Feasibility of Using Appreciative Inquiry to Improve Maternity Services in District Hospitals of Malawi

2.50
Hdl Handle:
http://hdl.handle.net/10755/621847
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
N/A
Title:
Feasibility of Using Appreciative Inquiry to Improve Maternity Services in District Hospitals of Malawi
Author(s):
Dembo, Zione; Merriel, Abi
Lead Author STTI Affiliation:
Chi-at-Large
Author Details:
Zione Dembo, MSc, BSc, RNM; Abi Merriel
Abstract:

Purpose

In Malawi as demand for maternity services continues to surpass supply and overstretch frontline healthcare providers, it is important to improve the quality of maternity care to address the burden of maternal mortality and morbidity. Appreciative Inquiry (AI) is a method through which healthcare providers can make organisational change to improve clinical care and their working lives. It harnesses the energy and ideas of staff through a four-stage cycle: Discover (how it is now), Dream (of what it could be), Design (concrete plans) and Destiny (implement plans).

The purpose of the study was to assess the feasibility of implementing Appreciative Inquiry in three district level facilities in Malawi using participatory aproach.

Methods

Between April 2015 and January, 2016 we adapted and implemented AI through participatory action cycle sessions.

Findings:

We have successfully implemented AI with contributions from the entire ward team (patient attendants, nurses, clinical officers and clerks). Each team chose a different focus for their activities including ‘team spirit’ and ‘infection prevention ’. In two hospitals there have been some steps towards change, driven largely by key midwives team leaders. In one hospital the team have lobbied the management to have security guards to support their ‘traffic control’ policies in addition to successfully implementing the removal of shoes before entering the nursery and kangaroo wards. Another team has reduced the number of incidences of overfull sharps bins and waste in the incorrect bins on the ward. The main challenges faced were from constantly changing teams and the lack of time and resources to dedicate to the change process.

Conclusion

It is feasible to implement AI in maternity settings in Malawi when the care providers stay positive. However, the presence of committed champions seems important and health system challenges necessitate realistic goal setting; further study is needed to understand the effectiveness of the intervention

Keywords:
Appreciative Inquiry; Malawi; Maternity Services
Repository Posting Date:
14-Jul-2017
Date of Publication:
14-Jul-2017
Other Identifiers:
INRC17PST15
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship
Note:
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.evidence.levelN/Aen
dc.titleFeasibility of Using Appreciative Inquiry to Improve Maternity Services in District Hospitals of Malawien
dc.contributor.authorDembo, Zioneen
dc.contributor.authorMerriel, Abien
dc.contributor.departmentChi-at-Largeen
dc.author.detailsZione Dembo, MSc, BSc, RNM; Abi Merrielen
dc.identifier.urihttp://hdl.handle.net/10755/621847-
dc.description.abstract<p><strong>Purpose</strong></p> <p>In Malawi as demand for maternity services continues to surpass supply and overstretch frontline healthcare providers, it is important to improve the quality of maternity care to address the burden of maternal mortality and morbidity. Appreciative Inquiry (AI) is a method through which healthcare providers can make organisational change to improve clinical care and their working lives. It harnesses the energy and ideas of staff through a four-stage cycle: Discover (how it is now), Dream (of what it could be), Design (concrete plans) and Destiny (implement plans).</p> <p>The purpose of the study was to assess the feasibility of implementing Appreciative Inquiry in three district level facilities in Malawi using participatory aproach.</p> <p><strong>Methods</strong></p> <p>Between April 2015 and January, 2016 we adapted and implemented AI through participatory action cycle sessions.</p> <p><strong>Findings:</strong></p> <p>We have successfully implemented AI with contributions from the entire ward team (patient attendants, nurses, clinical officers and clerks). Each team chose a different focus for their activities including ‘team spirit’ and ‘infection prevention ’. In two hospitals there have been some steps towards change, driven largely by key midwives team leaders. In one hospital the team have lobbied the management to have security guards to support their ‘traffic control’ policies in addition to successfully implementing the removal of shoes before entering the nursery and kangaroo wards. Another team has reduced the number of incidences of overfull sharps bins and waste in the incorrect bins on the ward. The main challenges faced were from constantly changing teams and the lack of time and resources to dedicate to the change process.</p> <p><strong>Conclusion</strong></p> <p>It is feasible to implement AI in maternity settings in Malawi when the care providers stay positive. However, the presence of committed champions seems important and health system challenges necessitate realistic goal setting; further study is needed to understand the effectiveness of the intervention</p>en
dc.subjectAppreciative Inquiryen
dc.subjectMalawien
dc.subjectMaternity Servicesen
dc.date.available2017-07-14T19:10:58Z-
dc.date.issued2017-07-14-
dc.date.accessioned2017-07-14T19:10:58Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
dc.description.noteItems submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.-
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