Implementation barriers and facilitators of Moyo foetal heart rate monitor during labour in public hospitals in Nepal
Bibliographic Data
| ID | 19530666 |
|---|---|
| Authors | Apil Kc (0000-0002-0541-4486, Uppsala University, corresponding author), Mikaela Rönnbäck (Uppsala University), Urja Humgain (Nepal Development Research Institute), Omkar Basnet (0000-0001-7328-8189, Nepal Development Research Institute), Pratiksha Bhattarai (0000-0001-9455-4394, Nepal Development Research Institute), Anna Axelin (0000-0003-2743-3589, Uppsala University) |
| Year | 2024 |
| Volume | 17 |
| Issue | 1 |
| Pages | 2328894-2328894 |
| Publication date | 2024-12-31 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Global Health Action (JOURNAL) |
| Journal identifiers | ISSN: 1654-9716 • E-ISSN: 1654-9880 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/16549716.2024.2328894 |
| PMID | 38577869 |
| OpenAlex | W4393991029 |
| Language | EN |
| References cited | 26 |
BACKGROUND: Globally, every year, approximately 1 million foetal deaths take place during the intrapartum period, fetal heart monitoring (FHRM) and timely intervention can reduce these deaths. OBJECTIVE: This study evaluates the implementation barriers and facilitators of a device, Moyo for FHRM. METHODS: The study adopted a qualitative study design in four hospitals in Nepal where Moyo was implemented for HRM. The study participants were labour room nurses and convenience sampling was used to select them. A total of 20 interviews were done to reach the data saturation. The interview transcripts were translated to English, and qualitative content analysis using deductive approach was applied. RESULTS: Using the deductive approach, the data were organised into three categories i) changes in practice of FHRM, ii) barriers to implementing Moyo and iii) facilitators of implementing Moyo. Moyo improved adherence to intermittent FHRM as the device could handle higher caseloads compared to the previous devices. The implementation of Moyo was hindered by difficulty to organise training ondevice during non-working hours, technical issue of the device, nurse mistrust towards the device and previous experience of poor implementation to similar innovations. Facilitators for implementation included effective training on how to use Moyo, improvement in intrapartum foetal monitoring and improvement in staff morale, ease of using the device, Plan Do Study Act (PDSA) meetings to improve use of Moyo and supportive leadership. CONCLUSION: The change in FHRM practice suggests that the implementation of innovative solution such as Moyo was successful with adequate facilitation, supportive staff attitude and leadership
Biology · Fetal heart rate · Fetal monitoring · Fetus · Heart rate · Medical emergency · Obstetrics · Pregnancy · Global Maternal and Child Health · Healthcare Technology and Patient Monitoring · Medicine · Neonatal and fetal brain pathology · Nursing · Internal Medicine
Normalisation process theory
National, regional, and worldwide estimates of stillbirth rates in 2015, with trends from 2000
The qualitative content analysis process
Factors associated with poor adherence to intrapartum fetal heart monitoring in relationship to intrapartum related death
Fetal heart rate monitoring practices at a public hospital in Northern Uganda – what health workers document, do and say
Fetal to Neonatal Heart Rate Transition during Normal Vaginal Deliveries
Acquiring Knowledge about the Use of a Newly Developed Electronic Fetal Heart Rate Monitor
Effectiveness of a Novel Continuous Doppler (Moyo) Versus Intermittent Doppler in Intrapartum Detection of Abnormal Foetal Heart Rate
I Was Relieved to Know That My Baby Was Safe”
Trends for Neonatal Deaths in Nepal (2001–2016) to Project Progress Towards the SDG Target in 2030, and Risk Factor Analyses to Focus Action
| Highly cited | No |
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