Mater Misericordiae Hospital Mackay - Queensland Centre for ...

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Part D: Respectful CareRespectful care includes treating women with dignity, courtesy, kindness and understanding. Respectful care acknowledgeswomen’s individuality, reflects genuine care for their wellbeing, and allows them the time they need to make decisions. In anattempt to avoid typically high and less useful global ratings of health care, researchers have begun to move away from theconcept of patient satisfaction and focus on more useful specific patient experiences of care (Wiegers, 2009).We have reported on four indicators of respectful care.Indicator 7: Do care providers treat women with respect?The Australian Charter of Healthcare Rights highlights that “patients and consumers have a right to receive care in a manner thatis respectful of their culture, beliefs, values and characteristics like age and gender” (ACSQHC, 2009). Women in receipt ofmaternity care services have a right to be treated with dignity and consideration by their care providers. The Code of GoodMedical Practice states that “good medical practice involves treating your patients with respect at all times” (AMC, 2009), whichcan be used as a target for delivering gold standard care.Indicator 8: Do care providers treat women with kindness and understanding?To provide holistic care during labour and birth, care providers should ensure that women’s needs are met both physically andpsychologically (ANMC, 2006). Having a care provider who demonstrates support and compassion is rated very highly bywomen as contributing to a positive experience of labour and birth (Lavender et al., 1999).Indicator 9: Do care providers genuinely care about women’s wellbeing?Woman-centred care is care that prioritises the needs and preferences of each individual woman over the needs of careproviders, facilities and the maternity care system. Demonstrating genuine care for women’s wellbeing can be seen as acomponent of delivering care that is genuinely woman-centred.Indicator 10: Do care providers respect women’s decisions?The Australian Medical Council supports the view that in order to deliver good patient care, care providers must respect andrecognise that patients have a right to make their own decisions about their care (AMC, 2009). While care providers have aresponsibility to provide unbiased information about all available options, the final decision in any given situation ultimatelyremains at the discretion of the patient. Part of respecting a woman in maternity care is also respecting her ability to makedecisions that are best suited to her individual needs and circumstances.20
Indicator 7: Do care providers treat women with respect?Gold standard care is defined as women feeling that they were treated with respect ‘all of the time’.We asked women how frequently the following statement was reflective of their care: “When I saw care providers during mylabour and birth, they treated me with respect.” Women could indicate ‘all of the time’, ‘some of the time’ or ‘not at all’.The graph displays the percentages of women who said that their care providers treated them with respect ‘all of the time’,‘some of the time’ and ‘not at all’.All of the time Some of the time Not at allSTATEWIDE PUBLIC85141Mackay Base Hospital (n=95)82171Mackay Birth Centre (n=14)100Proserpine Hospital (n=36)973STATEWIDE PRIVATE937Mater Misericordiae Hospital Mackay (n=121)9460 10 20 30 40 50 60 70 80 90 100Best public hospitals in Queensland:Goondiwindi Hospital 100%Longreach Hospital 100%Mareeba Hospital 100%Stanthorpe Hospital 100%Best public birth centres in Queensland:Gold Coast Birth Centre 100%Mackay Birth Centre 100%Townsville Birth Centre 100%Best private hospital in Queensland:What do women say about their care?“The midwife team never used fear as a motivatorbut operated from a positive focus to achieve thebest outcome for both me and my baby. It was sucha positive experience and I felt safe, respected andsupported throughout the labour/birth this to me isthe best way to have a baby.”“After delivery and my shower, I had to wait in thedelivery room for quite a while. I could not rest as thebed hadn't been cleaned up… I was finally taken tomy bed, exhausted, but was then asked to completepaperwork… it was a very busy night, but I feel thiscould perhaps have been handled a bit better”Mater Mothers’ Private Redland 99%21
Page 1 and 2: Consumer Evaluation of Maternity Ca
Page 3 and 4: ContentsAcknowledgements ..........
Page 5 and 6: AcknowledgementsWomen who participa
Page 7 and 8: Where the total number of responden
Page 9 and 10: Private HospitalsThe number and per
Page 11 and 12: Part A: Quality of Interpersonal Ca
Page 13 and 14: Indicator 2: Would women recommend
Page 15 and 16: Indicator 3: Do women have a bookin
Page 17 and 18: Part C: Attention from Care Provide
Page 19: Indicator 6: Are women satisfied wi
Page 23 and 24: Indicator 9: Do care providers genu
Page 25 and 26: Part E: Support for Consumer Prefer
Page 27 and 28: Indicator 12: Are women’s support
Page 29 and 30: Indicator 14: Do care providers all
Page 31 and 32: Part F: Informed Decision-Making by
Page 33 and 34: Indicator 16.2: Caesarean section n
Page 35 and 36: Indicator 18: Do women make informe
Page 37 and 38: Indicator 20: Do women make informe
Page 39 and 40: Indicator 21: Was the cleanliness o
Page 41 and 42: ReferencesAustralian Commission on

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