of Science, and CINAHL Complete databases, including peer-reviewed articles published in English from January 1981 to October 2022.</p>\n </section>\n \n <section>\n \n <h3> Findings</h3>\n \n <p>Thirty-one studies were included in the review. Women's FOC during pregnancy comprises three central categories: attributes, antecedents, and consequences. Nine main characteristics (attributes) are related to one or more of eight prior conditions (antecedents) that have the potential to exert negative or favorable impacts (consequences), depending on whether coping strategies have been a part of a fearful woman's pregnancy. These elements and relationships among them should be viewed as dynamic.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Women's FOC during pregnancy is a subjective, multidimensional, and dynamic concept that benefits prenatal care responses. A conceptual matrix on prenatal care will consider the factors underlying women's FOC and their potential mechanisms, how fearful pregnant women respond, the aspects that shape FOC, and how it influences outcomes when supporting pregnant women with FOC. Therefore, the study findings can be used to inform ways of identifying fearful women or as a basis for interventions to manage fears and enhance the confidence of pregnant women for childbirth.</p>\n </section>\n \n <section>\n \n <h3> Implications for nursing practice</h3>\n \n <p>The results of this study help nurses, OB nursing practitioners, nurse–midwives, and midwives to identify the condition of women's FOC during pregnancy and guide nursing therapeutic interventions to decrease the negative effects on women's health and well-being. Therefore, there are valuable reasons to propose using “fear of childbirth” as a ND in the class “coping responses” within domain coping/stress tolerance, contributing to refining the NANDA-I taxonomy.</p>\n </section>\n </div>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 1","pages":"16-28"},"PeriodicalIF":1.4000,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Women's fear of childbirth during pregnancy: A concept analysis\",\"authors\":\"Sandra P. Souto MSc, RM, RN, Ana Paula Prata PhD, MSc, RM, RN, Rosemeire S. 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Women's fear of childbirth during pregnancy: A concept analysis
Purpose
To map and analyze the concept of women's fear of childbirth (FOC) during pregnancy and to develop a new nursing diagnosis (ND).
Methods
Concept analysis based on Walker and Avant's methodology. An integrative literature search was conducted in Scopus, Web of Science, and CINAHL Complete databases, including peer-reviewed articles published in English from January 1981 to October 2022.
Findings
Thirty-one studies were included in the review. Women's FOC during pregnancy comprises three central categories: attributes, antecedents, and consequences. Nine main characteristics (attributes) are related to one or more of eight prior conditions (antecedents) that have the potential to exert negative or favorable impacts (consequences), depending on whether coping strategies have been a part of a fearful woman's pregnancy. These elements and relationships among them should be viewed as dynamic.
Conclusions
Women's FOC during pregnancy is a subjective, multidimensional, and dynamic concept that benefits prenatal care responses. A conceptual matrix on prenatal care will consider the factors underlying women's FOC and their potential mechanisms, how fearful pregnant women respond, the aspects that shape FOC, and how it influences outcomes when supporting pregnant women with FOC. Therefore, the study findings can be used to inform ways of identifying fearful women or as a basis for interventions to manage fears and enhance the confidence of pregnant women for childbirth.
Implications for nursing practice
The results of this study help nurses, OB nursing practitioners, nurse–midwives, and midwives to identify the condition of women's FOC during pregnancy and guide nursing therapeutic interventions to decrease the negative effects on women's health and well-being. Therefore, there are valuable reasons to propose using “fear of childbirth” as a ND in the class “coping responses” within domain coping/stress tolerance, contributing to refining the NANDA-I taxonomy.
期刊介绍：
The International Journal of Nursing Knowledge, the official journal of NANDA International, is a peer-reviewed publication for key professionals committed to discovering, understanding and disseminating nursing knowledge.
The Journal aims to clarify the knowledge base of nursing and improve patient safety by developing and disseminating nursing diagnoses and standardized nursing languages, and promoting their clinical use. It seeks to encourage education in clinical reasoning, diagnosis, and assessment and ensure global consistency in conceptual languages.
The International Journal of Nursing Knowledge is an essential information resource for healthcare professionals concerned with developing nursing knowledge and /or clinical applications of standardized nursing languages in nursing research, education, practice, and policy.
The Journal accepts papers which contribute significantly to international nursing knowledge, including concept analyses, original and applied research, review articles and international and historical perspectives, and welcomes articles discussing clinical challenges and guidelines, education initiatives, and policy initiatives.
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