Intervention of Continuous primary nursing care and task-centered nursing care In the Continuous primary nursing care group, the primary nurses provided continuous nursing care for participants in the Continuous primary nursing care group. They had an average of 6.7 years of midwifery experiences. All the primary nurses in the Continuous primary nursing care obstetric units were trained to provide consistent continuous nursing care to participants by the researchers before the intervention.
Starting from participants’ outpatient check-up eight weeks before admission to the hospital for delivering, the primary nurse, together with the physicians from the same outpatient clinic, provided nursing consultation and necessary education
to the participating pregnant women.
After the participants were admitted to the hospital, the primary nurse from the same team as the outpatient clinic care provided holistic nursing to participants and their babies before, during, and after delivering.
After the discharge of participants, the same primary nurse also provided follow-up health education and consultation to the participants two times per week within two weeks. Additionally, the participants received cards with warm greetings and necessary health education content during their visits to the outpatient clinics.
In the task-centered nursing care control group, the participants received the same treatment except that different nurses provided nursing services to each of the participating women. The nurses had an average of 7.5 years of midwifery experiences.
These nursing services included administering medications, fundamental nursing care, care of the newborn, and health education.
The ratio of nurses to patient beds was 0.4 for both Continuous primary nursing care and task-centered nursing care groups.
Instruments
A hospitalized pregnant women satisfaction(HPWS) questionnaire was developed and used in the present study (see Appendix I).
The hospitalized pregnant women satisfaction questionnaire was composed of a total of 30 questions.
Twenty-one of them were questions about nursing services and health education for pregnant women, and 10 of them were questions regarding the clinical environment and management.
The five-point Likertscale was used to score each question with 5 meaning strongly satisfied and 1 meaning strongly unsatisfied.
These questions were not biased in favor of Continuous primary nursing care or task-centered nursing care.
The Cronbach’s alpha reliability coefficient of the hospitalized pregnant women satisfaction questionnaire was 0.92.
The content validity index (CVI) of the hospitalized pregnant women satisfaction questionnaire
was 0.95.
A breastfeeding knowledge (BFK) questionnaire was also developed and used in the present study (see Appendix II).
The breastfeeding knowledge questionnaire contained 17 items covering advantages of breastfeeding for mothers and babies and methods of
breastfeeding.
The five-point Likertscale was used to score each question with 5 meaning extremely knowledgeable and 1 meaning extremely unknowledgeable.
The Cronbach’s coefficient alpha of the breastfeeding knowledge questionnaire was 0.94.
The content validity index of the breastfeeding knowledge questionnaire was 1.00.
Intervention of Continuous primary nursing care and task-centered nursing care In the Continuous primary nursing care group, the primary nurses provided continuous nursing care for participants in the Continuous primary nursing care group. They had an average of 6.7 years of midwifery experiences. All the primary nurses in the Continuous primary nursing care obstetric units were trained to provide consistent continuous nursing care to participants by the researchers before the intervention.Starting from participants’ outpatient check-up eight weeks before admission to the hospital for delivering, the primary nurse, together with the physicians from the same outpatient clinic, provided nursing consultation and necessary educationto the participating pregnant women. After the participants were admitted to the hospital, the primary nurse from the same team as the outpatient clinic care provided holistic nursing to participants and their babies before, during, and after delivering. After the discharge of participants, the same primary nurse also provided follow-up health education and consultation to the participants two times per week within two weeks. Additionally, the participants received cards with warm greetings and necessary health education content during their visits to the outpatient clinics.In the task-centered nursing care control group, the participants received the same treatment except that different nurses provided nursing services to each of the participating women. The nurses had an average of 7.5 years of midwifery experiences. These nursing services included administering medications, fundamental nursing care, care of the newborn, and health education. The ratio of nurses to patient beds was 0.4 for both Continuous primary nursing care and task-centered nursing care groups.InstrumentsA hospitalized pregnant women satisfaction(HPWS) questionnaire was developed and used in the present study (see Appendix I). The hospitalized pregnant women satisfaction questionnaire was composed of a total of 30 questions. Twenty-one of them were questions about nursing services and health education for pregnant women, and 10 of them were questions regarding the clinical environment and management.The five-point Likertscale was used to score each question with 5 meaning strongly satisfied and 1 meaning strongly unsatisfied. These questions were not biased in favor of Continuous primary nursing care or task-centered nursing care. The Cronbach’s alpha reliability coefficient of the hospitalized pregnant women satisfaction questionnaire was 0.92. The content validity index (CVI) of the hospitalized pregnant women satisfaction questionnairewas 0.95.A breastfeeding knowledge (BFK) questionnaire was also developed and used in the present study (see Appendix II). The breastfeeding knowledge questionnaire contained 17 items covering advantages of breastfeeding for mothers and babies and methods ofbreastfeeding. The five-point Likertscale was used to score each question with 5 meaning extremely knowledgeable and 1 meaning extremely unknowledgeable.The Cronbach’s coefficient alpha of the breastfeeding knowledge questionnaire was 0.94. The content validity index of the breastfeeding knowledge questionnaire was 1.00.
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