Organization of maternity wards and the structure of working time and mother satisfaction with care
Journal Title: European Journal of Medical Technologies - Year 2013, Vol 1, Issue 1
Abstract
The rooming-in system is the practice of placing the baby in the same hospital room as the mother, where care is provided by a single therapeutic team. In Poland, the organization of work in the rooming-in system is of twofold character. These are either separate wards taking care of the mother and her baby, functioning as one maternity ward, or it consists of two organizational units – obstetric and neonatal wards. These wards have separate obstetric-medical teams and own managing staff. An attempt was undertaken to investigate which of the organizational forms provides more effective care with relation to the structure of the working time of midwives and mother satisfaction. The study was conducted at the end of 2005 and the beginning of 2013 in obstetric and neonatal wards and in maternity wards working in the rooming-in system at 5 hospitals in the Lublin Region. Two groups may be distinguished in the population in the study. The first group were midwives working in the above-mentioned wards, while the second group were patients in these wards, who on the last day of hospitalization evaluated care provided for them by midwives by means of a standardised tool. The study covered a total number of 500 mothers. In order to determine the structure of the usage of working time by midwives, the method of working time measurement with the technique of snap-shot observation was applied. The level of mother satisfaction with care was evaluated by means of a standardised EUROPEP questionnaire. It was observed that the way of organizing maternity wards did not exert any effect on the percentage of individual fractions in the structure of working time of midwives. The organization of maternity wards in the rooming-in system as one organizational structure turned out to be the optimum solution considering mother satisfaction.
Authors and Affiliations
Monika Sadowska, Anna Ksykiewicz-Dorota, Artur Wdowiak
Keywords
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