ارزیابی رعایت منشور حقوق مادر در لیبر و زایمان توسط مامای مسئول زایمان از طریق ازشیابی 360 درجه در زایشگاه‌های آموزشی وابسته به دانشگاه علوم پزشکی مشهد در سال 1393

نویسندگان

1 مربی گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تربت حیدریه، تربت حیدریه، ایران.

2 استادیار گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

چکیده

مقدمه: تجربه رضایت‌بخش زنان از زایمان بر قدرت روحی و روانی یک زن بسیار مؤثر است. حمایت ماما به درک یک تجربه مثبت مادران از زایمان کمک می‌کند، بنابراین مطالعه حاضر با هدف تعیین میزان رعایت منشور حقوق مادر در لیبر و زایمان توسط مامای مسئول زایمان از طریق ازشیابی 360 درجه در زایشگاه‌ها انجام شد.
روش‌کار: این مطالعه همبستگی- مقطعی در سال 1393 بر روی 100 ماما انجام شد. ارزشیابی رعایت منشور حقوق مادر در لیبر و زایمان از طریق ارزشیابی 360 درجه انجام شد. هر ماما توسط خود، همکار، مسئول زایشگاه و زائو مورد ارزیابی قرار گرفت. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 19) و آزمون‌های تحلیل واریانس مقادیر تکراری، آزمون تعقیبی و کای اسکوئر انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: بیشترین نمره کسب شده مربوط به دیدگاه مامای مسئول زایمان (2/16±4/131) و کم‌ترین نمره از دیدگاه زائو (9/20±6/103) بود. بر اساس نتیجه آزمون تحلیل واریانس مقادیر تکراری، میانگین نمره میزان رعایت منشور حقوق مادر از دیدگاه ماما، همکار، مسئول زایشگاه و زائو تفاوت معنی‌داری داشت (05/0>p).
نتیجه‌گیری: حقوق مادر در طی لیبر و زایمان توسط مامای مسئول زایمان در سطح مطلوب رعایت می‌شود، اما دیدگاه مامای مسئول زایمان با مسئول زایشگاه و زائو در ارتباط با این مطلوبیت متفاوت می‌باشد و از دیدگاه مسئول زایشگاه و زائو، این حقوق در حد کمتری رعایت می‌شود.

کلیدواژه‌ها


عنوان مقاله [English]

Respect to the bill of mother’s rights in labor and delivery by midwife responsible for delivery through 360° evaluation in training maternities affiliated to Mashhad University of Medical Science in 2014

نویسندگان [English]

  • Minoo Safaee 1
  • Nahid Golmakani 2
  • Zahra Abedian 2
1 Instructor, Department of Midwifery, Faculty of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran.
2 Assistant Professor, Department of Midwifery, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
چکیده [English]

Introduction: Women satisfying experience of childbirth is very effective on woman’s mental strength. Midwives support helps to pregnant mothers to understand a positive experience of delivery. Therefore, this study was performed with aim to determine the rate of respecting the bill of mother's rights in labor and delivery by midwife responsible for delivery by 360° evaluation in maternities.
Methods: This cross-sectional correlational study was performed on 100 midwives in 2014. Evaluation of respecting the bill of mother's rights in labor and delivery was conducted through 360° evaluation. Each midwife was evaluated by herself, her colleague, the maternity officer, and parturient. Data were analyzed by SPSS software (version 19) and repeated measures ANOVA test, Post hoc test and chi-square test. PResults: The most achieved score was related to the attitude of midwife who was responsible for delivery (131.4±16.2) and the lowest scores was related to the attitude of parturient (103.6±20.9). According to the results of repeated measures ANOVA test, there was a significant difference between mean score of respecting the bill of mother’s rights in labor and delivery from the perspective of midwife, colleague, the maternity officer, and parturient (P<0.05).
Conclusion: Mother's rights is observed at an optimum level by the midwife who is responsible for delivery, but the perspective of who is responsible for delivery and maternity officer and parturient is different associated with this utility. This rights is observed in minimum level from the perspective of the maternity officer and parturient.

کلیدواژه‌ها [English]

