ASSESSING THE COMPETENCE OF NURSES IN RENDERING POSTPARTUM CARE AND ITS EFFECT ON WOMEN'S SATISFACTION

  • Hadayat A Amasha Department of Maternal Health Nursing and Newborn, Faculty of Nursing, Damietta University,Egypt
  • Shymaa A Abdel-Haleem Department of Maternity, Obstetrics and Gynecology Nursing, Faculty of Nursing, Port-Said University,Egypt
  • Amal M Gamal Department of Maternal & Newborn Health Nursing, Faculty of Nursing, Menoufia University, Egypt

Abstract

Background: Competence of maternity nurses affects directly on the quality of health care and women's gratification or satisfaction. Postpartum quality of care is considered a vital part in promoting maternal and neonatal health and symbolizes the process of nursing care.  The aim of this study is to assess the competence of nurses in rendering postpartum care and its effect on women's satisfaction. Methodology: A descriptive exploratory research design was utilized. Setting: Three hospitals affiliated to Ministry of Health and Population were selected for their availability of labour and delivery units. Sample: 300 women in reproductive age and all nurses working in Obstetric/Gynecological wards in the previously selected settings. Tools for data collection:  Data were collected using: (1) an observational check list for nurses and a structured interviewing questionnaire. Results: The total mean of women's satisfaction was quite high (3.90±0.62), whereas that of orientation and information was 3.83±1.00, advices provision was 3.83±1.8 and specific nursing care 1.32±0.46. It is evident that women were less satisfied with the specific postpartum nursing care they received. The study revealed that there was a positive and highly statistically significant correlation between satisfaction of post partum women and competences of rendered nursing care. Conclusion: There were a highly statistically significant difference between the competences of rendered nursing care and postpartum women's satisfaction. Recommendations: Competence–based nursing care should be provided after the planned birth for mothers in the postpartum unit. Future studies should focus on postpartum mothers' needs of care that reflect on their satisfaction with the services provided.

Keywords: Competence, Postpartum care, Women satisfaction

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References

Abd El Fattah, N., Negawa, A. & El Dein, Z. (2009). Assessment of quality of nursing care provided immediately after birth at university hospital. Life Science Journal, 9(4), pp 2115-266.

Abdel Maqsood, S., Oweis, I. & Hansa, S. (2012). Differences between patients’ expectations and satisfaction with nursing care in a private hospital in Jordan. International Journal of Nursing Practice, 18, pp 140–146.

Akhtari-Zavare, M., Abdullah, Y., Hassan, S., Said, B. & Kamali, M. (2010). Patient satisfaction: Evaluating nursing care for patients hospitalized with cancer in Tehran teaching hospitals, Iran. Global Journal of Health Science, 2(1), pp 117.

Alidosti, M., Tahmasebi, M. & Raeisi, M. (2013). Evaluating the women’s satisfaction of Hajar Hospital services after the delivery. Journal of Clinical Nursing and Midwifery, 2(1), pp 1-8.

Alsaqri, S. (2016). Patient satisfaction with quality of nursing care at governmental hospitals, Ha’il City, Saudi Arabia. Journal of Biology, Agriculture and Healthcare, 6(10), 128–142.

Azizi-Fini, I., Mousavi, M.S., Mazroui-Sabdani, A. & Adib-Hajbaghery, M. (2012). Correlation between nurses' caring behaviors and patients' satisfaction. Nursing and Midwifery Studies, 1(1), pp 36-40.

Brown, S., Bruinsma, F., Darcy, M.A., Small, R. & Lumley, J. (2004). Early discharge: No evidence of adverse outcomes in three consecutive population-based Australian surveys of recent mothers, conducted in 1989, 1994 and 2000. Paediatric and Perinatal Epidemiology, 18(3), pp 202–213.

Buchanan, J., Dawkins, P. & Lindo, J.L.M. (2015). Satisfaction with nursing care in the emergency department of an urban hospital in the developing world: A pilot study. International Emergency Nursing, 23, pp 218–224.

Campbell, O.M., Cegolon, L., Macleod, D. & Benova, L. (2016). Length of stay after childbirth in 92 countries and associated factors in 30 low- and middle-income countries: Compilation of reported data and a cross-sectional analysis from nationally representative surveys. PLoS Medicine, 13(3): e1001972.

