Pregnant Women's Perceptions Regarding Nursing Care at the Time of Childbirth: A Qualitative Study in South Punjab Pakistan
DOI:
https://doi.org/10.61919/jhrr.v4i1.645Keywords:
Nursing Care, Childbirth, Patient Expectations, Nulliparous Women, Maternal Satisfaction, Healthcare QualityAbstract
Background: Patient satisfaction with nursing care during childbirth is a well-established indicator of healthcare quality. Previous research indicates that interpersonal nursing skills can significantly influence maternal satisfaction and delivery outcomes.
Objective: This study aimed to identify the expectations of nulliparous women regarding nursing care during childbirth at a tertiary care hospital in Dera Ghazi Khan, Punjab, Pakistan.
Methods: A non-official, qualitative study was conducted over two months, involving 57 nulliparous women attending childbirth classes. A survey was distributed to capture women's expectations of the nursing role in labor and delivery. Responses were categorized using thematic analysis into direct supportive care, indirect care, and direct clinical care activities.
Results: Most responses emphasized the need for direct supportive care, with 53% highlighting the importance of physical comfort, emotional support, and informational guidance. Only 5% of the responses pertained to indirect clinical care, suggesting a strong preference for the nurse's continuous presence. Contrasting with these expectations, existing literature suggests that nurses spend a limited amount of their time providing such support.
Conclusion: There exists a discrepancy between the expected and actual nursing care received during childbirth, underscoring the need for improved communication and education about realistic labor support. Addressing this gap could lead to increased satisfaction and better health outcomes.
Downloads
References
Jackson JL, Chamberlin J, Kroenke K. Predictors of patient satisfaction. Social science & medicine. 2001;52(4):609-20.
Loan LA, Jennings BM, Brosch LR, DePaul D, Hildreth P. Indicators of nursing care quality. Findings from a pilot study. Outcomes Management. 2003;7(2):51-8; quiz 9.
Lake ET, Germack HD, Viscardi MK. Missed nursing care is linked to patient satisfaction: a cross-sectional study of US hospitals. BMJ quality & safety. 2016;25(7):535-43.
Negarandeh R, Bahabadi AH, Mamaghani JA. Impact of regular nursing rounds on patient satisfaction with nursing care. Asian Nursing Research. 2014;8(4):282-5.
Desborough J, Bagheri N, Banfield M, Mills J, Phillips C, Korda R. The impact of general practice nursing care on patient satisfaction and enablement in Australia: a mixed methods study. International journal of nursing studies. 2016;64:108-19.
HIV/AIDS. JUNPo, Organization WH. AIDS epidemic update, December 2006: World Health Organization; 2007.
Medeiros RMK, Teixeira RC, Nicolini AB, Alvares AS, Corrêa ÁCdP, Martins DP. Cuidados humanizados: a inserção de enfermeiras obstétricas em um hospital de ensino. Revista Brasileira de Enfermagem. 2016;69:1091-8.
Shever LL, Titler MG, Mackin ML, Kueny A. Fall prevention practices in adult medical-surgical nursing units described by nurse managers. Western Journal of Nursing Research. 2011;33(3):385-97.
Tugut N, Golbasi Z. Patients' satisfaction levels of nursing services at a gynecology and obstetrics unit of a university hospital and related factors/Bir universite hastanesi kadin hastaliklari ve dogum servisinde yatan hastalarin Hemsirelik hizmetlerinden memnuniyet Duzeyleri ve etkileyen bazi faktorler. Journal of Education and Research in Nursing. 2013;10(2):38-45.
Wentlandt K, Seccareccia D, Kevork N, Workentin K, Blacker S, Grossman D, et al. Quality of care and satisfaction with care on palliative care units. Journal of pain and symptom management. 2016;51(2):184-92.
Suhonen R, Papastavrou E, Efstathiou G, Tsangari H, Jarosova D, Leino‐Kilpi H, et al. Patient satisfaction as an outcome of individualised nursing care. Scandinavian journal of caring sciences. 2012;26(2):372-80.
Campra M, Riva P, Gianluca O, Brescia V. Association between patient outcomes and joint commission international (JCI) accreditation in Italy: An observational study. CALITATEA-ACCES LA SUCCES. 2021;22(18):93-100.
Kol E, Arıkan F, İlaslan E, Akıncı MA, Kocak MC. A quality indicator for the evaluation of nursing care: determination of patient satisfaction and related factors at a university hospital in the Mediterranean Region in Turkey. Collegian. 2018;25(1):51-6.
Sreenivas T, Babu NS. A study on patient satisfaction in hospitals. Intl J Manag Res Busi Strat. 2012;1(1):101-18.
Samina M, Qadri G, Tabish S, Samiya M, Riyaz R. Patient’s perception of nursing care at a large teaching hospital in India. International Journal of Health Sciences. 2008;2(2):92.
Koç Z, Sağlam Z, Şenol M. Patient satisfaction with the nursing care in hospital. Turkiye Klinikleri Journal of Medical Sciences. 2011;31(3):629-40.
Al Shamsi H, Almutairi AG, Al Mashrafi S, Al Kalbani T. Implications of language barriers for healthcare: a systematic review. Oman medical journal. 2020;35(2):e122.
Ekwall A. Acuity and anxiety from the patient's perspective in the emergency department. Journal of emergency nursing. 2013;39(6):534-8.
Buchanan J, Dawkins P, Lindo JL. Satisfaction with nursing care in the emergency department of an urban hospital in the developing world: A pilot study. International emergency nursing. 2015;23(3):218-24.
Possati AB, Prates LA, Cremonese L, Scarton J, Alves CN, Ressel LB. Humanização do parto: significados e percepções de enfermeiras. Escola Anna Nery. 2017;21:e20160366.
Gams B, Neerland C, Kennedy S. Reducing primary cesareans: an innovative multipronged approach to supporting physiologic labor and vaginal birth. The Journal of perinatal & neonatal nursing. 2019;33(1):52-60.
Knight RG, Thirkettle JA. The relationship between expectations of pregnancy and birth, and transient depression in the immediate post-partum period. Journal of psychosomatic research. 1987;31(3):351-7.
Hodnett E. Nursing support of the laboring woman. Journal of Obstetric, Gynecologic, & Neonatal Nursing. 1996;25(3):257-64.
Oakley A. The captured womb: A history of the medical care of pregnant women. 1984.
Pytel C, Fielden NM, Meyer KH, Albert N. Nurse-patient/visitor communication in the emergency department. Journal of emergency nursing. 2009;35(5):406-11.
Simkin P, Hanson L, Ancheta R. The labor progress handbook: early interventions to prevent and treat dystocia: John Wiley & Sons; 2017.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Adeela Qayyum, Mushtaq Ali, Syed Farjad Ali Shah, Tahira Nazir
This work is licensed under a Creative Commons Attribution 4.0 International License.