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'What women want': Using image theory to develop expectations of maternity care framework

Developing, in consultation with women, a theoretically-grounded framework to guide the assessment of women's maternity-care experiences.

Authors:
Clark K, Beatty S, Reibel T.

Authors notes:
Midwifery. 2015;31(5):505-11.

Keywords:

Maternity care, Patient perspective, Quality of care measurement, Satisfaction

Abstract

The objectives of this study was to develop, in consultation with women, a theoretically-grounded framework to guide the assessment of women's maternity-care experiences.

Design: qualitative research was undertaken with women to examine the appropriateness of Image Theory as a heuristic for understanding how women plan and evaluate their maternity-care experiences.

Setting: maternity-care services in metropolitan and regional communities in Western Australia.

Outcomes: an Episodes of Maternity Care Framework grounded in Image Theory was established that addressed various domains of women's perceptions and expectations of their maternity-care experience.

Conclusions: previously-identified weaknesses of methods used to measure patient satisfaction were addressed and a valid framework for investigating women's perception of their maternity-services experiences was developed.

This framework has the potential to contribute to the ongoing development and improvement of maternity-care service.