Dzomeku, M., Ba-Etilayoo, A., Perekuu, T. & Mantey, E. (2013). In patient satisfaction with nursing care: A case study at Kwame Nkrumah University of Science and Technology Hospital. International Journal of Research in Medical and Health Sciences, 2(1), pp 19-24.‏

Elgazzar, H.M. & Hashem, S.A.R. (2018). Factors affecting women's satisfaction during labor experience. Port Said Scientific Journal of Nursing, 5(2), pp 220-236.

Enabor, O, Nwaeze, I. & Ouwasola, T. (2013). Perception & satisfaction of the quality of antenatal care among pregnant women in Nigeria. Annual of Ibadan Postgraduate Medicine Journal, 1(11), pp 140-52.

Freitas, D., Silva, C., Minamisava, R., Bezerra,. Q. & Sousa, D. (2014). Quality of nursing care and satisfaction of patients attended at a teaching hospital. Revista latino-americana de Enfermagem, 22(3), pp 454-460. ‏

Goh, I., Ang K., Chan, H., He, G. & Vehvilainen, K. (2016). A descriptive quantitative study on multiethnic patient satisfaction with nursing care measured by the revised humane caring scale. Applied Nursing Research, 31, pp 126–131.

Herculano, M.M, Veloso, L.S, Teles L.M, Oriá, M.O, de Almeida, P.C. & Damasceno A.K. (2012). Maternal deaths at a public maternity hospital in Fortaleza: An epidemiological study. Revista da Escola de Enfermagem, 46(2), pp 295-301.

Kebalepile, M. (2001). An evaluation of the quality of care midwives provide during the postpartum period in Northern Botswana (Master's thesis). University of Oslo, Oslo, pp 22.

Kojuri, D., Karimi, H., Shekarabi, R. & Hossinei, F. (2005). A study of satisfaction with prenatal care services in the women attending to the health centers of the Shirevan Chardavel (IRAN), in 2005. Iran Journal of Nursing, 18(43), pp 61-69.

Lamadah, S. & El–Nagger, S. (2014). Mothers' satisfaction regarding quality of postpartum nursing care and discharge teaching plan at Ain Shams Maternity and Gynecological Hospital. International Journal of Current Research, 6(7), pp 7545-51.

Lomoro, O., Ehiri, E, Qian, X. & Tang, L. (2002). Mother’s perspectives on the of postpartum care in Central Shanghai, China, Oxford Journals. International Journal for Quality in Health Care, 14(5), pp 393-401.

Matejić, B., Milićević, Š., Vasić, V. & Djikanović, B. (2014). Maternal satisfaction with organized perinatal care in Serbian public hospitals. BMC Pregnancy and Childbirth, 14(1), pp 14.‏

McLellan, J. & Laidlaw, A. (2013). Perceptions of postnatal care: Factors associated with primiparous mother's perceptions of postnatal communication and care. BMC Pregnancy and Childbirth, 13:227.

Merkouris, A., Andreadou, A., Athini, E., Hatzimbalası, M., Rovithis, M. & Papastavrou, E. (2013). Assessment of patient satisfaction in public hospitals in Cyprus: A descriptive study. Health Science Journal, 7(1), pp 28–40.

Mirzaei, K., Oladi, G.S., Mousavi, B.M. & Ziaee, M. (2016). Mother’s satisfaction of postpartum care and its relationship with midwifery care at Urban Health Centers, Mashhad, Iran. Journal of Midwifery and Reproductive Health, 4(3), pp 679-688.

Mohammed, K. (2016). Maternal satisfaction regarding quality of nursing care during labor and delivery in Sulaimani Teaching Hospital. International Journal of Nursing and Midwifery, 8(3), pp 18-27.

Monazea, M. & Al-Attar, S. (2015). Quality of delivery care in Assiut University Hospital, Egypt: Mothers’ satisfaction. Journal of the Egyptian Public Health Association, 90(2), pp 64-71.‏

Nikpour, S., Shahpourian, F., HajiKazemi, S., Hosseini, H. & Safdari, M. (2007). The relationship between women’s satisfaction with prenatal care services and characteristics of the women and the provision of services. Iran Journal of Nursing, 20(49), pp 15-27.

