Power Dynamics in Doctor-Nurse-Patient Roles: Negotiating Decision Making for C-Section in Mardan, Khyber Pakhtunkhwa

Abstract

Aim of the Study: The relationship between doctor, nurse, and patient is a complex phenomenon in negotiating cesarean section (C-sections) decisions. Power dynamics are involved in doctor-nurse-patient roles discussing C-section decisions. This study explores the complex power dynamics in doctor-nurse-patient relationships when making a C-section decision.

Methodology: Using a flexible qualitative research design, the researchers ask how the authoritative and expertise-based relationship between doctor, nurse, and patient influences this negotiation and reshaping patients’ decision for C-sections.

Findings: Authors found the involvement of power dynamics in the doctor-nurse-patient relationship discussing cesarean sections. Due to doctors’ authoritative approach, a boundary of medical professionalism between doctors and nurses and a boundary of authority between doctors and patients were absent which affected patients’ decision for a cesarean or vaginal delivery of the baby.

Conclusion: These findings may be used as valuable insights and guiding principles for healthcare professionals working in labour rooms, ultimately benefiting patients.