scholarly journals A Heideggerian Hermeneutics Phenomenological Study On the Lived Experience of Nursing Care Rendered to Postpartum Women During Childbirth

2021 ◽  
Vol 5 (1) ◽  
Keyword(s):  
Quality Of Care ◽  
Pregnant Women ◽  
Lived Experience ◽  
Health Facility ◽  
Nursing Care ◽  
Phenomenological Study ◽  
Postpartum Women ◽  
Informational Support ◽  
The World

Study background: Studies have confirmed that the nurse during the period of delivery would be the deciding factor whether the woman would have a positive or negative birth experience. This experience depends on the quality of nursing care during childbirth. Hence it is important to know their lived experience of nursing care during childbirth. This is because patients’ satisfactory of services rendered is a yardstick for measuring quality of care. However, there is no literature on the lived experience of postpartum women regarding the nursing care rendered to them during childbirth in the context of Ghanaian health system. Accordingly, the objective of the study was to discover postpartum women lived experience of nursing care during childbirth. Methods: Using hermeneutic phenomenological method, this study was conducted on 10 women who had given birth for at least six months from the time of childbirth. A purposive sampling technique was used and data was collected through semi-structured interviews which lasted between 30 to 45 minutes. All participants were made to sign a consent form before participating. Data analysis was done using Diekermann, Allen and Tanner method. Results: Analysis of the interview transcripts depicting the women’s lived experience of nursing care rendered to them during childbirth and their encounter with the health facility and other entities revealed three main themes: 1. Being in the world of pregnant women in labor needing emotional, physical and informational support 2. Encounter with the health facility and practices and needing pampering and nice communication 3. Wishing for an environment of congenial and cordial relationship during childbirth. Conclusions and implications for practice: It is recommended that health professionals who nurse pregnant women during childbirth consider their lived experiences regarding nursing care they received during childbith. The theme of Being in the world of pregnant women in labor needing emotional, physical and informational support, Encounter with health facility, and practices and needing pampering and nice communication and Wishing for an environment of congenial and cordial relationship during childbirth should be taking into consideration when nursing them. This will lead to taking care of them according to their preferences, wishes, needs and values which will lead to their satisfaction and hence quality of care.

scholarly journals A Heideggerian Hermeneutics Phenomenological Study On the Lived Experience of Nursing Care Rendered to Postpartum Women During Childbirth

2021 ◽  
Vol 5 (1) ◽  
Keyword(s):  
Quality Of Care ◽  
Pregnant Women ◽  
Lived Experience ◽  
Health Facility ◽  
Nursing Care ◽  
Phenomenological Study ◽  
Postpartum Women ◽  
Informational Support ◽  
The World

Study background: Studies have confirmed that the nurse during the period of delivery would be the deciding factor whether the woman would have a positive or negative birth experience. This experience depends on the quality of nursing care during childbirth. Hence it is important to know their lived experience of nursing care during childbirth. This is because patients’ satisfactory of services rendered is a yardstick for measuring quality of care. However, there is no literature on the lived experience of postpartum women regarding the nursing care rendered to them during childbirth in the context of Ghanaian health system. Accordingly, the objective of the study was to discover postpartum women lived experience of nursing care during childbirth. Methods: Using hermeneutic phenomenological method, this study was conducted on 10 women who had given birth for at least six months from the time of childbirth. A purposive sampling technique was used and data was collected through semi-structured interviews which lasted between 30 to 45 minutes. All participants were made to sign a consent form before participating. Data analysis was done using Diekermann, Allen and Tanner method. Results: Analysis of the interview transcripts depicting the women’s lived experience of nursing care rendered to them during childbirth and their encounter with the health facility and other entities revealed three main themes: 1. Being in the world of pregnant women in labor needing emotional, physical and informational support 2. Encounter with the health facility and practices and needing pampering and nice communication 3. Wishing for an environment of congenial and cordial relationship during childbirth. Conclusions and implications for practice: It is recommended that health professionals who nurse pregnant women during childbirth consider their lived experiences regarding nursing care they received during childbith. The theme of Being in the world of pregnant women in labor needing emotional, physical and informational support, Encounter with health facility, and practices and needing pampering and nice communication and Wishing for an environment of congenial and cordial relationship during childbirth should be taking into consideration when nursing them. This will lead to taking care of them according to their preferences, wishes, needs and values which will lead to their satisfaction and hence quality of care.

