Journal article
Silent voices of the midwives: Factors that influence midwives’ achievement of successful neonatal resuscitation in sub-Saharan Africa: A narrative inquiry [Ushauri wa wakunga: Sababu zinazopelekea mafanikio ya wakunga katika kusaidia upumuaji kwa watoto wachanga katika nchi za Afrika ukanda wa kusini mwa jangwa la Sahara]
BMC Pregnancy and Childbirth, Vol.22(1), pp.1-13
2022
PMID: 35034616
Abstract
Background: In Tanzania, birth asphyxia is a leading cause of neonatal death. The aim of this study was to identify factors that influence successful neonatal resuscitation to inform clinical practice and reduce the incidence of very early neonatal death (death within 24h of delivery). Methods: This was a qualitative narrative inquiry study utilizing the 32 consolidated criteria for reporting qualitative research (COREQ). Audio-recorded, semistructured, individual interviews with midwives were conducted. Thematic analysis was applied to identify themes. Results: Thematic analysis of the midwives’ responses revealed three factors that influence successful resuscitation: 1. Hands-on training (“HOT”) with clinical support during live emergency neonatal resuscitation events, which decreases fear and enables the transfer of clinical skills; 2. Unequivocal commitment to the Golden Minute® and the mindset of the midwife; and. 3. Strategies that reduce barriers. Immediately after birth, live resuscitation can commence at the mother’s bedside, with actively guided clinical instruction. Confidence and mastery of resuscitation competencies are reinforced as the physiological changes in neonates are immediately visible with bag and mask ventilation. The proclivity to perform suction initially delays ventilation, and suction is rarely clinically indicated. Keeping skilled midwives in labor wards is important and impacts clinical practice. The midwives interviewed articulated a mindset of unequivocal commitment to the baby for one Golden Minute®. Heavy workload, frequent staff rotation and lack of clean working equipment were other barriers identified that are worthy of future research. Conclusions: Training in resuscitation skills in a simulated environment along is not enough to change clinical practice. Active guidance of “HOT” real-life emergency resuscitation events builds confidence, as the visible signs of successful resuscitation impact the midwife’s beliefs and behaviors. Furthermore, a focused commitment by midwives working together to reduce birth asphyxia-related deaths builds hope and collective self-efficacy.
Details
- Title
- Silent voices of the midwives: Factors that influence midwives’ achievement of successful neonatal resuscitation in sub-Saharan Africa: A narrative inquiry [Ushauri wa wakunga: Sababu zinazopelekea mafanikio ya wakunga katika kusaidia upumuaji kwa watoto wachanga katika nchi za Afrika ukanda wa kusini mwa jangwa la Sahara]
- Authors
- Jan Becker (Author) - University of the Sunshine Coast, QueenslandChase Becker (Author) - University of NicosiaFlorin Oprescu (Author) - University of the Sunshine CoastJo Wu (Author) - University of the Sunshine Coast, Queensland, School of Nursing, Midwifery and Paramedicine - LegacyJames Moir (Author) - Moir Medical Services (Buderim, Australia)Meshak Shimwela (Author) - Temeke Regional Referral Hospital (Tanzania)Marion Gray (Author) - University of the Sunshine Coast, Queensland, School of Health and Sport Sciences - Legacy
- Publication details
- BMC Pregnancy and Childbirth, Vol.22(1), pp.1-13
- Publisher
- BioMed Central Ltd.
- Date published
- 2022
- DOI
- 10.1186/s12884-021-04339-7
- ISSN
- 1471-2393
- PMID
- 35034616
- Copyright note
- This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
- Organisation Unit
- School of Health - Nursing; University of the Sunshine Coast, Queensland; School of Health and Sport Sciences - Legacy; School of Nursing, Midwifery and Paramedicine - Legacy; Engage Research Lab; School of Health and Behavioural Sciences - Legacy; School of Health - Public Health
- Language
- English; Swahili
- Record Identifier
- 99594408102621
- Output Type
- Journal article
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