Translation and cross-cultural adaptation of the Identification des patients nécessitant des soins PALLiatifs généraux et spécialisés (ID-PALL©) to Brazilian Portuguese.

Maternity nurses play a pivotal role in protecting maternal health by continuously monitoring women during pregnancy, childbirth, and the postpartum period, recognising early signs of clinical deterioration, initiating emergency interventions, and escalating care when necessary []. Reviews of maternal deaths and severe maternal morbidity consistently demonstrate that delayed recognition of deterioration, inadequate monitoring, and poor communication among healthcare professionals contribute substantially to preventable maternal deaths and near-miss events [,]. Recent advances in maternal care have emphasised early recognition of deterioration through maternal early warning systems, standardised obstetric emergency bundles, simulation-based education, multidisciplinary team training, and structured clinical checklists. These evidence-based strategies have improved adherence to clinical guidelines, enhanced communication, facilitated timely escalation of care, and reduced preventable maternal morbidity in many healthcare systems []. Nevertheless, significant variation remains in nurses' preparedness to manage obstetric emergencies, particularly in healthcare settings where access to specialised obstetric critical care services, continuing professional development, and simulation training is limited [,]. Previous Jordanian research has identified structural barriers, competency gaps, and resource limitations that affect nurses' clinical decision-making during emergency care, highlighting the need for strengthened clinical competencies and supportive practice environments []. However, evidence specifically addressing maternity nurses' preparedness to recognise and manage maternal deterioration remains scarce. Previous studies in maternal, emergency, and critical care settings have reported that inadequate knowledge, limited confidence, insufficient practical training, and unclear clinical guidelines may compromise emergency response despite positive professional attitudes []. Furthermore, structured performance tools such as clinical checklists and standardised care bundles have been shown to facilitate the translation of knowledge into timely clinical action and improve adherence to evidence-based practice [,]. Therefore, this study aimed to assess maternity nurses' knowledge and attitudes regarding maternal deterioration and to examine their association with nurses' preparedness to recognise and manage maternal deterioration in maternity units.