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Trust and confirmation in a gynecologic examination situation: a critical incident technique analysis

Wendt, E; Fridlund, Bengt LU and Lidell, E (2004) In Acta Obstetricia et Gynecologica Scandinavica 83(12). p.1208-1215
Abstract
Background. Gynecologic examination is a common measure in reproductive health care. Many women experience the examination as a more or less negative event, with shortcomings in the examiner's behavior. The aim of the study was to describe, in terms of critical incidences, women's experiences concerning the personnel's behavior in the situation of gynecologic examination. Methods. The informants were strategically chosen and consisted of 30 Swedish women between the ages of 18-82 years old. The data collection method was qualitative research interviews analyzed by critical incident technique. Results. The result consisted of 30 subcategories, five categories, and two main areas - trust and confirmation. The personnel enabled trust when... (More)
Background. Gynecologic examination is a common measure in reproductive health care. Many women experience the examination as a more or less negative event, with shortcomings in the examiner's behavior. The aim of the study was to describe, in terms of critical incidences, women's experiences concerning the personnel's behavior in the situation of gynecologic examination. Methods. The informants were strategically chosen and consisted of 30 Swedish women between the ages of 18-82 years old. The data collection method was qualitative research interviews analyzed by critical incident technique. Results. The result consisted of 30 subcategories, five categories, and two main areas - trust and confirmation. The personnel enabled trust when they promoted participation, created confidence, and were supportive. The opposite behavior contributed to the lack of trust. Confirmation described behavior that confirmed, respectively, did not confirm the women. This was shown through the presence or lack of respect and engagement. Conclusion. The personnel's positive behavior enabled trust and confirmed the women as individuals, while negative behavior was decisive in an unfavorable way. A complexity of patterns of knowing in nursing was identified. Participation through information that contributed to trust was important and amounted to one fourth of the incidents in the material. Respect and engagement, which confirmed the women, facilitated a positive caring relationship. The examination situation can be improved through reflection of the personnel's own behavior and further research about women's own experiences. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
gynecologic examination, experience, behavior, confirmation, trust
in
Acta Obstetricia et Gynecologica Scandinavica
volume
83
issue
12
pages
1208 - 1215
publisher
Wiley-Blackwell
external identifiers
  • wos:000225576200021
  • pmid:15548158
  • scopus:10344225082
ISSN
1600-0412
DOI
10.1111/j.0001-6349.2004.00597.x
language
English
LU publication?
yes
id
4feb89c7-bb95-440c-9fee-d786bfe877ec (old id 259798)
date added to LUP
2007-11-05 13:21:11
date last changed
2017-08-27 05:22:42
@article{4feb89c7-bb95-440c-9fee-d786bfe877ec,
  abstract     = {Background. Gynecologic examination is a common measure in reproductive health care. Many women experience the examination as a more or less negative event, with shortcomings in the examiner's behavior. The aim of the study was to describe, in terms of critical incidences, women's experiences concerning the personnel's behavior in the situation of gynecologic examination. Methods. The informants were strategically chosen and consisted of 30 Swedish women between the ages of 18-82 years old. The data collection method was qualitative research interviews analyzed by critical incident technique. Results. The result consisted of 30 subcategories, five categories, and two main areas - trust and confirmation. The personnel enabled trust when they promoted participation, created confidence, and were supportive. The opposite behavior contributed to the lack of trust. Confirmation described behavior that confirmed, respectively, did not confirm the women. This was shown through the presence or lack of respect and engagement. Conclusion. The personnel's positive behavior enabled trust and confirmed the women as individuals, while negative behavior was decisive in an unfavorable way. A complexity of patterns of knowing in nursing was identified. Participation through information that contributed to trust was important and amounted to one fourth of the incidents in the material. Respect and engagement, which confirmed the women, facilitated a positive caring relationship. The examination situation can be improved through reflection of the personnel's own behavior and further research about women's own experiences.},
  author       = {Wendt, E and Fridlund, Bengt and Lidell, E},
  issn         = {1600-0412},
  keyword      = {gynecologic examination,experience,behavior,confirmation,trust},
  language     = {eng},
  number       = {12},
  pages        = {1208--1215},
  publisher    = {Wiley-Blackwell},
  series       = {Acta Obstetricia et Gynecologica Scandinavica},
  title        = {Trust and confirmation in a gynecologic examination situation: a critical incident technique analysis},
  url          = {http://dx.doi.org/10.1111/j.0001-6349.2004.00597.x},
  volume       = {83},
  year         = {2004},
}