Ethical Reflections on Nurse–Patient Communication in Obstetric Clinical Practice: An Expanded Academic Revision
DOI:
https://doi.org/10.66581/pb98ff65Keywords:
obstetric nursing, nurse–patient communication, biomedical ethics, respectful maternity care, humanistic nursing, clinical applicationAbstract
Obstetric care involves the simultaneous safeguarding of maternal and neonatal well-being and is characterized by high risk, high emotional intensity, and persistent communication demands. In this context, nurse–patient communication is not merely a technical adjunct to nursing practice but a core ethical activity that shapes care quality, patient safety, emotional well-being, treatment adherence, and the overall climate of clinical trust. Pregnant and postpartum women constitute a distinctive patient group whose physical condition, psychological status, and decision-making needs shift dynamically across the antenatal, intrapartum, and postpartum continuum. Consequently, communication in obstetric settings requires a higher level of professional sensitivity, ethical discipline, and person-centered responsiveness than is often assumed in general inpatient care. Drawing on the four foundational principles of biomedical ethics—respect for autonomy, beneficence, nonmaleficence, and justice—this revised paper provides a more theoretically grounded and analytically rigorous examination of common communication problems in obstetric nursing. It argues that persistent weaknesses in informed communication, privacy protection, empathic engagement, language regulation, and equitable service delivery are not isolated behavioral lapses but manifestations of deeper structural tensions between efficiency-oriented care routines and the ethical demands of patient-centered maternity care. The paper further proposes a full-cycle ethical communication framework for obstetric practice, integrating graded informed consent, privacy-sensitive communication protocols, empathy-based psychological support, standardized low-harm language strategies, stratified yet equitable communication planning, and department-level quality governance. By strengthening conceptual depth and practical applicability, this article aims to contribute to the construction of a more humane, ethically coherent, and clinically effective model of obstetric nursing communication.
References
Bohren, M. A., Mehrtash, H., Fawole, B., Maung, T. M., Balde, M. D., Maya, E., Thwin, S. S., Aderoba, A. K., Vogel, J. P., Irinyenikan, T. A., Adeyanju, A. O., Mon, N. O., Adu-Bonsaffoh, K., Landoulsi, S., Guure, C., Adanu, R., Diallo, B. A., Gülmezoglu, A. M., Soumah, A.-M., ... Tunçalp, Ö. (2019). How women are treated during facility-based childbirth in four countries: A cross-sectional study with labour observations and community-based surveys. The Lancet, 394(10210), 1750–1763. https://doi.org/10.1016/S0140-6736(19)31992-0
Cantor, A. G., Jungbauer, R. M., Skelly, A. C., Hart, E. L., Jorda, K., Davis-O’Reilly, C., Caughey, A. B., & Tilden, E. L. (2024). Respectful maternity care: A systematic review. Annals of Internal Medicine, 177(1), 50–64. https://doi.org/10.7326/M23-2676
Collins, B., Hall, J., Hundley, V., & Ireland, J. (2023). Effective communication: Core to promoting respectful maternity care for disabled women. Midwifery, 116, 103525. https://doi.org/10.1016/j.midw.2022.103525
Kawish, A. B., Umer, M. F., Arshed, M., Khan, S. A., Hafeez, A., & Waqar, S. (2023). Respectful maternal care experience in low- and middle-income countries: A systematic review. Medicina, 59(10), 1842. https://doi.org/10.3390/medicina59101842
King, A., & Hoppe, R. B. (2013). “Best practice” for patient-centered communication: A narrative review. Journal of Graduate Medical Education, 5(3), 385–393. https://doi.org/10.4300/JGME-D-13-00072.1
Oliveira, V. C., Refshauge, K. M., Ferreira, M. L., Pinto, R. Z., Beckenkamp, P. R., Negrao Filho, R. F., & Ferreira, P. H. (2012). Communication that values patient autonomy is associated with satisfaction with care: A systematic review. Journal of Physiotherapy, 58(4), 215–229. https://doi.org/10.1016/S1836-9553(12)70123-6
Sharkiya, S. H. (2023). Quality communication can improve patient-centred health outcomes among older patients: A rapid review. BMC Health Services Research, 23, 886. https://doi.org/10.1186/s12913-023-09869-8
White Ribbon Alliance. (2011). Respectful maternity care: The universal rights of childbearing women. https://whiteribbonalliance.org/wp-content/uploads/2022/05/WRA_RMC_Charter_FINAL.pdf
World Health Organization. (2018). WHO recommendations: Intrapartum care for a positive childbirth experience. https://iris.who.int/handle/10665/260178
World Health Organization. (2019, October 9). New evidence shows significant mistreatment of women during childbirth. https://www.who.int/news/item/09-10-2019-new-evidence-shows-significant-mistreatment-of-women-during-childbirth
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