Volume 30, Issue 2 (3-2020)                   J Holist Nurs Midwifery 2020, 30(2): 61-69 | Back to browse issues page


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SM Alkasseh A, Mwaafy S, Abu-El-Noor N, Abu-El-Noor M. Clients' perception toward quality of postnatal care in the Gaza Strip, Palestine: A direction for health policy change". J Holist Nurs Midwifery. 2020; 30 (2) :61-69
URL: http://hnmj.gums.ac.ir/article-1-1380-en.html
1- Associate Professor, Faculty of Nursing, Department of Midwifery, Islamic University of Gaza, Gaza, Palestine
2- Registered Nurse, Al-Helal Al-Imraty Hospital, Rafah, Gaza, Palestine
3- Associate Professor, Faculty of Nursing, Islamic University of Gaza, Gaza, Palestine , naselnoor@iugaza.edu.ps
4- Associate Professor, Faculty of Nursing, Islamic University of Gaza, Gaza, Palestine
Abstract:   (267 Views)
Introduction: Most maternal and neonatal deaths occur during the postnatal period.
Therefore, the quality of care provided by healthcare professionals at this critical time is
crucial in reducing complications, morbidity, and mortality rates.

Objective: The present study aimed to determine the perceptions of Palestinian women
living in the Gaza Strip considering the quality of care they received in the early postpartum
period.

Materials and Methods: An analytical cross-sectional study was conducted using a self
administered questionnaire developed by the researchers. A total of 200 pregnant women
were selected by convenience sampling method from 4 governmental hospitals in the
Gaza Strip, Palestine providing postnatal care. Descriptive statistics, including frequency,
mean, and standard deviations, were used to describe the variables. Analysis of Variance
(ANOVA) and Independent Samples t-test was used to compare the collected mean scores.

Results: The study participants rated the postnatal services they received as high-quality
care. High mean scores were achieved for all study domains. The “quality of postnatal care
provided by midwives” received the highest Mean±SD score of 4.16±0.60, followed by the
domain “quality of postnatal baby care” with a Mean±SD score of 3.89±0.85. The other two
domains of “quality of provided health education” and “quality of provided communication
and psychological support” received the lowest mean scores of 3.81 with standard deviations
of 0.90 and 0.80, respectively. Patient-perceived postnatal care quality was not affected by
many variables, such as age, parity, and gravidity. It was only affected by the subjects’ level of
education (P=0.001) and the place of delivery (P=0.017).

Conclusion: The obtained results posed a challenge for healthcare policymakers and
professionals working in maternity departments. A new policy and leadership directions
are required in this critical and vulnerable clinical area. To improve the quality of postnatal
care, health policymakers must collaborate with midwifery staff. It is important to identify
and eliminate any barriers that impede the provision of better care. This will be reflected by
reducing maternal and neonatal morbidity and mortality rates and reducing the number of
hospitalization days.

 


 
 
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Article Type : Research | Subject: Special
Received: 2020/03/30 | Accepted: 2020/03/30 | Published: 2020/03/30

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