Satisfaction of companions with the experience of supporting the parturient at a university hospital

Brüggemann, Odaléa Maria; Koettker, Joyce Green; Velho, Manuela Beatriz; Monguilhott, Juliana Jacques da Costa; Monticelli, Marisa

doi:10.1590/0104-07072015004220014

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Original Article • Texto contexto - enferm. 24 (3) • July-Sep 2015 • https://doi.org/10.1590/0104-07072015004220014 copy

Satisfaction of companions with the experience of supporting the parturient at a university hospital

Satisfacción de acompañantes con la experiencia de apoyar a la parturiente en un hospital universitario

Authorship SCIMAGO INSTITUTIONS RANKINGS

A cross-sectional study that aimed to assess the satisfaction of companions with the experience of supporting the parturient, and to identify the related factors. Data were collected at a university hospital in Southern Brazil, by means of semi-structured interviews with 314 caregivers, between October of 2009 and January of 2010. The satisfaction scores were determined by the Cronbach's alpha coefficient. The Kruskal-Wallis and the Mann-Whitney tests estimated the related factors. The mean satisfaction of the companions was high in three domains: 1) How the woman and the newborn were cared for (92,6; SD=11.5), 2) Welcoming in each place (89,9; SD=12.9), and 3) Explanation about what was happening (88,9; SD=14.1). The educational level was statistically related to the satisfaction in domain 3, not being present in the delivery room was statistically related to domain 1, and not receiving instructions from the physician regarding his role was statistically related to domain 2. The companions manifested high satisfaction with the experience of providing support to the women.

Maternal health services; Health services evaluation; Consumer satisfaction; Patient satisfaction; Parturition

Variable	n	%
Age (median)	29 (15-62)
Education
Incomplete primary education	55	17.6
Complete primary education	116	36.9
Complete secondary education	120	38.2
Complete high education	23	7.3
Race
White	277	88.2
Black	26	8.3
Brown/Indigenous	11	3.5
Relationship
Partner	220	70.1
Others	26	8.3
Mother	39	12.4
Baby’s father	29	9.2
Previous experience as a companion
No	227	72.3
Yes/UH	32	10.2
Yes/other maternity service	55	17.5
Acquaintance with the maternity service
Yes	103	32.8
No	211	67.2
Lecture or course about pregnant women
Yes	34	10.8
No	280	89.2
Professionals introduced themselves
Yes	255	81.2
No	26	8.3
Some	33	10.5
Instruction on the companion role
Yes	291	92.7
No	23	7.3
Professional who instructed
Nurse	247	57.6
Physician	122	28.4
Nursing auxiliary/technician	60	14.0

	Level of satisfaction
	Satisfied	Indifferent	Dissatisfied	Not applicable
Pre-delivery room	n(%)	n(%)	n(%)	n(%)
Staff welcoming	290(92,3)	13(4,1)	3(0,9)	8(2,5)
Stimulus to participate in care	278(88,5)	21(6,7)	5(1,6)	10(3,2)
Explanations about assistance and the process experienced by the woman	284(90,4)	17(5,4)	7(2,2)	6(1,9)
Instructions about the companion role	256(81,5)	32(10,2)	12(3,8)	14(4,5)
Care for the woman	289(92,0)	11(3,5)	7(2,2)	7(2,2)
Delivery room
Staff welcoming	210(68,9)	96(30,6)	8(2,5)	----
Stimulus to participate in care	275(86,9)	17(5,4)	3(0,9)	21(6,7)
Explanations about assistance and the process experienced by the woman	278(88,2)	15(4,8)	2(0,6)	20(6,4)
Instructions about the companion role	254(80,9)	23(7,3)	10(3,2)	27(8,6)
Care for the woman	285(90,8)	8(2,5)	1(0,3)	20(6,4)
Room for newborn care
Staff welcoming	293(93,3)	07(2,2)	1(0,3)	13(4,1)
Stimulus to participate in care	284(90,4)	15(4,8)	3(1,3)	11(3,5)
Explanations about assistance and the process experienced by the woman	290(92,4)	11(3,5)	2(0,6)	11(3,5)
Instructions about the companion role	263(83,8)	20(6,4)	12(3,8)	19(6,1)
Care for the woman	294(93,6)	8(2,5)	----	12(3,8)

