Editorial

Editoria

Health workers’ documentation process as a prerequisite to the integration of patient care at a Regional Referral Hospital in Uganda

Background: Integrated patient care is necessary for better care outcomes. Documentation enhances the integration of care; however, in the Ugandan setting, documentation of care is poor (e.g., omissions and incomplete records) and integration of patient care is not visible. This study presents a review of patient health records that was undertaken to understand documentation of care at a regional referral hospital in Eastern Uganda. This information will help in developing a documentation model to facilitate the integration of patient care in Uganda. Methodology: This retrospective review involved 513 patient health records from the medical-surgical, pediatric, and obstetric/gynecological departments of Jinja Regional Referral Hospital. Data were collected using checklists. Stratified sampling was used to capture variations in ward unit records and identify a fair representation of each department. Data were analyzed with descriptive and inferential statistics. All analyses were performed with SPSS version 22. Results: On average, the study hospital attended to 1000 patients per day and discharged 100 patients per ward unit per month. Our record review showed that documentation by both nurses and doctors was incomplete, and care was fragmented. However, doctors documented care more often than nurses, although the integration of patient care was not evident in doctors’ documentation. Conclusion: To establish integrated patient care, documentation must meet standards set by relevant professional bodies. The findings of this study will inform the development of a feasible documentation model to facilitate the integration of patient care in Uganda

Experiences of mothers and significant others in accessing comprehensive healthcare in the first 1000 days of life post-conception during COVID-19 in rural Uganda

Background: COVID-19 presented an unprecedented global public health challenge because of its rapid and relentless spread, and many countries instituted lockdowns to prevent the spread of infection. Although this strategy mayhave been appropriate to reduce infection, it presented unintended difficulties in rural Uganda, especially in maternal and born newborn care. For example, some services were suspended, meaning the nearest health facility was at a considerable distance. This study explored the experiences of mothers and their significant others of comprehensive care in the first 1000 days of life post-conception during the COVID-19 pandemic in Bunghokho-Mutoto sub-county, Mbale District, Uganda. Methods: A qualitative exploratory descriptive design was used with data collected in semi-structured interviews. Mothers (pregnant or with a child under 2 years) and their significant others were purposively recruited for this study. The sample size (N = 14) was determined by data saturation. Data. were analysed using thematic analysis. Results: One theme emerged “Increasing barriers to healthcare”, which encompassed six sub-themes: accessing healthcare, distressing situations, living in fear, making forced choices, navigating the gatekeepers, and ‘coping with increased poverty. Conclusion: This study found that the COVID-19 pandemic increased barriers to accessing healthcare services in the region. Participants’ narratives emphasised the lack of access to expert care and the shortage of skilled health workers, especially midwives

Naegele's rule revisited

Recent literature suggests that Franz Carl Naegele’s (1778–1851) rule for estimating the date of delivery has been misinterpreted, resulting in this being brought forward by five days. Baskett and Nagele’s work underpinning this argument has become widely accepted and quoted in obstetrical and midwifery textbooks. However, our re-examination of Naegele’s original statements does not support the recent findings. On the contrary, the original textbooks of Naegele clearly advise taking the first day of menstruation for the calculation of the date of delivery

Isolated and dependent: women and children in high-rise social housing in post-war Glasgow

In 1971 Pearl Jephcott's Homes in High Flats, the culmination of her groundbreaking research into high rise living in Glasgow, revealed the problems faced by young mothers on the new high rise estates in the city. This article interrogates two connected factors, social isolation and economic dependence, which characterised the experience of many women who were rehoused to high flats in the postwar decades. Drawing on evidence collected by Jephcott's research in the form of qualitative questionnaires with high rise tenants as well as ethnographic observation and action research with residents, we argue that the experience of many women of managing everyday life in a high rise flat with young children was frustrating, often lonely and unsupported, at a time when the home was still conceptualised as central to women's lives. Jephcott asserted that high rise housing had socially negative consequences for women and children. We do not disagree but argue that in the particular context of the postwar settlement, women's financial and welfare dependence on top of their particular housing circumstances in high rise flats constrained their opportunities rather than producing contentment thereby demonstrating the value of revisiting social research data

The birth satisfaction scale (BSS).

Purpose - The purpose of this paper is to develop a psychometric scale - the birth satisfaction scale (BSS) - for assessing women's birth perceptions. Design/methodology/approach - literature review and transcribed research-based perceived birth satisfaction and dissatisfaction expression statements were converted into a scored questionnaire. Findings - three overarching themes were identified: service provision (home assessment, birth environment, support, relationships with health care professionals); personal attributes (ability to cope during labour, feeling in control, childbirth preparation, relationship with baby); and stress experienced during labour (distress, obstetric injuries, receiving sufficient medical care, obstetric intervention, pain, long labour and baby's health). Research limitations/implications - women construct their birth experience differently. Views are directed by personal beliefs, reactions, emotions and reflections, which alter in relation to mood, humour, disposition, frame of mind and company kept. Nevertheless, healthcare professionals can use BSS to assess women's birth satisfaction and dissatisfaction. Scores measure their service quality experiences. Social implications - scores provide a global measure of care that women perceived they received during labour. Originality/value - finding out more about what causes birth satisfaction and dissatisfaction helps maternity care professionals improve intra-natal care standards and allocate resources effectively. An attempt has been made to capture birth satisfaction's generalised meaning and incorporate it into an evidence-based measuring tool

A 15-step model for writing a research proposal.

