scholarly journals Is quality of care during childbirth consistent from admission to discharge? A qualitative study of delivery care in Uttar Pradesh, India

PLoS ONE ◽  
2018 ◽  
Vol 13 (9) ◽  
pp. e0204607 ◽  
Author(s):  
Malvika Saxena ◽  
Aradhana Srivastava ◽  
Pravesh Dwivedi ◽  
Sanghita Bhattacharyya
Keyword(s):  
Quality Of Care ◽  
Qualitative Study ◽  
Uttar Pradesh ◽  
Delivery Care

scholarly journals Do women’s perspectives of quality of care during childbirth match with those of providers? A qualitative study in Uttar Pradesh, India

2018 ◽  
Vol 11 (1) ◽  
pp. 1527971 ◽  
Author(s):  
Sanghita Bhattacharyya ◽  
Aradhana Srivastava ◽  
Malvika Saxena ◽  
Mousumi Gogoi ◽  
Pravesh Dwivedi ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Qualitative Study ◽  
Uttar Pradesh

scholarly journals Midwives’ identity and perspectives on the occurrence of disrespect and abuse in Maputo city: a qualitative study

2020 ◽  
Author(s):  
Anna Galle ◽  
Helma Manaharlal ◽  
Sally Griffin ◽  
Nafissa Osman ◽  
Kristien Roelens ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Qualitative Study ◽  
Protective Factor ◽  
Vital Role ◽  
Disrespect And Abuse ◽  
Mortality And Morbidity ◽  
Emergency Situations ◽  
Maputo City ◽  
Inferior Status

Abstract BACKGROUND: Midwifery care plays a vital role in the reduction of preventable maternal and newborn mortality and morbidity. There is a growing concern about the quality of care during facility based childbirth and the occurrence of disrespect and abuse (D&A) worldwide. While several studies have reported a high prevalence of D&A, evidence about the drivers of D&A is scarce. AIM: This study aims to explore midwives’ professional identity and perspectives on the occurrence of D&A in urban Mozambique. METHODS: A qualitative study took place in the central hospital of Maputo, Mozambique. Nine focus group discussions with midwives were conducted, interviewing 54 midwives. RQDA software was used for analysing the data by open coding and thematic analysis from a grounded theory perspective. RESULTS: Midwives felt proud of their profession but felt they were disrespected by the institution and wider society because of their inferior status compared to doctors. Furthermore, they felt blamed for poor health outcomes. The occurrence of D&A seemed more likely in emergency situations but midwives tended to blame this on women being “uncooperative”. The involvement of birth companions was a protective factor against D&A together with supervision. CONCLUSION: In order to improve quality of care and reduce the occurrence of D&A midwives will need to be treated with more respect within the health system. Furthermore, they should be trained in handling obstetric emergency situations with respect and dignity for the patient. Systematic and constructive supervision might be another promising strategy for preventing D&A.

scholarly journals Disparities in NICU quality of care: a qualitative study of family and clinician accounts

2018 ◽  
Vol 38 (5) ◽  
pp. 600-607 ◽  
Author(s):  
Krista Sigurdson ◽  
Christine Morton ◽  
Briana Mitchell ◽  
Jochen Profit
Keyword(s):  
Quality Of Care ◽  
Qualitative Study

scholarly journals What motivates informal caregivers of people with dementia (PWD): a qualitative study

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Shakiba Zahed ◽  
Maryam Emami ◽  
Shahrzad Bazargan-Hejazi ◽  
Ahmad Ali Eslami ◽  
Majid Barekatain ◽  
...  
Keyword(s):  
Social Media ◽  
Quality Of Care ◽  
Qualitative Study ◽  
Motivating Factors ◽  
Structured Interviews ◽  
Thematic Content Analysis ◽  
People With Dementia ◽  
The Family ◽  
Burden Of Caring

Abstract Background The burden of caring for People with Dementia (PWD) is heavy; identifying incentives that motivate them in providing care is essential in facilitating and optimizing care. This study aims to explore and describe these motivating factors. Methods We conducted this qualitative study between January 2016 and January 2017 in Isfahan, Iran. Data were extracted through in-depth, semi-structured interviews with 19 caregivers of PWD. These data were then examined through thematic content analysis. Results We identified four categories of psychological motives based on the caregivers’ feedback and experience. These include 1) Moral-based motives, 2) Religious, and spiritual motives; 3) Financial motives, and 4) Wicked motives. Conclusions Our results revealed several aspects of caregivers’ motives. They include moral, religious, and spiritual aspects; sharing housing accommodations, and the likelihood of inheriting a portion of the patient’s assets based on unspoken rules and informal arrangements in the family, and wicked and immoral aspects. These findings can inform future efforts in enhancing the experiences of caregivers of PWD, and subsequently, the quality of care these patients receive. It further suggests that family members, members of a religious and spiritual organization, as well as social media, could play important roles in setting the stage.

