Patient-provider communication during high-risk pregnancy: Considerations for theory and praxis

dc.contributor.advisor Stacy A. Tye-Williams
dc.contributor.author Jackman, Laura
dc.contributor.department English
dc.date 2019-09-19T12:56:33.000
dc.date.accessioned 2020-06-30T03:16:47Z
dc.date.available 2020-06-30T03:16:47Z
dc.date.copyright Wed May 01 00:00:00 UTC 2019
dc.date.embargo 2019-10-15
dc.date.issued 2019-01-01
dc.description.abstract <p>The overall purpose of this study was to explore the ways in which patients and providers communicate with each other about high-risk pregnancy. The first research question I posed was how do patients communicate with providers about high-risk pregnancies? The second research question I addressed was how do providers communicate about high-risk pregnancy with patients? In order to answer these questions I conducted semi-structured interviews with two types of participants: women who experienced high-risk pregnancy, and healthcare providers practicing high-risk pregnancy care. I interviewed 32 patients which yielded 347 pages of single-spaced text. Additionally, I interviewed 6 providers which yielded 74 pages of single-spaced text.</p> <p>A thematic analysis of the interview data resulted in several key findings. First, patients desired to establish positive and trusting relationships with their providers during high-risk pregnancy. Patients wanted to feel cared for and listened to throughout their high-risk pregnancy. Second, research findings identified the need for ongoing, formalized communication training for high-risk pregnancy providers. This type of training could include general communication skills when working with all patients, as well as more complex skills for interacting with high-risk pregnancy patients. Lastly, patients and providers both reported the desire to exert control throughout high-risk pregnancy. Patients expressed wanting to have input regarding care decisions, while providers desired patient compliance. These findings have implications at the organizational, provider, and individual patient levels. Additionally, this study revealed theoretical and practical implications and areas of future research which would contribute even further to understanding the complexities of patient-provider communication about high-risk pregnancy. Communication-based interventions may help to improve health outcomes centered around high-risk pregnancy in the United States.</p>
dc.format.mimetype application/pdf
dc.identifier archive/lib.dr.iastate.edu/etd/17218/
dc.identifier.articleid 8225
dc.identifier.contextkey 15016197
dc.identifier.s3bucket isulib-bepress-aws-west
dc.identifier.submissionpath etd/17218
dc.identifier.uri https://dr.lib.iastate.edu/handle/20.500.12876/31401
dc.language.iso en
dc.source.bitstream archive/lib.dr.iastate.edu/etd/17218/Jackman_iastate_0097E_17620.pdf|||Fri Jan 14 21:18:49 UTC 2022
dc.subject.disciplines Communication
dc.subject.keywords Communication
dc.subject.keywords Healthcare
dc.subject.keywords High-risk pregnancy
dc.subject.keywords Thematic Analysis
dc.title Patient-provider communication during high-risk pregnancy: Considerations for theory and praxis
dc.type article
dc.type.genre dissertation
dspace.entity.type Publication
relation.isOrgUnitOfPublication a7f2ac65-89b1-4c12-b0c2-b9bb01dd641b
thesis.degree.discipline Rhetoric and Professional Communication
thesis.degree.level dissertation
thesis.degree.name Doctor of Philosophy
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