Author:
Muinga Naomi,Paton Chris,Gicheha Edith,Omoke Sylvia,Abejirinde Ibukun-Oluwa Omolade,Benova Lenka,English Mike,Zweekhorst Marjolein
Abstract
Abstract
Introduction
Job aids such as observation charts are commonly used to record inpatient nursing observations. For sick newborns, it is important to provide critical information, intervene, and tailor treatment to improve health outcomes, as countries work towards reducing neonatal mortality. However, inpatient vital sign readings are often poorly documented and little attention has been paid to the process of chart design as a method of improving care quality. Poorly designed charts do not meet user needs leading to increased mental effort, duplication, suboptimal documentation and fragmentation. We provide a detailed account of a process of designing a monitoring chart.
Methods
We used a Human-Centred Design (HCD) approach to co-design a newborn monitoring chart between March and May 2019 in three workshops attended by 16–21 participants each (nurses and doctors) drawn from 14 hospitals in Kenya. We used personas, user story mapping during the workshops and observed chart completion to identify challenges with current charts and design requirements. Two new charts were piloted in four hospitals between June 2019 and February 2020 and revised in a cyclical manner.
Results
Challenges were identified regarding the chart design and supply, and how staff used existing charts. Challenges to use included limited staffing, a knowledge deficit among junior staff, poor interprofessional communication, and lack of appropriate and working equipment. We identified a strong preference from participants for one chart to capture vital signs, assessment of the baby, and feed and fluid prescription and monitoring; data that were previously captured on several charts.
Discussion
Adopting a Human-Centred Design approach, we designed a new comprehensive newborn monitoring chart that is unlike observation charts in the literature that only focus on vital signs. While the new chart does not address all needs, we believe that once implemented, it can help build a clearer picture of the care given to newborns.
Conclusion
The chart was co-designed and piloted with the user and context in mind resulting in a unique monitoring chart that can be adopted in similar settings.
Publisher
Springer Science and Business Media LLC
Reference65 articles.
1. David Sharrow LH, Yang Liu, and Danzhen You on behalf of the United Nations Inter-agency Group for Child Mortality Estimation (UN IGME). Levels and trends in child mortality 2020. UNICEF headquarters: United Nations Inter-agency Group for Child Mortality Estimation (UN IGME); 2020.
2. United Nations. Goal 3: ensure healthy lives and promote well-being for all at all ages: United Nations; 2015. Available from: https://www.un.org/sustainabledevelopment/health/. [cited 2020 04 June 2020].
3. WHO. Children: reducing mortality: WHO; 2019 Available from: https://www.who.int/en/news-room/fact-sheets/detail/children-reducing-mortality.
4. Doctor HV, Radovich E, Benova L. Time trends in facility-based and private-sector childbirth care: analysis of Demographic and Health Surveys from 25 sub-Saharan African countries from 2000 to 2016. J Glob Health. 2019;9(2):020406.
5. Lawn JE, Kinney MV, Black RE, Pitt C, Cousens S, Kerber K, et al. Newborn survival: a multi-country analysis of a decade of change. Health Policy Plan. 2012;27 Suppl 3:iii6–28.
Cited by
8 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献