J Midwifery Womens Health. 2011 Jul-Aug;56(4):332-339. doi: 10.1111/j.1542-2011.2011.00038.x.
There have been substantial alterations in the structure of postpartum care over the last several decades. Our aim was to investigate the perceived quality of, and satisfaction with, postpartum care among caregivers and care receivers in the maternity ward of a community hospital in Norway with about 2600 births per year.
We conducted a cohort study of women giving birth and the caregiving staff in the maternity ward during a 7-month period. A questionnaire, with a Cronbach α coefficient above 0.8, was filled in anonymously, both by the staff in the ward and by the women. The questionnaire explored the respondents' evaluations of the information offered by the staff; the teaching of skills in child care and establishment of breastfeeding; assistance with practical tasks like making beds, serving meals, and keeping order in the room; visiting rules; level of noise in the ward; whether the pediatric service was adequate; length of the stay; and to what extent caregivers were able to respond to the individual needs of the mothers. Finally, the questionnaire explored the degree of kindliness communicated by the staff. Five extra questions in the women's questionnaire explored their personal experiences in the ward.
The care receivers' evaluations of the maternity ward did not differ significantly from that of the caregivers in questions related to overall care and service. However, the mothers rated the importance of assistance with child care during the night significantly higher than did the staff. Responses to questions addressing noise in the ward demonstrated a higher tolerance among the mothers compared with the staff. In addition, mothers tended (but not a statistically significant result) to rate the quality of the teaching of child-care skills lower, compared with the staff's ratings.
By exploring both the caregivers' and care receivers' evaluations and expectations of the actual services in the maternity ward, areas for enhancement of the quality of the ward and its services can be detected and carried out. The present study revealed 2 areas needing further focus: assistance with child care during the night and teaching of child-care skills during the stay. We believe that investigations that collect data from both caregivers and care receivers, by using adapted and validated questionnaires to gather information on quality and satisfaction with the maternity ward, are mandatory for improvement and continuous adaptation of health services.
在过去几十年中，产后护理的结构发生了重大变化。我们的目的是调查挪威一家社区医院产科病房的护理人员和产妇对产后护理的感知质量和满意度。
我们对在 7 个月期间在产科病房分娩的妇女和护理人员进行了队列研究。一份问卷，其 Cronbach α 系数大于 0.8，由病房工作人员和妇女匿名填写。问卷探讨了受访者对工作人员提供的信息的评价；儿童保健技能的教学和母乳喂养的建立；协助完成铺床、送餐和整理房间等实际任务；探视规则；病房噪音水平；儿科服务是否充足；住院时间；以及护理人员在多大程度上能够满足母亲的个人需求。最后，问卷探讨了工作人员传达的友善程度。妇女问卷中的 5 个附加问题探讨了她们在病房的个人经历。
护理人员对产科病房的评价与护理人员在整体护理和服务方面的评价没有显著差异。然而，母亲对夜间照顾孩子的重要性的评价明显高于工作人员。对病房噪音问题的回答表明，母亲的容忍度高于工作人员。此外，与工作人员的评价相比，母亲往往（但不是统计学上显著的结果）对儿童保健技能教学质量的评价较低。
通过探索护理人员和产妇对产科病房实际服务的评价和期望，可以发现和开展提高病房和服务质量的领域。本研究揭示了需要进一步关注的两个领域：夜间照顾孩子和住院期间的儿童保健技能教学。我们认为，通过使用经过改编和验证的问卷收集有关产妇病房质量和满意度的数据，从护理人员和产妇两方面进行调查，对于改善和持续适应卫生服务是强制性的。