On occasion midwives may be required to construct a research proposal. In the current climate of evidence-based practice. Such activity is considered an elemental skill for career progression in both education and service. Examples of where writing a research proposal may be required include: writing an assessment for under and post graduate research modules or designing a dissertation, MPhil, Prof Doc or PhD. Within clinical practice there are also audit and evaluation of practice responsibilities. With these factors at the forefront, this article provides a template specifically designed to direct midwives through the procedures of constructing a research proposal. The purpose of a research proposal is to produce a template of common understanding from which tasks are allocated, divided and discussed by researchers, clinical staff and in some cases participants. The finished product is then used to communicate intent to the ethics committees and grant funding bodies before authorization and money are awarded

Knowledge, Attitudes, and Preparedness for Managing Pregnant and Postpartum Women with COVID-19 Among Nurse-Midwives in Kenya

Introduction: Globally, maternal morbidity and mortality have increased during the COVID-19 pandemic. Given the high burden of maternal and neonatal mortality in Kenya prior to COVID-19, front line health workers, including nurse-midwives, must be competent to ensure continued quality maternal services. Knowledge and awareness of COVID-19 transmission influence nurse-midwives risk perception and ability to implement prevention strategies. Objective: We examined nurse-midwives’ knowledge, attitudes, and preparedness in managing pregnant and postpartum women with COVID-19 in Kenya. Methods: A cross-sectional online survey was conducted among 118 nurse-midwives between July 2020 and November 2020. A 31-item survey comprising 15 knowledge, 11 attitude, and five preparedness questions was administered using SurveyMonkey. A link to the survey was distributed among nurse-midwives via email. Multiple logistic regression analysis was used to assess associations between the variables. A p-value \u3c.05 was considered statistically significant. Results: Eighty-five participants were included in the final analysis (response rate 72%). Most participants were female (n = 69, 81.2%), 52.9% (n = 45) worked in labor wards, and 57.6% (n = 49) worked in rural hospitals. Overall, 71% (n = 57) of par- ticipants had sufficient knowledge about managing COVID-19 in pregnant and postpartum women. However, only 63% were willing to receive COVID-19 vaccination. Nurse-midwives working in urban areas were 3.7 times more likely to have positive attitudes than those in rural areas (odds ratio 3.724, 95% confidence interval 1.042–13.31; p = .043). Conclusion: Nurse-midwives’ responses to the Kenyan government’s COVID-19 guidelines for managing and caring for pregnant women were inconsistent. Continued professional development for nurse-midwives is important to ensure they stay abreast of evolving COVID-19 guidelines for maternal health. Our findings also suggest vaccine hesitancy may be a hurdle for ongoing COVID-19 vaccination

Prospectus, December 1, 1977

STU-GO: STU-GO VOTES AGAINST DELAY SYSTEM, WILL BUY \u27TOYS FOR TOTS\u27; Toys for Tots; Woods offers nice winter get-away; Vets should give notice if planning to move; PFW Christmas party tonight; Corbin speaks on Animal Biology; Parkland Events; Hymn and carol sing in PC gym; Canteen committee member castigates \u27cake\u27 communique; New agribusiness course announced; Vet Techs Week; Wide-screen TV; League seeking more bowlers; \u27Masters-piece\u27 presented here by senior group; The Better Information Project, also known as BIPPIE awards; SWAMP sponsors info fair here; Poet\u27s Corner; Monday set as interview night for real-estaters; Women gather in Houston: Was IWY meeting effective?; Author here Monday; Devices help the visually impaired; Old-fashioned Christmas at New Salem; Special Notice; Journ club meets; Silver cue sparkles in exhibition: White conjures and captures crowd; Classifieds; Bouncing Bob takes over; Eureka JV\u27s remain question for Cobra squad; Cobras drop first game to fired-up Springfield quintet; Hopes are high: indoor track; Larson, Adams represent PC at nationals in Tuscon; M-S best 2-A team; High school roundballers groom for March Madness; Men\u27s basketball: Home opener features convincing win; Can women repeat success?: Freshmen lead women cagers, Perfection hard to improve upon, Parkland Women\u27s Basketball Team, Parkland Women\u27s Basketball Schedulehttps://spark.parkland.edu/prospectus_1977/1002/thumbnail.jp