Figueiredo Kely Nayara Dos Reis Silva, Campelo Cleber Lopes, Machado Patrícia Maria Abreu, Silva Nilza Bezerra Pinheiro da, Queiroz Rejane Christine de Sousa, Silva Antônio Augusto Moura da, Santos Alcione Miranda Dos
Programa de Pós-Graduação em Saúde Coletiva, Departamento de Saúde Coletiva, Universidade Federal do Maranhão (UFMA). R. Barão de Itapary 155, Centro. 65020-070 São Luís MA Brasil.
Departamento de Saúde Pública, UFMA. São Luís MA Brasil.
Cien Saude Colet. 2022 Jun;27(6):2303-2315. doi: 10.1590/1413-81232022276.15962021. Epub 2021 Sep 17.
This study aimed to develop an intelligible scale to measure the level of supply of best practices in labor, childbirth and delivery in maternity units in the Rede Cegonha (RC) based on the workers' perception. The scale consisted of seventeen items related to best practices, based on the instrument used in the "Evaluation of care during delivery and birth in maternity hospitals in the RC" research The three-parameter logistic model of Item Response Theory was used to create the scale and analyze the items. The scale consisted of three levels. In the first level, there are maternity hospitals that adequately offered strategies for welcoming and encouraging the pregnant woman to circulate during labor. The second level maternity wards also included the adequate offer of the right to a companion of choice, massage, ball and different birth positions. Finally, the third level maternity hospitals also offered an adequate delivery stool, as well as the items already mentioned. The findings of this study showed the contribution of each item in measuring the level of supply of best practices in care for labor, childbirth and delivery and the construction of an intelligible scale to assess RC maternity hospitals.
本研究旨在基于工作人员的认知，开发一种可理解的量表，以衡量 Rede Cegonha（RC）产科单位在分娩、接生和产后护理方面最佳实践的供应水平。该量表由17个与最佳实践相关的项目组成，基于“RC地区妇产医院分娩和接生护理评估”研究中使用的工具。采用项目反应理论的三参数逻辑模型来创建量表并分析各个项目。该量表分为三个级别。在第一级别，有妇产医院充分提供了迎接和鼓励孕妇在分娩期间活动的策略。第二级别的产科病房还包括充分提供选择陪伴人员的权利、按摩、球和不同分娩姿势。最后，第三级别的妇产医院还提供了合适的分娩凳以及上述已提及的项目。本研究结果显示了每个项目在衡量分娩、接生和产后护理最佳实践供应水平方面的作用，以及构建一个可理解的量表以评估RC地区妇产医院的情况。
