Aplicabilidade clínica do resultado de enfermagem “satisfação da cliente: processo de parto”

Abstract

Assessing maternal satisfaction with the childbirth process is essential to improve obstetric care and support woman-centered care practices. This study aimed to clinically apply the Nursing Outcome (NO) "Client Satisfaction: Childbirth Process" to postpartum women treated in the rooming-in facility of a philanthropic hospital in the city of Juiz de Fora. This is a descriptive-analytical study, with a quantitative and qualitative approach, developed to evaluate the clinical applicability of the Nursing Outcome "Client Satisfaction: Childbirth Process," created and validated based on the "Client Satisfaction" published by the Nursing Outcomes Classification (NOC). The sample consisted of 125 women, and the research was conducted in the rooming-in facility of a philanthropic hospital located in the city of Juiz de Fora, Minas Gerais. Data collection was performed using the Mackey scale, used only in rooming-in, and the ER at three different time points: the first, in rooming-in, 24 hours after delivery; the second, using only the ER, via telephone contact after seven days; and the third, up to 45 days postpartum. In addition to the applicability of these instruments, the study participants were characterized using sociodemographic variables. Analyses were performed using Pearson's chi-square test and Fisher's exact test, associating sociodemographic variables with the indicators that presented significance. A p-value of 0.05 was estimated for the relative risk of postpartum women assigning scores of 4 or 5 on the Likert scale throughout data collection, demonstrating improved satisfaction with the care received over time. The results indicated lower satisfaction among low-income and brown or black women. High overall satisfaction was observed in the immediate postpartum period, but subsequent periods demonstrated significant reductions in indicators such as pain relief, vaginal examinations, interventions during labor, waiting time, continuity of care, environmental cleanliness, and consideration from the healthcare team. These findings highlight the importance of evaluating obstetric care from the woman's perspective, reinforcing the clinical applicability of Nursing Outcomes as a tool for improving care. We conclude that the systematic use of this type of instrument can drive improvements in care processes and foster continuing education strategies for the healthcare team.