Monitoring of magnesium sulphate to improve quality: A case study at Queen Elizabeth Central Hospital Gogo Chatinkha maternity wing, High dependence Unit, Blantyre, Malawi

2.50
Hdl Handle:
http://hdl.handle.net/10755/621388
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Level of Evidence:
Case Study
Research Approach:
Qualitative Research
Title:
Monitoring of magnesium sulphate to improve quality: A case study at Queen Elizabeth Central Hospital Gogo Chatinkha maternity wing, High dependence Unit, Blantyre, Malawi
Author(s):
Sangaya, Naomi Novahiwa; Chikalipo, Maria Chifuniro; Chirwa, Ellen
Lead Author STTI Affiliation:
Non-member
Author Details:
Naomi Novahiwa Sangaya, BSc, NM; Maria Chifuniro Chikalipo MSc, BScN/M; Ellen Chirwa, PhD
Abstract:

In Malawi severe preeclampsia and eclampsia rank among the leading causes of maternal mortality. Magnesium sulfate is a drug of choice for treatment. Proper monitoring of clients on the drug may promote safe motherhood. Observation has revealed inadequate monitoring of the drug and interpretation of observational findings. This necessitates capacity building of midwives on monitoring of clients receiving magnesium sulphate. The project was done in a newly established unit and ran from May 2014 to date.

Baseline information was sought to assess the knowledge and skill base of 8 midwives working in HDU on assessments of patients receiving magnesium sulfate through pre-test and observation. The midwives had a session on monitoring clients on Magnesium sulfate which was followed by a post test. A tool for monitoring magnesium sulfate categorizing the observations was developed and finalized with input from stakeholders.  The midwives were oriented to the tool. Qualitative and quantitative approaches were used.  The Kouzes Posner model of change was employed throughout the project.

Pre-test scores were between 60 to 80 % on knowledge. Only four midwives knew patella reflex assessment. After the session all midwives assessed patella reflex successfully. Knowledge scores were between 70 and 85%.  Out of the 101 monitoring tools which were filled, 5 were not properly categorised. Midwives and a Doctor reported the tool being user friendly and easy to fill. Gaps exist in monitoring clients on magnesium sulphate.

Continuous supportive supervision and in service training are necessary for midwives. Leadership skills are vital if evidence based practices are to be applied. Lifelong learning among health practitioners can be enhanced through mentorship.

This project provided the mentee with the opportunity to practice and develop her leadership competencies.

Keywords:
Maternal Child Health; Leadership; Magnesium Sulfate monitoring; Quality Improvement
CINAHL Headings:
Eclampsia; Pre-Eclampsia; Magnesium Sulfate--Therapeutic Use; Magnesium Sulfate; Maternal-Child Health; Maternal-Child Health--Malawi; Quality Improvement
Repository Posting Date:
18-May-2017
Date of Publication:
18-May-2017
Conference Date:
2015
Conference Name:
Tau Lambda Conference 2015
Conference Host:
Tau Lambda At-Large Chapter of Sigma Theta Tau International
Conference Location:
Sunnyside Park Hotel, Johannesburg, South Africa
Sponsors:
Johnson & Johnson
Description:
This presentation is the summation of a project undertaken as part of the Honor Society of Nursing, Sigma Theta Tau International, Maternal-Child Health Nurse Leadership Academy (2014-2015 cohort).

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.evidence.levelCase Studyen
dc.research.approachQualitative Researchen
dc.titleMonitoring of magnesium sulphate to improve quality: A case study at Queen Elizabeth Central Hospital Gogo Chatinkha maternity wing, High dependence Unit, Blantyre, Malawien_US
dc.contributor.authorSangaya, Naomi Novahiwaen
dc.contributor.authorChikalipo, Maria Chifuniroen
dc.contributor.authorChirwa, Ellenen
dc.contributor.departmentNon-memberen
dc.author.detailsNaomi Novahiwa Sangaya, BSc, NM; Maria Chifuniro Chikalipo MSc, BScN/M; Ellen Chirwa, PhDen
dc.identifier.urihttp://hdl.handle.net/10755/621388-
dc.description.abstract<p>In Malawi severe preeclampsia and eclampsia rank among the leading causes of maternal mortality. Magnesium sulfate is a drug of choice for treatment. Proper monitoring of clients on the drug may promote safe motherhood. Observation has revealed inadequate monitoring of the drug and interpretation of observational findings. This necessitates capacity building of midwives on monitoring of clients receiving magnesium sulphate. The project was done in a newly established unit and ran from May 2014 to date.</p> <p>Baseline information was sought to assess the knowledge and skill base of 8 midwives working in HDU on assessments of patients receiving magnesium sulfate through pre-test and observation. The midwives had a session on monitoring clients on Magnesium sulfate which was followed by a post test. A tool for monitoring magnesium sulfate categorizing the observations was developed and finalized with input from stakeholders.  The midwives were oriented to the tool. Qualitative and quantitative approaches were used.  The Kouzes Posner model of change was employed throughout the project.</p> <p>Pre-test scores were between 60 to 80 % on knowledge. Only four midwives knew patella reflex assessment. After the session all midwives assessed patella reflex successfully. Knowledge scores were between 70 and 85%.  Out of the 101 monitoring tools which were filled, 5 were not properly categorised. Midwives and a Doctor reported the tool being user friendly and easy to fill. Gaps exist in monitoring clients on magnesium sulphate.</p> <p>Continuous supportive supervision and in service training are necessary for midwives. Leadership skills are vital if evidence based practices are to be applied. Lifelong learning among health practitioners can be enhanced through mentorship.</p> <p>This project provided the mentee with the opportunity to practice and develop her leadership competencies.</p>en
dc.subjectMaternal Child Healthen
dc.subjectLeadershipen
dc.subjectMagnesium Sulfate monitoringen
dc.subjectQuality Improvementen
dc.subject.cinahlEclampsiaen
dc.subject.cinahlPre-Eclampsiaen
dc.subject.cinahlMagnesium Sulfate--Therapeutic Useen
dc.subject.cinahlMagnesium Sulfateen
dc.subject.cinahlMaternal-Child Healthen
dc.subject.cinahlMaternal-Child Health--Malawien
dc.subject.cinahlQuality Improvementen
dc.date.available2017-05-18T18:34:12Z-
dc.date.issued2017-05-18-
dc.date.accessioned2017-05-18T18:34:12Z-
dc.conference.date2015en
dc.conference.nameTau Lambda Conference 2015en
dc.conference.hostTau Lambda At-Large Chapter of Sigma Theta Tau Internationalen
dc.conference.locationSunnyside Park Hotel, Johannesburg, South Africaen
dc.description.sponsorshipJohnson & Johnsonen
dc.descriptionThis presentation is the summation of a project undertaken as part of the Honor Society of Nursing, Sigma Theta Tau International, Maternal-Child Health Nurse Leadership Academy (2014-2015 cohort).en
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