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Erschienen in: Journal of Public Health 2/2020

23.03.2019 | Original Article

Studying the effect of a supportive communication techniques program on the quality gap among women who gave birth in local childbirth outposts, south-east Iran

verfasst von: Zahra Moudi, Behnaz Talebi, Mahbobeh Faramarzi, Hossein Ansari

Erschienen in: Journal of Public Health | Ausgabe 2/2020

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Abstract

Aim

To study the effect of a supportive communication techniques program on the quality gap among women who gave birth in outposts.

Subjects and methods

A quasi-experimental study was conducted in two phases, between September 23, 2017 and December 22, 2017, in two unique local childbirth outposts in Zahedan, Iran. In the first phase, a supportive communication techniques training program was held for midwives who work in one of the safe delivery posts (SDPs, n = 7). In the second phase, SERVQUAL (service and quality) questionnaires were completed for 300 women who gave birth at the SDPs (150 in each SDP) and participated in the study. Outcome measures were the women’s expectations and perceptions of childbirth care along the five dimensions (tangibility, reliability, responsiveness, assurance, and empathy) of service quality and quality gap.

Results

There was a positive gap in all five dimensions of the quality of childbirth services for both groups. Additionally, there were significant differences between all SERVQUAL dimensions of the quality gap score in childbirth services between the two groups. A wider positive gap was observed for the intervention group. In the intervention group, the lowest and highest positive quality gap means were in the responsiveness (+ 1.48) and empathy (+ 2.34) dimensions, respectively.

