Jacobeth ML Malesela
Sefako Makgatho Health Sciences University, South Africa
Title: Model to facilitate best practice during intrapartum care at a public hospital in Gauteng
Biography
Biography: Jacobeth ML Malesela
Abstract
The purpose was to describe a model to facilitate best practice during intrapartum care. A contextual, qualitative, explorative, descriptive research design for theory generation has been used. The study consist of four phases: Phase One focuses on exploration and description of the meaning of the concept ‘best practice’ during intrapartum care. The results thereof were used to direct data collection during the empirical phase. Phase Two explores the perceptions of midwives regarding how best practice can be facilitated during intrapartum care. A non-probability, purposive sampling method was used to select a sample of registered midwives willing to participate in three sessions of semi-structured agenda-focused group interviews. Data saturation occurred during the third agenda-focused group interview session. A qualitative method was used to analyse data. An independent co-coder was involved in data analysis followed by a consensus discussion meeting between the researcher and the co-coder to finalise the findings. The findings in phase two include values and ethical practice; enabling environment, introspection, and needs analysis; effective and efficient clinical practice; professionalism/regulatory framework; and strong leadership and clinical governance. The researcher held a follow-up interview to verify the findings. The trustworthiness was ensured and the ethical principles were adhered to throughout the study. Phase three involve conceptualisation of the findings. Phase four describes and evaluates the model followed by a description of the guidelines to operationalise the model. The original contribution of the study is justified, limitations and the recommendations are made. The concept of best practice during intrapartum care is cyclical in nature and is continuously evolving.