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.
Sigma Membership
Non-member
Type
Presentation
Format Type
Text-based Document
Study Design/Type
Case Study/Series
Research Approach
Qualitative Research
Keywords:
Maternal Child Health, Magnesium Sulfate Monitoring, Quality Improvement, Eclampsia, Pre-Eclampsia
Recommended Citation
Sangaya, Naomi Novahiwa; Chikalipo, Maria Chifuniro; and Chirwa, Ellen, "Monitoring of magnesium sulphate to improve quality: A case study at Queen Elizabeth Central Hospital Gogo Chatinkha maternity wing, high dependence unit, Blantyre, Malawi" (2017). Maternal-Child Health Nurse Leadership - Africa. 4.
https://www.sigmarepository.org/mchnla/2015/presentations/4
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
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Review Type
Faculty/Mentor Approved: Sigma Academy Participant Poster
Acquisition
Proxy-submission
Monitoring of magnesium sulphate to improve quality: A case study at Queen Elizabeth Central Hospital Gogo Chatinkha maternity wing, high dependence unit, Blantyre, Malawi
Johannesburg, South Africa
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.
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).