Puerperal women's satisfaction with the obstetric services received: improvement of an assessment instrument.
Lourivaldo Bispo Alves Junior, Cristiane Faiad, Carlos Manoel Lopes Rodrigues and 1 others
PMID 38018611WHAT IT FOUND
The original survey for assessing postpartum satisfaction failed to measure distinct aspects of care reliably.
A revised instrument with standardized questions and clearer wording was developed to better capture women's experiences with childbirth services.
Key findings
01The preliminary instrument showed poor internal consistency and a factor structure that did not align with theoretical expectations.
02Nurse-midwives and postpartum women collaborated to revise the instrument, resulting in a new 13-item version with a standardized four-point Likert scale.
03Postpartum women identified communication, individualized care, and choice of childbirth route as key factors influencing their satisfaction.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study focused on instrument development and did not test the new version's reliability or validity in a broader population. Focus groups were conducted remotely due to the pandemic, which may have limited the depth of discussion compared to in-person meetings. The sample of postpartum women was small (20) and from a single hospital setting.
Declared interests
None reported.
The easy way to misread this
Do not assume the revised instrument is ready for widespread clinical use as a validated tool. The study describes its development and initial feedback but does not provide evidence of its reliability or validity in a new, larger population.