The Lived Experiences of Postpartum Women in Ghana Regarding Nursing Care During Childbirth and Their Concept of Care-A Phenomenological Study

2021 ◽  
Author(s):  
Nicholas Yakubu Danzima ◽  
Nahid Dehghan Nayeri ◽  
Manookian Arpi ◽  
Alexis Dun Boib Buunaaim ◽  
Aliyu Tijani
Keyword(s):  
Quality Of Care ◽  
Lived Experience ◽  
Nursing Care ◽  
Phenomenological Study ◽  
Health Workers ◽  
Postpartum Women ◽  
Informational Support ◽  
Negative Experience ◽  
Colaizzi's Method

Abstract Background: Studies have confirmed that the nurse during the period of delivery would be the deciding factor whether the woman would have a positive or negative birth experience. This positive or negative experience depends on the quality of nursing during this period. Hence it is important to know the concept of care from the perspective of postpartum women and their lived experience of nursing care during the period of childbirth. This is because patients’ satisfactory of services rendered is a yardstick for measuring quality of care. However, there is no literature on the lived experience of postpartum women regarding the nursing care rendered to them during childbirth and the viewpoint of postpartum women on the concept of care in the context of Ghanaian health system. Accordingly the objective of the study was to discover the concept of care from the viewpoint of postpartum women and their lived experience of nursing care in the labor ward of Tamale Teaching Hospital. Methods: Using a descriptive phenomenological method, this study was conducted on 10 women who had given birth. A purposive sampling technique was used and data was collected through semi-structured interviews which lasted between 30 to 45 minutes. All participants were made to sign a consent form before participating. Data analysis was done using Colaizzi’s method. Results: Analysis of the interview transcripts depicting the women’s concept of care and experience of nursing care rendered to them during labor and delivery revealed three main themes: (1) Emotional, physical and informational support (2) Pampering and nice communication and (3) Cordial relationship. These women considered these concepts as good nursing care and that care can only be considered as good care if it entails these concepts.Conclusions and implications for practice: It is recommended that midwives and nurses as well as other health workers who nurse pregnant women during childbirth consider the experiences and viewpoint of women regarding their concept of care. The concepts of emotional, physical and informational support, pampering and nice communication and cordial relationship should be taking into consideration when nursing them. This will lead to taking care of them according to their preferences, wishes, needs and values which will lead to their satisfaction and hence quality of care since quality of care is determined by patient’s satisfaction. This will also lead to targeted, individualized, patient centered care for these women.

Nurses’ Perceptions of a Care Plan Information Technology Solution With Hundreds of Clinical Practice Guidelines in Adult Intensive Care Units: Survey Study (Preprint)

2018 ◽  
Author(s):  
Azizeh Khaled Sowan ◽  
Meghan Leibas ◽  
Albert Tarriela ◽  
Charles Reed
Keyword(s):  
Intensive Care ◽  
Quality Of Care ◽  
Clinical Practice ◽  
Nursing Care ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Care Plan ◽  
System Use ◽  
Nurses Perceptions

BACKGROUND The integration of clinical practice guidelines (CPGs) into the nursing care plan and documentation systems aims to translate evidence into practice, improve safety and quality of care, and standardize care processes. OBJECTIVE This study aimed to evaluate nurses’ perceptions of the usability of a nursing care plan solution that includes 234 CPGs. METHODS A total of 100 nurses from 4 adult intensive care units (ICUs) responded to a survey measuring nurses’ perceptions of system usability. The survey included 37 rated items and 3 open-ended questions. RESULTS Nurses’ perceptions were favorable with more than 60.0% (60/100) in agreement on 12 features of the system and negative to moderate with 20.0% (20/100), to 59.0% (59/100) in agreement on 19 features. The majority of the nurses (80/100, 80.0% to 90/100, 90.0%) agreed on 4 missing safety features within the system. More than half of the nurses believed they would benefit from refresher classes on system use. Overall satisfaction with the system was just above average (54/100, 54.0%). Common positive themes from the narrative data were related to the system serving as a reminder for complete documentation and individualizing patient care. Common negative aspects were related to duplicate charting, difficulty locating CPGs, missing unit-specific CPGs, irrelevancy of information, and lack of perceived system value on patient outcomes. No relationship was found between years of system use or ICU experience and satisfaction with the system (P=.10 to P=.25). CONCLUSIONS Care plan systems in ICUs should be easy to navigate; support efficient documentation; present relevant, unit-specific, and easy-to-find information; endorse interdisciplinary communication; and improve safety and quality of care.

scholarly journals Effective coverage and budget implications of skill-mix change to improve neonatal nursing care: an explorative simulation study in Kenya

