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首页> 外文期刊>BMJ Open Quality >Use of WHO standards to improve quality of maternal and newborn hospital care: a study collecting both mothers’ and staff perspective in a tertiary care hospital in Italy
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Use of WHO standards to improve quality of maternal and newborn hospital care: a study collecting both mothers’ and staff perspective in a tertiary care hospital in Italy

机译：使用WHO标准提高产妇和新生儿医院护理质量：一项在意大利三级护理医院收集母亲和员工观点的研究

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Background WHO developed a list of standards for improving maternal and newborn hospital care. However, there is little experience on their use, and no precise guidance on their implementation. This study aimed at documenting the use of the WHO standards for improving the quality of maternal and neonatal care (QMNC) in a tertiary hospital, Northeast Italy. Methods The study was conducted between May 2016 and May 2018, in three phases: phase I—sensitisation and training of health professionals; phase II—data collection on the WHO standards through a survey among service users and providers; phase III—based on the findings of phase II, development of recommendations for improving the QMNC. Results Overall, 101 health professionals were successfully trained. 1050 mothers and 105 hospital staff participated in the survey. Key indicators of QMNC (and related prevalence) from the mothers survey included: caesarean section (23.1%); episiotomy (18.3%); restrictions to free movements during labour (46.5%), lithotomy position for staff choice (69.3%); skin to skin (80.8%); early breast feeding (67.2%); information on newborn danger signs (47.2%); high satisfaction with QMNC (68.8%). Only 1.2% and 0.7% of women respectively reported discrimination or abuse. Key indicators (and prevalence) reported from staff included: availability of clinical protocols (37%); regular training (14%); health information system used for quality improvement (16.3%); training on effective communication (9.7%) and on emotional support (19.6%); protocols to prevent mistreatment and abuse (6.9%). On several indicators, the opinions of mothers on QMNC was better than those of staff. Overall, 55 quality improvement recommendations were agreed. Conclusions Information on the WHO standards can be collected from both services users and providers and can be proactively used for planning improvements on QMNC.
机译：背景世卫组织制定了改善产妇和新生儿医院护理的标准清单。但是，它们的使用经验很少，并且对其实施没有确切的指导。这项研究旨在证明在意大利东北部一家三级医院中使用WHO标准改善孕产妇和新生儿护理（QMNC）的质量。方法该研究于2016年5月至2018年5月之间分三个阶段进行：第一阶段-卫生专业人员的宣传和培训;第二阶段-通过对服务使用者和提供者进行调查收集有关WHO标​​准的数据;第三阶段-根据第二阶段的发现，制定改进QMNC的建议。结果总体上，成功培训了101名卫生专业人员。 1050名母亲和105名医院工作人员参加了调查。来自母亲调查的QMNC关键指标（及相关患病率）包括：剖宫产（23.1％）;会阴切开术（18.3％）;限制劳动期间的自由流动（46.5％），限制人员选择石取术的位置（69.3％）;皮肤对皮肤（80.8％）;早期母乳喂养（67.2％）;有关新生儿危险标志的信息（47.2％）;对QMNC的满意度很高（68.8％）。分别只有1.2％和0.7％的妇女报告受到歧视或虐待。工作人员报告的关键指标（和患病率）包括：临床方案的可用性（37％）;定期培训（14％）;用于质量改善的健康信息系统（16.3％）;有效沟通方面的培训（9.7％）和情感支持方面的培训（19.6％）;防止虐待和滥用的协议（6.9％）。在几个指标上，母亲对QMNC的意见要好于工作人员。总体而言，共商定了55条质量改进建议。结论可以从服务使用者和提供者那里收集有关WHO标​​准的信息，并且可以将其主动用于规划QMNC。

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