scholarly journals Do you need to pay for quality care? Associations between bribes and out-of-pocket expenditures on quality of care during childbirth in India

2020 ◽  
Vol 35 (5) ◽  
pp. 600-608
Author(s):  
Amanda Landrian ◽  
Beth S Phillips ◽  
Shreya Singhal ◽  
Shambhavi Mishra ◽  
Fnu Kajal ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Quality Care ◽  
Uttar Pradesh ◽  
Child Health Services ◽  
Maternal Complications ◽  
Lower Odds ◽  
Public Facilities ◽  
Health Checks ◽  
Reproductive And Child Health

Abstract While it is mandated that reproductive and child health services be provided for free at public facilities in India, qualitative evidence suggests it is common for facilities to request bribes and other informal payments for medicines, medical tests or equipment. This article examines the prevalence of bribe requests, total out-of-pocket expenditures (OOPEs) and associations between bribe requests and total OOPEs on the experience of quality of care and maternal complications during childbirth. Women who delivered in public facilities in Uttar Pradesh, India were administered a survey on sociodemographic characteristics, bribe requests, total OOPEs, types of health checks received and experience of maternal complications. Data were analysed using descriptive, bivariate and multivariate statistics. Among the 2018 women who completed the survey, 43% were asked to pay a bribe and 73% incurred OOPEs. Bribe requests were associated with lower odds of receiving all health checks upon arrival to the facility (aOR = 0.49; 95% CI: 0.24–0.98) and during labour and delivery (aOR = 0.44; 95% CI: 0.25–0.76), lower odds of receiving most or all health checks after delivery (aOR = 0.44; 95% CI: 0.31–0.62) and higher odds of experiencing maternal complications (aOR = 1.45; 95% CI: 1.13–1.87). Although it is mandated that maternity care be provided for free in public facilities in India, these findings suggest that OOPEs are high, and bribes/tips contribute significantly. Interventions centred on improving person-centred care (particularly guidelines around bribes), health system conditions and women’s expectations of care are needed.

scholarly journals A qualitative study on midwives’ identity and perspectives on the occurrence of disrespect and abuse in Maputo city

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Anna Galle ◽  
Helma Manaharlal ◽  
Sally Griffin ◽  
Nafissa Osman ◽  
Kristien Roelens ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Qualitative Study ◽  
Protective Factor ◽  
Vital Role ◽  
Disrespect And Abuse ◽  
Mortality And Morbidity ◽  
Emergency Situations ◽  
Maputo City ◽  
Inferior Status

Abstract Background Midwifery care plays a vital role in the reduction of preventable maternal and newborn mortality and morbidity. There is a growing concern about the quality of care during facility based childbirth and the occurrence of disrespect and abuse (D&A) worldwide. While several studies have reported a high prevalence of D&A, evidence about the drivers of D&A is scarce. This study aims to explore midwives’ professional identity and perspectives on the occurrence of D&A in urban Mozambique. Methods A qualitative study took place in the central hospital of Maputo, Mozambique. Nine focus group discussions with midwives were conducted, interviewing 54 midwives. RQDA software was used for analysing the data by open coding and thematic analysis from a grounded theory perspective. Results Midwives felt proud of their profession but felt they were disrespected by the institution and wider society because of their inferior status compared to doctors. Furthermore, they felt blamed for poor health outcomes. The occurrence of D&A seemed more likely in emergency situations but midwives tended to blame this on women being “uncooperative”. The involvement of birth companions was a protective factor against D&A together with supervision. Conclusion In order to improve quality of care and reduce the occurrence of D&A midwives will need to be treated with more respect within the health system. Furthermore, they should be trained in handling obstetric emergency situations with respect and dignity for the patient. Systematic and constructive supervision might be another promising strategy for preventing D&A.

scholarly journals Correction: Disparities in NICU quality of care: a qualitative study of family and clinician accounts

2018 ◽  
Vol 38 (8) ◽  
pp. 1123-1123 ◽  
Author(s):  
Krista Sigurdson ◽  
Christine Morton ◽  
Briana Mitchell ◽  
Jochen Profit
Keyword(s):  
Quality Of Care ◽  
Qualitative Study

