Abdollahpour Sedigheh, Mollazadeh Sanaz, Avval Shapour Badiee, Khadivzadeh Talat
Reproductive health, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Reproductive Health, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
Reprod Health. 2024 Dec 4;21(1):178. doi: 10.1186/s12978-024-01923-w.
The fifth Millennium Development Goal aims to improve maternal health by reducing maternal mortality by 75% from 1990 to 2015. Consequently, utilizing quality care indicators and performance evaluations is crucial for providing effective services. This study aimed to evaluate the quality of care for critically ill mothers in hospitals through action research.
METHODS/DESIGN: This study involves action research utilizing reform cycles, including focus group meetings with the head of the midwifery office, maternity hospital officials, gynecologists, and midwives from Mashhad University of Medical Sciences. Following a severe morbidity incident resulting in maternal death, a hospital meeting will convene to investigate the root causes. This committee will review the hospital records from the mother's admission to discharge to identify necessary preventive measures against malpractice. Sampling is purposeful. Sample size will be determined by data saturation. The project's final results, along with participant feedback, will inform the planning of the second action research cycle, which will encompass planning, implementation, observation, and reflection. The final report will be submitted to officials for approval, and the number of invitees for subsequent meetings will be based on study findings, facilitating discussion and decision-making for ongoing processes. Ultimately, the final care quality assessment process will be prepared for presentation.
In many birth blocks, women experiencing severe complications from pregnancy and childbirth face similar health issues. Quality care is essential for global strategies aimed at eliminating avoidable deaths. Ethical code IR.MUMS.NURSE.REC. 1402.024.
第五个千年发展目标旨在到2015年将孕产妇死亡率在1990年的基础上降低75%，从而改善孕产妇健康。因此，利用质量护理指标和绩效评估对于提供有效服务至关重要。本研究旨在通过行动研究评估医院中危重症孕产妇的护理质量。
方法/设计：本研究采用行动研究，运用改革周期，包括与马什哈德医科大学助产办公室主任、妇产医院官员、妇科医生和助产士进行焦点小组会议。在发生导致孕产妇死亡的严重发病事件后，将召开医院会议调查根本原因。该委员会将审查从母亲入院到出院的医院记录，以确定针对医疗事故的必要预防措施。抽样是有目的的。样本量将由数据饱和确定。项目的最终结果以及参与者的反馈将为第二个行动研究周期的规划提供信息，该周期将包括规划、实施、观察和反思。最终报告将提交给官员批准，后续会议的受邀人数将根据研究结果确定，以便为正在进行的流程进行讨论和决策。最终，将准备好最终护理质量评估过程以供展示。
在许多产房，经历妊娠和分娩严重并发症的妇女面临类似的健康问题。质量护理对于旨在消除可避免死亡的全球战略至关重要。伦理代码IR.MUMS.NURSE.REC. 1402.024。