  • Evaluation
  • Iran
  • Midwife
  • Patient's rights
  1. Sawyer A, Ayers S, Abbott J, Gyte G, Rabe H, Duley L. Measure of satisfaction with care during labour and birth: a comparative review. BMC Pregnancy Childbirth 2013; 13:108.
  2. Sauls DJ. Adolescents perception of support during labor. J Perinat Educ 2004; 13(4):36-42.
  3. Valizadeh L, Bayrami R. Nulliparous women’s experiences of labor pain: a qualitative study. Nurs Midwifery Tabriz 2009; 4(15):25-34. (Persian).
  4. Mohammad KI, Shaban I, Homer C, Creedy D. Women’s satisfaction with hospital-based intrapartum care: a Jordanian study. Int J Nurs Midwifery 2014; 6(3):32-9.
  5. Hodnett ED, Gates S, Hofmeyr GJ, Sakala C. Continuous support for women during childbirth. Birth 2005; 32(1):72.
  6. Chango C, Ngoma CM. Pregnant women’s perceptions on provision of support during pregnancy and childbirth. Res J Nurs Midwifery 2014; 1(1):1-5.
  7. Hatamleh R, Sinclair M, Kernohan G, Bunting B. Birth memories of Jordanian women: finding from qualitative data. J Res Nurs 2013; 18(3):235-44.
  8. Rudman A, EL-Khouri B, Waldenstrom U. Women’s satisfaction with intrapartum care-a pattern approach. J Adv Nurs 2007; 59(5):474-87.
  9. Malachi ZM. Postpartum mother’s perception on quality of intrapartum care in Naivash district hospital labour ward. [Dissertation Thesis]. Kenya: University of Nairobi; 2012.
  10. Ashraf M, Ashraf F, Rahman A, Khan R. Assessing women’s satisfaction level with maternity services: Evidence from Pakistan. Int J Collaborat Res Intern Med 2012; 4(11):1841-51.
  11. Khodakarami N, Jan Nesari S. Evaluating mothers' awareness about pregnant women’s rights. Iran J Med Ethics Hist Med 2009; 2(1):51-8. (Persian).
  12. Babamahmoudi F, Meftahi M, Khademloo M, Hesamzadeh A. Observation of patient's right charter in Mazandaran teaching hospitals: patients view. Iran J Med Ethics Hist Med 2011; 4(4):37-44. (Persian).
  13. Lemonidou C, Merkouris A, Leino-Kilpi H, Valimaki M, Dassen T, Gasull M, et al. A comparison of surgical patients' and nurses' of autonomy, privacy and informed consent in nursing interventions. Clin Effect Nurs 2003; 2(7):73-83.
  14. Hulton LA, Mathews Z, Stone RW. A framework for evaluation of quality of care in maternity services. Southampton: University of South Hampton; 2000. P. 1-4.
  15. Yousefzadeh S, Golmakani N. Viewpoints of midwifery students about the clinical evaluation based on clinical logbook. J Res Dev Nurs Midwifery 2012; 9(1):103-11. (Persian).
  16. Amin Z, Seng CY, Khoo HE. Practical guide to medical student assessment. New Jensey: World Scientific; 2006.
  17. Ward P. 360-degree feedback. 4th ed. London: CIPD Publishing; 2003.
  18. Finucane PM, Barron SR, Davies HA, Hadfield-Jones RS, Kaigas TM. Towards an acceptance of performance assessment. Med Educ 2002; 36(10):959-64.
  19. Nakhaee N, Saeed AR. 360-degree evaluation method in clinical evaluation of residents: a pilot study on feasibility, validity and reliability. Strides Dev Med Educ 2011; 7(2):99-103.
  20. Rudi Rasht Abadi OS, Borhani F, Abas zadeh A. Awareness of patient rights, the observance of nurses and the factors influencing it in Kerman. Hist Med J 2013; 5(17):38-62. (Persian).
  21. Ghaljeh M, Zakeri Z, Rezaee N, Abedzadeh R. Physicians and nurses awareness and function about patients right charter in Zahedan. Iran J Med Ethics Hist Med 2010; 3(2):69-75.
  22. Arab MO, Zarei A, Hosseini M. Awareness and observation of patients' rights from the perspective of patients: a study in university hospitals in Tehran. J Sch Public Health Instit Public Health Res 2010; 8(2):77-86. (Persian).
  23. Rad M, Mohammd A, Esna Ashari P. Patients and physicians awareness of patients’ rights and its implementation at Beheshti hospital in Isfahan. Iran J Med Educ 2004; 4(1):45-54. (Persian).
  24. Merakou K, Dalla-Vorgia P, Garanis-Papadatos T, Kourea-Kremastinou J. Satisfying patients' rights: a hospital patient survey. Nurs Ethics 2001; 8(6):499-509.
  25. Soltan Ahmadi J, Borhani F, Abaszadeh A, Kohan M. Assessment of the rights of pregnant women attending health centers in Kerman in 2011. Iran J Med Law 2013; 7(26):93-110. (Persian).
  26. Jouzi-arkawazi H, Ashktorab T, Abbasi M, Delpisheh A, Manti R, Shahmir L. Investigate organizational factors associated with patient rights from viewpoint nurses and patients in educational hospitals affiliated to the Ilam University of Medical Sciences. Med Ethics J 2016; 7(23):141-60. (Persian).
  27. Bahri N, Vafaee-Najar A, Ebrahimipour H, Askari F, Bashiri K. Quality of labor support during labor. Patient Saf Qual Improv 2014; 2(1):58-64.
  28. Ghani A, Mahmoud R, Berggren V. Parturient needs during labor: Egyptian women’s perspective toward childbirth experience, a step toward an excellence in clinical practice. J Basic Appl Sci Res 2011; 1(12):2935-43.