Conclusions

A training program on supportive communication techniques for midwives can improve women’s experiences of childbirth care services.
Literatur
Zurück zum Zitat Alrubaiee L, Alkaa’ida F (2011) The mediating effect of patient satisfaction in the patients’ perceptions of healthcare quality-patient trust relationship. Int J Mark Stud 3:103–127 Alrubaiee L, Alkaa’ida F (2011) The mediating effect of patient satisfaction in the patients’ perceptions of healthcare quality-patient trust relationship. Int J Mark Stud 3:103–127
Zurück zum Zitat Anbori A, Ghani SN, Yadav H, Daher AM, Su TT (2010) Patient satisfaction and loyalty to the private hospitals in Sana’a, Yemen. Int J Qual Care Health Care 22:310–315CrossRef Anbori A, Ghani SN, Yadav H, Daher AM, Su TT (2010) Patient satisfaction and loyalty to the private hospitals in Sana’a, Yemen. Int J Qual Care Health Care 22:310–315CrossRef
Zurück zum Zitat Astbury J (1980) The crisis of childbirth: can information and childbirth education help? J Psychosom Res 24:9–13CrossRef Astbury J (1980) The crisis of childbirth: can information and childbirth education help? J Psychosom Res 24:9–13CrossRef
Zurück zum Zitat Barber JP, Stratt R, Halperin G, Connolly MB (2001) Supportive techniques: are they found in different therapies? J Psychother Pract Res 10:165–172PubMedPubMedCentral Barber JP, Stratt R, Halperin G, Connolly MB (2001) Supportive techniques: are they found in different therapies? J Psychother Pract Res 10:165–172PubMedPubMedCentral
Zurück zum Zitat Battaglia J (2007) 5 keys to good results with supportive psychotherapy. Curr Psychiatr 6:27–34 Battaglia J (2007) 5 keys to good results with supportive psychotherapy. Curr Psychiatr 6:27–34
Zurück zum Zitat Butt MM, de Run EC (2010) Private healthcare quality: applying a SERVQUAL model. Int J Health Care Qual Assur 23:658–673CrossRef Butt MM, de Run EC (2010) Private healthcare quality: applying a SERVQUAL model. Int J Health Care Qual Assur 23:658–673CrossRef
Zurück zum Zitat Davis-Floyd R (2001) The technocratic, humanistic, and holistic paradigms of childbirth. Int J Gynecol Obstet 75:S5–S23CrossRef Davis-Floyd R (2001) The technocratic, humanistic, and holistic paradigms of childbirth. Int J Gynecol Obstet 75:S5–S23CrossRef
Zurück zum Zitat Douglas CJ (2008) Teaching supportive psychotherapy to psychiatric residents. Am J Psychiatry 165:445–452CrossRef Douglas CJ (2008) Teaching supportive psychotherapy to psychiatric residents. Am J Psychiatry 165:445–452CrossRef
Zurück zum Zitat Handrinos MC, Folinas D, Rotsios K (2015) Using the SERVQUAL model to evaluate the quality of services for a farm school store. J Mark Consum Behav Emerg Mark 1:62–74 Handrinos MC, Folinas D, Rotsios K (2015) Using the SERVQUAL model to evaluate the quality of services for a farm school store. J Mark Consum Behav Emerg Mark 1:62–74
Zurück zum Zitat Henderson S (2003) Power imbalance between nurses and patients: a potential inhibitor of partnership in care. J Clin Nurs 12:501–508CrossRef Henderson S (2003) Power imbalance between nurses and patients: a potential inhibitor of partnership in care. J Clin Nurs 12:501–508CrossRef
Zurück zum Zitat Khabiri R, Khosravi A, Elahi E, Khodayari Moez E, Rashidian A (2014) Maternal health care based on Iran Multiple Indicator Demographic and Health Survey (IrMIDHS-2010). Hakim Health Sys Res 17:67–77 Khabiri R, Khosravi A, Elahi E, Khodayari Moez E, Rashidian A (2014) Maternal health care based on Iran Multiple Indicator Demographic and Health Survey (IrMIDHS-2010). Hakim Health Sys Res 17:67–77
Zurück zum Zitat Kruk ME, Leslie HH, Verguet S, Mbaruku GM, Adanu RMK, Langer A (2016) Quality of basic maternal care functions in health facilities of five African countries: an analysis of national health system surveys. Lancet Glob Health 4:e845–e855CrossRef Kruk ME, Leslie HH, Verguet S, Mbaruku GM, Adanu RMK, Langer A (2016) Quality of basic maternal care functions in health facilities of five African countries: an analysis of national health system surveys. Lancet Glob Health 4:e845–e855CrossRef
Zurück zum Zitat Manojlovich M, DeCicco B (2007) Healthy work environments, nurse-physician communication, and patients’ outcome. Am J Crit Care 16:536–543CrossRef Manojlovich M, DeCicco B (2007) Healthy work environments, nurse-physician communication, and patients’ outcome. Am J Crit Care 16:536–543CrossRef
Zurück zum Zitat Mehrdad R (2009) Health system in Iran. JMAJ 52:69–73 Mehrdad R (2009) Health system in Iran. JMAJ 52:69–73
Zurück zum Zitat Moudi Z, Tabatabaei SM (2016) Birth outcomes in a tertiary teaching hospitals and local outposts: a novel approach to service delivery from Iran. Public Health 135:114–121CrossRef Moudi Z, Tabatabaei SM (2016) Birth outcomes in a tertiary teaching hospitals and local outposts: a novel approach to service delivery from Iran. Public Health 135:114–121CrossRef
Zurück zum Zitat Moudi Z, Ghazi Tabatabaie M, Mahdi Tabatabaei S, Vedadhir A (2014) Safe Delivery Posts: an intervention to provide equitable childbirth care services to vulnerable groups in Zahedan, Iran. Midwifery 30:1073–1081CrossRef Moudi Z, Ghazi Tabatabaie M, Mahdi Tabatabaei S, Vedadhir A (2014) Safe Delivery Posts: an intervention to provide equitable childbirth care services to vulnerable groups in Zahedan, Iran. Midwifery 30:1073–1081CrossRef
Zurück zum Zitat Tabatabaei SM, Pour FB, Share Mollashahi S, Sargazi Moakhar Z, Zaboli M (2015) The quality gap in the services provided by rural maternity units in southeast of Iran. Health Scope 4(4):e25344CrossRef Tabatabaei SM, Pour FB, Share Mollashahi S, Sargazi Moakhar Z, Zaboli M (2015) The quality gap in the services provided by rural maternity units in southeast of Iran. Health Scope 4(4):e25344CrossRef
Zurück zum Zitat Tunçalp Ӧ, Were WM, MacLennan C, Oladapo OT, Gülmezoglu AM, Bahl R, Daelmans B, Mathai M, Say L, Kristensen F, Temmerman M, Bustreo F (2015) Quality of care for pregnant women and newborns-the WHO vision. BJOG 122:1045–1049CrossRef Tunçalp Ӧ, Were WM, MacLennan C, Oladapo OT, Gülmezoglu AM, Bahl R, Daelmans B, Mathai M, Say L, Kristensen F, Temmerman M, Bustreo F (2015) Quality of care for pregnant women and newborns-the WHO vision. BJOG 122:1045–1049CrossRef
Metadaten
Titel
Studying the effect of a supportive communication techniques program on the quality gap among women who gave birth in local childbirth outposts, south-east Iran
verfasst von
Zahra Moudi
Behnaz Talebi
Mahbobeh Faramarzi
Hossein Ansari
Publikationsdatum
23.03.2019
Verlag
Springer Berlin Heidelberg
Erschienen in
Journal of Public Health / Ausgabe 2/2020
Print ISSN: 2198-1833
Elektronische ISSN: 1613-2238
DOI
https://doi.org/10.1007/s10389-019-01059-3

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