EVALUATION CRITERIA AND QUALITY INDICATORS OF NURSING ACTIVITIES IN OUTPATIENT MEDICAL CARE FOR WOMEN OF REPRODUCTIVE AGE AND PREGNANT WOMEN

The optimization of primary healthcare services for women of reproductive age and expectant mothers is a critical priority for global health systems. Within the outpatient setting, nurses and midwives serve as the primary point of contact, providing essential preventive, educational, and clinical care. However, the absence of standardized, objective evaluation criteria often impedes the systematic improvement of nursing performance. This research aims to develop, implement, and analyze a comprehensive framework of quality indicators specifically designed to evaluate nursing activities in outpatient maternal and reproductive healthcare. The study employed a prospective observational design across multiple primary healthcare facilities, integrating clinical audits, direct observation, and patient satisfaction surveys to assess the structural, process, and outcome dimensions of nursing care. The literature review highlights contemporary international standards for maternal care and emphasizes the transition toward performance-based quality metrics in nursing. The results of the intervention demonstrated that the implementation of structured evaluation criteria significantly enhanced the clinical compliance of nurses, particularly in the areas of accurate risk assessment, timely antenatal screening, and comprehensive patient education. Furthermore, the systematic evaluation fostered a culture of continuous professional development among the nursing staff, directly correlating with an increase in patient satisfaction and a reduction in preventable maternal complications. The discussion advocates for the widespread adoption of these targeted quality indicators into national healthcare policies to ensure the delivery of safe, equitable, and high-quality reproductive health services.