Clarifying of Quality of Care in Abdominal and Pelvic Trauma Based on the Nursing Managers' Perspective

Introduction: Abdominal trauma is one major causes of mortality and its prevalence is increasing. Despite the researches conducted in quality of care, review of literature show that no study has done about the quality of care in abdominal and pelvic trauma. This study aimed to clarify the quality of care in abdominal and pelvic trauma based on the nurse managers&#۳۹; perspective. Method: In this descriptive qualitative study, ۱۴ nurse managers employed in emergency department of one of the health centers in Rasht City, Iran, were selected purposefully. Semi-structured interviews were used to collect the data. Sampling continued until data saturation. Data were analyzed using qualitative content analysis via MAXQDA ۲۰۰۷ software. Results: Data analysis led to extraction of ۳۲۱ primary codes, ۸ subcategories, ۳ categories, and ۱ main theme. The main theme named "convergence of comprehensive health care services" consists of three categories entitled “life-saving care", "essential care", and "foundations of service quality". Conclusion: Despite the implementation of specific aspects of abdominal and pelvic trauma care as "lifesaver care", there are significant deficiencies in relation to certain aspects of "essential care", especially in communication with patients require necessary actions, which should be modified or eliminated by the relevant authorities.

Keywords:

Quality of care , nursing care , Abdominal injuries , Trauma , Nurse managers