A clinical evaluation of evidence-based maternity care using the Optimality Index

J Obstet Gynecol Neonatal Nurs. Nov-Dec 2006;35(6):786-93. doi: 10.1111/j.1552-6909.2006.00107.x.


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.

Publication types

  • Evaluation Study

MeSH terms

  • Benchmarking
  • Data Interpretation, Statistical
  • Evidence-Based Medicine / organization & administration*
  • Female
  • Humans
  • Maternal-Child Nursing / standards*
  • Models, Nursing
  • Nurse Midwives / standards*
  • Nursing Evaluation Research
  • Outcome and Process Assessment, Health Care / organization & administration*
  • Perinatal Care / standards
  • Pregnancy
  • Pregnancy Outcome
  • Quality Indicators, Health Care / organization & administration*
  • Retrospective Studies
  • Risk Factors
  • Total Quality Management