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Acquiring Knowledge about the Use of a Newly Developed Electronic Fetal Heart Rate Monitor: A Qualitative Study Among Birth Attendants in Tanzania

International journal of environmental research and public health, 2018-12, Vol.15 (12), p.2863 [Peer Reviewed Journal]

2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;info:eu-repo/semantics/openAccess ;2018 by the authors. 2018 ;ISSN: 1660-4601 ;ISSN: 1661-7827 ;EISSN: 1660-4601 ;DOI: 10.3390/ijerph15122863 ;PMID: 30558180

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Title:
Acquiring Knowledge about the Use of a Newly Developed Electronic Fetal Heart Rate Monitor: A Qualitative Study Among Birth Attendants in Tanzania
Author: Rivenes Lafontan, Sara ; Sundby, Johanne ; Kidanto, Hussein L ; Mbekenga, Columba K ; Ersdal, Hege L
Subjects: Abdomen ; Adult ; Attended births ; Attitude of Health Personnel ; Birth ; Cardiotocography - instrumentation ; Cardiotocography - methods ; Content analysis ; Curricula ; Data analysis ; Data collection ; Developing Countries ; Education, Medical, Continuing ; Education, Nursing, Continuing ; Ethics ; Female ; Fetuses ; Focus Groups ; Global health ; Health care facilities ; Health literacy ; Heart rate ; Heart Rate, Fetal ; Hospitals ; Humans ; Knowledge ; Knowledge acquisition ; Labor ; Medical personnel ; Medical referrals ; Medical research ; Middle Aged ; Midwifery ; Midwifery - education ; Mortality ; Newborn babies ; Nurse Midwives - education ; Obstetrics ; Physicians ; Pregnancy ; Qualitative analysis ; Qualitative Research ; Stillbirth ; Tanzania ; Training
Is Part Of: International journal of environmental research and public health, 2018-12, Vol.15 (12), p.2863
Description: In an effort to reduce newborn mortality, a newly developed strap-on electronic fetal heart rate monitor was introduced at several health facilities in Tanzania in 2015. Training sessions were organized to teach staff how to use the device in clinical settings. This study explores skilled birth attendants' perceptions and experiences acquiring and transferring knowledge about the use of the monitor, also called Moyo. Knowledge about this learning process is crucial to further improve training programs and ensure correct, long-term use. Five Focus group discussions (FGDs) were carried out with doctors and nurse-midwives, who were using the monitor in the labor ward at two health facilities in Tanzania. The FGDs were analyzed using qualitative content analysis. The study revealed that the participants experienced the training about the device as useful but inadequate. Due to high turnover, a frequently mentioned challenge was that many of the birth attendants who were responsible for training others, were no longer working in the labor ward. Many participants expressed a need for refresher trainings, more practical exercises and more theory on labor management. The study highlights the need for frequent trainings sessions over time with focus on increasing overall knowledge in labor management to ensure correct use of the monitor over time.
Publisher: Switzerland: MDPI AG
Language: English;Norwegian
Identifier: ISSN: 1660-4601
ISSN: 1661-7827
EISSN: 1660-4601
DOI: 10.3390/ijerph15122863
PMID: 30558180
Source: GFMER Free Medical Journals
MEDLINE
NORA Norwegian Open Research Archives
PubMed Central
ProQuest Central

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Acquiring Knowledge about the Use of a Newly Developed Electronic Fetal Heart Rate Monitor: A Qualitative Study Among Birth Attendants in Tanzania

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