Okonofua, F., Ogu, R., Agholor, K., Okike, O., Abdus-Salam, R., Gana, M. & Galadanci, H. (2017). Qualitative assessment of women’s satisfaction with maternal health care in referral hospitals in Nigeria. Reproductive Health, 14(1), pp 44.

Rudman, A., El-Khouri, B. & Waldenström, U. (2008). Evaluating multi-dimensional aspects of postnatal hospital care. Midwifery, 24(4), pp 425-441.

Shinde, M. & Kapurkar, K. (2014). Patient’s satisfaction with nursing care provided in selected areas of tertiary care hospital. International Journal of Science and Research, 3(2), pp 150–160.

Singh, M., Parashar, M. & Lal, P. (2018). Life satisfaction and correlates among working women of a tertiary care health sector: A cross-sectional study from Delhi, India. Medical Journal of Dr. D.Y. Patil Vidyapeeth, 11, pp 406-11.

Şişe, Ş. (2013). Hastaların hemşirelik hizmetlerinden memnuniyeti [Satisfaction of patients with nursing care]. Kocatepe Tıp Dergisi, 14, pp 69–75.

Spector, J.M., Agrawal, P., Kodkany, B., Lipsitz, S., Lashoher, A. & Dziekan G. (2012). Improving quality of care for maternal and newborn health: Prospective pilot study of the WHO Safe Childbirth Checklist Program. PLoS ONE, 7(5), e35151.

Srivastava, A., Avan, B.I., Rajbangshi, P. & Bhattacharyya, S. (2015). Determinants of women’s satisfaction with maternal health care: A review of literature from developing countries. BMC Pregnancy and Childbirth, 15(1), 97.

Takács, L., Seidlerová, J.M., Šulová, L. & Hoskovcová, S.H. (2015). Social psychological predictors of satisfaction with intrapartum and postpartum care–what matters to women in Czech maternity hospitals? Open Medicine, 10(1), pp 119–127.

Tang, W.M., Soong, C.Y. & Lim, W.C. (2013). Patient satisfaction with nursing care: A descriptive study using interaction model of client health behavior. International Journal of Nursing Science, 3(2), pp 51–56.

Tsuboi, S., Uehara, R., Oguma, T., Kojo, T., Enkh-Oyun, T., Kotani, K. & Ohashi, Y. (2014). Satisfaction with hospital care among diabetic outpatients and its associated factors. Secondary use of official statistics. [Nihon koshu eisei zasshi] Japanese Journal of Public Health, 61(10), pp 613-624.‏

Varghese, J. & Rajagopal, K. (2013). Development of a new tool for evaluating postnatal mother’s satisfaction following nursing care: In India. Journal of Biology, Agriculture and Healthcare, 3(9), pp 37-44.

Ware, R.N. (2015). Improved satisfaction on postpartum unit by implementing a discharge Nurse Role. Master's Projects and Capstones. The University of San Francisco, USF Scholarship: a digital repository @ Gleeson Library, Geschke Center, pp 1-28.

Wickramasinghe, A., Gunathunga, W. & Hemachandra, N. (2019). Client perceived quality of the postnatal care provided by public sector specialized care institutions following a normal vaginal delivery in Sri Lanka: Across sectional study. BMC Pregnancy and Childbirth, 19(1), pp 485.

World Health Organization (2011). Strengthening Midwifery Tool kit: Module 4 Competencies for midwifery practice. Retrieved from: http://whqlibdoc.who.int/publications/2011/97892 41501965_module4_eng.pdf.

World Health Organization (2013). WHO recommendations on postnatal care of the mother and newborn, Geneva: World Health Organization.

You, L., Aiken, H., Sloane, M., Liu, K., He, G. & Hu, Y. (2013). Hospital nursing, care quality and patient satisfaction: Cross-sectional surveys of nurses and patients in hospitals in China and Europe. International Journal of Nursing Studies, 50, pp 154–161.

Published
2020-04-01
How to Cite
Hadayat A Amasha, Shymaa A Abdel-Haleem, & Amal M Gamal. (2020). ASSESSING THE COMPETENCE OF NURSES IN RENDERING POSTPARTUM CARE AND ITS EFFECT ON WOMEN’S SATISFACTION. The Malaysian Journal of Nursing, 11(4), 99-110. Retrieved from https://ejournal.lucp.net/index.php/mjn/article/view/1041