A clinical evaluation of evidence-based maternity care using the Optimality Index.
The Optimality Index-US (OI-US) reflects the use of evidence-based practices in obstetrics. This paper's objective is to apply the OI-US to a "typical" nurse-midwifery service data set to demonstrate its use outside of a research context. The OI-US score for the sample practice was 80%. The OI-US can be used by obstetric and gynecologic nurse clinicians to demonstrate the relationship of various care practices to optimal outcomes.
Low
Lisa Kane
LK
University of Michigan, School of Nursing, Ann Arbor, MI 48109, USA. kanelow@med.umich.edu
Miller
Janis
J
D019985:Benchmarking; D003627:Data Interpretation, Statistical; D019317:Evidence-Based Medicine / Q000458:organization & administration*; D005260:Female; D006801:Humans; D016389:Maternal-Child Nursing / Q000592:standards*; D016294:Models, Nursing; D009721:Nurse Midwives / Q000592:standards*; D015403:Nursing Evaluation Research; D010043:Outcome and Process Assessment, Health Care / Q000458:organization & administration*; D018743:Perinatal Care / Q000592:standards; D011247:Pregnancy; D011256:Pregnancy Outcome; D019984:Quality Indicators, Health Care / Q000458:organization & administration*; D012189:Retrospective Studies; D012307:Risk Factors; D017749:Total Quality Management