The Childbirth Experience Survey (CBEX): An Analysis of Qualitative Survey data.

IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Samia Saeb, Lisa M Korst, Ferina Farahnik, Jeanette McCulloch, Naomi Greene, Moshe Fridman, Kimberly D Gregory
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引用次数: 0

Abstract

Background: In collaboration with community research partners, a national cross-sectional online Childbirth Experience Survey (CBEX) of pregnant and postpartum birthing people was administered in 2016. The linked antepartum-postpartum survey included items across 18 domains (e.g., labor management, pain management, newborn care and feeding), and identified 23 childbirth-specific postpartum patient-reported outcomes (PROs) that were associated with hospital satisfaction. CBEX was implemented in 16 California hospitals to identify hospital-specific opportunities for improvement in care. We analyzed postpartum qualitative survey responses (1) to evaluate the content validity to test the representativeness of existing CBEX domains, (2) to assess for any potential new domains or topics of interest within existing domains, and (3) to use these data to provide hospitals with actionable information for practice improvement.

Methods: This was an analysis of qualitative survey data based on the following CBEX item: "Is there anything else you would like to share about your birth experience?" Patients could provide multiple comments. Using Atlas.ti Version 8, we mapped participant responses to the 18 existing CBEX domains.

Results: Of 525 surveys completed between Oct 2018 and Sept 2020, 172 patients responded to the qualitative item. A total of 235 comments were analyzed and all were able to be mapped to the 18 domains. Qualitative responses highlighted subtleties within several CBEX domains: (1) labor management: pressure from the care team to have a labor induction; (2) pain management: epidural effectiveness, timing, dosage, and education; (3) empathy and respect: issues related to students and residents; and (4) newborn feeding: rough physical handling of patients by nurses, specifically during lactation consults.

Discussion: CBEX survey data is currently being utilized in hospitals to inform childbirth-specific quality improvement initiatives. By capturing detailed voluntary participant responses, CBEX provides the opportunity to document and explore nuanced aspects of the childbirth experience and subtleties that may be contributing to maternal dissatisfaction.

背景:与社区研究伙伴合作,于2016年对孕妇和产后分娩人群进行了全国横断面在线分娩经历调查(CBEX)。相关的产前产后调查包括18个领域的项目(例如,分娩管理、疼痛管理、新生儿护理和喂养),并确定了23个与医院满意度相关的分娩特异性产后患者报告结果(PROs)。CBEX已在加州16家医院实施,以确定改善护理的具体医院机会。我们分析了产后定性调查反馈(1)评估内容效度,以检验现有CBEX领域的代表性,(2)评估现有领域中潜在的新领域或感兴趣的主题,(3)利用这些数据为医院提供可操作的信息,以改进实践。方法:本研究是基于以下CBEX项目:“关于你的出生经历,你还有什么想分享的吗?”患者可以提供多种意见。使用阿特拉斯。在版本8中,我们将参与者的反应映射到18个现有的CBEX域。结果:在2018年10月至2020年9月期间完成的525项调查中,172名患者对定性项目有反应。总共分析了235条评论,所有评论都可以映射到18个域。定性反应强调了几个CBEX领域的微妙之处:(1)分娩管理:来自护理团队的压力引产;(2)疼痛管理:硬膜外有效性、时间、剂量和教育;(3)共情与尊重:与学生和住院医师相关的问题;(4)新生儿喂养:护士对患者粗暴的身体处理,特别是在哺乳咨询期间。讨论:目前,医院正在利用CBEX调查数据,为分娩质量改进举措提供信息。通过收集详细的自愿参与者的回答,CBEX提供了记录和探索分娩经历的细微方面以及可能导致产妇不满的细微之处的机会。
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来源期刊
Maternal and Child Health Journal
Maternal and Child Health Journal PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.20
自引率
4.30%
发文量
271
期刊介绍: Maternal and Child Health Journal is the first exclusive forum to advance the scientific and professional knowledge base of the maternal and child health (MCH) field. This bimonthly provides peer-reviewed papers addressing the following areas of MCH practice, policy, and research: MCH epidemiology, demography, and health status assessment Innovative MCH service initiatives Implementation of MCH programs MCH policy analysis and advocacy MCH professional development. Exploring the full spectrum of the MCH field, Maternal and Child Health Journal is an important tool for practitioners as well as academics in public health, obstetrics, gynecology, prenatal medicine, pediatrics, and neonatology. Sponsors include the Association of Maternal and Child Health Programs (AMCHP), the Association of Teachers of Maternal and Child Health (ATMCH), and CityMatCH.
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