	Domain 1					Domain 2					Domain 3
	Explained what was happening					Staff welcoming in each care area					Care for the woman and the NB
	n	Mean	SD	Median	p†	n	Mean	SD	Median	p†	n	Mean	SD	Median	p†
Age
Up to 25	84	88.6	13.7	98.2		84	88.5	14.2	93.8		84	92.1	12.6	97.5
26 to 30	85	88.1	15.3	96.4		85	89.3	13.6	95.8		85	91.3	12.6	95.0
31 to 40	77	88.9	14.0	96.4		77	90.9	10.8	95.8		77	93.5	9.5	100.0
> 40	46	90.8	12.5	100.0		46	92.1	12.2	100.0		46	94.5	10.2	100.0
Education					0.0439					0.5893					0.2256
Incomplete primary education	52	86.6	15.1	96.4		52	90.5	13.1	100.0		52	91.9	11.6	95.0
Complete primary education	107	89.8	15.4	100.0		107	90.2	13.7	100.0		107	93.0	12.6	100.0
Complete secondary education	113	90.2	11.6	96.4		113	89.8	12.2	95.8		113	93.1	10.4	100.0
Complete high education	20	82.5	14.7	75.0		20	88.1	12.2	91.7		20	89.8	11.5	95.0
Race					0.0595					0.8709					0.2892
White	259	89.3	13.9	96.4		259	90.2	12.7	95.8		259	92.9	11.4	100.0
Black	23	82.6	15.3	85.7		23	87.7	15.4	100.0		23	88.9	13.2	90.0
Brown/Indigenous	10	92.1	12.9	100.0		10	88.8	12.1	91.7		10	94.5	7.3	97.5
Relationship					0.1742					0.2928					0.3101
Partner	202	89.0	13.4	96.4		202	90.0	12.3	95.8		202	92.8	10.7	100.0
Mother	35	90.2	13.1	100.0		35	92.6	11.6	100.0		35	93.3	10.5	100.0
Baby’s father	29	83.9	18.7	92.9		29	86.1	15.7	91.7		29	87.8	17.0	95.0
Others	26	92.2	13.4	100.0		26	90.1	14.8	97.9		26	95.8	10.6	100.0

	Domain 1						Domain 2						Domain 3
	Explained what was happening						Staff welcoming in each care area						Care for the woman and the NB
		n (%)	Mean	SD	Median	p†		n	Mean	SD	Median	p†		n	Mean	SD	Median	p†
Participation in lecture/course						0.7204						0.8798						0.5569
Did not answer		1	75.0	.	75.0			1	100.0	.	100.0			1	75.0	.	75.0
Yes		32	88.2	14.2	98.2			32	89.3	13.0	95.8			32	90.2	13.7	100.0
No		259	89.0	14.1	96.4			259	90.0	12.9	95.8			259	93.0	11.2	100.0
Remained in the pre-delivery room						0.7700						0.2065						0.2003
Did not answer		4	93.8	12.5	100.0			4	100.0	0.0	100.0			4	88.8	13.2	90.0
No		26	87.8	14.6	85.7			26	91.5	17.8	97.9			26	96.9	13.8	100.0
Yes		262	88.9	14.1	96.4			262	89.6	12.4	95.8			262	92.2	11.2	100.0
Remained in the delivery room						0.8875						0.3640						0.0105
Did not answer		4	93.8	12.5	100.0			4	100.0	0.0	100.0			4	88.8	13.2	90.0
No		25	87.9	14.9	85.7			25	91.3	18.1	100.0			25	97.8	13.3	100.0
Yes		263	88.9	14.0	96.4			263	89.6	12.3	95.8			263	92.2	11.2	100.0
The professionals introduced themselves						0.0820						0.8868						0.4285
Did not answer		1	75.0	.	75.0			1	100.0	.	100.0			1	75.0	.	75.5
Yes		241	89.9	13.7	100.0			241	90.1	12.6	95.8			241	93.0	11.4	100.0
No		21	84.2	16.0	78.6			21	89.9	16.8	87.5			21	90.7	13.1	95.0
Does not remember		1	89.3	.	89.3			1	87.5	.	87.5			1	100.0	.	100.0
Some		28	84.6	15.1	85.7			28	88.5	12.3	89.6			28	91.1	11.4	95.0

