Midwife-led obstetric triage to increase providers' knowledge and improve timeliness of care: A pre and posttest design.

Autor: Sieka JM; University of Liberia, College of Health Sciences, Monrovia, Liberia. Electronic address: siekajo@ul.edu.lr., Harmon-Gray WM; University of Liberia, College of Health Sciences, Monrovia, Liberia., Dahn BT; University of Liberia, College of Health Sciences, Monrovia, Liberia., Veliz PT; Applied Biostatistics Laboratory, University of Michigan, School of Nursing, 400 North Ingalls Street, Ann Arbor, MI 48109-5482, USA., Lori JR; Office of Global Affairs, School of Nursing, University of Michigan, Ann Arbor, MI, USA.
Jazyk: angličtina
Zdroj: Midwifery [Midwifery] 2024 Aug; Vol. 135, pp. 104024. Date of Electronic Publication: 2024 May 08.
DOI: 10.1016/j.midw.2024.104024
Abstrakt: Background: Research in low- and middle-income countries has shown that maternal mortality is directly related to inadequate or absent obstetric (OB) triage systems. Standard triage systems and knowledge on triaging for obstetric emergencies are often absent or lacking in most healthcare systems in Liberia.
Objective: The objective of this research was to address the third delay defined as receiving adequate, quality care when a facility is reached by increasing knowledge through the establishment of a midwife-led, hospital-based OB triage system to stratify care based on risk and imminence of birth and to improve timely assessment at two district referral hospitals.
Methods: A quasi-experimental study design using a pre/post survey was employed for a midwife-led OB triage training course. Using a train-the-trainer model, five midwives were trained as champions, who in turn trained an additional 62 providers. Test results were analyzed with the R statistical software using paired sample t-test and descriptive statistics.
Results: Pretest results revealed a knowledge and practice gap among OB providers on key components of the standard triage package. However, post-test mean scores were significantly higher (M = 79.6, SD = 2.32) than pre-test mean scores (M = 59.0, SD = 2.30) for participants following a 2-day training (p = <0.001).
Discussion: Following a structured OB triage training, participants showed significant improvement in post-test OB triage scores.
Conclusion: Standard OB triage protocols incorporated into the policies and procedures of obstetric wards have the potential to improve knowledge and practice, addressing the third delay and reducing preventable, obstetrics-related deaths.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024. Published by Elsevier Ltd.)
Databáze: MEDLINE
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