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Improving the knowledge of labour and delivery nurses in India: a randomized controlled trial of mentoring and case sheets in primary care centres
Open accessAbstract
BACKGROUND: Birthing in health facilities in India has increased over the last few years, yet maternal and neonatal mortality rates remain high. Clinical mentoring with case sheets or checklists for nurses is viewed as essential for on-going knowledge transfer, particularly where basic training is inadequate. This paper summarizes a study of the effect of such a programme on staff knowledge and skills in a randomized trial of 295 nurses working in 108 Primary Health Centres (PHCs) in Karnataka, India. METHODS: Stratifying by district, half of the PHCs were randomly assigned to be intervention sites and provided with regular mentoring visits where case sheet/checklists were a central job and teaching aid, and half to be control sites, where no support was provided except provision of case sheets. Nurses' knowledge and skills around normal labour, labour complications and neonate issues were tested before the intervention began and again one year later. Univariate and multivariate analyses were conducted to examine the effect of mentoring and case sheets. RESULTS: Overall, on none of the 3 measures, did case sheet use without mentoring add anything to the basic nursing training when controlling for other factors. Only individuals who used both case-sheets and received mentoring scored significantly higher on the normal labour and neonate indices, scoring almost twice as high as those who only used case-sheets. This group was also associated with significantly higher scores on the complications of labour index, with their scores 2.3 times higher on average than the case sheet only control group. Individuals from facilities with 21 or more deliveries in a month tended to fare worse on all 3 indices. There were no differences in outcomes according to district or years of experience. CONCLUSIONS: This study demonstrates that provision of case sheets or checklists alone is insufficient to improve knowledge and practices. However, on-site mentoring in combination with case sheets can have a demonstrable effect on improving nurse knowledge and skills around essential obstetric and neonatal care in remote rural areas of India. We recommend scaling up of this mentoring model in order to improve staff knowledge and skills and reduce maternal and neonatal mortality in India. TRIAL REGISTRATION: This study is registered at clinicaltrials.gov, Identifier No. NCT02004912 , November 27, 2013.
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Nurse mentoring improves the MNCH-related knowledge and skills of providers in PHCs, as well as institutional readiness to provide quality care.
“We have previously demonstrated that nurse mentoring improves the MNCH-related knowledge and skills of providers in PHCs, as well as institutional readiness to provide quality care [10, 11].”
From Potential contributions of an on-site nurse mentoring program on neonatal mortality reductions in rural Karnataka state, South India: evidence from repeat community cross-sectional surveys (2020) · cites this paper as [11]
The Discussion reports that mentoring improved nurses’ knowledge and skills in PHCs. It also says outcomes were measured at the individual knowledge level and actual nurse practices were not assessed. The Methods describe efforts to improve service delivery, but the paper does not establish that institutional readiness improved. (LLM, conf=0.88)
Experimental — accuracy not yet measuredThe cluster randomized trial reported earlier did not collect data on neonatal mortality.
“The cluster randomized trial reported earlier did not collect data on neonatal mortality.”
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Cites
Midwifery scope of practice among staff nurses: A grounded theory study in Gujarat, India
Sharma, B., Johansson, E., Prakasamma, M., Mavalankar, D., & Christensson, K. (2013) · Midwifery · doi:10.1016/j.midw.2012.05.008 · Cited by 37
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Research works printed but not linked: 25
- UNFPA. The state of the world’s midwifery: A universal pathway. A woman’s right to health. New York: United Nations Population Fund; 2014.
- Registrar General of India. Maternal mortality in India: 1997–2003: trends, causes and risk factors. New Delhi: Office of the Registrar General of India; 2006. p. 23.
- Khan KS, Wojdyla D, Say L, Gulmezoglu AM, Van Look PF. WHO analysis of causes of maternal death: a systematic review. Lancet. 2006;367:1066–74. · DOI · Paper page
- Knight HE, Self A, Kennedy SH. Why are women dying when they reach hospital on time? A systematic review of the ‘third delay’. PLoS One. 2013;8(5):e63846. doi: 10.1371/journal.pone.0063846 . · DOI
- WHO. The world health report 2005: make every mother and child count. Geneva: World Health Organization; 2005.
- Paul VK, Sachdev HS, Mavalankar D, Ramachandran P, Sankar MJ, Bhandari N, et al. Reproductive health, and child health and nutrition in India: meeting the challenge. Lancet. 2011;377:332–49. · DOI
- The Million Death Study Collaborators. Causes of neonatal and child mortality in India; a nationally representative mortality survey. Lancet. 2010;376:1853–60. · DOI
- Rammohan A, Iqbal K, Awofeso N. Reducing neonatal mortality in India: critical role of access to emergency obstetric care. PLoS One. 2013. doi: 10.1371/journal.pone.0057244 . · DOI
- Lawn JE, Blencowe H, Oza S, You D, Lee ACC, Waiswa P, et al. Every newborn: progress, priorities, and potential beyond survival. Lancet. 2014;384:189–205. · DOI · Paper page
- Save the Children. State of the world’s mothers: surviving the first day. London: Save the Children International; 2013.
