Research Article
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Opinions and Experiences of Women Giving Birth Regarding Safe Care: A Qualitative Study

Year 2024, Volume: 11 Issue: 3, 218 - 226, 28.10.2024
https://doi.org/10.31125/hunhemsire.1458470

Abstract

Aim: In this study, it was aimed to determine in detail the opinions and experiences of women giving birth regarding the safety of the care they received as stakeholders receiving care services.
Material and Methods: Phenomenological design was used as a qualitative research method. The research was conducted between February 2023 and June 2023 with 15 women who gave vaginal birth or had a cesarean section in state hospitals in the Central Anatolia region of Türkiye. The research was conducted following the COREQ checklist.
Results: The collected data were categorized into nine codes and ten sub-themes under three main themes: "Definition of Safe Care"; "Factors Affecting Receiving Safe Care" and "Implications for Safe Care".
Conclusion: In conclusion, this study addressed safe care from the perspective of women receiving care during labor. These opinions and experiences of women who give birth can guide healthcare professionals, hospital and nurse managers, and policymakers in providing safer and higher quality care during labor and in making arrangements in this direction.

Project Number

2209A - 1919B012205454.

References

  • 1. Global patient safety action plan 2021–2030: towards eliminating avoidable harm in health care. Geneva: World Health Organization; 2021a. Licence: CC BY-NC-SA 3.0 IGO.
  • 2. Türkiye İstatistik Kurumu (TUİK). Sürdürülebilir Kalkınma Göstergeleri, 2010-2019. [Internet]. [Erişim Tarihi: 04 Haziran 2022]. Erişim Adresi: https://data.tuik.gov.tr/Bulten/Index?p=Sustainable-Development-Indicators-2010-2019-37194.
  • 3. Acavut G, Vural G, Karaşahin KE. Evaluation of Midwifery and Nursing Practices for Maternal and Neonatal Safety in the Delivery Room. Bezmialem Science 2022;10(1):73-80.
  • 4. Kruk ME, Gage AD, Arsenault C, Jordan K, Leslie HH, Roder-DeWan S, et al. High-quality health systems in the Sustainable Development Goals era: time for a revolution. Lancet Glob Health. 2018; 6(11):e1196–252.
  • 5. Combs CA, Einerson BD, Toner LE; Patient Safety and Quality Committee, Society for Maternal-Fetal Medicine. Electronic address: smfm@smfm.org. Society for Maternal-Fetal Medicine Special Statement: Surgical safety checklists for cesarean delivery. Am J Obstet Gynecol. 2021;225(5):B43-9.
  • 6. Aydın R, Yaman Ş, Uçakcı C, Özkan S, Kalkan A. Doğum Salonunda Görev Yapan Ebe/Hemşirelerin Yenidoğanın İlk Bakımına Yönelik Hasta Güvenliği Uygulamaları. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2017;19.
  • 7. Rönnerhag M, Severinsson E, Haruna M, Berggren I. Qualitative study of women's experiences of safe childbirth in maternity care. Nurs Health Sci. 2018;20(3):331-7.
  • 8. Baltacı, A. Nitel araştırma süreci: Nitel bir araştırma nasıl yapılır?, Ahi Evran Üniversitesi Sosyal Bilimler Enstitüsü Dergisi. 2019; 5(2), 368-88.
  • 9. Neubauer BE, Witkop CT, Varpio L. How phenomenology can help us learn from the experiences of others. Perspect Med Educ. 2019;8(2):90-97. 10. Başar, F., & Çiçek, S. Annelerin Yeterli Prenatal Bakım Alma Durumları ve Etkileyen Faktörler. OPUS International Journal of Society Researches. 2018; 9(16):2574-96.
  • 11. Hennink M, Kaiser BN. Sample sizes for saturation in qualitative research: A systematic review of empirical tests. Soc Sci Med. 2022;292:114523.
  • 12. Sharma AE, Rivadeneira NA, Barr-Walker J, Stern RJ, Johnson AK, Sarkar U. Patient Engagement In Health Care Safety: An Overview Of Mixed-Quality Evidence. Health Aff (Millwood). 2018;37(11):1813-20.
  • 13. Creswell, J.W., & Miller, D.L. Determining validity in qualitative inquiry. Theory into practice 2010; 39(3): 124-30.
