Detecting and responding to deterioration of a baby during labour: surveys of maternity professionals to inform co-design and implementation of a new standardised approach

BMJ Open, Journal Year: 2025, Volume and Issue: 15(3), P. e084578 - e084578

Published: March 1, 2025

Detecting and responding to deterioration of a baby during labour is likely benefit from standardised approach supported by principles track-and-trigger systems. To inform co-design associated implementation strategies, we sought the views UK-based maternity professionals. Two successive cross-sectional surveys were hosted on an online collaboration platform (Thiscovery) between July 2021 April 2022. UK. Across both surveys, 765 Count percentage participants selecting closed-ended response options, categorisation counting free-text responses. More than 90% principle that systematically considers range intrapartum risk factors alongside fetal heart rate features. Over 80% agreed importance proposed set evidence-based underpinning such approach, but many (over 75%) also indicated need clarify clinical definitions factors. A for clarity was suggested participants' widely varying thresholds actions factors, particularly meconium-stained liquor, rise in baseline changes variability. Most (>75%) considered resources support good practice as very useful when implementing how escalate different situations (82%), create supportive culture (79%) effective communication decision-making with those their partners (75%). We found strong professional detection high agreement Further work needed address: (1) some (2) building evidence action (3) deimplementation strategies existing local practices.

Language: Английский

Rising above the strain? Adaptive strategies used by healthcare providers in intensive care units to promote safety

BMJ Quality & Safety, Journal Year: 2024, Volume and Issue: unknown, P. bmjqs - 017813

Published: Oct. 9, 2024

Language: Английский