scholarly journals Educational hypermedia in nursing assistance at birth: building and validation of content and appearance

2019 ◽  
Vol 72 (6) ◽  
pp. 1471-1478
Author(s):  
Lara Leite de Oliveira ◽  
Igor Cordeiro Mendes ◽  
Marianne Maia Dutra Balsells ◽  
Elizian Braga Rodrigues Bernardo ◽  
Régia Christina Moura Barbosa Castro ◽  
...  

ABSTRACT Objective: to build an educational hypermedia about nursing care at usual risk birth and to perform validation of content and appearance. Method: methodological research carried out following the following stages: content and planning of modules; media production and organization of tutorial units; organization of student space, tutor and communication between them; availability of hypermedia; assessment by experts in nursing and informatics; and implementation of proposed suggestions. Results: educational hypermedia showed to be a validated material, since it presented an optimum index of global content of 0.97 and statistical significance in the binomial test for the content and appearance. Conclusion: it is believed that the use of this material with undergraduate students in nursing will contribute to the quality of obstetric care, considering that it is an illustrated technology capable of favoring teaching-learning about normal humanized childbirth.

BMJ ◽  
1983 ◽  
Vol 286 (6365) ◽  
pp. 621-623 ◽  
Author(s):  
M Clarke ◽  
D G Clayton

2021 ◽  
Vol 2 ◽  
Author(s):  
Áine Brislane ◽  
Fionnuala Larkin ◽  
Helen Jones ◽  
Margie H. Davenport

Introduction: During the COVID-19 pandemic, obstetric care has adopted new precautions to ensure services can be maintained for pregnant women. The aim of this study was to describe access to and quality of obstetric care for pregnant and postpartum women during the COVID-19 pandemic and to identify factors that predict quality of care at this time.Methods: Between May 3 and June 28, 2020, we recruited women who were pregnant or within the first 6 months after delivery to participate in an online survey. This included questions on access to obstetric healthcare (type and place of health care provider, changes to obstetric appointments/services, appointment preferences) and the Quality of Prenatal Care Questionnaire (QPCQ).Results: Of the 917 eligible women, 612 (67%) were pregnant and 305 (33%) were in the first 6 months after delivery. Sixty-two percent (n = 571) reported that COVID-19 had affected their healthcare; appointments were rearranged, canceled or occurred via virtual means for 29% (n = 166), 29% (n = 167), and 31% (n = 175) of women, respectively. The majority preferred to physically attend appointments (74%; n = 676) and perceived the accompaniment of birth partners as important (77%; n = 471). Sixty-two percent (n = 380) were permitted a birth partner at delivery, 18% (n = 111) were unsure of the rules while 4% (n = 26) were not permitted accompaniment. During pregnancy, QPCQ was negatively associated with disruption to obstetric services including exclusion or uncertainty regarding birth partner permissions [F(7, 433) = 11.5, p < 0.001, R2 = 0.16] while QPCQ was negatively associated with inadequate breastfeeding support postpartum [F(1, 147) = 12.05, p = 0.001, R2 = 0.08].Conclusion: Pregnant and postpartum have experienced disruption in their access to obstetric healthcare. Perceived quality of obstetric care was negatively influenced by cancellation of appointment(s), suspension of services and exclusion of birth partners at delivery. During this time, continuity of care can be fulfilled via virtual and/or phone appointments and women should receive clear guidance on changes to services including birth partner permissions to attend delivery.


Author(s):  
Elsa RODRÍGUEZ-ANGULO ◽  
Marita SOLÍS-RIVERO ◽  
Ricardo OJEDA-RODRÍGUEZ ◽  
Guadalupe ANDUEZA-PECH

Objectives. Identify the barriers that cause delays in the route of obstetric care in pregnant women of Yaxkukul, Yucatán, from January 2016 to May 2018. Methodology. Observational, descriptive, cross-sectional and retrospective study. Pregnant women who attended prenatal control at the rural health center of Yaxkukul were interviewed and reviewed their clinical record. Sociodemographic characteristics, prenatal control were studied and the critical route of obstetric care was described, under the model of the three delays. Percentages, measures of central tendency and dispersion were calculated; as well as square chi to look for association between delays and maternal morbidity. A 95% confidence level and a value of p <0.05 were used. Contribution. The present study contributes to the prevention of maternal and perinatal mortality. Knowing the barriers that cause delays in care can identify deficiencies in the obstetric emergency protocol established in rural health units, to improve the quality of obstetric care.


BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e031499
Author(s):  
Angela Ratsch ◽  
Fiona Sewell ◽  
Adrian Pennington

IntroductionThe Australian Council on Healthcare Standards (ACHS) set criteria for the delivery of healthcare services in Australia. While a voluntary process, continual accreditation with ACHS is an expectation of, and for, Australian healthcare providers. Juxtapositioned with the ACHS, the Nursing and Midwifery Board of Australia (NMBA) set the mandatory practice requirements of, and for, Australian nurses. Despite these overarching quality and governance directives, a regional Queensland Hospital and Health Service (HHS) demonstrated deficits in the quality of nursing care. Accordingly, a HHS project was commissioned with the aim of producing a quantum shift in the quality of nursing services such that the service wasready-everydayfor accreditation assessment, and nursing practice exemplified the NMBA standards.Several barriers to achieving the aim were identified and it was considered that the implementation of critical system changes would structurally and operationally support the achievement of the aim. The system changes are pivoted around an interactive matrix that links nursing care services to the array of nursing professional and practice standards and provides real-time quantitative output measures. This paper outlines the protocol that will be used to establish, implement and evaluate the matrix.Methods and analysisA participatory action research design with a modified Delphi methodology will be used for the development the matrix. The organisational change management around the matrix implementation will be informed by Kotter’s model and supported by the use of the McKinsey 7S. The matrix implementation phase will be conducted using a modifiedPromoting Action on Research Implementation in Health Servicesmodel. Quantitative and qualitative data will be collected over a 12 month pre-test/post-test design to measure the statistical significance of the matrix in supporting compliance with nursing standards and the achievement of quality nursing care. Quantitative data from quality of care assessments will be analysed using descriptive and comparative statistics. Qualitative data from staff surveys will be analysed by content analysis of the major themes (n~200).Ethics and disseminationThe project has ethics approval from a Queensland Health Human Research Ethics Committee. Results will be reported to participants and other stakeholders at seminars and conferences and through peer-reviewed publications.


2014 ◽  
Vol 30 (4) ◽  
pp. 335-343 ◽  
Author(s):  
Katy B. Kozhimannil ◽  
Peiyin Hung ◽  
Shailendra Prasad ◽  
Michelle Casey ◽  
Maeve McClellan ◽  
...  

2020 ◽  
Vol 12 (2) ◽  
pp. 46
Author(s):  
Panadda Sohsawaeng ◽  
Kuntida Thamwipat ◽  
Pornpapatsorn Princhankol

This research was aimed to develop and evaluate the quality of interactive book with music activities to promote community-based learning for undergraduate students and to examine the needs, the learning achievement and the satisfaction of the sampling group. In this study, the sampling group consisted of 30 fourth-year students from the Department of Educational Communications and Technology, Faculty of Industrial Education and Technology, King Mongkut&rsquo;s University of Technology Thonburi in the first semester of the academic year 2019. They were purposively chosen out of those who participated in at least one activity per semester and enrolled in the ETM 361 Presentation Skills 2 course and were willing to participate in this research. The statistical methods in this study were mean score, standard deviation and t-test. The developed interactive book contained 6 parts as follows: 1) community-based learning; 2) community under the bridge zone 1; 3) community behind Suan Thonburirom; 4) community Moo 3 Bangmod; 5) community in Klong Toei; 6) community in Bang Chan, Petchaburi. The research findings showed that the sampling group expressed the highest level of needs (x̅ = 4.55, S.D. = 0.57). The quality of the book as evaluated by the panel of experts showed that the quality of the contents was at a very good level (x̅ = 4.74, S.D. = 0.32) and the quality of the media presentation was at a good level (x̅ = 4.50, S.D. = 0.51). The learning achievement test of the sampling group showed that their average post-test score was higher than their average pre-test score with statistical significance at the .05 level (t-test = 10.94). The sampling group expressed the highest level of satisfaction (x̅ = 4.72, S.D. = 0.46). These findings confirmed the research hypotheses. It can be concluded that the interactive book with music and activities to promote community-based learning for undergraduate students was of good quality and could be distributed for further use.


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