Evaluation of Nursing Care in the Early Postpartum Period
Evaluation of Nursing Care in the Early Postpartum Period
Objective: Evaluation of the care given in the postpartum period is vital in terms of the quality of care. The aim of this study was to evaluate nursing care in the early postpartum period.
Methods: This descriptive and cross-sectional study was conducted in a postpartum clinic between December 2016 and January 2017 with 130 mothers in postpartum period, and 18 nurses and midwives working in the same postpartum clinic. Data were collected using a personal information form, and the Postpartum Nursing Care Evaluation Tool (PPNCET). The data analysis was conducted using percentages, arithmetic mean, independent samples t-test, Mann-Whitney U test, and Kruskal-Wallis test.
Results: The mean age of the mothers was 26.80 ± 4.90, and of the nurses and midwives was 35.83 ± 12.14. The mean PPNCET score of the mothers was 141.58 ± 32.03. The mean care subscale score of the mothers was 69.88 ± 12.06 and of the education subscale was 71.70 ± 19.97.
The mean PPNCET score of the nurses and midwives was 153.50 ± 23.18. The mean care subscale score of the nurses and midwives was 73.38 ± 8.84, and the mean education subscale score was 80.11 ± 14.33.
Conclusions: The mean PPNCET score of mothers and nurses and midwives were higher than the average. Higher PPNCET scores of the nurses and midwives compared to the mothers suggests that either the postpartum care given was not perceived as adequate by the mothers, or the care was not served in adequate quality. To increase postpartum care satisfaction of the mothers, involving nurses and midwives in the care process more is suggested. In line with these results, planning in-service training programs to develop the knowledge and skills of the nurses and midwives would be beneficial in increasing the quality of service
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- [1] Fahey JO, Shenassa E. Understanding and meeting the needs
of women in the postpartum period: the perinatal maternal
health promotion model. Journal of Midwifery & Women’s
Health 2013;58: 613-621.
- [2] Mirzaei Kh, Oladi Ghadikolaee S, Mousavi Bazzaz M, Ziaee M.
Mother’s satisfaction of postpartum care and its relationship with midwifery care at Urban Health Centers, Mashhad, Iran.
Journal of Midwifery and Reproductive Health 2016; 4(3): 679-
688.
- [3] Güneri SE. Evidence based practices in early postpartum
period. Gumushane University Journal of Health Sciences.
2015; 4(3): 482-496.
- [4] WHO Technical Consultation on Postpartum and Postnatal
CarePublications of the World Health Organization can be
obtained from WHO Press, World Health Organization, 20
Avenue Appia, 1211 Geneva 27, Switzerland. 2010.
- [5] T.C. Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü Kadın
ve Üreme Sağlığı Dairesi Başkanlığı , Doğum Sonu Bakım
Yönetim Rehberi, 2018 https://kirklareliism.saglik.gov.tr/
Eklenti/115526/0/dogum-sonu-bakim-rehberi-2018pdf.pdf
_2.pdf Accessed [30 September 2022]
- [6] WHO New global targets to prevent maternal deaths https://
www.who.int/news/item/05-10-2021-new-global-targets-toprevent-maternal-deaths [30 September 2022]
- [7] T.C. Sağlık Bakanlığı Sağlık İstatistikleri Yıllığı . 2019 https://
dosyasb.saglik.gov.tr/Eklenti/40564,saglik-istatistikleri-yilligi2019pdf.pdf?0 [30 September 2022]
- [8] Dağ H, Güneri SE, Kavlak O, Şirin, A. The learning needs and
perceived readiness of mothers for discharge after birth.
International Refereed Academic Journal of Sports 2014; 10
(4 ) :26-38.
- [9] WHO Urges Quality Care For Women And Newborns İn Critical
First Weeks After Childbirth .2022. https://www.who.int/
news/item/30-03-2022-who-urges-quality-care-for-womenand-newborns-in-critical-first-weeks-after-childbirth [30
September 2022]
- [10] Turkey Demographic and Health Survey (TDHS-2018)
. Hacettepe University Institute of Population Studies.
