A Study to Assess the Level of Adherence to Respectful Maternity Care (RMC) and Reasons of non-adherence among Health Personnel in the Maternity Department of Selected Hospitals, West Bengal

International Journal of Nursing & Midwifery Research Pub Date : 2019-02-21 DOI:10.24321/2455.9318.201841

Arunima Ghosh

{"title":"A Study to Assess the Level of Adherence to Respectful Maternity Care (RMC) and Reasons of non-adherence among Health Personnel in the Maternity Department of Selected Hospitals, West Bengal","authors":"Arunima Ghosh","doi":"10.24321/2455.9318.201841","DOIUrl":null,"url":null,"abstract":"Evidence suggests that in countries with a high maternal mortality like India, the fear of disrespect and abuse that women often encounter in facility-based maternity care is a more powerful deterrent to use of skilled care. The purpose of the study is to assess the level of adherence of health care personnel to each component of Respectful Maternity Care and also to find out the factors influencing non-adherence. A descriptive survey with non-probability purposive sampling was used. An observation checklist and both structured and unstructured interview schedule were administered on 92 health personnel to assess the level of adherence to RMC and reasons of non-adherence. Findings of the study depicts, in physical harm area, adherence among doctors, nursing personnel and Gr-D was 81.9%, 91.6%, 79.2% respectively, in the informed consent area 41.2% (doctors) and 61.1% (nursing personnel). Adherence in the area of choice and preferences was nil and in the area of confidentiality & privacy was 48.7% (doctors), 66.7% (nursing personnel) and 39.6% (Gr-Ds). Non-adherence in the area of dignity & respect was 25.6% (doctors), 18.4% (nursing personnel), 8.3% (Gr-Ds) and in the area of abandonment or denial of care 3.5% (doctors), 4.5% (nursing personnel), 43.7% (Gr-Ds). Adherence in the area of non-discriminatory care was 100% for all and 100% adherence was found in the area of detention against will among doctors and nursing personnel except among Gr-Ds (45.8%). No significant association was found between age, experiences and level of adherence of health personnel (doctor and nursing personnel) [(χ2df (1)=3.841, 0.474 & 0.287, p>0.05] respectively). No significant differences were found between level of adherence score of doctors with nursing personnel [t (78)=2.00, p>0.05]. As observed, adherence to RMC is not at the same level in each area. Least adherent areas are informed consent, choice/ preferences, privacy and detention against will among other personnel.","PeriodicalId":392369,"journal":{"name":"International Journal of Nursing & Midwifery Research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2019-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Nursing & Midwifery Research","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.24321/2455.9318.201841","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Evidence suggests that in countries with a high maternal mortality like India, the fear of disrespect and abuse that women often encounter in facility-based maternity care is a more powerful deterrent to use of skilled care. The purpose of the study is to assess the level of adherence of health care personnel to each component of Respectful Maternity Care and also to find out the factors influencing non-adherence. A descriptive survey with non-probability purposive sampling was used. An observation checklist and both structured and unstructured interview schedule were administered on 92 health personnel to assess the level of adherence to RMC and reasons of non-adherence. Findings of the study depicts, in physical harm area, adherence among doctors, nursing personnel and Gr-D was 81.9%, 91.6%, 79.2% respectively, in the informed consent area 41.2% (doctors) and 61.1% (nursing personnel). Adherence in the area of choice and preferences was nil and in the area of confidentiality & privacy was 48.7% (doctors), 66.7% (nursing personnel) and 39.6% (Gr-Ds). Non-adherence in the area of dignity & respect was 25.6% (doctors), 18.4% (nursing personnel), 8.3% (Gr-Ds) and in the area of abandonment or denial of care 3.5% (doctors), 4.5% (nursing personnel), 43.7% (Gr-Ds). Adherence in the area of non-discriminatory care was 100% for all and 100% adherence was found in the area of detention against will among doctors and nursing personnel except among Gr-Ds (45.8%). No significant association was found between age, experiences and level of adherence of health personnel (doctor and nursing personnel) [(χ2df (1)=3.841, 0.474 & 0.287, p>0.05] respectively). No significant differences were found between level of adherence score of doctors with nursing personnel [t (78)=2.00, p>0.05]. As observed, adherence to RMC is not at the same level in each area. Least adherent areas are informed consent, choice/ preferences, privacy and detention against will among other personnel.

查看原文本刊更多论文

一项评估西孟加拉邦选定医院产科医务人员遵守尊重产妇护理(RMC)的水平和不遵守的原因的研究

有证据表明，在印度等孕产妇死亡率高的国家，妇女在以设施为基础的产科护理中经常遇到的不尊重和虐待的恐惧，更有力地阻碍了她们使用熟练护理。本研究的目的是评估卫生保健人员对尊重产妇护理各组成部分的遵守程度，并找出影响不遵守的因素。采用非概率目的抽样的描述性调查。对92名卫生人员实施观察清单和结构化和非结构化访谈表，以评估对RMC的遵守程度和不遵守的原因。研究结果显示，在身体伤害区，医生、护理人员和Gr-D的依从率分别为81.9%、91.6%和79.2%，在知情同意区，医生和护理人员的依从率分别为41.2%和61.1%。在选择和偏好方面的依从性为零，在保密和隐私方面的依从性为48.7%(医生)，66.7%(护理人员)和39.6% (Gr-Ds)。在尊严和尊重方面的不依从性为25.6%(医生)，18.4%(护理人员)，8.3% (gp - d);在放弃或拒绝护理方面的不依从性为3.5%(医生)，4.5%(护理人员)，43.7% (gp - d)。在非歧视性护理领域，所有人的依从性为100%，在拘留领域，除了Gr-Ds(45.8%)外，医生和护理人员的依从性为100%。卫生人员(医生和护理人员)的年龄、经验与依从性之间无显著相关性[χ2df(1)分别=3.841、0.474和0.287,p < 0.05])。医生与护理人员的依从性评分水平差异无统计学意义[t (78)=2.00, p < 0.05]。正如所观察到的，每个地区对RMC的遵守程度并不相同。最不遵守的领域是知情同意、选择/偏好、隐私和违反其他人员意愿的拘留。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International Journal of Nursing & Midwifery Research

自引率

0.00%

发文量