The perceptions of midwives regarding audit and feedback on the use of the partogram at Vhembe District of Limpopo Province, South Africa
Open Access
- 28 February 2017
- journal article
- Published by AOSIS in Curationis
Abstract
Audit and feedback is regarded as the cornerstone of clinical teaching to guarantee good practice and to correct poor performance. Feedback given to health professionals assists in narrowing the gap between the actual and the desired information. The findings of the research study on perceptions of midwives on audit and feedback highlighted aspects that needed improvement to address challenges on the use and documentation of the partogram. The objectives of this article were to explore and describe the perceptions of midwives on auditing of the partogram by health professionals and to explore and describe the perceptions of midwives on the feedback that was given after audit was done. A qualitative, exploratory and descriptive study was conducted to answer the two research objectives. Semi-structured face-to-face interviews were conducted with 17 midwives who were working in the labour wards of three hospitals. Eight steps of qualitative data analysis as indicated by Tesch were used to analyse the data. The findings revealed that auditing and feedback is sometimes done by midwives themselves, midwives’ managers and district managers. Audit is done monthly or on a daily basis and sometimes inconsistently because of shortage of staff. Challenges indicated were lack of knowledge on the use of the partogram and lack of encouragement and praise when documentation was done correctly and that emphasis was mostly placed on negative aspects. The findings revealed that auditing and feedback and in-service education is done at the three hospitals, although challenges such as inconsistency in auditing because of shortage of staff, lack of knowledge on partogram use and on principles of giving feedback were highlighted.Keywords
This publication has 21 references indexed in Scilit:
- Psychometric properties of the Swedish childbirth self-efficacy inventory (Swe-CBSEI)BMC Pregnancy and Childbirth, 2014
- The association of positive and negative feedback with clinical performance, self-evaluation and practice contribution of nursing studentsNurse Education Today, 2013
- Knowledge and utilization of partograph among obstetric care givers in public health institutions of Addis Ababa, EthiopiaBMC Pregnancy and Childbirth, 2013
- Improved quality of management of eclampsia patients through criteria based audit at Muhimbili National Hospital, Dar es Salaam, Tanzania. Bridging the quality gapBMC Pregnancy and Childbirth, 2012
- Expertise in performance assessment: assessors’ perspectivesAdvances in Health Sciences Education, 2012
- Giving Feedback on Clinical Skills: Are We Starving Our Young?Journal of Graduate Medical Education, 2012
- Poor birth weight recovery among low birth weight/preterm infants following hospital discharge in Kampala, UgandaBMC Pregnancy and Childbirth, 2012
- Documenting the experiences of health workers expected to implement guidelines during an intervention study in Kenyan hospitalsImplementation Science, 2009
- Mapping new theoretical and methodological terrain for knowledge translation: contributions from critical realism and the artsImplementation Science, 2009
- Feedback: An essential element of student learning in clinical practiceNurse Education in Practice, 2008