Application of obstetric nursing-sensitive quality indicators in continuous quality improvement

Area of Science:

• Obstetrics and Gynecology
• Nursing Quality Improvement
• Healthcare Management

Background:

• Continuous quality improvement (CQI) is essential in healthcare.
• Obstetric nursing quality indicators (ONSQIs) can guide improvements.
• The knowledge-attitude-practice (KAP) model can enhance training effectiveness.

Purpose of the Study:

• To evaluate the impact of ONSQIs on nursing quality.
• To assess the effectiveness of training based on the KAP model.
• To determine the role of ONSQIs in CQI within obstetric nursing.

Main Methods:

• Retrospective analysis of obstetric nursing quality data.
• Comparison between an experimental group (with ONSQI training) and a control group.
• Utilized the Plan-Do-Check-Act (PDCA) cycle for CQI.

Main Results:

• The experimental group showed significant improvements in early skin-to-skin contact, exclusive breastfeeding rates, and patient satisfaction.
• Neonatal asphyxia and postpartum hemorrhage rates decreased significantly in the experimental group.
• Nurses' job satisfaction also improved in the experimental group post-intervention.

Conclusions:

• Obstetric nursing-sensitive quality indicators are effective tools for enhancing nursing quality.
• The integration of ONSQIs into CQI processes is beneficial.
• This approach holds promise for widespread clinical application in obstetric units.