TY - JOUR
T1 - Cardiotocography in practice
T2 - a qualitative study to explore obstetrical care professionals' experiences with using cardiotocography information in Dutch practice
AU - Romijn, A.
AU - Bakker, P. C. A. M.
AU - Teunissen, P. W.
N1 - Publisher Copyright: © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
PY - 2023/6/15
Y1 - 2023/6/15
N2 - OBJECTIVE: This study aimed to explore obstetric care professionals' experiences with using cardiotocograph (CTG) information and how they employ this tool in their practice. DESIGN: Qualitative study, involving 30 semi-structured interviews and two focus group sessions. Conventional content analysis was used for data analysis. SETTING: Amsterdam University Medical Centers in the Netherlands. PARTICIPANTS: In total, 43 care professionals participated. The respondents included obstetricians, residents in obstetrics and gynaecology, junior physicians, clinical midwives and nurses. FINDINGS: Three main categories were identified that influenced the use of cardiotocography in practice; (1) individual characteristics involving knowledge, experience and personal beliefs; (2) teams involving collaboration in and between shifts and (3) work environment involving equipment, culture and continuing development. CONCLUSION: This study underlines the importance of teamwork when working with cardiotocography in practice. There is a particular need to create shared responsibility among team members for cardiotocography interpretation and appropriate management, which should be addressed in educational programmes and regular multidisciplinary meetings, to allow learning from colleagues' perspectives.
AB - OBJECTIVE: This study aimed to explore obstetric care professionals' experiences with using cardiotocograph (CTG) information and how they employ this tool in their practice. DESIGN: Qualitative study, involving 30 semi-structured interviews and two focus group sessions. Conventional content analysis was used for data analysis. SETTING: Amsterdam University Medical Centers in the Netherlands. PARTICIPANTS: In total, 43 care professionals participated. The respondents included obstetricians, residents in obstetrics and gynaecology, junior physicians, clinical midwives and nurses. FINDINGS: Three main categories were identified that influenced the use of cardiotocography in practice; (1) individual characteristics involving knowledge, experience and personal beliefs; (2) teams involving collaboration in and between shifts and (3) work environment involving equipment, culture and continuing development. CONCLUSION: This study underlines the importance of teamwork when working with cardiotocography in practice. There is a particular need to create shared responsibility among team members for cardiotocography interpretation and appropriate management, which should be addressed in educational programmes and regular multidisciplinary meetings, to allow learning from colleagues' perspectives.
KW - Fetal medicine
KW - MEDICAL EDUCATION & TRAINING
KW - PERINATOLOGY
KW - QUALITATIVE RESEARCH
KW - Quality in health care
UR - http://www.scopus.com/inward/record.url?scp=85163903607&partnerID=8YFLogxK
U2 - https://doi.org/10.1136/bmjopen-2022-068162
DO - https://doi.org/10.1136/bmjopen-2022-068162
M3 - Article
C2 - 37321812
SN - 2044-6055
VL - 13
SP - e068162
JO - BMJ Open
JF - BMJ Open
IS - 6
M1 - e068162
ER -