2019 ◽  
Vol 4 (6) ◽  
pp. e001817 ◽  
Author(s):  
Apostolos Tsiachristas ◽  
David Gathara ◽  
Jalemba Aluvaala ◽  
Timothy Chege ◽  
Edwine Barasa ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Neonatal Mortality ◽  
Nursing Care ◽  
Public Hospitals ◽  
Sensitivity Analyses ◽  
Full Time ◽  
Skill Mix ◽  
Neonatal Nursing ◽  
Low Middle Income Countries

IntroductionNeonatal mortality is an urgent policy priority to improve global population health and reduce health inequality. As health systems in Kenya and elsewhere seek to tackle increased neonatal mortality by improving the quality of care, one option is to train and employ neonatal healthcare assistants (NHCAs) to support professional nurses by taking up low-skill tasks.MethodsMonte-Carlo simulation was performed to estimate the potential impact of introducing NHCAs in neonatal nursing care in four public hospitals in Nairobi on effectively treated newborns and staff costs over a period of 10 years. The simulation was informed by data from 3 workshops with >10 stakeholders each, hospital records and scientific literature. Two univariate sensitivity analyses were performed to further address uncertainty.ResultsStakeholders perceived that 49% of a nurse full-time equivalent could be safely delegated to NHCAs in standard care, 31% in intermediate care and 20% in intensive care. A skill-mix with nurses and NHCAs would require ~2.6 billionKenyan Shillings (KES) (US$26 million) to provide quality care to 58% of all newborns in need (ie, current level of coverage in Nairobi) over a period of 10 years. This skill-mix configuration would require ~6 billion KES (US$61 million) to provide quality of care to almost all newborns in need over 10 years.ConclusionChanging skill-mix in hospital care by introducing NHCAs may be an affordable way to reduce neonatal mortality in low/middle-income countries. This option should be considered in ongoing policy discussions and supported by further evidence.

scholarly journals Understanding what women want: eliciting preference for delivery health facility in a rural subcounty in Kenya, a discrete choice experiment

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e038865
Author(s):  
Jackline Oluoch-Aridi ◽  
Mary B Adam ◽  
Francis Wafula ◽  
Gilbert Kokwaro
Keyword(s):  
Quality Of Care ◽  
Health Facility ◽  
Discrete Choice Experiment ◽  
Discrete Choice ◽  
Choice Experiment ◽  
Home Delivery ◽  
Process Indicator ◽  
Opt Out ◽  
Women’S Preferences

ObjectiveTo identify what women want in a delivery health facility and how they rank the attributes that influence the choice of a place of delivery.DesignA discrete choice experiment (DCE) was conducted to elicit rural women’s preferences for choice of delivery health facility. Data were analysed using a conditional logit model to evaluate the relative importance of the selected attributes. A mixed multinomial model evaluated how interactions with sociodemographic variables influence the choice of the selected attributes.SettingSix health facilities in a rural subcounty.ParticipantsWomen aged 18–49 years who had delivered within 6 weeks.Primary outcomeThe DCE required women to select from hypothetical health facility A or B or opt-out alternative.ResultsA total of 474 participants were sampled, 466 participants completed the survey (response rate 98%). The attribute with the strongest association with health facility preference was having a kind and supportive healthcare worker (β=1.184, p<0.001), second availability of medical equipment and drug supplies (β=1.073, p<0.001) and third quality of clinical services (β=0.826, p<0.001). Distance, availability of referral services and costs were ranked fourth, fifth and sixth, respectively (β=0.457, p<0.001; β=0.266, p<0.001; and β=0.000018, p<0.001). The opt-out alternative ranked last suggesting a disutility for home delivery (β=−0.849, p<0.001).ConclusionThe most highly valued attribute was a process indicator of quality of care followed by technical indicators. Policymakers need to consider women’s preferences to inform strategies that are person centred and lead to improvements in quality of care during delivery.

scholarly journals Sterilization regret in India: Is quality of care a matter of concern?

2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Anjali Bansal ◽  
Laxmi Kant Dwivedi
Keyword(s):  
Quality Of Care ◽  
Family Planning ◽  
Health Facility ◽  
Fold Increase ◽  
Well Being ◽  
Poor Quality ◽  
Public Health Facility ◽  
The Family ◽  
Planning Methods

