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Objective Structured Clinical Evaluation for assessment of the quality of practice of health practitioners during preconception, prenatal and postnatal cares
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Narjes Bahri   , Barat Ali Arabnejad , Nasrin Bahri , Fariba Eshaghi , Tahereh Fathi Najafi , Mona Larki |
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Abstract: (5727 Views) |
| Introduction: According to the World
Health Organization statement the key to prevent maternal mortality is high
quality health care. Assessment the quality of maternal care is the first step
to improve the caring practice. This study was aimed to assess the quality of
preconception, prenatal and postnatal care by health practitioners, using
objective structured clinical evaluation (OSCE) tests. Material and Methods: 105 physicians and midwives, who were members of
health center number three in Mashhad (IRAN), were entered this cross-sectional
study by census method. Data gathering tools included: demographic
questionnaire and three Objective Structured Clinical Evaluation (OSCE) tests
for preconception, prenatal and postnatal cares. All participants filled out
the demographic data questionnaire and then passed the stations of Objective
Structured Clinical Evaluation tests, which were designed for imaginary
clients. Results: Data showed that the best practice performed during the preconception
(98.1%) and the weakest during the postnatal cares (49.52%). In the subject of
prenatal care, recording the medical history (100%) and immunization (65.7%),
in the subject of prenatal care, recording the medical history (100%) and
supplement prescription (24.76%) and in the subject of postnatal care, the
evaluation of parturient mother (98.09%) and providing health advice (57%),
obtained the highest and lowest scores, respectively. There were significant
differences between age (P=0.04) and working experience (P=0.006) with quality
of preconception care, and between the educational degree with quality of
prenatal care. Conclusion: Our study showed that the quality of care during
postnatal has been weak and unsatisfactory. However, since the quality of
postnatal care has an important impact on maternal and neonatal mortality rate,
appropriate training for educating the health care providers is strongly
suggested |
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| Keywords: Quality of health care, Preconception care, Prenatal care, Postnatal care, Process assessment |
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Full-Text [PDF 528 kb]
(1417 Downloads)
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Type of Study: Research |
Subject:
General
Received: 2015/01/12 | Accepted: 2015/06/15 | Published: 2015/09/23
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