Assessment of adherence to best practices in labor and childbirth care by care providers working in public hospitals in the Federal District of Brazil
To assess adherence to best practices in labor and childbirth care by doctors, nurses, obstetric nursing residents, and obstetric medical residents working in public hospitals in the Federal District of Brazil. A cross-sectional study was conducted with care providers working in 11 public hospitals...
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Veröffentlicht in: | Ciência & saude coletiva 2019-06, Vol.24 (6), p.2135-2145 |
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creator | Carvalho, Elisabete Mesquita Peres de Amorim, Fábio Ferreira Santana, Levy Aniceto Göttems, Leila Bernarda Donato |
description | To assess adherence to best practices in labor and childbirth care by doctors, nurses, obstetric nursing residents, and obstetric medical residents working in public hospitals in the Federal District of Brazil.
A cross-sectional study was conducted with care providers working in 11 public hospitals in the Federal District of Brazil between January and March 2015. A questionnaire containing 20 sociodemographic questions and 50 five-point Likert items was administered. The average scores of each group and each hospital were analyzed.
Nurses obtained the highest scores for the use of evidence-based practices (57.8 ± 12.9), while doctors achieved the highest scores for the work process dimension (72 ± 8.5). Medical residents obtained the highest scores for organization of labor and childbirth care (56.5 ± 8.5). No statistically significant differences were found between groups. Hospital scores ranged from 55 to 64. No statistically significant differences were found between hospitals. Most professionals encourage natural childbirth.
It is necessary to strengthen actions to promote greater adherence to best care practices, both in relation to organization of labor and childbirth care and to the attitudes and values of health professionals. |
doi_str_mv | 10.1590/1413-81232018246.08412019 |
format | Article |
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A cross-sectional study was conducted with care providers working in 11 public hospitals in the Federal District of Brazil between January and March 2015. A questionnaire containing 20 sociodemographic questions and 50 five-point Likert items was administered. The average scores of each group and each hospital were analyzed.
Nurses obtained the highest scores for the use of evidence-based practices (57.8 ± 12.9), while doctors achieved the highest scores for the work process dimension (72 ± 8.5). Medical residents obtained the highest scores for organization of labor and childbirth care (56.5 ± 8.5). No statistically significant differences were found between groups. Hospital scores ranged from 55 to 64. No statistically significant differences were found between hospitals. Most professionals encourage natural childbirth.
It is necessary to strengthen actions to promote greater adherence to best care practices, both in relation to organization of labor and childbirth care and to the attitudes and values of health professionals.</description><identifier>ISSN: 1413-8123</identifier><identifier>EISSN: 1678-4561</identifier><identifier>DOI: 10.1590/1413-81232018246.08412019</identifier><identifier>PMID: 31269172</identifier><language>eng</language><publisher>Brazil: Associacao Brasileira de Pos-Graduacao em Saude Coletiva - ABRASCO</publisher><subject>Adult ; Brazil ; Childbirth & labor ; Cross-Sectional Studies ; Delivery, Obstetric - standards ; Evidence-Based Practice ; Female ; Guideline Adherence ; Health Personnel - standards ; Hospitals ; Hospitals, Public - standards ; Humans ; Labor ; Labor, Obstetric ; Male ; Maternal Health Services - standards ; Medical residencies ; Middle Aged ; Nurses ; Obstetric Nursing ; Obstetrics ; Physicians ; Practice Guidelines as Topic ; Pregnancy ; Quality of Health Care ; Statistical significance ; Surveys and Questionnaires ; Young Adult</subject><ispartof>Ciência & saude coletiva, 2019-06, Vol.24 (6), p.2135-2145</ispartof><rights>COPYRIGHT 2019 Associacao Brasileira de Pos-Graduacao em Saude Coletiva - ABRASCO</rights><rights>Copyright © 2019. This work is licensed under https://creativecommons.org/licenses/by/4.0/deed.en (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><orcidid>0000-0003-0929-5733 ; 0000-0002-2675-8085 ; 0000-0002-5140-0237 ; 0000-0001-7743-4892</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31269172$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Carvalho, Elisabete Mesquita Peres de</creatorcontrib><creatorcontrib>Amorim, Fábio Ferreira</creatorcontrib><creatorcontrib>Santana, Levy Aniceto</creatorcontrib><creatorcontrib>Göttems, Leila Bernarda Donato</creatorcontrib><title>Assessment of adherence to best practices in labor and childbirth care by care providers working in public hospitals in the Federal District of Brazil</title><title>Ciência & saude coletiva</title><addtitle>Cien Saude Colet</addtitle><description>To assess adherence to best practices in labor and childbirth care by doctors, nurses, obstetric nursing residents, and obstetric medical residents working in public hospitals in the Federal District of Brazil.
A cross-sectional study was conducted with care providers working in 11 public hospitals in the Federal District of Brazil between January and March 2015. A questionnaire containing 20 sociodemographic questions and 50 five-point Likert items was administered. The average scores of each group and each hospital were analyzed.
Nurses obtained the highest scores for the use of evidence-based practices (57.8 ± 12.9), while doctors achieved the highest scores for the work process dimension (72 ± 8.5). Medical residents obtained the highest scores for organization of labor and childbirth care (56.5 ± 8.5). No statistically significant differences were found between groups. Hospital scores ranged from 55 to 64. No statistically significant differences were found between hospitals. Most professionals encourage natural childbirth.