  • 14. Creswell JW. Research design: Qualitative, quantitative and mixed methods approaches (4th ed.). Thousand Oaks, CA: Sage. (2014).
  • 15. Lincoln, Y.S. and Guba, E.G. (1985) Naturalistic Inquiry. SAGE, Thousand Oaks, 289-331.
  • 16. Vaismoradi M, Tella S, A Logan P, Khakurel J, Vizcaya-Moreno F. Nurses' Adherence to Patient Safety Principles: A Systematic Review. Int J Environ Res Public Health. 2020;17(6):2028.
  • 17. World Health Organization (WHO). Patient Safety. [Internet]. [Erişim Tarihi: 12 Haziran 2022]. Erişim Adresi: https://www.who.int/news-room/fact-sheets/detail/patient-safety.
  • 18. Mirzania M, Shakibazadeh E, Bohren MA, Hantoushzadeh S, Babaey F, Khajavi A, Foroushani AR. Mistreatment of women during childbirth and its influencing factors in public maternity hospitals in Tehran, Iran: a multi-stakeholder qualitative study. Reprod Health. 2023;20(1):79.
  • 19. Mselle LT, Kohi TW, Dol J. Humanizing birth in Tanzania: a qualitative study on the (mis) treatment of women during childbirth from the perspective of mothers and fathers. BMC Pregnancy Childbirth. 2019;19(1):231.
  • 20. Kaçar N, Yazıcı S. Ebe Tarafindan Verilen Sürekli Doğum Desteğinin Mesleki ve Obstetrik Sonuçlara Etkisi. Ebelik ve Sağlık Bilimleri Dergisi 2020;3(3):214-24.
  • 21. Bradford BF, Wilson AN, Portela A, McConville F, Fernandez Turienzo C, Homer CSE. Midwifery continuity of care: A scoping review of where, how, by whom and for whom?. PLOS Glob Public Health. 2022;2(10):e0000935.
  • 22. Kwame A, Petrucka PM. A literature-based study of patient-centered care and communication in nurse-patient interactions: barriers, facilitators, and the way forward. BMC Nurs. 2021;20(1):158.
  • 23. Konlan KD, Shin J. The status and the factors that influence patient safety in health care institutions in Africa: A systematic review. PLOS Glob Public Health. 2022;2(12):e0001085.
  • 24. Hargreaves S, Young S, Prior SJ, Ayton J. Exploring Women's Experiences of Maternity Service Delivery in Regional Tasmania: A Descriptive Qualitative Study. Healthcare (Basel). 2022;10(10):1883.
  • 25. Turner L, Culliford D, Ball J, Kitson-Reynolds E, Griffiths P. The association between midwifery staffing levels and the experiences of mothers on postnatal wards: Cross sectional analysis of routine data. Women Birth. 2022;35(6):e583-9.
  • 26. Ali L, Saifan A, Alrimawi I, Atout M. Nurses' perceptions toward factors that cause medication errors in Jordan: A qualitative study. Perspect Psychiatr Care. 2021;57(3):1417-24.
  • 27. Önler, E, Yıldız, T. & Aktaş Kılıç, E. Evaluation of nurses’ attitudes to ward medical errors. Health and Nursing Management Journal, 2021;8 (1): 86-93.
  • 28. Correia T, Martins MM, Barroso F, Pinho L, Longo J, Valentim O. The Family's Contribution to Patient Safety. Nurs Rep. 2023;13(2):634-43.
  • 29. Dall'Ora C, Ejebu OZ, Griffiths P. Because they're worth it? A discussion paper on the value of 12-h shifts for hospital nursing. Hum Resour Health. 2022;20(1):36.
  • 30. Heydarikhayat N, Ghanbarzehi N, Sabagh K. Strategies to prevent medical errors by nursing interns: a qualitative content analysis. BMC Nurs. 2024;23(1):48. Published 2024 Jan 17.
  • 31. Çatal AT, Cebeci F, Uçak A. Intern nursing students' perceptions of patient safety culture and their experiences with factors affecting the safety of care in hospital settings: A mixed method study. Nurse Educ Today. 2024;135:106120.
  • 32. Blair A, Cao J, Wilson A, Homer C. Access to, and experiences of, maternity care for women with physical disabilities: A scoping review. Midwifery. 2022;107:103273.

Doğum Yapan Kadınların Güvenli Bakıma İlişkin Görüş ve Deneyimleri: Nitel Bir Çalışma

Year 2024, Volume: 11 Issue: 3, 218 - 226, 28.10.2024
https://doi.org/10.31125/hunhemsire.1458470

