Monitoring of magnesium sulphate to improve quality: A case study at Queen Elizabeth Central Hospital Gogo Chatinkha maternity wing, High dependence Unit, Blantyre, Malawi
View File(s)
- Author(s)
- Details
-
Naomi Novahiwa Sangaya, BSc, NM; Maria Chifuniro Chikalipo MSc, BScN/M; Ellen Chirwa, PhD
- Sigma Affiliation
- Non-member
In Malawi severe preeclampsia and eclampsia rank among the leading causes of maternal mortality. Magnesium sulfate is a drug of choice for treatment. Proper monitoring of clients on the drug may promote safe motherhood. Observation has revealed inadequate monitoring of the drug and interpretation of observational findings. This necessitates capacity building of midwives on monitoring of clients receiving magnesium sulphate. The project was done in a newly established unit and ran from May 2014 to date.
Baseline information was sought to assess the knowledge and skill base of 8 midwives working in HDU on assessments of patients receiving magnesium sulfate through pre-test and observation. The midwives had a session on monitoring clients on Magnesium sulfate which was followed by a post test. A tool for monitoring magnesium sulfate categorizing the observations was developed and finalized with input from stakeholders. The midwives were oriented to the tool. Qualitative and quantitative approaches were used. The Kouzes Posner model of change was employed throughout the project.
Pre-test scores were between 60 to 80 % on knowledge. Only four midwives knew patella reflex assessment. After the session all midwives assessed patella reflex successfully. Knowledge scores were between 70 and 85%. Out of the 101 monitoring tools which were filled, 5 were not properly categorised. Midwives and a Doctor reported the tool being user friendly and easy to fill. Gaps exist in monitoring clients on magnesium sulphate.
Continuous supportive supervision and in service training are necessary for midwives. Leadership skills are vital if evidence based practices are to be applied. Lifelong learning among health practitioners can be enhanced through mentorship.
This project provided the mentee with the opportunity to practice and develop her leadership competencies.
| Type | Presentation |
| Acquisition | Proxy-submission |
| Review Type | Faculty/Mentor Approved: Sigma Academy Participant Presentation |
| Format | Text-based Document |
| Evidence Level | Case Study |
| Research Approach | Qualitative Research |
| Keywords | Maternal Child Health; Magnesium Sulfate monitoring; Quality Improvement |
| CINAHL Subject(s) | Eclampsia; Pre-Eclampsia; Magnesium Sulfate--Therapeutic Use; Magnesium Sulfate; Maternal-Child Health; Maternal-Child Health--Malawi; Quality Improvement; Malawi |
| Name | Tau Lambda Conference 2015 |
| Host | Tau Lambda At-Large Chapter of Sigma Theta Tau International |
| Location | Sunnyside Park Hotel, Johannesburg, South Africa |
| Date | 2015 |
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
Reinforcing measures to reduce post cesarean section endometriosis and hysterectomy cases at Queen Elizabeth Central Hospital, Malawi
BACKGROUND: Endometriosis is the inflammation of the endometrium and myometrium, usually caused by infections after cesarean section. Queen Elizabeth Central Hospital’s (QECH) records showed that from January to July 2018, ... -
Strengthening practices that reduce hypothermia at birth: A case of Queen Elizabeth Central Hospital (QECH), Blantyre, Malawi
(2018-05-29)Background: Hypothermia at birth contributes significantly to neonatal morbidity and mortality in developing countries yet the most neglected aspect of care. In the absence of thermal protection at birth, the neonate may ... -
Intensifying monitoring and care of preterm and low birth weight babies at Thyolo District Hospital, Malawi
BACKGROUND - Premature refers to baby being born before 37 completed weeks of gestation and low birth weight is weight at birth of less than 2500 grams. Thyolo District Hospital’s records of 2017 indicated that 119 babies ... -
Improving nursing care for children admitted in high dependency area in acute care unit Mulago Hospital, Uganda
(2018-05-29)Background/context: Acute Care Unit is an emergency unit for children which admits 800 children monthly. The patients are initiated on treatment, stabilized and later transfer to the specialized wards. According to unit ... -
Improving quality of care for neonates with birth asphyxia through Helping Babies Breath program at Chiradzulu District Hospital, Malawi
(2017-02-09)In Malawi the neonatal death rate is at 31/1000 live births with birth asphyxia contributing to 25%. In 2013, Chiradzulu District hospital had an average of 155 neonatal deaths out of 4142 live births of which birth asphyxia ...
