人性化生產環境之概念分析

Humanized Labor Environment - A Concept Analysis

生產被視為是一個正常與自然的過程，有關於人性化生產議題，近年來已受到世界各國重視。國外針對人性化生產議題已有許多相關文獻與研究，但國內對「人性化生產環境」的研究仍處於起步階段。在進行有關人性化生產議題的研究前，應對「人性化生產環境」有一明確定義。因此本文乃運用Walker與Avant(2005)提出的概念分析步驟進行分析，確認人性化生產環境定義特徵為婦女於生產時擁有自主權與自我控制權；生產時以家庭為中心，尊重婦女需求；生產環境是舒適、整潔、安全具隱蔽性的；醫護人員專業、和諧且一致性的照護服務；減少不必要的醫療措施介入。並舉出案例說明，期望能增進臨床護理人員對此概念有一正確認識，進而實際應用於臨床實務中，以利於往後推展人性化生產有一依循方向與目標。

Childbirth has been considered as a normal and natural process. In the last few years, the issueof humanized labor has been taken into account by governments all around the world. So far, a lotof studies and literature on「Humanized Labor Environment」have been widely recognized abroad.Yet, the concept of humanized labor environment still had not been defined and studied in Taiwan.Aclear understanding of humanized labor environment is doubly important before conducting studieson the issue.Walker &Avant's concept analysis model was used to explore the concept of humanizedlabor environment. The defined attributes of a humanized labor environment include: a familycentereddelivery process where women's needs are respected; a comfortable, clean, safe andprivate labor environment; professional health servicewith consistency and concordance; and avoidingunnecessary interventions. Using the defined attributes, cases can be developed for further clarifyingthe concept. Description of the model cases can facilitate clinical nurses using the concept forwomen in a childbirth setting.