A national cross sectional survey of heads of midwifery services of uptake, benefits and barriers to use of obstetric early warning systems (EWS) by midwives
Authors: Bick, D.E., Hundley, V., Thomas, S., Smith, G.B. et al.
Journal: Midwifery
Volume: 30
Issue: 11
Pages: 1140-1146
ISSN: 0266-6138
DOI: 10.1016/j.midw.2014.03.016
Abstract:Objective: to identify the extent to which Early Warning Systems (EWS) are used by midwives in the United Kingdom (UK), the maternity settings they are used in, physiological parameters used to 'trigger' referral, training provision, barriers to implementation and role in preventing maternal morbidity. Design: cross-sectional survey of heads of midwifery services. An email questionnaire was sent in September 2012. Setting: UK NHS secondary care organisations providing maternity care. Findings: heads of midwifery from 107 (68%) of 157 NHS organisations responded, with 108 questionnaires returned as two organisations had recently merged. All organisations, apart from one which only had a free-standing midwifery unit, had introduced EWS. Nearly all respondents (99%) reported EWS were used by midwives antenatally, 76% in labour and 100% on the postnatal ward. All EWS charts included body temperature, heart rate, respiratory rate, systolic blood pressure and oxygen saturation although parameters for escalation varied widely. Barriers to use of EWS by midwives included overlap with the partogram in labour, and staff shortages and delays obtaining clinical review when referral was triggered. Two-thirds considered EWS prevented maternal morbidity although few could provide supporting evidence, for example, audit findings. Training for midwives in use of EWS was available in 83% of organisations. Conclusion: most UK midwives are using EWS, with the highest use in obstetric units. The heterogeneity of EWS currently used potentially limits collation of evidence to inform appropriate system level responses. Research is needed to evaluate the role of EWS to prevent maternal morbidity during and after pregnancy in different maternity settings.
https://eprints.bournemouth.ac.uk/22169/
Source: Scopus
A national cross sectional survey of heads of midwifery services of uptake, benefits and barriers to use of obstetric early warning systems (EWS) by midwives.
Authors: Bick, D.E., Sandall, J., Furuta, M., Wee, M.Y.K., Isaacs, R., Smith, G.B., Beake, S. and Modified Obstetric Early Warning Systems (Mobs) Research Group
Journal: Midwifery
Volume: 30
Issue: 11
Pages: 1140-1146
eISSN: 1532-3099
DOI: 10.1016/j.midw.2014.03.016
Abstract:OBJECTIVE: to identify the extent to which Early Warning Systems (EWS) are used by midwives in the United Kingdom (UK), the maternity settings they are used in, physiological parameters used to 'trigger' referral, training provision, barriers to implementation and role in preventing maternal morbidity. DESIGN: cross-sectional survey of heads of midwifery services. An email questionnaire was sent in September 2012. SETTING: UK NHS secondary care organisations providing maternity care. FINDINGS: heads of midwifery from 107 (68%) of 157 NHS organisations responded, with 108 questionnaires returned as two organisations had recently merged. All organisations, apart from one which only had a free-standing midwifery unit, had introduced EWS. Nearly all respondents (99%) reported EWS were used by midwives antenatally, 76% in labour and 100% on the postnatal ward. All EWS charts included body temperature, heart rate, respiratory rate, systolic blood pressure and oxygen saturation although parameters for escalation varied widely. Barriers to use of EWS by midwives included overlap with the partogram in labour, and staff shortages and delays obtaining clinical review when referral was triggered. Two-thirds considered EWS prevented maternal morbidity although few could provide supporting evidence, for example, audit findings. Training for midwives in use of EWS was available in 83% of organisations. CONCLUSION: most UK midwives are using EWS, with the highest use in obstetric units. The heterogeneity of EWS currently used potentially limits collation of evidence to inform appropriate system level responses. Research is needed to evaluate the role of EWS to prevent maternal morbidity during and after pregnancy in different maternity settings.
https://eprints.bournemouth.ac.uk/22169/
Source: PubMed
A national cross sectional survey of heads of midwifery services of uptake, benefits and barriers to use of obstetric early warning systems (EWS) by midwives
Authors: Bick, D.E., Sandall, J., Furuta, M., Wee, M.Y.K., Isaacs, R., Smith, G.B. and Beake, S.
