The author received her BSN in nursing from St. Xavier College, Chicago, Illinois. She received an MSN and her Family Nurse Practitioner certification from the University of Virginia in Charlottesville, Virginia. Her PHD degree in Nursing Science Research was granted by the University of Washington, Seattle, Washington. She completed post-graduate work at Harvard University, pursuing further studies in law, ethics, and social policy in health care. Currently, she is working as a health care researcher and consultant with the Bioethics Resource Group in Charlotte, North Carolina.
DISCLOSURE PRACTICES OF CERTIFIED NURSE-MIDWIVES RELATIVE TO METHODS OF CHILDBIRTH PAIN MANAGEMENT
Version of Record online: 28 JAN 2011
1987 American College of Nurse Midwives
Journal of Nurse-Midwifery
Volume 32, Issue 3, pages 131–139, May-June 1987
How to Cite
Trandel-Korenchuk, D. M. (1987), DISCLOSURE PRACTICES OF CERTIFIED NURSE-MIDWIVES RELATIVE TO METHODS OF CHILDBIRTH PAIN MANAGEMENT. Journal of Nurse-Midwifery, 32: 131–139. doi: 10.1016/0091-2182(87)90080-2
The author is grateful for the financial support for this research received from the American Nurses Foundation and the Hester McLaws Nursing Scholarship Fund.
- Issue online: 28 JAN 2011
- Version of Record online: 28 JAN 2011
Certified nurse-midwives (CNMs) influence patient decision-making environments through their disclosure practices. Disclosure is the provision of specialized information by nurse-midwives to patients and their families relative to methods of pain management available for use in childbirth. This study investigates the influence that patient characteristics have on the disclosure practices reported by nurse-midwives. Data were collected by a mailed questionnaire that included patient vignettes. Nurse-midwives were asked to respond to the vignettes rating the content, the method, and timing of disclosure. The questionnaire was sent to a random sample of 500 CNMs. Two hundred eighty-five CNMs completed and returned the survey; 220 questionnaires were used in statistical analyses. Results of the study indicated that CNMs reported disclosing more items of information relative to natural childbirth methods but less items of information relative to chemical methods of pain management (p < 0.0001). Contrary to expectations, there was no association between variations in patient characteristics and the content disclosed by CNMs. Results from this study raise the question for future investigation of the influence low and high levels of disclosure have on women's use of pain management methods during delivery and women's coping and adaptation during childbirth and postpartum.