Factors Affecting Quality Documentation in Labour among Midwives at Kenyatta National Hospital

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Abstract

Background Information: Midwives have posed varying knowledge and practice levels of quality midwifery documentation due to a number of factors. Quality midwifery documentation shows care given to two lives whose interests could be in conflict. Objective: The study sought to determine the factors affecting the quality of documentation in labour among midwives at Kenyatta National Hospital labour ward. Methodology: This was a descriptive cross-sectional study among 51 consenting midwives selected using a simple random sampling technique. Data was collected using a self-administered structured questionnaire. Ethical approval was sought. Results: Most of the midwives demonstrated excellent knowledge on quality midwifery documentation. However, only 51% practised quality midwifery documentation with 21.4% making entries ahead of time, 17.4% documenting for colleagues and 13.7% documenting only normal labour. This was attributed to insufficient time (86.3%), high patient-to-midwife ratio (92.2%) and understaffing (86.3%). In conclusion, several factors affected the quality of documentation among midwives.
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影响肯雅塔国家医院助产士劳动记录质量的因素
背景信息:由于多种因素,助产士在高质量助产文件方面的知识和实践水平各不相同。高质量的助产文件显示,为两个利益可能冲突的生命提供了护理。目的:本研究旨在确定影响肯雅塔国立医院产房助产士分娩文件质量的因素。方法:这是一项描述性的横断面研究,使用简单的随机抽样技术选择了51名同意的助产士。数据是使用自行管理的结构化问卷收集的。寻求伦理批准。结果:大多数助产士在高质量的助产文件方面表现出良好的知识。然而,只有51%的人进行了高质量的助产记录,21.4%的人提前记录,17.4%的人为同事记录,13.7%的人只记录了正常分娩。这归因于时间不足(86.3%)、患者与助产士的比例高(92.2%)和人手不足(86.7%)。总之,有几个因素影响了助产士的文件质量。
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