Abstract Background According to United Nations, 19% of females in the world relied only on the permanent method of family planning, with 37% in India according to NFHS-4. Limited studies tried to measure the sterilization regret, and its correlated factors. The study tried to explore the trend of sterilization regret in India from 1992 to 2015 and to elicit the determining effects of various factors on sterilization regret, especially in context to perceived quality of care in the sterilization operations and type of providers. Data and methods The pooled data from NFHS-1, NFHS-3 and NFHS-4 was used to explore the regret by creating interaction between time and all the predictors. Predicted probabilities were calculated to show the trend of sterilization regret amounting to quality of care, type of health provider at the three time periods. Results The sterilization regret was increased from 5 % in NFHS-1 to 7 % in NFHS-4. According to NFHS-4, for those whose sterilization was performed in private health facility the regret was found to be less (OR-0.937; 95% CI- (0.882–0.996)) compared to public health facility. Also, the results show a two-fold increase in regret when women reported bad quality of care. The results from predicted probabilities provide enough evidence that the regret due to bad quality of care in sterilization operation had increased with each subsequent round of NFHS. Conclusion Many socio-economic and demographic factors have influenced the regret, but the poor quality of care contributed maximum to the regret from 1992 to 2015. The health facilities have seriously strayed from improving the health and well-being of women in providing the family planning methods. In addition, to public facilities, the regret amounting to private facilities have also increased from NFHS-1 to 4. The quality of care provided in the family planning operation should be standardized in every hospital to strengthen the health systems in the country. The couple should be motivated to adopt more of spacing methods.

scholarly journals Kepuasan Orang Tua Terhadap Pelayanan Keperawatan di Ruang Perinatologi

2019 ◽  
Vol 1 (2) ◽  
Author(s):  
Erna Julianti ◽  
Fajar Tri Waluyanti ◽  
Allenidekania Allenidekania
Keyword(s):  
Quality Of Care ◽  
Nursing Care ◽  
Sampling Technique ◽  
Parental Satisfaction ◽  
Nursing Service ◽  
Consecutive Sampling ◽  
Premature Babies ◽  
Pearson Test ◽  
Quality Of Nursing

The Parents' satisfaction of premature babies is very important as one of the basic steps in determining the quality of nursing service. This study aims to identify parental satisfaction in the perinatology. Consecutive sampling technique was conducted to select 59 parents of premature babies as research respondents. Instrument in this study uses EMPATHIC N. The data was analyzed with Pearson test. The results showed that the average of premature babies’ care score was 161.93 and the average of parents’ satisfaction score was 280.07. Nursing care should be evaluated to improve the performance of nurses and the quality of care of premature babies and parents’ satisfaction.

scholarly journals Humanização da assistência de enfermagem em uma unidade de internação obstétrica

2013 ◽  
Vol 4 (2) ◽  
pp. 88 ◽  
Author(s):  
Natália Chantal Magalhães Da Silva ◽  
Ludmila De Oliveira Ruela ◽  
Zélia Marilda Rodrigues Resck ◽  
Maria Betânia Tinti De Andrade ◽  
Eliana Peres Rocha Carvalho Leite ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Data Collection ◽  
Nursing Care ◽  
Nursing Staff ◽  
Prospective Data ◽  
Hospital Unit ◽  
Strategic Actions ◽  
Normal Birth ◽  
Quantitative Descriptive

Resumo: O estudo objetivou verificar o atendimento prestado pela equipe de enfermagem durante o trabalho de parto e parto. Optou-se pelo método quantitativo, descritivo, transversal e prospectivo. A coleta de dados foi realizada no período de maio a junho de 2011, abrangendo uma amostra de 30 puérperas de parto normal. Os resultados evidenciam que algumas atividades ainda estão em discordância com o que é recomendado pelo Programa de Humanização. É necessário o desenvolvimento de ações estratégicas, buscando a melhoria da qualidade da assistência que ainda se encontra aquém das expectativas.Palavras-chave: Enfermagem; Humanização da assistência; Parto.Humanization Nursing Care in a Hospital Unit ObstetricalAbstrat:The study aimed to verify the care provided by nursing staff during labor and birth. We chose the method quantitative, descriptive, crosssectional and prospective. Data collection was conducted from May to June 2011, covering a sample of 30 mothers of normal birth. The results show that some activities are still in disagreement with what is recommended by the Humanization Program. It requires the development of strategic actions, seeking to improve the quality of care that is still below expectations.Keywords: Nursing; Humanization of assistance; Childbirth.Humanización de la Atención de Enfermería en una Unidad Hospitalaria ObstétricaResumen: El estudio tuvo como objetivo verificar la atención recibida por el personal de enfermería durante el parto y el nacimiento. Elegimos el método cuantitativo, descriptivo, transversal y prospectivo. La recolección de datos se llevó a cabo entre mayo y junio de 2011, que abarcó una muestra de 30 madres de nacimiento normal. Los resultados muestran que algunas actividades aún están en desacuerdo con lo que es recomendado por lo Programa de Humanización. Se requiere el desarrollo de acciones estratégicas, que buscan mejorar la calidad de la atención que todavía está debajo de las expectativas.Palabras clave: Enfermería; Humanización de la asistencia; Parto.

