Discussion
This researchexploredasmallsampleofWesternAustralian
women's valuesschemapertainingtodifferentepisodesof
maternity-care.Reflecting preceptsofImageTheory,theresults
supported thenotionofwomenasactiveinconstructing
maternity-carevaluesschemaandusingthesetoevaluatetheir
experiences.Itsuggestedthatalthoughthedetailofwomen's
plans orexpectationsoftheirmaternitycaremightvary,under-
lying valuesshowedhighlevelsofconsistency.Thisaccordswith
Hart's (1999) generalpropositionaboutserviceexpectationsand
affirms Green's (2012) argument thathigh-levelinformationon
the aspectsofcarehighlyvaluedbymostwomenhasutilityfor
maternity-carepolicymakers,practitionersandresearchers.
While muchofwhatthestudyidentified regardingWestern
Australianwomen'sexpectationsandevaluationsofpublicmater-
nity careresonatedwithpastAustralianresearch(Brownand
Lumley,1994;Gambleetal.,2007;Jenkinsetal.,2014) itprovided
this informationinanepisode-specific context.Understandingand
responding tomaternity-careservicedeliveryinthiswayseems
imperativeiftheprocessoforientingservicestomeetwomen's
expectationsistobecomprehensivelyachieved.
Fromapracticeperspective,acentralmessageofthisstudy
accordswith Jenkins etal.'s(2014) conclusion fromtheirresearch
examiningwomen'sexpectationsandexperiencesofmaternity
care intheNewSouthWalespublichealthsystem.Thisisthat
relationalissuesarefront-and-centreacrossthecontinuumofcare
and needtobeaprimaryfocusforallmaternity-careproviders
concerned withimprovingqualityfromthewomen'sperspective.
This studyhasanumberofotherapparentimplicationsfor
those deliveringcareduringthedifferentepisodesintheframe-
work.Forexample,women'sexpectationsthatGP'swillplaya
‘travelagency’ role maynotaltogetherreflect GP'sownviewsor
interpretationsofwhattheyareequippedorbeingaskedtooffer.
This mightbeusefullyexploredinfutureresearchalongwith
considerationofoptionsforsupportingGP'sintheendeavourof
helping womenclarifytheirmaternity-careplansthataccordwith
their values.Anotherimplicationisintheareaofdiagnostictests
in pregnancy,inparticular,processesaroundinformationand
feedbackontheirpurposeandresults.Manywomeninterviewed
in thisstudyindicatedtheyhadhaddiagnostictestswithout
receivingresultsorinformationinrelationtotheseandthiswas
clearlycontrarytotheirvaluesimageandsubsequentexpectancies
of thisaspectoftheircare.
สนทนาResearchexploredasmallsampleofWesternAustralian นี้ผู้หญิง valuesschemapertainingtodifferentepisodesofคลอดดูแล ถึง preceptsofImageTheory, theresultsthenotionofwomenasactiveinconstructing ได้รับการสนับสนุนcarevaluesschemaandusingthesetoevaluatetheir คลอดประสบการณ์ ของ Itsuggestedthatalthoughthedetailofwomenแผน orexpectationsoftheirmaternitycaremightvary ต่ำ-โกหก valuesshowedhighlevelsofconsistency ThisaccordswithGeneralpropositionaboutserviceexpectationsand (1999) ของฮาร์ทaffirms เขียวของอาร์กิวเมนต์ (2012) thathigh-levelinformationonaspectsofcarehighlyvaluedbymostwomenhasutilityforคลอด-carepolicymakers, practitionersandresearchersในขณะที่ muchofwhatthestudyidentified regardingWesternAustralianwomen'sexpectationsandevaluationsofpublicmater-nity careresonatedwithpastAustralianresearch (BrownandLumley, 1994 Gambleetal. 2007 , Jenkinsetal. 2014) itprovidedบริบทนี้เฉพาะ informationinanepisode Understandingandตอบสนอง tomaternity-careservicedeliveryinthiswayseemsของ imperativeiftheprocessoforientingservicestomeetwomenexpectationsistobecomprehensivelyachievedFromapracticeperspective, acentralmessageofthisstudyaccordswith เจงกินส์ etal.'s(2014) บทสรุป fromtheirresearchexaminingwomen'sexpectationsandexperiencesofmaternityintheNewSouthWalespublichealthsystem.Thisisthat ดูแลrelationalissuesarefront และ centreacrossthecontinuumofcareและ needtobeaprimaryfocusforallmaternity-careproviderswithimprovingqualityfromthewomen'sperspective เกี่ยวข้องStudyhasanumberofotherapparentimplicationsfor นี้deliveringcareduringthedifferentepisodesintheframe เหล่านั้น-ทำงาน Forexample, women'sexpectationsthatGP'swillplayamaynotaltogetherreflect บทบาทของ 'travelagency' GP'sownviewsorinterpretationsofwhattheyareequippedorbeingaskedtoofferMightbeusefullyexploredinfutureresearchalongwith นี้considerationofoptionsforsupportingGP'sintheendeavourofช่วย womenclarifytheirmaternity-careplansthataccordwithค่าของพวกเขา Anotherimplicationisintheareaofdiagnostictestsตั้งครรภ์ inparticular, processesaroundinformationandfeedbackontheirpurposeandresults Manywomeninterviewedใน thisstudyindicatedtheyhadhaddiagnostictestswithoutreceivingresultsorinformationinrelationtotheseandthiswasclearlycontrarytotheirvaluesimageandsubsequentexpectanciesของ thisaspectoftheircare
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