The life on clinical treatment of Cohn’s Disease

2012 ◽  
Vol 6 (2) ◽  
pp. 288
Author(s):  
Flávia De Siqueira Vieira ◽  
Helena Megumi Sonobe ◽  
Marissa Silva De Oliveira ◽  
Nariman De Felício Bortucan Lenza ◽  
Luciana Scatralhe Buetto ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Qualitative Study ◽  
Disease Patient ◽  
Treatment Method ◽  
Clinical Treatment ◽  
Social Needs ◽  
Enfermedad De Crohn ◽  
Patient’S Experience ◽  
Education Interventions

ABSTRACTObjective: to describe the clinical and social needs of patients with Crohn´s disease (CD) and identify the experiences of these patients during clinical treatment. Method: this is an exploratory qualitative study with participants with CD, over 18 years, admitted to a public teaching hospital, who agreed to participate signed a consent form after being informed (HCRP. 1149/2009). The interviews were recorded in audio and transcribed to Word for Windows. Data were analyzed following the steps in capturing the sense of data; identification of an initial set of theme or categories; establishment of the main categories and discussion. Results: the theme developed demonstrated the need of the specific tests and the qualification of the health’s professional for care these patients. Conclusion: The nurse must have knowledge about the patient’s reaction to the clinical treatment and realize a following with data collection to contribute with the diagnostic, besides the realize education interventions to contribute the adherence to clinical treatment, to prevent the complications and the possibility to disease’s control. Therefore the knowledge of the patient’s experience is important to better quality of care. Descriptors: Crohn’s disease; patient; nursing. RESUMOObjetivos: descrever as características clínicas e sociais dos pacientes com Doença de Crohn (DC) e identificar as experiências desses pacientes durante o tratamento clínico. Método: estudo exploratório, de abordagem qualitativa, com 14 pacientes maiores de 18 anos com DC, internados em hospital de ensino público, que consentiram em participar da pesquisa ao assinarem o Termo de Consentimento pós-informado, após aprovação do Comitê de Ética em Pesquisa do Hospital das Clínicas da Universidade de São Paulo, Ribeirão Preto (SP) sob número 11495/2009. As entrevistas foram gravadas e transcritas em Programa Word for Windows. Os dados foram analisados seguindo-se as etapas de captação dos sentidos dos dados; identificação de um conjunto inicial de temas ou categorias; estabelecimento de categorias-chaves e discussão. Resultados: o tema desenvolvido demonstrou a necessidade de exames específicos e a qualificação dos profissionais de saúde para prestar assistência a esses pacientes. Conclusão: O enfermeiro deve ter conhecimento sobre as reações do paciente ao tratamento clínico e realizar um seguimento com coleta de dados para contribuir no estabelecimento do diagnóstico, além de investir em intervenções educativas para favorecer a adesão ao tratamento clínico, como forma de prevenção de complicações e possibilidade de controle da doença. Portanto, o conhecimento da experiência destes pacientes é importante para melhorar a qualidade da assistência. Descritores: doença de Crohn; paciente; enfermagem.RESUMENObjetivo: describir las necesidades clínicas y sociales de los pacientes con enfermedad de Crohn (EC) e identificar las experiencias de estos pacientes durante el tratamiento clinico. Método: estudio exploratorio cualitativo con 14 participantes con EC, con más de 18 años, admitidos en un hospital escuela, que aceptaron participar con firma del consentimiento informado (HCRP 11495/2009). Las entrevistas fueron grabadas en audio y transcritas en el programa Word for Windos. Los datos fueron analizados siguiendo los pasos para capturar de los sentidos de los datos, la identificación de un conjunto inicial de temas o categorías, el establecimiento de las categorías principales y el debate. Resultados: el tema desarrollado demuestra la necesidad de pruebas específicas y la cualificación de los profesionales de la salud para ayudar a estos pacientes. Conclusión: la enfermera debe tener conocimiento sobre las reacciones del paciente al tratamiento médico y realizar una recolección de datos de seguimiento para contribuir en el diagnóstico, y la inversión en intervenciones educativas para promover la adhesión al tratamiento médico como medio de precención de las complicaciones y la posibilidad de control de la enfermedad. Así, el conocimiento de la experiencia de estos pacientes es importante para mejorar la calidad de la atención. Descriptores: enfermedad de Crohn; paciente; enfermería.  

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