	Domain 1						Domain 2						Domain 3
	Explained what was happening						Staff welcoming in each care area						Care for the woman and the NB
		n (%)	Mean	SD	Median	p		n	Mean	SD	Median	p		n	Mean	SD	Median	p
Instructions in the pre-delivery room						0.4222						0.5044						0.3123
Did not answer		43	87.5	15.6	96.4			43	90.3	13.5	95.8			43	89.3	14.5	95.0
Not in this care area		61	87.4	15.0	92.9			61	89.2	14.4	95.8			61	91.9	12.2	95.0
Yes		188	89.7	13.4	100.0			188	90.1	12.3	100.0			188	93.6	10.3	100.0
Instructions in the delivery room						0.8257						0.4786						0.3123
Did not answer		43	87.5	15.6	96.4			43	90.3	13.5	95.8			43	89.3	14.5	95.0
Not in this care area		65	88.0	15.4	92.9			65	90.6	14.6	95.8			65	93.2	12.9	95.0
Yes		184	89.5	13.2	100.0			184	89.6	12.1	95.8			184	93.2	10.0	100.0
Instructions from the nurse						0.2720						0.5107						0.2672
Did not answer		24	84.1	18.3	87.5			24	89.9	14.4	97.9			24	93.1	13.5	100.0
No		43	85.9	17.0	85.7			43	89.3	13.5	95.8			43	91.1	11.3	95.0
Yes		225	90.0	12.8	100.0			225	90.0	12.6	95.8			225	92.8	11.3	100.0
Instruction from the nursing auxiliary/technician						0.7326						0.6580						0.5235
Did not answer		24	84.1	18.3	87.5			24	89.9	14.4	97.9			24	93.1	13.5	100.0
No		215	89.2	13.7	96.4			215	89.9	12.8	95.8			215	92.4	11.6	100.0
Yes		53	89.9	13.3	100.0			53	90.2	12.8	100.0			53	93.4	10.2	100.0
Instruction from the physician						0.3566						0.0431						0.3309
Did not answer		24	84.1	18.3	87.5			24	89.9	14.4	97.9			24	93.1	13.5	100.0
No		160	89.8	14.3	100.0			160	90.9	13.2	100.0			160	92.9	11.4	100.0
Yes		108	88.5	12.5	91.1			108	88.5	12.1	91.7			108	92.0	11.3	95.0
Received information requested in the delivery room						0.4778												0.0002
Did not answer		24	83.0	17.5	85.7			24	87.0	19.3	91.7	0.4061		24	85.6	17.3	90.0
Not in this care area		15	90.7	13.6	96.4			15	92.2	11.8	95.8			15	102.3	8.4	100.0
Yes		253	89.3	13.7	100.0			253	90.1	12.2	95.8			253	92.7	10.5	100.0
Stimulus to participate in care for the woman						0.8525						0.2435						0.1477
Yes		283	89.0	13.8	96.4			283	90.1	12.7	95.8			283	92.8	11.2	100.0
No		9	84.5	20.7	96.4			9	85.2	17.1	83.3			9	85.6	18.5	85.0

Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
E-mail: textoecontexto@contato.ufsc.br

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[1] Correspondence: Odaléa Maria Bruggemann Santa Catarina Federal University Health Sciences Center, University Campus 88040-900 - - Trindade, Florianópolis, SC, Brazil