What factors affect documentation by midwives? A prospective study assessing relationship between length of shift, workload and quality of note keeping

Bailey, Stephanie; Wilson, G; Yoong, Wai

doi:10.1016/j.midw.2015.04.001

Cited by 12 publications

(7 citation statements)

References 21 publications

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“…Of the eleven cohort studies, only the Tucker et al (2003) study provided data on objective patient outcomes while also adjusting for baseline risk and other confounders. Other cohort studies considered care processes such as time to theatre transfer for caesarean section, quality of record keeping, mode of birth or labour interventions (Cerbinskaite et al, 2011; Knape et al, 2014; Rowe et al, 2014; Bailey et al, 2015; Zbiri et al, 2018). These outcomes may not translate directly into benefits for patients.…”

Section: Resultsmentioning

confidence: 99%

“…Fetal distress was lower in facilities that offered 1:1 care more frequently (Clark et al, 2014) and the completeness of the partogram improved (Bailey et al, 2015). Kpéa et al (2015) found that if the midwifery workload was high, 58.3% of women had an epidural or spinal for pain relief, compared to 49.7% if the workload was not high (OR 1.1, 95% CI 1.0-1.2).…”

Section: Resultsmentioning

confidence: 99%

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Midwifery and nurse staffing of inpatient maternity services – a systematic scoping review of associations with outcomes and quality of care

Turner

Griffiths

Kitson-Reynolds

2021

Preprint

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Objective To undertake a scoping literature review of studies examining the quantitative association between staffing levels and outcomes for mothers, neonates, and staff. The purpose was to understand the strength of the available evidence, the direction of effects, and to highlight gaps for future research. Data Sources Systematic searches were conducted in Medline (Ovid), Embase (Ovid), CINAHL (EBCSCO), Cochrane Library, TRIP, Web of Science and Scopus. Study Selection and Review methods To be eligible, staffing levels had to be quantified for in-patient settings, such as ante-natal, labour/delivery or post-natal care. Staff groups include registered midwives, nurse midwives or equivalent, and assistant staff working under the supervision of registered professionals. Studies of the quality of care, patient outcomes and staff outcomes were included. All quantitative designs were included, including controlled trials, time series, cross-sectional, cohort studies and case controlled studies. Data were extracted and sources of bias identified by considering the study design, measurement of exposure and outcomes, and risk adjustment. Studies were grouped by outcome noting the direction and significance of effects. Results The search yielded a total of 3280 records and 21 studies were included in this review. There were three randomised controlled trials, eleven cohort studies, one case control study and six cross sectional studies. Seventeen were multicentre studies and nine of them had over 30,000 participants. Reduced incidence of epidural use, augmentation, perineal damage at birth, postpartum haemorrhage, maternal readmission, and neonatal resuscitation were associated with increased midwifery staff. Few studies have suggested a negative impact of increasing staffing rates, although a number of studies have found no significant differences in outcomes. Impact on the mode of birth were unclear. Increasing midwifery support staff was not associated with improved patient outcomes. No studies were found on the impact of low staffing levels for the midwifery workforce. Conclusions and Implications for practice Although there is some evidence that higher midwifery staffing is associated with improved outcomes, current research is insufficient to inform service planning. Studies mainly reported outcomes relating to labour, highlighting a gap in research evidence for the antenatal and postnatal periods. Further studies are needed to assess the costs and consequences of variations in maternity staffing, including the deployment of maternity care assistants and other staff groups. Keywords Midwife ; Nurse; Staffing; Workload; Workforce planning; Patient safety

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Midwifery and nurse staffing of inpatient maternity services – a systematic scoping review of associations with outcomes and quality of care

Turner

Griffiths

Kitson-Reynolds

2021

Preprint

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“…Our policy was to site the FC in the morning and to perform an amniotomy not before the following morning unless there was a reason to do so. An advantage of postponing amniotomy after expulsion of the balloon until the following day is that daytime delivery can be aimed for, which seems associated with better outcomes [13,14]. It can be questioned if a shorter interval of, for instance, 12 hours (by siting the balloon in the evening and aiming for amniotomy the following morning), would not yield similar outcomes.…”

Section: Discussionmentioning

confidence: 99%

Foley catheter for induction of labour filled with 30 mL or 60 mL: A randomized controlled trial

Sandberg

Schepers

Sitter

et al. 2017

European Journal of Obstetrics & Gynecology and Reproductiv

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For our primary outcome, no difference was observed between the Foley catheter balloon filled with 60mL and the one filled with 30mL. Yet, a Foley catheter filled with 60mL was associated in multiparous women with a higher rate of deliveries within eight hours after amniotomy and in nulliparous with a significantly lower caesarean section rate. These latest findings should be interpreted with cautious as underpowered.

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“…An important aspect of the documentation of obstetrics is the basic documentation and partographs. Basic documentation is used for pregnancy, childbirth, puerperium, and toddlers, while partographs are for pregnancy and childbirth (Bailey, 2015).…”

Section: Legal Consistency Of Midwife's Obligation To Make Medical Re...mentioning

confidence: 99%

Legal Consistency of Health Personnel in Making Medical Records

Erawati

Asadinejad²,

Asadinejad³

2022

JHN

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Medical record is a record or document containing patient identity, examination, treatment, action, and other services that must be made by health workers, but not 100% complete medical records. Currently, when talking about medical records, doctors always think that in the law on health workers, medical records must be made by health workers. Purpose/Objective Study:To analyze the legal consistency of health workers in making medical records. Design/Methodology/Approach: This research method is a normative combination of library studies with deductive research analysis. Findings: The results of patient records carried out by the medical profession are called medical records, patient records carried out by nurses are called nursing care documentation, and patient records carried out by midwives are called midwifery care documentation. Doctors who do not make medical records can get criminal sanctions, while nurses and midwives will get administrative sanctions if they do not do documentation of care. There is a consistency of laws that require doctors, dentists, nursing, and midwives to make medical records, albeit in different terms. There has been no consistency of laws governing sanctions between doctors, dentists, nurses, and midwives. Further study is needed to evaluate the legal products governing sanctions for health workers who do not make medical records.

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What factors affect documentation by midwives? A prospective study assessing relationship between length of shift, workload and quality of note keeping

Cited by 12 publications

References 21 publications

Midwifery and nurse staffing of inpatient maternity services – a systematic scoping review of associations with outcomes and quality of care

Midwifery and nurse staffing of inpatient maternity services – a systematic scoping review of associations with outcomes and quality of care

Foley catheter for induction of labour filled with 30 mL or 60 mL: A randomized controlled trial

Legal Consistency of Health Personnel in Making Medical Records

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