Vasilevski Vidanka, Ryan Denise, Crowe Grace, Askern Althea, McCormick Margie, Segond Stacey, Sweet Linda
School of Nursing and Midwifery, Deakin University, Burwood, Victoria, Australia.
Centre for Quality and Patient Safety Research, Western Health Partnership, Institute for Health Transformation, St Albans, Victoria, Australia.
J Adv Nurs. 2024 Feb;80(2):673-682. doi: 10.1111/jan.15806. Epub 2023 Jul 27.
To explore the satisfaction and experiences of women and staff with the BSOTS in an Australian hospital.
Cross-sectional descriptive survey.
Surveys were distributed to women and staff between February and May 2022. Survey questions reflected satisfaction with triage and provision of care under the BSOTS system (for women) and confidence in using the BSOTS system and its impact on triage-related care (for staff). Survey data were summarized using descriptive statistics, and qualitative responses were analysed using content analysis.
There were 50 women and 40 staff (midwives and doctors) survey respondents. Most women were satisfied with triage wait times, the verbal information they received and the time it took for them to receive care. Nearly all midwife participants indicated they had high knowledge and confidence in using the BSOTS. Most staff indicated that the BSOTS supported the accurate assessment of women and had benefits for women, staff and the hospital.
The findings showed that women and staff were satisfied with receiving and providing care in a maternity triage setting under the BSOTS system.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Implementing standardized maternity triage approaches such as the BSOTS in health settings delivering care to pregnant women is recommended for improving flow of care and perceptions of care quality by women.
Quality of maternity triage processes is likely to impact the satisfaction of women attending services and the staff providing care. The BSOTS was shown to improve maternity triage processes and was associated with satisfaction of women and staff. Maternity settings can benefit from implementing triage approaches such as the BSOTS as it standardizes and justifies the care provided to women. This is likely to result in satisfaction of women and staff engaged in maternity triage and improve the birth outcomes of women and babies.
The reporting of this paper has followed SQUIRE guidelines.
Women engaged with maternity services were participants in the study but did not contribute to the design, conduct or publication of the study.
探讨澳大利亚一家医院中女性患者及工作人员对“澳大利亚三级产科分诊系统（BSOTS）”的满意度及体验。
横断面描述性调查。
2022年2月至5月期间，向女性患者及工作人员发放调查问卷。调查问题反映了对分诊及BSOTS系统下护理提供情况的满意度（针对女性患者），以及使用BSOTS系统的信心及其对分诊相关护理的影响（针对工作人员）。调查数据采用描述性统计进行汇总，定性回答采用内容分析法进行分析。
共有50名女性患者和40名工作人员（助产士和医生）参与调查。大多数女性患者对分诊等待时间、所获得的口头信息以及接受护理所需的时间感到满意。几乎所有参与调查的助产士都表示，她们对使用BSOTS系统有很高的认知度和信心。大多数工作人员表示，BSOTS有助于对女性患者进行准确评估，对女性患者、工作人员及医院均有益处。
研究结果表明，女性患者及工作人员对在BSOTS系统下的产科分诊环境中接受和提供护理感到满意。
对专业和/或患者护理的启示：建议在为孕妇提供护理的医疗机构中实施标准化的产科分诊方法，如BSOTS，以改善护理流程并提升女性患者对护理质量的认知。
产科分诊流程的质量可能会影响就诊女性患者及提供护理的工作人员的满意度。研究表明，BSOTS改善了产科分诊流程，并与女性患者及工作人员的满意度相关。产科环境可通过实施如BSOTS这样的分诊方法而受益，因为它使提供给女性患者的护理标准化且合理。这可能会使参与产科分诊的女性患者及工作人员感到满意，并改善女性患者及婴儿的分娩结局。
本文的报告遵循了SQUIRE指南。
参与产科服务的女性是本研究的参与者，但未参与研究的设计、实施或发表。