- Singh SK, Kaur R, Gupta M, Kumar R. Impact of national rural health mission on perinatal mortality in rural India. Indian Pediat. 2012;49:136–8. · DOI
- George A. Persistence of high maternal mortality in Koppal district, Karnataka, India: observed service delivery constraints. Reprod Health Matter. 2007;15(30):91–102. · DOI
- Mavalankar D, Raman PS, Vora K. Midwives of India: Missing in action. Midwifery. 2011;27:700–6. · DOI · Paper page
- Iyengar K, Iyengar SD. Emergency obstetric care and referral: experience of two midwife-led health centres in rural Rajasthan, India. Reprod Health Matter. 2009;17(33):9–20. · DOI
- WHO. WHO recommendations for clinical mentoring to support scale-up of HIV care, antiretroviral therapy and prevention in resource-constrained settings. Geneva: World Health Organization; 2005.
- Anatole M, Magge H, Redditt V, Karamaga A, Niyonzima S, Drobac P, et al. Nurse mentorship to improve the quality of health care delivery in rural Rwanda. Nurs Outlook. 2013;61(3):137–44. · DOI
- Rowe AK, de Savigny D, Lanata CF, Victora CG. How can we achieve and maintain high-quality performance of health workers in low-resource settings? Lancet. 2005;366:1026–35. · DOI
- Jayanna K, Mony P, Ramesh BM, Thomas A, Gaikwad A, Mohan HL, et al. Assessment of facility readiness and provider preparedness for dealing with postpartum haemorrhage and pre-eclampsia/eclampsia in public and private health facilities of northern Karnataka, India: a cross-sectional study. BMC Pregnancy Childbirth. 2014;14:304. http://www.biomedcentral.com/1471-2393/14/304 . · DOI
- Bradley S, Kamwendo F, Masanja H, de Pinho H, Waxman R, Boostrom C, et al. District health managers’ perceptions of supervision in Malawi and Tanzania. Hum Resour Health. 2013;11(1):43. http://www.human-resources-health.com/content/11/1/43 . · DOI
- Fischer EA, Cunningham T, Krishnamurthy J, Washington M, Mony P, Bradley J, et al. Nurse Mentors Catalyze Quality Improvement in Primary Health Centers: Lessons Learned from Implementation of a Pilot Program in Northern Karnataka, India. Global Health: Science and Practice. 2015;3(4):660–75.
- Spector JM, Lashoher A, Agrawal P, Lemer C, Dziekan G, Bahl R, et al. Designing the WHO safe childbirth checklist program to improve quality of care at childbirth. Int J Gynecol Obstet. 2013;122(92):164–8. · DOI
- Pardeshi GS, Dalvi SS, Pergulwar CR, Gite RN, Wanje SD. Trends in choosing place of delivery and assistance during delivery in Nanded District, Maharashtra, India. J Health Popul Nutr. 2011;29(1):71–6. · DOI
- Rao M, Rao KD, Kumar AKS, Chatterjee M, Sundararaman T. India: towards universal health coverage 5. Human resources for health in India. Lancet. 2011;377:587–98. · DOI
- Prasad R, Dasgupta R. Missing midwifery: relevance for contemporary challenges in maternal health. Indian J Community Med. 2013;38(1):9–14. · DOI
- Raha S, Bergman P, Bhatnagar A. Career preferences of medical and nursing students in Uttar Pradesh. In La Forgia J, Rao K. editors., India health beat. New Delhi: World Bank, New Delhi and Public Health Foundation of India; 2009. · DOI
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Banadakoppa Manjappa, R., Kar, A., Jayanna, K., Hallad, J. S., Cunningham, T., Potty, R., Mohan, H. L., Crockett, M., Bradley, J., Fischer, E., et al. (2020) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-020-02942-8 · Cited by 2
Self-citation
Metadata
- Authors
- Bradley, J., Jayanna, K., Shaw, S., Cunningham, T., Fischer, E., Mony, P., Ramesh, B. M., Moses, S., Avery, L., Crockett, M., & Blanchard, J. F.
- Affiliations
- University of Manitoba (CA)
- Karnataka Health Promotion Trust (IN)
- IntraHealth International (US)
- St. John's National Academy of Health Sciences (IN)
- Corresponding author
- Bradley, Janet
- ORCID
- Venue
- BMC Health Services Research
- Published
- 2017-01-07
- Volume
- 17
- Issue
- 1
- Pages
- 14-14
- ISSN
- 1472-6963 (ISSN-L)
- PMC
- PMC5219705
- OpenAlex
- W2571295064
- Cited by
- 24
- References
- 1
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 5 · 2022: 4 · 2021: 2 · 2020: 4 · 2019: 4 · 2018: 1 · 2017: 2
- FWCI
- 3.29
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Health Services Research (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Mspace (University of Manitoba) (submittedVersion)
- Funders
- Bill and Melinda Gates Foundation (OPPGH5310)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Health Sciences › Nursing › Research and Theory › Nursing education and management
- Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
- Keywords
- clinical mentorship, checklists, primary health centers, rural health workers, nursing competencies, normal labor, labor complications, neonatal care, maternal mortality, neonatal mortality, continuing professional development, Karnataka
- MeSH terms
- Mentoring, Clinical Competence, Female, Health Facilities, Humans, India, Infant, Newborn, Nursing Staff, Pregnancy, Primary Health Care, Delivery, Obstetric
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