Development of patient-centered outcomes for labour and birth: a qualitative study
Background: Current quality improvement models in obstetrics focus on prevention of adverse perinatal outcomes. The development of these metrics was based on expert opinion that did not account for patients’ values. The ultimate aim of our research is to develop performance indicators for labour and...
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| Format: | Article |
| Language: | English |
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IMR Press
2022-01-01
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| Series: | Clinical and Experimental Obstetrics & Gynecology |
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| Online Access: | https://www.imrpress.com/journal/CEOG/49/1/10.31083/j.ceog4901021 |
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| author | Geoffrey E. Johnson Lauren Kan Jennifer Nguyen Kim Campbell Laura Ralph Nicole Koenig May Sanaee Ciana Maher Geoffrey W. Cundiff |
| author_facet | Geoffrey E. Johnson Lauren Kan Jennifer Nguyen Kim Campbell Laura Ralph Nicole Koenig May Sanaee Ciana Maher Geoffrey W. Cundiff |
| author_sort | Geoffrey E. Johnson |
| collection | DOAJ |
| description | Background: Current quality improvement models in obstetrics focus on prevention of adverse perinatal outcomes. The development of these metrics was based on expert opinion that did not account for patients’ values. The ultimate aim of our research is to develop performance indicators for labour and birth that reflect the patient perspective. Methods: A qualitative interview design was used to engage a convenience sample, of recent (<1 year) postpartum patients, in semi-structured interviews, where they shared their experiences of their recent birth. Patients were also asked to assess descriptions of adverse perinatal outcomes for readability and comprehension, towards developing accurate unbiased descriptions for a subsequent survey of patients to weight complications. Responses were recorded, transcribed, coded and analyzed using thematic analysis. thematic analysis. Results: Five themes emerged during the analysis: (1) desire for patient-centred care, (2) improved communication, (3) labour/birth, expectations and outcomes, (4) care team support during labour and birth, (5) continuing emotional and physical postpartum care. Conclusions: Patient-centred care and good health outcomes were the major values expressed by the patients in this study. Good communication and shared decision making led to patients describing their labour and birth as a satisfying experience. This study lays the foundation for developing a quality tool to measure the outcomes of birth and adverse outcomes from the patients’ perspective. |
| format | Article |
| id | doaj-art-57b9a081d73c4b7bb548014159e8f59e |
| institution | OA Journals |
| issn | 0390-6663 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Clinical and Experimental Obstetrics & Gynecology |
| spelling | doaj-art-57b9a081d73c4b7bb548014159e8f59e2025-08-20T01:57:29ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632022-01-014912110.31083/j.ceog4901021S0390-6663(22)01670-0Development of patient-centered outcomes for labour and birth: a qualitative studyGeoffrey E. Johnson0Lauren Kan1Jennifer Nguyen2Kim Campbell3Laura Ralph4Nicole Koenig5May Sanaee6Ciana Maher7Geoffrey W. Cundiff8Department of Obstetrics and Gynecology, University of British Columbia, Vancouver, BC V6Z 2K8, CanadaDepartment of Family Practice, University of British Columbia, Vancouver, BC V6Z 2K8, CanadaDivision of Midwifery, Department of Family Medicine, University of British Columbia, Vancouver, BC V6Z 2K8, CanadaDivision of Midwifery, Department of Family Medicine, University of British Columbia, Vancouver, BC V6Z 2K8, CanadaDepartment of Obstetrics and Gynecology, University of British Columbia, Vancouver, BC V6Z 2K8, CanadaDepartment of Obstetrics and Gynecology, University of British Columbia, Vancouver, BC V6Z 2K8, CanadaDepartment of Obstetrics and Gynaecology, University of Alberta, Edmonton, AB T6G 2R3, CanadaWomen’s Health Research Institute, University of British Columbia, Faculty of Medicine, Vancouver, BC V6Z 2K8, CanadaDepartment of Obstetrics and Gynecology, University of British Columbia, Vancouver, BC V6Z 2K8, CanadaBackground: Current quality improvement models in obstetrics focus on prevention of adverse perinatal outcomes. The development of these metrics was based on expert opinion that did not account for patients’ values. The ultimate aim of our research is to develop performance indicators for labour and birth that reflect the patient perspective. Methods: A qualitative interview design was used to engage a convenience sample, of recent (<1 year) postpartum patients, in semi-structured interviews, where they shared their experiences of their recent birth. Patients were also asked to assess descriptions of adverse perinatal outcomes for readability and comprehension, towards developing accurate unbiased descriptions for a subsequent survey of patients to weight complications. Responses were recorded, transcribed, coded and analyzed using thematic analysis. thematic analysis. Results: Five themes emerged during the analysis: (1) desire for patient-centred care, (2) improved communication, (3) labour/birth, expectations and outcomes, (4) care team support during labour and birth, (5) continuing emotional and physical postpartum care. Conclusions: Patient-centred care and good health outcomes were the major values expressed by the patients in this study. Good communication and shared decision making led to patients describing their labour and birth as a satisfying experience. This study lays the foundation for developing a quality tool to measure the outcomes of birth and adverse outcomes from the patients’ perspective.https://www.imrpress.com/journal/CEOG/49/1/10.31083/j.ceog4901021performance indicatorsadverse perinatal outcomepatient centered carelabour outcomesshared decision makingpatient oriented research |
| spellingShingle | Geoffrey E. Johnson Lauren Kan Jennifer Nguyen Kim Campbell Laura Ralph Nicole Koenig May Sanaee Ciana Maher Geoffrey W. Cundiff Development of patient-centered outcomes for labour and birth: a qualitative study Clinical and Experimental Obstetrics & Gynecology performance indicators adverse perinatal outcome patient centered care labour outcomes shared decision making patient oriented research |
| title | Development of patient-centered outcomes for labour and birth: a qualitative study |
| title_full | Development of patient-centered outcomes for labour and birth: a qualitative study |
| title_fullStr | Development of patient-centered outcomes for labour and birth: a qualitative study |
| title_full_unstemmed | Development of patient-centered outcomes for labour and birth: a qualitative study |
| title_short | Development of patient-centered outcomes for labour and birth: a qualitative study |
| title_sort | development of patient centered outcomes for labour and birth a qualitative study |
| topic | performance indicators adverse perinatal outcome patient centered care labour outcomes shared decision making patient oriented research |
| url | https://www.imrpress.com/journal/CEOG/49/1/10.31083/j.ceog4901021 |
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