Ankara, Turkey. 2018 http://www.sck.gov.tr/wp-content/
uploads/2020/08/TNSA2018_ana_Rapor.pdf [ 3 0
September 2022]
- [11] Say L, Chou D, Gemmil A, Tunçalp Ö, Moller B, Daniels J,
Gülmezoglu M, Temmerman M, Alkema L. Global causes of
maternal death: a WHO systematic analysis. Lancet Glob
Health 2014;2(6): 323–333
- [12] Valbo A, Iversen HH, Kristoffersen M. Postpartum Care:
Evaluation and Experience Among Care Providers and Care
Receivers. Journal of Midwifery & Women’s Health 2011;
56(4): 332-339 DOI: 10.1111/j.1542-2011.2011.00038.x
- [13] Molina-Mula J, Gallo-Estrada J. Impact of Nurse-Patient
Relationship on Quality of Care and Patient Autonomy in
Decision-Making. International Journal of Environmental
Research and Public Health 2020; 17(3): 835.
- [14] Lotfi M, Zamanzadeh V, Valizadeh L, Khajehgoodari M.
Assessment of nurse–patient communication and patient
satisfaction from nursing care. Nursing Open 2019; 6(3): 1189-
1196.
- [15] Yıldız Eryılmaz H. Doğum sonu hemşirelik bakımının
değerlendirilmesinde ölçek geliştirilmesi ve uygulanan bakım
yönteminin (pathway) etkilerinin belirlenmesi (Doktora tezi).
Marmara Üniversitesi Sağlık Bilimleri Enstitüsü,1999; İstanbul.
(Turkish)
- [16] Cheng SH, Yang MC, Chıang TL. Patient satisfaction with and
recommendation of hospital: effects of interpersonal and
technical aspects of hospital care. International Journal for
Quality in Health Care 2003; 15 (4 ) : 345-355.
- [17] Wagner DL, Washington C. Patient satisfaction with
postpartum teaching methods. The Journal of Perinatal
Education 2016; 25(2):129-136.
- [18] Ingwell-Spolan C. Chief Nursing Officers’ Views on Meeting the
Needs of the Professional Nurse: How This Can Affect Patient
Outcomes. In Healthcare 2018;6(2):56
- [19] Larkin P, Begley CM, Devane D. Women’s preferences for
childbirth experiences in the Republic of Ireland; a mixed
methods study. BMC Pregnancy Childbirth 2017; 17(1):19.
- [20] Chan ZCY, Wong KS, Lam WM, Wong KY, Kwok YC. An
exploration of postpartum women’s perspective on desired
obstetric nursing qualities. Journal of Clinical Nursing 2013;
23, 103–112
- [21] McCarter D, Law A, Cabullo H, Pinto K. Scoping review of
postpartum discharge education provided by nurses. Journal
of Obstetric, Gynecologic & Neonatal Nursing 2022; 51(4):377-
387
- [22] Makarem J, Larijani B, Joodaki K, Ghaderi S, Nayeri F,
Mohammadpoor M. Patients’ satisfaction with inpatient
services provided in hospitals affiliated to Tehran University of
Medical Sciences, Iran, during 2011-2013. Journal of Medical
Ethics and History of Medicine 2016; 9(6):1-10.
- [23] Taddese AA, Gashaye KT, Dagne H, Andualem Z.Maternal and
partner’s level of satisfaction on the delivery room service
in University of Gondar Referral Hospital, n o r t h w e s t ,
Ethiopia: a comparative cross-sectional study. BMC Health
Services Research 2020; 20(1):1-8.
- [24] Kesuma ZM, Chongsuvivatwong V. Comparison of satisfaction
with maternal health-care services using different health
insurance schemes in aceh province, Indonesia. Indian J Public
Health 2016; 60(3):195-202.
- [25] Ertem G, Sevil U. The examination of the effect of nurse care
to the quality of care and to the patient satisfaction which is
given through the standards. International Journal of Human
Sciences 2007; 4: 2.
- [26] Haran C, Driel MV, Mitchell LB, Brodribb LB. Clinical guidelines
for postpartum women and infants in primary care–a systematic
review. BMC Pregnancy and Childbirth 2014;51(14):1-