It is necessary to strengthen actions to promote greater adherence to best care practices, both in relation to organization of labor and childbirth care and to the attitudes and values of health professionals.</description><subject>Adult</subject><subject>Brazil</subject><subject>Childbirth & labor</subject><subject>Cross-Sectional Studies</subject><subject>Delivery, Obstetric - standards</subject><subject>Evidence-Based Practice</subject><subject>Female</subject><subject>Guideline Adherence</subject><subject>Health Personnel - standards</subject><subject>Hospitals</subject><subject>Hospitals, Public - standards</subject><subject>Humans</subject><subject>Labor</subject><subject>Labor, Obstetric</subject><subject>Male</subject><subject>Maternal Health Services - standards</subject><subject>Medical residencies</subject><subject>Middle Aged</subject><subject>Nurses</subject><subject>Obstetric Nursing</subject><subject>Obstetrics</subject><subject>Physicians</subject><subject>Practice Guidelines as Topic</subject><subject>Pregnancy</subject><subject>Quality of Health Care</subject><subject>Statistical significance</subject><subject>Surveys and Questionnaires</subject><subject>Young Adult</subject><issn>1413-8123</issn><issn>1678-4561</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>KPI</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkc1u1TAQhS0EoqXwCsiIDSxyscdOnCwvhUJFJVjAOrKdyY1LEgfbAcqD8Lz49kfoIjSLGVnfOTqeIeQZZxteNuwVl1wUNQcBjNcgqw2rJc9zc48c80rVhSwrfj_Pd9wReRTjJWOghISH5EhwqBqu4Jj83saIMU44J-p7qrsBA84WafLUYEx0CdomZzFSN9NRGx-onjtqBzd2xoU0UKsDUnN105fgv7sOQ6Q_fPjq5t1etqxmdJYOPi4u6fHaKg1IzzCTeqRvXEzB2esEr4P-5cbH5EGfQXxy20_Il7O3n0_fFxcf352fbi-KnZAsFbU2rGlUw5TAnlUdKC46VRmDHHjVVyXTddMZVva9lho4qrwmjWVvLHADKE7IixvfnPvbmv_bTi5aHEc9o19jC1ACKCZrldHn_6CXfg1zTteCYGUJFQD7S-30iK2be5_yAvem7bZspIRGqD21-Q-Vq8PJWT9j7_L7geDlgSAzCX-mnV5jbD98Oj9kn94GXc2EXbsEN-lw1d4dXfwBeT6utA</recordid><startdate>20190601</startdate><enddate>20190601</enddate><creator>Carvalho, Elisabete Mesquita Peres de</creator><creator>Amorim, Fábio Ferreira</creator><creator>Santana, Levy Aniceto</creator><creator>Göttems, Leila Bernarda Donato</creator><general>Associacao Brasileira de Pos-Graduacao em Saude Coletiva - 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Academic</collection><jtitle>Ciência & saude coletiva</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Carvalho, Elisabete Mesquita Peres de</au><au>Amorim, Fábio Ferreira</au><au>Santana, Levy Aniceto</au><au>Göttems, Leila Bernarda Donato</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment of adherence to best practices in labor and childbirth care by care providers working in public hospitals in the Federal District of Brazil</atitle><jtitle>Ciência & saude coletiva</jtitle><addtitle>Cien Saude Colet</addtitle><date>2019-06-01</date><risdate>2019</risdate><volume>24</volume><issue>6</issue><spage>2135</spage><epage>2145</epage><pages>2135-2145</pages><issn>1413-8123</issn><eissn>1678-4561</eissn><abstract>To assess adherence to best practices in labor and childbirth care by doctors, nurses, obstetric nursing residents, and obstetric medical residents working in public hospitals in the Federal District of Brazil.
A cross-sectional study was conducted with care providers working in 11 public hospitals in the Federal District of Brazil between January and March 2015. A questionnaire containing 20 sociodemographic questions and 50 five-point Likert items was administered. The average scores of each group and each hospital were analyzed.
Nurses obtained the highest scores for the use of evidence-based practices (57.8 ± 12.9), while doctors achieved the highest scores for the work process dimension (72 ± 8.5). Medical residents obtained the highest scores for organization of labor and childbirth care (56.5 ± 8.5). No statistically significant differences were found between groups. Hospital scores ranged from 55 to 64. No statistically significant differences were found between hospitals. Most professionals encourage natural childbirth.
It is necessary to strengthen actions to promote greater adherence to best care practices, both in relation to organization of labor and childbirth care and to the attitudes and values of health professionals.</abstract><cop>Brazil</cop><pub>Associacao Brasileira de Pos-Graduacao em Saude Coletiva - ABRASCO</pub><pmid>31269172</pmid><doi>10.1590/1413-81232018246.08412019</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0003-0929-5733</orcidid><orcidid>https://orcid.org/0000-0002-2675-8085</orcidid><orcidid>https://orcid.org/0000-0002-5140-0237</orcidid><orcidid>https://orcid.org/0000-0001-7743-4892</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Adult Brazil Childbirth & labor Cross-Sectional Studies Delivery, Obstetric - standards Evidence-Based Practice Female Guideline Adherence Health Personnel - standards Hospitals Hospitals, Public - standards Humans Labor Labor, Obstetric Male Maternal Health Services - standards Medical residencies Middle Aged Nurses Obstetric Nursing Obstetrics Physicians Practice Guidelines as Topic Pregnancy Quality of Health Care Statistical significance Surveys and Questionnaires Young Adult |
title | Assessment of adherence to best practices in labor and childbirth care by care providers working in public hospitals in the Federal District of Brazil |
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