RNSurveyThe Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres2023

Single Room Maternity Care Versus Traditional Maternity Care: A Cross-Sectional Study Examining Differences in Mothers' Perceptions of Readiness for Discharge and Satisfaction and Health Outcomes.

Marc Hall, Arfan Afzal, Deborah E White

PMID 36945743

WHAT IT FOUND

Mothers in single-room maternity care reported feeling more ready for discharge and more satisfied than mothers in traditional care, and newborn stays were shorter.

The hospitals differed in care model and patient groups, so this does not prove single-room care caused the differences.

Key findings

01After adjusting for other factors, readiness for discharge scores were higher in single-room maternity care than in traditional maternity care (mean 4.02 vs 3.24).

02Mothers in single-room maternity care reported higher satisfaction scores than mothers in traditional maternity care (mean 9.10 vs 6.76).

03Median newborn length of stay was 35.3 hours in single-room maternity care and 45.8 hours in traditional maternity care; median mother length of stay was 45.2 hours in single-room maternity care and 52.2 hours in traditional maternity care.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The study compared two different hospitals rather than assigning mothers to care type, so differences in unit culture, staff, room design, patient groups and local practice may have affected the results. The single-room hospital had more mothers who spoke English as their first language, were born in Canada, had higher family income, and held the baby immediately after birth, and the groups also differed in clinical risks such as caesarean section, fetal heart rate abnormality, other medical disorders, excessive blood loss and prolonged stage-3 labour. More than 40% of satisfaction responses were missing, and the analysis used only mothers with complete satisfaction data, which may reduce representativeness. Recruitment was uneven between hospitals, with fewer mothers recruited at the traditional maternity care hospital. The study was done in two hospitals in Western Canada, so findings may not apply to other settings, and it did not examine provider outcomes or costs.

The easy way to misread this

Do not conclude that single-room maternity care caused the better readiness, satisfaction, or shorter stays. The study compared two different hospitals with different patient groups and care cultures, and it did not assign mothers to care type.

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