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KMID : 1022320200140040231
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Asian Nursing Research
2020 Volume.14 No. 4 p.231 ~ p.240
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Understanding Taiwanese Women's Decisional Experiences Regarding Prenatal Screening Procedures And Diagnostics: A Phenomenological Study
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Chen Mei-Man
Cheng Bi-Hua
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Abstract
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Purpose: This study sought to understand Taiwanese women’s decisional experiences regarding prenatalscreening procedures and diagnostics.
Methods: A hermeneutic phenomenological design guided semistructured interviews with 33 womenwho were 36 weeks pregnant. Data were collected between February and October 2016. Verbatimtranscripts were analyzed following hermeneutic circle to cocreate an understanding of Taiwanesewomen’s decision-making in prenatal screening and diagnostics.
Results: Women’s existential experiences were derived from their decision-making process on prenatalscreening procedures and diagnostics for chromosomal aneuploidy. These decisional experiences werecaptured by four theme clusters and eight themes, which were inductively derived from 16 meaningunits: (1) accessing health information; (2) considering what was best for my baby; (3) consideringfamily finance; and (4) feeling anxiety posttest.
Conclusion: Participants made informed choices on several prenatal screening procedures, ostensibly,based on their personal values and considerations. During the decision-making process, often-citedbenefits of genetic screenings were emphasized, but test limitations were often unheeded. A fundamentalneed for supportive information in decision making was further identified with recommendedstrategies. Hence, a revision of traditional genetic counseling approaches is recommended. As genomicstechnologies are increasingly available during antenatal services, women should be sufficiently educatedabout them to support decision making.
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KEYWORD
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cell-free nucleic acids, decision making, genetic testing, qualitative research, ultrasonography, prenatal
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