The Quality of the Maternity Triage Process: a Qualitative Study.

Advanced Journal of Emergency Medicine Pub Date : 2019-10-03 eCollection Date: 2020-01-01 DOI:10.22114/ajem.v0i0.242
Farzaneh Rashidi-Fakari, Masoumeh Simbar, Saeed Safari, Shahrzad Zadeh-Modares, Hamid Alavi-Majd
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引用次数: 5

Abstract

Introduction: There is no consensus on what the bases and criteria are for the dynamic process of maternity triage. Properly performing the maternity triage process requires reliable data to ensure the correct implementation of this process and the identification of existing deficiencies, and find strategies to modify, improve and enhance the quality of this process.

Objective: The present study was conducted to explain the quality of the maternity triage process.

Methods: The present qualitative study performed a directed content analysis on 19 maternity triage service providers and key informants selected through purposive sampling. The data were collected through semi-structured interviews in 2018 and analyzed using directed content analysis based on the Donabedian's model. The accuracy and rigor of the qualitative data were then investigated and confirmed.

Results: The participants identified the most important factors affecting the quality of the services provided in maternity triage as two categories of measures and care, and interactions and communication. The category of measures and care included two subcategories of examinations and obtaining a medical history.

Conclusion: The present study comprehensively identified different dimensions of the quality of maternity triage services at different levels. The participants identified the quality of the maternity triage process as a multi-dimensional and important concept. Different dimensions of the maternity triage process are recommended that be addressed when designing and implementing maternity triage guidelines and instructions so as to maintain the quality of this process and satisfy their needs.

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产妇分诊过程的质量:一项定性研究。
导言:目前还没有共识的基础和标准是产妇分诊的动态过程。正确执行产妇分诊过程需要可靠的数据,以确保这一过程的正确实施和发现现有的缺陷,并找到修改、改进和提高这一过程质量的战略。目的:探讨产妇分诊过程的质量。方法:采用有目的抽样的方法,对19家产妇分诊服务提供者和关键信息提供者进行定向内容分析。这些数据是在2018年通过半结构化访谈收集的,并使用基于Donabedian模型的定向内容分析进行分析。然后对定性数据的准确性和严谨性进行了调查和确认。结果:参与者确定了影响产妇分诊服务质量的最重要因素是两类措施和护理,以及互动和沟通。措施和护理类别包括检查和获得病史两个小类别。结论:本研究综合识别了不同层次的产妇分诊服务质量的不同维度。与会者认为产妇分诊过程的质量是一个多维度和重要的概念。在设计和实施产妇分诊指南和说明时,建议解决产妇分诊过程的不同方面,以保持这一过程的质量并满足她们的需要。
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