Use of an electronic Partograph: feasibility and acceptability study in Zanzibar, Tanzania.
Use of an electronic Partograph: feasibility and acceptability study in Zanzibar, Tanzania.
复制标题
DOI：
10.1186/s12884-018-1760-y
复制
发表时间：
2018-05-09
影响因子：
3.1
通讯作者：
Gomez PP
中科院分区：
文献类型：
--
作者：
Litwin LE;Maly C;Khamis AR;Hiner C;Zoungrana J;Mohamed K;Drake M;Machaku M;Njozi M;Muhsin SA;Kulindwa YK;Gomez PP
EPartogram是一款基于平板电脑的应用程序，旨在通过解决产程记录仪使用中的挑战来改善对分娩中妇女的护理。该应用程序旨在提供实时决策支持，改进数据输入，并增加对信息的访问，以便进行适当的劳动力管理。这项研究的主要目标是评估ePartogram在资源有限的临床环境中使用的可行性和可接受性。电子零件图是在坦桑尼亚桑给巴尔的三家工厂推出的。在3天的培训后，对熟练助产士(SBA)进行为期2周的观察，使用ePartogram监测分娩妇女。在每个观察到的班次中，数据收集员使用结构化观察表记录SBA的舒适度、信心和使用ePartogram的能力。结果用Shift软件进行统计分析。在前五次ePartogram监测的分娩后，对SBAS(n= 82)进行了简短的采访，发现了随着时间的推移的差异。观察期结束后，进行深入访谈(n= 15)。完成了对访谈记录的专题分析。对23名SBA使用ePartogram在84个班次上监测103名女性的观察显示，大多数SBA(87%-91%)在第一个班次轻松或更轻松地完成了四个基本ePartogram任务中的每一个-注册客户、输入第一个和后续的测量数据以及在屏幕之间导航；到第五个班次时，这一比例增加到100%。几乎所有的SBA(93%)都表现出了自信，所有的SBA在第五班时都表现出了使用ePartogram的舒适感。SBAS对ePartogram表达了积极的印象，并发现它从客户第一次使用开始就有效且易于使用。SBAS注意到听觉提醒(表明应进行测量)和视觉提醒(发出异常测量信号)的帮助。SBAS表示有信心有能力解释这些提醒和警报并对其采取行动。SBAS使用ePartogram来支持劳动力管理和护理是可行的和可接受的。在最初使用期间的有组织的培训和支持下，SBAS很快就对ePartogram的使用变得称职和自信。定性结果显示，SBAS认为ePartogram改善了护理的及时性，并支持决策。这些发现表明，ePartogram在资源受限的劳动力和分娩环境中提高护理质量的潜力。本文的在线版本(10.1186/s12884-0181760-y)包含向授权用户提供的补充材料。
The ePartogram is a tablet-based application developed to improve care for women in labor by addressing documented challenges in partograph use. The application is designed to provide real-time decision support, improve data entry, and increase access to information for appropriate labor management. This study’s primary objective was to evaluate the feasibility and acceptability of ePartogram use in resource-constrained clinical settings. The ePartogram was introduced at three facilities in Zanzibar, Tanzania. Following 3 days of training, skilled birth attendants (SBAs) were observed for 2 weeks using the ePartogram to monitor laboring women. During each observed shift, data collectors used a structured observation form to document SBA comfort, confidence, and ability to use the ePartogram. Results were analyzed by shift. Short interviews, conducted with SBAs (n = 82) after each of their first five ePartogram-monitored labors, detected differences over time. After the observation period, in-depth interviews were conducted (n = 15). A thematic analysis of interview transcripts was completed. Observations of 23 SBAs using the ePartogram to monitor 103 women over 84 shifts showed that the majority of SBAs (87–91%) completed each of four fundamental ePartogram tasks—registering a client, entering first and subsequent measurements, and navigating between screens—with ease or increasing ease on their first shift; this increased to 100% by the fifth shift. Nearly all SBAs (93%) demonstrated confidence and all SBAs demonstrated comfort in using the ePartogram by the fifth shift. SBAs expressed positive impressions of the ePartogram and found it efficient and easy to use, beginning with first client use. SBAs noted the helpfulness of auditory reminders (indicating that measurements were due) and visual alerts (signaling abnormal measurements). SBAs expressed confidence in their ability to interpret and act on these reminders and alerts. It is feasible and acceptable for SBAs to use the ePartogram to support labor management and care. With structured training and support during initial use, SBAs quickly became competent and confident in ePartogram use. Qualitative findings revealed that SBAs felt the ePartogram improved timeliness of care and supported decision-making. These findings point to the ePartogram’s potential to improve quality of care in resource-constrained labor and delivery settings. The online version of this article (10.1186/s12884-018-1760-y) contains supplementary material, which is available to authorized users.
登录
查看更多内容
影响因子：
1.5
作者：
Mathai, Matthews
通讯作者：
Mathai, Matthews
影响因子：
4.4
作者：
Mitchell, Marc;Getchell, Maya;Hedt-Gauthier, Bethany
通讯作者：
Hedt-Gauthier, Bethany
影响因子：
4.4
作者：
Campbell, Jeffrey I.;Aturinda, Isaac;Siedner, Mark J.
通讯作者：
Siedner, Mark J.
影响因子：
168.9
作者：
Koblinsky, Marjorie;Moyer, Cheryl A.;Langer, Ana
通讯作者：
Langer, Ana
影响因子：
3.7
作者：
Jones CM;Toé HK;Sanou A;Namountougou M;Hughes A;Diabaté A;Dabiré R;Simard F;Ranson H
通讯作者：
Ranson H