Involving a Dedicated Epidural-Caring Nurse in Labor Ward Practice Improves Maternal Satisfaction towards Childbirth: A Retrospective Study
The quality of healthcare is crucially linked to patient satisfaction, particularly in the provision of neuraxial analgesia for labor pain. Neuraxial analgesia for labor pain control should ideally be readily available when requested. However, in real-world practice, anesthesiologists may not always...
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| Format: | Article |
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MDPI AG
2023-08-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/11/15/2181 |
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| author | Yun-Han Su Hsiu-Wei Su Szu-Ling Chang Yu-Lian Tsai Po-Kai Juan Jen-Fu Tsai Hui-Chin Lai |
| author_facet | Yun-Han Su Hsiu-Wei Su Szu-Ling Chang Yu-Lian Tsai Po-Kai Juan Jen-Fu Tsai Hui-Chin Lai |
| author_sort | Yun-Han Su |
| collection | DOAJ |
| description | The quality of healthcare is crucially linked to patient satisfaction, particularly in the provision of neuraxial analgesia for labor pain. Neuraxial analgesia for labor pain control should ideally be readily available when requested. However, in real-world practice, anesthesiologists may not always respond immediately to maternal demands, which can compromise the quality of care. To address this issue, this study aimed to evaluate the effectiveness of involving a dedicated nurse in epidural care to improve maternal satisfaction. This study was conducted in a single tertiary center. Medical records of women with singleton pregnancies above 36 gestational weeks who received neuraxial analgesia for labor pain control were reviewed (N = 354). Among them, 104 women (29%) received care from a dedicated nurse. The results showed that involving a dedicated nurse led to higher maternal satisfaction scores before (4.7 ± 0.5 versus 4.5 ± 0.6, <i>p</i> = 0.001), during (4.7 ± 0.6 versus 4.5 ± 0.6, <i>p</i> = 0.002), and at 24 h postpartum (4.7 ± 0.5 versus 4.5 ± 0.5, <i>p</i> = 0.001), without any adverse impact on maternal, neonatal, or epidural-related complications. These findings suggest that allocating a dedicated nurse to epidural care can effectively enhance maternal satisfaction and potentially improve overall care quality. |
| first_indexed | 2024-03-11T00:27:08Z |
| format | Article |
| id | doaj.art-2ffd784b3f15427eb6e68240f2707ba3 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-11T00:27:08Z |
| publishDate | 2023-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-2ffd784b3f15427eb6e68240f2707ba32023-11-18T22:56:40ZengMDPI AGHealthcare2227-90322023-08-011115218110.3390/healthcare11152181Involving a Dedicated Epidural-Caring Nurse in Labor Ward Practice Improves Maternal Satisfaction towards Childbirth: A Retrospective StudyYun-Han Su0Hsiu-Wei Su1Szu-Ling Chang2Yu-Lian Tsai3Po-Kai Juan4Jen-Fu Tsai5Hui-Chin Lai6Department of Obstetrics, Gynecology & Women’s Health, Taichung Veterans General Hospital, Taichung 407219, TaiwanDepartment of Obstetrics, Gynecology & Women’s Health, Taichung Veterans General Hospital, Taichung 407219, TaiwanDepartment of Anesthesiology, Taichung Veterans General Hospital, Taichung 407219, TaiwanDepartment of Anesthesiology, Taichung Veterans General Hospital, Taichung 407219, TaiwanWuri Lin Shin Hospital, Taichung 414013, TaiwanShow Chwan Memorial Hospital, Changhua 505029, TaiwanDepartment of Anesthesiology, Taichung Veterans General Hospital, Taichung 407219, TaiwanThe quality of healthcare is crucially linked to patient satisfaction, particularly in the provision of neuraxial analgesia for labor pain. Neuraxial analgesia for labor pain control should ideally be readily available when requested. However, in real-world practice, anesthesiologists may not always respond immediately to maternal demands, which can compromise the quality of care. To address this issue, this study aimed to evaluate the effectiveness of involving a dedicated nurse in epidural care to improve maternal satisfaction. This study was conducted in a single tertiary center. Medical records of women with singleton pregnancies above 36 gestational weeks who received neuraxial analgesia for labor pain control were reviewed (N = 354). Among them, 104 women (29%) received care from a dedicated nurse. The results showed that involving a dedicated nurse led to higher maternal satisfaction scores before (4.7 ± 0.5 versus 4.5 ± 0.6, <i>p</i> = 0.001), during (4.7 ± 0.6 versus 4.5 ± 0.6, <i>p</i> = 0.002), and at 24 h postpartum (4.7 ± 0.5 versus 4.5 ± 0.5, <i>p</i> = 0.001), without any adverse impact on maternal, neonatal, or epidural-related complications. These findings suggest that allocating a dedicated nurse to epidural care can effectively enhance maternal satisfaction and potentially improve overall care quality.https://www.mdpi.com/2227-9032/11/15/2181labor painepidural analgesiadedicated nurseperinatal carematernal satisfaction |
| spellingShingle | Yun-Han Su Hsiu-Wei Su Szu-Ling Chang Yu-Lian Tsai Po-Kai Juan Jen-Fu Tsai Hui-Chin Lai Involving a Dedicated Epidural-Caring Nurse in Labor Ward Practice Improves Maternal Satisfaction towards Childbirth: A Retrospective Study Healthcare labor pain epidural analgesia dedicated nurse perinatal care maternal satisfaction |
| title | Involving a Dedicated Epidural-Caring Nurse in Labor Ward Practice Improves Maternal Satisfaction towards Childbirth: A Retrospective Study |
| title_full | Involving a Dedicated Epidural-Caring Nurse in Labor Ward Practice Improves Maternal Satisfaction towards Childbirth: A Retrospective Study |
| title_fullStr | Involving a Dedicated Epidural-Caring Nurse in Labor Ward Practice Improves Maternal Satisfaction towards Childbirth: A Retrospective Study |
| title_full_unstemmed | Involving a Dedicated Epidural-Caring Nurse in Labor Ward Practice Improves Maternal Satisfaction towards Childbirth: A Retrospective Study |
| title_short | Involving a Dedicated Epidural-Caring Nurse in Labor Ward Practice Improves Maternal Satisfaction towards Childbirth: A Retrospective Study |
| title_sort | involving a dedicated epidural caring nurse in labor ward practice improves maternal satisfaction towards childbirth a retrospective study |
| topic | labor pain epidural analgesia dedicated nurse perinatal care maternal satisfaction |
| url | https://www.mdpi.com/2227-9032/11/15/2181 |
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