scholarly journals EVALUASI PELAYANAN PROGRAM JAMPERSAL : TINJAUAN DIMENSI MUTU PELAYANAN JAMPERSAL

2018 ◽  
Vol 6 (2) ◽  
pp. 180-183
Author(s):  
Leli Mulyati
Keyword(s):  
Quality Of Care ◽  
Pregnant Women ◽  
Health Center ◽  
Continuity Of Care ◽  
Health Centers ◽  
Technical Competence ◽  
Purposive Sampling ◽  
Strongly Agree ◽  
Almost All

Knowing the factor fo pregnant women to choose jampersal service health center in the region of Curup Year 1012. The research is using descriptive design. The sampling using purposive sampling. With 67 people and count using univariant. From this study it can be seen from the technical competence almost half of respondents (48.2%) responded strongly agree, Access to almost all respondents (52.23%) responded agree. The effectiveness of almost all respondents (51.23%) responded agree. Continuity of care almost all respondents (51.73%) responded agree, security is almost all respondents (51.23%) responded agree. Human interpersonal almost all respondents (52.76%) responded agree, and the comfort of  pleasure almost all respondents (50.23%) responded agree. Based the conclusion, of the 67 respondents can be concluded the vast majority of respondents (52.23%) said quality of care at health centers is good and almost Curup majority of respondents (47.76%) stated quality of care at health centers Curup not good.

scholarly journals Optimalisasi peran & fungsi manajemen kepala ruangan dalam supervisi dokumentasi asuhan keperawatan di rumah sakit x Jakarta

2021 ◽  
Vol 14 (4) ◽  
pp. 536-544
Author(s):  
Teresa Teresa ◽  
Tuti Afrianti ◽  
Tini Suminarti
Keyword(s):  
Quality Of Care ◽  
Nursing Care ◽  
Health Care Quality ◽  
Descriptive Analysis ◽  
Pilot Project ◽  
Poor Quality ◽  
Care Quality ◽  
Nursing Documentation ◽  
Head Nurse

The role of a head nurse in optimizing of management function in supervision of nursing care documentation at X hospital in JakartaBackground: Nursing documentation is important thing that  is indicator quality of care. Since the nursing documentation is still a poor quality, it requires a supervision by the head nurse.Purpose: The head of nursing is responsible for the direction, organization and strategic planning collaborate with nursing staffs in ensuring the quality of nursing care to achieve accurate, effective and efficient documentation and to complete supervision.Method: A pilot project using questionnaire and observation methods was conducted at difference times on two hospital units in Jakarta.Results: The descriptive analysis results showed that among 18 nurses, 4 nurses believed that nursing documentation is an important, effective and clear way to  ease their job. Hence, supervision is continuity needed to support the improvement of health care quality. The innovative projects will be applied in health care.Conclusion:  Nursing documentation must show continuity and quality of  care nursing under the control and supervision of the head nurse and EMR is used as the instrument for documentation.Keywords :  The role; Head nurse; Management; Supervision; Nursing care; DocumentationPendahuluan: Dokumentasi asuhan keperawatan adalah hal yang penting karena menjadi indikator kualitas perawatan. Penerapan dokumentasi asuhan keperawatan saat ini belum optimal sehingga membutuhkan arahan dan supervisi dari Kepala Ruang/Kepala Unit.Tujuan: Tercapainya supervisi dan keberhasilan pelaksanaan dokumentasi asuhan keperawatan yang komprehensif, berkesinambungan, efektif dan  efisien.Metode: Metode pilot project di salah satu Rumah Sakit di Jakarta dengan pengambilan data melalui  observasi dan kuestioner. Instrumen diujikan pada dua ruangan dalam  waktu yang berbeda.Hasil: Analisis deskripsi pada  sejumlah 18 perawat, 4 orang menyatakan bermanfaat, penting dan mudah dalam penerapannya. Supervisi dilakukan untuk memberikan support terhadap kelangsungan pendokumentasian asuhan keperawatan yang berkesinambungan. Proyek inovasi akan ditindaklanjuti dan diaplikasikan dalam program kerja bidang pelayanan keperawatan.Simpulan: Asuhan keperawatan yang berkualitas memerlukan adanya supervisi. Sarannya penggunaan Instrumen Supervise Dokumentasi Asuhan Keperawatan akan disesuaikan dengan penggunaan pencatatan asuhan keperawatan Elektronic Medical Record/EMR

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