Showing posts with label documentation. Show all posts
Showing posts with label documentation. Show all posts

Friday, 28 February 2025

Knowledge and Practice of Documentation in Labour among Healthcare Professionals in a Tertiary Healthcare Facility, South- South, Nigeria | Chapter 11 | Disease and Health: Research Developments Vol. 4

Background: Documentation is a fundamental and vital communication tool among healthcare professionals. It is an essential part of nurse/ midwife that has clinical and legal implications for the client nurse/ midwife as well as the health care institution. This study assessed determinants of documentation in labour among healthcare professionals in a tertiary healthcare facility in South-South, Nigeria.

 

Methods: This is a descriptive cross-sectional study with a sample size of 102 purposively selected healthcare professionals (nurses/midwives). The instrument for data collection was self-structured questionnaire. Data collected were analysed using statistical package for social sciences (SPSS) version 23 and presented in simple percentage and frequency table.

 

Results: The findings of the study showed that nurses had good knowledge of documentation in labour. Determinant factors influencing documentation includes; time, their poor attitude towards documentation (terming documentation to be unnecessary), and few number of midwives working in a shift.

 

Conclusions: Findings concluded that respondents have good knowledge of documentation, however this has not translated into practice. Also, there are factors that influence this practice among the respondents.

 

Recommendations: It was recommended that training and workshops on the importance of documentation should be organized regularly to create more awareness on documentation; to encourage and promote its practice; identify factors hindering its use as well as provide strategies for overcoming these factors. Also, more staff should be assigned to clients and the shift adjusted to shorter hours to prevent fatigue and tediousness.

 

Author (s) Details

 

Maureen Dike Frank
Department of Nursing Science, Faculty of Basic Medical Sciences, College of Medical Sciences, Rivers State University, Nigeria.

 

Paulina Ackley Akpan-Idiok
Department of Nursing Science, Faculty of Allied Health Sciences, College of Health Sciences, University of Uyo, Uyo, Akwa Ibom State, Nigeria.

 

Chukwu Chinenye
Department of Nursing Sciences, Madonna University, Nigeria.

 

Please see the book here:- https://doi.org/10.9734/bpi/dhrd/v4/3225

Monday, 3 February 2025

An Overview on Hemovigilance - Fact and Fiction | Chapter 7 | Medical Research and Its Applications Vol. 7


Performance of the blood system – blood supply and consumption or clinical use in general, follows the 5 key elements of Quality System Management:

1.Organization, (infra-)Structure and Leadership (governance),

2. Standards, References and Guidelines (technical and quality),

3.Documentation (quality pyramid with its 4 levels – 2 managerial and 2 operational),

4.Education (teaching and training, maintaining competency, and developing stewardship),

5. Assessment - monitoring and evaluation (M&E), statistical process control (SPC), hemovigilance.

Hemovigilance, as a quality gatekeeping surveillance tool, is an integral part of the assessment element, based on continuous M&E of what has been done, and whether that matches standards of performance, quality and technical. Statistical process control (SPC), Six Sigma and Safety-I and Safety-II are recommended to trace development, where the track and tracing (T&T) is based on waterproof documentation. Hence, as a matter of fact hemovigilance is an integral part of the blood transfusion chain, a gate keeping tool to sustain overall quality, based on meticulous documentation to secure an optimal track and trace-back of data.

 

Author (s) Details

Cees Th. Smit Sibinga
International Development of Transfusion Medicine, University of Groningen, Netherlands. IQM Consulting for International Development of Quality Management in Transfusion Medicine, Zuidhorn, Netherlands.

Please see the book here:- https://doi.org/10.9734/bpi/mria/v7/795

Saturday, 14 January 2023

A Chronicle on Medicolegal Cases: The Tertian Care Testimony| Chapter 6 | Perspective of Recent Advances in Medical Research Vol. 1

 The study's aim is to decide the number of medicolegal cases reported in a after second care hospital in South India over the course of a period. Profiling of medico-allowable cases is an important facet for the stop of preventable victims in future and to study the real crime in the extent. A retrospective content-located analysis was acted on 776 medicolegal cases recorded in a after second care hospital in South India betwixt June 1st, 2017 and May 31st, 2018, and the findings were classified. Of the 776 cases, 545 were men and 231 were mothers, with RTA giving reason for 70.74% (549 cases) of the cases and poisoning giving reason for 10.69% (83 cases) of the cases, constituting the majority of the case description. According to the analysis, expressway traffic accidents are the leading cause of medicolegal cases, understood by poisoning. Preventive measures for revised traffic control and parking lot safety must be executed as soon as attainable. For additional steps, more medicolegal create a likeness in a picture should be begun in each region.

Author(s) Details:

C. Yogesh,
Department of Forensic Medicine, Shimoga Institute of Medical Sciences, Shivamogga, Karnataka, India.

A. Amirthvarshan,
Department of Radiation Oncology, Regional Cancer Centre, Thiruvananthapuram, Kerala, India.

S. Paranthaman,
Department of General Surgery, Government Thiruvarur Medical College, Thandalai, Tamil Nadu, India.

S. Priyanka,
Department of Obstetrics and Gynecology, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India.

Please see the link here: https://stm.bookpi.org/PRAMR-V1/article/view/9001