{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T14:59:15Z","timestamp":1791385155727,"version":"4.3.3"},"reference-count":38,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Nursing Knowledge"],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>\n                      To clinically apply the Nursing Outcome\n                      <jats:italic toggle=\"yes\">Client Satisfaction: Birth Process<\/jats:italic>\n                      to postpartum women in a rooming-in setting.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A descriptive-analytical study was conducted in a philanthropic hospital in southwestern Brazil to assess the Nursing Outcome\n                      <jats:italic toggle=\"yes\">Client Satisfaction: Birth Process<\/jats:italic>\n                      in 125 postpartum women. The outcome data were collected at 24\u2005h postpartum, 7 days later, and again at 45 days postpartum using a mobile application. Associations between sociodemographic variables and satisfaction scores (Likert 4\u20135) were analyzed using the chi-square test and Fisher's exact test (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.05). Longitudinal changes over time were assessed using Poisson regression with Generalized Estimating Equations.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Satisfaction was high immediately postpartum but declined over time, especially for pain relief, vaginal exams, labor interventions, waiting time, continuity of care, cleanliness, and staff consideration, with lower scores among low-income and brown or black women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Maternal satisfaction changes over the postpartum period and is affected by care quality and social inequities, with the Nursing Outcome proving effective in capturing women's perceptions. Implications for Nursing Practice: Standardized nursing outcomes facilitate the evaluation of the quality of obstetric care and support ongoing monitoring of women's experiences, thereby reinforcing woman-centered and respectful maternity care in practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20473087261476778","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T14:27:20Z","timestamp":1791383240000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical Applicability of the Nursing Outcome \u201cClient Satisfaction: Birth Process\u201d"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3527-3047","authenticated-orcid":false,"given":"Beatrys Rosa Medeiros","family":"de Menezes","sequence":"first","affiliation":[{"name":"Universidade Federal de Juiz de Fora"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00falia Souza","family":"Gomes","sequence":"additional","affiliation":[{"name":"Universidade Federal de Juiz de Fora"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1920-3193","authenticated-orcid":false,"given":"Clara Fr\u00f3es de Oliveira","family":"Sanfelice","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Campinas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Herica Silva","family":"Dutra","sequence":"additional","affiliation":[{"name":"Universidade Federal de Juiz de Fora"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernanda Souza Freiras","family":"Abbud","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Campinas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elenice Valentim","family":"Carmona","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Campinas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Su\u00e9llen Cristina Dias","family":"Emidio","sequence":"additional","affiliation":[{"name":"Universidade Federal de Juiz de Fora"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,7]]},"reference":[{"key":"e_1_3_3_2_1","article-title":"Development and content validation of the Nursing Result \u201cCustomer Satisfaction: Delivery Process\u201d","volume":"20","author":"Abbud F. 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