Journal: MIDWIFERY
Volume: 30
Issue: 11
Pages: 1140-1146
eISSN: 1532-3099
ISSN: 0266-6138
DOI: 10.1016/j.midw.2014.03.016
https://eprints.bournemouth.ac.uk/22169/
Source: Web of Science (Lite)
A national cross sectional survey of heads of midwifery services of uptake, benefits and barriers to use of obstetric early warning systems (EWS) by midwives
Authors: Bick, D.E., Sandall, J., Furuta, M., Wee, M.Y.K., Isaacs, R., Smith, G.B., Beake, S. and on behalf of the Modified Obstetric Early Warning Systems (Mobs) Research Group
Journal: Midwifery
https://eprints.bournemouth.ac.uk/22169/
Source: Manual
Preferred by: Vanora Hundley
A national cross sectional survey of heads of midwifery services of uptake, benefits and barriers to use of obstetric early warning systems (EWS) by midwives.
Authors: Bick, D.E., Sandall, J., Furuta, M., Wee, M.Y.K., Isaacs, R., Smith, G.B., Beake, S. and Modified Obstetric Early Warning Systems (Mobs) Research Group
Journal: Midwifery
Volume: 30
Issue: 11
Pages: 1140-1146
eISSN: 1532-3099
ISSN: 0266-6138
DOI: 10.1016/j.midw.2014.03.016
Abstract:Objective
to identify the extent to which Early Warning Systems (EWS) are used by midwives in the United Kingdom (UK), the maternity settings they are used in, physiological parameters used to 'trigger' referral, training provision, barriers to implementation and role in preventing maternal morbidity.Design
cross-sectional survey of heads of midwifery services. An email questionnaire was sent in September 2012.Setting
UK NHS secondary care organisations providing maternity care.Findings
heads of midwifery from 107 (68%) of 157 NHS organisations responded, with 108 questionnaires returned as two organisations had recently merged. All organisations, apart from one which only had a free-standing midwifery unit, had introduced EWS. Nearly all respondents (99%) reported EWS were used by midwives antenatally, 76% in labour and 100% on the postnatal ward. All EWS charts included body temperature, heart rate, respiratory rate, systolic blood pressure and oxygen saturation although parameters for escalation varied widely. Barriers to use of EWS by midwives included overlap with the partogram in labour, and staff shortages and delays obtaining clinical review when referral was triggered. Two-thirds considered EWS prevented maternal morbidity although few could provide supporting evidence, for example, audit findings. Training for midwives in use of EWS was available in 83% of organisations.Conclusion
most UK midwives are using EWS, with the highest use in obstetric units. The heterogeneity of EWS currently used potentially limits collation of evidence to inform appropriate system level responses. Research is needed to evaluate the role of EWS to prevent maternal morbidity during and after pregnancy in different maternity settings.https://eprints.bournemouth.ac.uk/22169/
Source: Europe PubMed Central
A national cross sectional survey of heads of midwifery services of uptake, benefits and barriers to use of obstetric early warning systems (EWS) by midwives
Authors: Bick, D.E., Smith, G.B., van Teijlingen, E., Hundley, V., Thomas, S. et al.
Journal: Midwifery
Volume: 30
Issue: 11
Pages: 1140-1146
ISSN: 0266-6138
Abstract:Objective
to identify the extent to which Early Warning Systems (EWS) are used by midwives in the United Kingdom (UK), the maternity settings they are used in, physiological parameters used to ‘trigger’ referral, training provision, barriers to implementation and role in preventing maternal morbidity.
Design
cross-sectional survey of heads of midwifery services. An email questionnaire was sent in September 2012.
Setting
UK NHS secondary care organisations providing maternity care.
Findings
heads of midwifery from 107 (68%) of 157 NHS organisations responded, with 108 questionnaires returned as two organisations had recently merged. All organisations, apart from one which only had a free-standing midwifery unit, had introduced EWS. Nearly all respondents (99%) reported EWS were used by midwives antenatally, 76% in labour and 100% on the postnatal ward. All EWS charts included body temperature, heart rate, respiratory rate, systolic blood pressure and oxygen saturation although parameters for escalation varied widely. Barriers to use of EWS by midwives included overlap with the partogram in labour, and staff shortages and delays obtaining clinical review when referral was triggered. Two-thirds considered EWS prevented maternal morbidity although few could provide supporting evidence, for example, audit findings. Training for midwives in use of EWS was available in 83% of organisations.
Conclusion
most UK midwives are using EWS, with the highest use in obstetric units. The heterogeneity of EWS currently used potentially limits collation of evidence to inform appropriate system level responses. Research is needed to evaluate the role of EWS to prevent maternal morbidity during and after pregnancy in different maternity settings.
https://eprints.bournemouth.ac.uk/22169/
Source: BURO EPrints