title: The effect of social and care environments on the disclosure practices of nurse midwives relative to methods of pain management in childbirth.
abstract: A multivariable model of characteristics in the nurse-patient relationship that influence the disclosure practices of nurses was developed to investigate the effects that characteristics of the nurse midwife, the patient, and the setting have on the disclosure practices reported by nurse midwives. Data were collected by a mailed questionnaire using multiple-choice questions and patient case studies. The questionnaire was sent to a random sample of 500 certified nurse midwives. No association occurred between variations in patient characteristics and the content disclosed by nurse midwives. Many of the patient demographic characteristics were observed to be significantly related to the method and time of disclosure. Results of the study suggested that the social as well as the immediate health-care environment influenced the disclosure of information.
mesh_terms: D005260:Female; D006700:Home Childbirth; D006801:Humans; D007743:Labor, Obstetric; D009721:Nurse Midwives; D009723:Nurse-Patient Relations; D059408:Pain Management; D011247:Pregnancy; D011364:Professional Practice; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D013997:Time Factors; D014342:Truth Disclosure