Abstract

Amaç: Bu çalışmada, doğum yapan kadınların bakım hizmeti alan paydaşlar olarak almış oldukları bakımın güvenliğine ilişkin görüş ve deneyimlerinin ayrıntılı olarak belirlenmesi amaçlanmıştır.
Gereç ve Yöntem: Araştırmada nitel araştırma yöntemi olarak fenomenolojik desen kullanılmıştır. Araştırma Şubat 2023 - Haziran 2023 tarihleri arasında Türkiye’de İç Anadolu bölgesinde devlete bağlı hastanelerde normal ya da sezaryen ile doğum yapan, amaçlı örneklem ile belirlenen 15 kadın ile yapılmıştır. Araştırma COREQ kontrol listesi takip edilerek gerçekleştirilmiştir.
Bulgular: Toplanan veriler “Güvenli Bakımın Tanımı”; “Güvenli Bakım Almayı Etkileyen Etmenler”; “Güvenli Bakım İçin Öneriler” olmak üzere üç ana tema altında 9 kod ve 10 alt tema şeklinde kategorize edildi.
Sonuç: Sonuç olarak, bu çalışma doğum sürecinde bakım hizmeti alan kadınların gözünden güvenli bakımı ele almaktadır. Doğum yapan kadınların bu görüşleri ve deneyimleri, sağlık profesyonellerine, hastane ve hemşire yöneticilerine ve politika yapıcılara doğum süreci boyunca daha güvenli ve daha kaliteli bakım sağlama ve bu yönde düzenlemeler yapma konusunda rehberlik edebilir.

Supporting Institution

The Scientific and Technological Research Council of Türkiye (Tübitak)

Project Number

2209A - 1919B012205454.

