Abstract

A study about compliance of midwives towards maternity protocols conducted in 2012 by Kgabo Community Health Centre (CHC) personnel showed low levels of compliance and poor record keeping of maternity case records as a contributory cause to late diagnosis and treatment of complications.

A multi-disciplinary team was compiled and base line data was collected from retrospective audits of the study sites' maternity case records. Interventions included in-service training of midwives and staff nurses at the Kgabo CHC and its feeder clinics. We developed tools to measure the progress of the project through monthly audits. The results thereof were compared against quarterly supervisors' and District Clinical Specialist team's reports.

Of the 30 maternity case records audited initially, 18 were from feeder clinics and 12 were from Kgabo CHC. The results showed respectively 27% and 39% completeness. Follow up audit revealed a great deal of improvement for both sites. Continuous peer support and on the job training have proved to be very effective and rewarding in improving record keeping at Kgabo CHC and this showed reduction in maternal and child complications.

During the project, the mentee learned communication skills, assertiveness, project management and quality improvement process in an institution.

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).

Author Details

Tebogo Ramahlo; Lekwetji; Mmajapi (Tshidi) Elizabeth Chokwe, RN, RM

Sigma Membership

Non-member

Type

Poster

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

N/A

Keywords:

Maternal Child Health, Leadership Development, Record Keeping, South Africa

Conference Name

Tau Lambda Conference 2015

Conference Host

Tau Lambda at-Large Chapter of Sigma Theta Tau International

Conference Location

Johannesburg, South Africa

Conference Year

2015

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Faculty/Mentor Approved: Sigma Academy Participant Poster

Acquisition

Proxy-submission

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Improvement of record keeping of maternity case reports at Kgabo CHC

Johannesburg, South Africa

A study about compliance of midwives towards maternity protocols conducted in 2012 by Kgabo Community Health Centre (CHC) personnel showed low levels of compliance and poor record keeping of maternity case records as a contributory cause to late diagnosis and treatment of complications.

A multi-disciplinary team was compiled and base line data was collected from retrospective audits of the study sites' maternity case records. Interventions included in-service training of midwives and staff nurses at the Kgabo CHC and its feeder clinics. We developed tools to measure the progress of the project through monthly audits. The results thereof were compared against quarterly supervisors' and District Clinical Specialist team's reports.

Of the 30 maternity case records audited initially, 18 were from feeder clinics and 12 were from Kgabo CHC. The results showed respectively 27% and 39% completeness. Follow up audit revealed a great deal of improvement for both sites. Continuous peer support and on the job training have proved to be very effective and rewarding in improving record keeping at Kgabo CHC and this showed reduction in maternal and child complications.

During the project, the mentee learned communication skills, assertiveness, project management and quality improvement process in an institution.