Puerperal women’s satisfaction with the obstetric services received: improvement of an assessment instrument

Alves Junior, Lourivaldo Bispo; Faiad, Cristiane; Rodrigues, Carlos Manoel Lopes; Barros, Ângela Ferreira

doi:10.1590/0034-7167-2022-0457

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Brasil

Revista Brasileira de Enfermagem

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Brasil

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Sumário

ORIGINAL ARTICLE • Rev. Bras. Enferm. 76 (5) • 2023 • https://doi.org/10.1590/0034-7167-2022-0457 copy

Puerperal women’s satisfaction with the obstetric services received: improvement of an assessment instrument

Satisfacción de puérperas con los servicios obstétricos recibidos: perfeccionamiento de un instrumento de evaluación

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objectives:

to improve an instrument that measures postpartum women’s satisfaction with obstetric care.

Methods:

action research, developed from a preliminary version of an instrument prepared by nurse-midwives working in public services in the Federal District. The analysis of the results of application of instrument carried out in a pilot test, analysis of evidence of instrument validity, literature review, focus group with the instrument’s developers and interview with the target audience were carried out.

Results:

factorial analysis showed three existing factors in the construct. Seven nurses participated, discussing the instrument reformulation, and 20 mothers reported their perceptions about the care received during childbirth, generating five thematic units.

Final Considerations:

instrument improvement occurred through item and response scale reconstruction and reorganization, in addition to application of a pre-test with the target population, resulting in an instrument composed of 13 items.

Descriptors:
Women’s Health; Parturition; Patient Satisfaction; Surveys and Questionnaires; Health Services Research

	1	2	3
12- In the maternity ward, what is your level of satisfaction with the guidelines given by the nursing team on postpartum care?	0.773
14-In general, what is your level of satisfaction with the care you received in the obstetric services of this unit?	0.67		-0.421
11- In the maternity ward, what is your level of satisfaction with the guidelines given by the nursing team regarding care for the baby (cleaning the stump, burping position, bathing?)	0.664
13- In the maternity ward, what is your level of satisfaction with the guidelines given by the Milk Bank on breastfeeding?	0.608
01- On the day of childbirth, how was the service at the hospital reception?	0.391
15-Your experience of labor, childbirth and postpartum	0.337
03-Assess the quality of care received in risk stratification	-	-	-
06-What was your type of childbirth	-	-	-
09- How often did the nursing staff explain things to you in a way that you could understand?		0.879
10- How often did the medical team explain things to you in a way that you could understand?		0.411	0.318
04- Was the companion of your choice allowed to enter the Obstetric Center during labor, childbirth and postpartum?		-0.367
02-Did you go through screening and risk stratification (did you wear a bracelet)?	-	-	-
08- How often did the medical team treat you with courtesy and respect?			0.731
07- How often did the nursing staff treat you with courtesy and respect?			0.64
05- How often do health professionals introduce themselves by name and role?			0.34

MAINTAINED ITEMS	CREATED ITEMS	MODIFIED ITEMS
01- On the day of childbirth, how was the service at the hospital reception?	06-You were given the opportunity to participate in decisions and procedures during work. How do you rate?	02-Assess the quality of care received in the risk classification or triage (Room where the nurse places a colored bracelet on your arm).
04- Was the companion of your choice allowed to enter the Obstetric Center during labor, childbirth and postpartum?	07-How do you rate the hospital environment where your childbirth took place.	03-How do you rate your partner’s collaboration?
05- How often do health professionals introduce themselves by name and role?	08-How do you rate respect for your body during childbirth. Example: The moment professionals examine your body.	09-How do you rate the guidelines given by the medical team during childbirth.
11- In the maternity ward, what is your level of satisfaction with the guidelines given by the nursing team regarding care for the baby (cleaning the stump, burping position, bathing?)		10-How do you rate the nursing team’s guidelines during childbirth.
13- In the maternity ward, what is your level of satisfaction with the guidelines given by the Milk Bank on breastfeeding?		12-In the maternity ward, what is your level of satisfaction with the guidelines given by the health team on breastfeeding

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

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[1] Corresponding author: Lourivaldo Bispo Alves Junior, E-mail: lourivaldobispo3@gmail.com