References

  • 1. Global patient safety action plan 2021–2030: towards eliminating avoidable harm in health care. Geneva: World Health Organization; 2021a. Licence: CC BY-NC-SA 3.0 IGO.
  • 2. Türkiye İstatistik Kurumu (TUİK). Sürdürülebilir Kalkınma Göstergeleri, 2010-2019. [Internet]. [Erişim Tarihi: 04 Haziran 2022]. Erişim Adresi: https://data.tuik.gov.tr/Bulten/Index?p=Sustainable-Development-Indicators-2010-2019-37194.
  • 3. Acavut G, Vural G, Karaşahin KE. Evaluation of Midwifery and Nursing Practices for Maternal and Neonatal Safety in the Delivery Room. Bezmialem Science 2022;10(1):73-80.
  • 4. Kruk ME, Gage AD, Arsenault C, Jordan K, Leslie HH, Roder-DeWan S, et al. High-quality health systems in the Sustainable Development Goals era: time for a revolution. Lancet Glob Health. 2018; 6(11):e1196–252.
  • 5. Combs CA, Einerson BD, Toner LE; Patient Safety and Quality Committee, Society for Maternal-Fetal Medicine. Electronic address: smfm@smfm.org. Society for Maternal-Fetal Medicine Special Statement: Surgical safety checklists for cesarean delivery. Am J Obstet Gynecol. 2021;225(5):B43-9.
  • 6. Aydın R, Yaman Ş, Uçakcı C, Özkan S, Kalkan A. Doğum Salonunda Görev Yapan Ebe/Hemşirelerin Yenidoğanın İlk Bakımına Yönelik Hasta Güvenliği Uygulamaları. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2017;19.
  • 7. Rönnerhag M, Severinsson E, Haruna M, Berggren I. Qualitative study of women's experiences of safe childbirth in maternity care. Nurs Health Sci. 2018;20(3):331-7.
  • 8. Baltacı, A. Nitel araştırma süreci: Nitel bir araştırma nasıl yapılır?, Ahi Evran Üniversitesi Sosyal Bilimler Enstitüsü Dergisi. 2019; 5(2), 368-88.
  • 9. Neubauer BE, Witkop CT, Varpio L. How phenomenology can help us learn from the experiences of others. Perspect Med Educ. 2019;8(2):90-97. 10. Başar, F., & Çiçek, S. Annelerin Yeterli Prenatal Bakım Alma Durumları ve Etkileyen Faktörler. OPUS International Journal of Society Researches. 2018; 9(16):2574-96.
  • 11. Hennink M, Kaiser BN. Sample sizes for saturation in qualitative research: A systematic review of empirical tests. Soc Sci Med. 2022;292:114523.
  • 12. Sharma AE, Rivadeneira NA, Barr-Walker J, Stern RJ, Johnson AK, Sarkar U. Patient Engagement In Health Care Safety: An Overview Of Mixed-Quality Evidence. Health Aff (Millwood). 2018;37(11):1813-20.
  • 13. Creswell, J.W., & Miller, D.L. Determining validity in qualitative inquiry. Theory into practice 2010; 39(3): 124-30.
  • 14. Creswell JW. Research design: Qualitative, quantitative and mixed methods approaches (4th ed.). Thousand Oaks, CA: Sage. (2014).
  • 15. Lincoln, Y.S. and Guba, E.G. (1985) Naturalistic Inquiry. SAGE, Thousand Oaks, 289-331.
  • 16. Vaismoradi M, Tella S, A Logan P, Khakurel J, Vizcaya-Moreno F. Nurses' Adherence to Patient Safety Principles: A Systematic Review. Int J Environ Res Public Health. 2020;17(6):2028.
  • 17. World Health Organization (WHO). Patient Safety. [Internet]. [Erişim Tarihi: 12 Haziran 2022]. Erişim Adresi: https://www.who.int/news-room/fact-sheets/detail/patient-safety.
  • 18. Mirzania M, Shakibazadeh E, Bohren MA, Hantoushzadeh S, Babaey F, Khajavi A, Foroushani AR. Mistreatment of women during childbirth and its influencing factors in public maternity hospitals in Tehran, Iran: a multi-stakeholder qualitative study. Reprod Health. 2023;20(1):79.
  • 19. Mselle LT, Kohi TW, Dol J. Humanizing birth in Tanzania: a qualitative study on the (mis) treatment of women during childbirth from the perspective of mothers and fathers. BMC Pregnancy Childbirth. 2019;19(1):231.
  • 20. Kaçar N, Yazıcı S. Ebe Tarafindan Verilen Sürekli Doğum Desteğinin Mesleki ve Obstetrik Sonuçlara Etkisi. Ebelik ve Sağlık Bilimleri Dergisi 2020;3(3):214-24.
  • 21. Bradford BF, Wilson AN, Portela A, McConville F, Fernandez Turienzo C, Homer CSE. Midwifery continuity of care: A scoping review of where, how, by whom and for whom?. PLOS Glob Public Health. 2022;2(10):e0000935.
  • 22. Kwame A, Petrucka PM. A literature-based study of patient-centered care and communication in nurse-patient interactions: barriers, facilitators, and the way forward. BMC Nurs. 2021;20(1):158.
  • 23. Konlan KD, Shin J. The status and the factors that influence patient safety in health care institutions in Africa: A systematic review. PLOS Glob Public Health. 2022;2(12):e0001085.
  • 24. Hargreaves S, Young S, Prior SJ, Ayton J. Exploring Women's Experiences of Maternity Service Delivery in Regional Tasmania: A Descriptive Qualitative Study. Healthcare (Basel). 2022;10(10):1883.
  • 25. Turner L, Culliford D, Ball J, Kitson-Reynolds E, Griffiths P. The association between midwifery staffing levels and the experiences of mothers on postnatal wards: Cross sectional analysis of routine data. Women Birth. 2022;35(6):e583-9.
  • 26. Ali L, Saifan A, Alrimawi I, Atout M. Nurses' perceptions toward factors that cause medication errors in Jordan: A qualitative study. Perspect Psychiatr Care. 2021;57(3):1417-24.
  • 27. Önler, E, Yıldız, T. & Aktaş Kılıç, E. Evaluation of nurses’ attitudes to ward medical errors. Health and Nursing Management Journal, 2021;8 (1): 86-93.
  • 28. Correia T, Martins MM, Barroso F, Pinho L, Longo J, Valentim O. The Family's Contribution to Patient Safety. Nurs Rep. 2023;13(2):634-43.
  • 29. Dall'Ora C, Ejebu OZ, Griffiths P. Because they're worth it? A discussion paper on the value of 12-h shifts for hospital nursing. Hum Resour Health. 2022;20(1):36.
  • 30. Heydarikhayat N, Ghanbarzehi N, Sabagh K. Strategies to prevent medical errors by nursing interns: a qualitative content analysis. BMC Nurs. 2024;23(1):48. Published 2024 Jan 17.
  • 31. Çatal AT, Cebeci F, Uçak A. Intern nursing students' perceptions of patient safety culture and their experiences with factors affecting the safety of care in hospital settings: A mixed method study. Nurse Educ Today. 2024;135:106120.
  • 32. Blair A, Cao J, Wilson A, Homer C. Access to, and experiences of, maternity care for women with physical disabilities: A scoping review. Midwifery. 2022;107:103273.
There are 31 citations in total.

Details

Primary Language Turkish
Subjects Nursing Management
Journal Section Research Article
Authors

Ayşegül Yılmaz 0000-0002-3102-4238

İlayda Sarıçiçek 0009-0008-5058-4768

Project Number 2209A - 1919B012205454.
Publication Date October 28, 2024
Submission Date March 26, 2024
Acceptance Date August 11, 2024
Published in Issue Year 2024 Volume: 11 Issue: 3

Cite

Vancouver Yılmaz A, Sarıçiçek İ. Doğum Yapan Kadınların Güvenli Bakıma İlişkin Görüş ve Deneyimleri: Nitel Bir Çalışma. JOHUFON. 2024;11(3):218-26.