不信任、沟通无效、歧视：美国黑人分娩硬膜外镇痛使用率低背后的真实问题

IF 3.7 2区医学 Q1 NURSING

Nursing Outlook Pub Date : 2025-07-02 DOI:10.1016/j.outlook.2025.102467

Hideyo Tsumura PhD, DNP, RN, CRNA , Kathryn I. Pollak PhD , Sarahn Wheeler MD, MHSCR , Sharron L. Docherty PhD, PNP, FAAN

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引用次数: 0

摘要

背景：与非西班牙裔白人孕妇相比，非西班牙裔黑人孕妇使用的硬膜外镇痛可减少50%。目的：本研究旨在探讨在分娩时使用硬膜外镇痛的种族差异因素。方法回顾和总结有关种族差异在产妇结局和分娩疼痛管理方面的科学证据。研究结果：我们发现，医疗保健和提供者之间的信任问题、无效的患者-提供者沟通以及感知到的虐待和歧视导致了临产疼痛管理方面的这些差异。需要进一步的研究来制定策略来提高黑人个体的分娩经验，包括改善患者与提供者的沟通，并提供准确的、文化敏感的分娩疼痛管理患者教育。

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Untrustworthiness, ineffective communication, and discrimination: The real issues behind lower utilization of labor epidural analgesia by Black Americans

Background

Non-Hispanic Black pregnant individuals utilize up to 50% less labor epidural analgesia compared to non-Hispanic White individuals.

Purpose

This Outlook and Perspectives aims to evaluate the factors contributing to racial differences in the utilization of labor epidural analgesia.

Methods

Literature on scientific evidence regarding racial disparities in maternal outcomes and labor pain management was reviewed and summarized.

Findings

We identified that trust issues with healthcare and providers, ineffective patient-provider communication, and perceived mistreatment and discrimination contribute to these disparities in labor pain management.

Discussion

Further research is needed to develop strategies to enhance birthing experiences for Black individuals, including improving patient-provider communication and providing accurate, culturally sensitive patient education on labor pain management.

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来源期刊

Nursing Outlook 医学-护理

CiteScore

6.20

自引率

7.00%

发文量

109

审稿时长

25 days

期刊介绍： Nursing Outlook, a bimonthly journal, provides innovative ideas for nursing leaders through peer-reviewed articles and timely reports. Each issue examines current issues and trends in nursing practice, education, and research, offering progressive solutions to the challenges facing the profession. Nursing Outlook is the official journal of the American Academy of Nursing and the Council for the Advancement of Nursing Science and supports their mission to serve the public and the nursing profession by advancing health policy and practice through the generation, synthesis, and dissemination of nursing knowledge. The journal is included in MEDLINE, CINAHL and the Journal Citation Reports published by Clarivate Analytics.