Structural and Process Factors Influencing Documentation Practice in Private and Public Labour Wards of Parirenyatwa Maternity Hospital, Zimbabwe

Esther Hazvinei Mutema; Clara Haruzivish; Maxwell Mhlanga

doi:doi:10.11648/j.ajns.20241304.13

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Structural and Process Factors Influencing Documentation Practice in Private and Public Labour Wards of Parirenyatwa Maternity Hospital, Zimbabwe

Esther Hazvinei Mutema

, Clara Haruzivish

, Maxwell Mhlanga^*

Published in American Journal of Nursing Science (Volume 13, Issue 4)

Received: 12 July 2024 Accepted: 2 August 2024 Published: 27 August 2024

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Abstract

Background: Documentation is crucial for evidence-based nursing. Proper documentation ensures effective communication and quality patient care, while poor documentation compromises care. This study compared structural and process factors affecting documentation quality and patient outcomes in private and public labor wards at Parirenyatwa Mbuya Nehanda Maternity Hospital (MNMH). Methods: A multiple methods approach was used. A total of 177 records were assessed for quality documentation, and 10 midwives were observed on practice documentation. Additionally, 116 interviews were conducted with midwives to elicit information on documentation practices. Data was collected and quantitative data was analyzed using Statistical Package for Social Sciences version (SPSS version 20). Qualitative data was manually analysed and thematic analysis was used to generate codes and themes. Quantitative data was presented in tables, graphs, as frequencies and percentages while qualitative data was presented in narrative form. Results: With regards to structural factors, being in a public labour ward was significantly associated with increased the likelihood of higher nurse to patient ratio compared to being in a private labour ward (p=0.002). No process indicator was significantly associated with the type of labour. Those in the public labour ward were more likely to have complications and admitted in (Neonatal Intensive Care Unit) NICU (p=0.008). Conclusion: The study determined that there was poor documentation practice in both public and private labour wards. Though there was a high level of awareness of critical aspects of labour to document and the importance of documentation by midwives from both wards, this did not necessarily translate to practice. There is a need to also formulate standard operating protocols and guidelines to guide and standardize documentation at MNMH.

Published in	American Journal of Nursing Science (Volume 13, Issue 4)
DOI	10.11648/j.ajns.20241304.13
Page(s)	86-97
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Labour Ward, Documentation, Quality, Health Outcomes, Structural Factors

References

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APA Style

Mutema, E. H., Haruzivish, C., Mhlanga, M. (2024). Structural and Process Factors Influencing Documentation Practice in Private and Public Labour Wards of Parirenyatwa Maternity Hospital, Zimbabwe. American Journal of Nursing Science, 13(4), 86-97. https://doi.org/10.11648/j.ajns.20241304.13

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ACS Style

Mutema, E. H.; Haruzivish, C.; Mhlanga, M. Structural and Process Factors Influencing Documentation Practice in Private and Public Labour Wards of Parirenyatwa Maternity Hospital, Zimbabwe. Am. J. Nurs. Sci. 2024, 13(4), 86-97. doi: 10.11648/j.ajns.20241304.13

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AMA Style

Mutema EH, Haruzivish C, Mhlanga M. Structural and Process Factors Influencing Documentation Practice in Private and Public Labour Wards of Parirenyatwa Maternity Hospital, Zimbabwe. Am J Nurs Sci. 2024;13(4):86-97. doi: 10.11648/j.ajns.20241304.13

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@article{10.11648/j.ajns.20241304.13,
  author = {Esther Hazvinei Mutema and Clara Haruzivish and Maxwell Mhlanga},
  title = {Structural and Process Factors Influencing Documentation Practice in Private and Public Labour Wards of Parirenyatwa Maternity Hospital, Zimbabwe
},
  journal = {American Journal of Nursing Science},
  volume = {13},
  number = {4},
  pages = {86-97},
  doi = {10.11648/j.ajns.20241304.13},
  url = {https://doi.org/10.11648/j.ajns.20241304.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20241304.13},
  abstract = {Background: Documentation is crucial for evidence-based nursing. Proper documentation ensures effective communication and quality patient care, while poor documentation compromises care. This study compared structural and process factors affecting documentation quality and patient outcomes in private and public labor wards at Parirenyatwa Mbuya Nehanda Maternity Hospital (MNMH). Methods: A multiple methods approach was used. A total of 177 records were assessed for quality documentation, and 10 midwives were observed on practice documentation. Additionally, 116 interviews were conducted with midwives to elicit information on documentation practices. Data was collected and quantitative data was analyzed using Statistical Package for Social Sciences version (SPSS version 20). Qualitative data was manually analysed and thematic analysis was used to generate codes and themes. Quantitative data was presented in tables, graphs, as frequencies and percentages while qualitative data was presented in narrative form. Results: With regards to structural factors, being in a public labour ward was significantly associated with increased the likelihood of higher nurse to patient ratio compared to being in a private labour ward (p=0.002). No process indicator was significantly associated with the type of labour. Those in the public labour ward were more likely to have complications and admitted in (Neonatal Intensive Care Unit) NICU (p=0.008). Conclusion: The study determined that there was poor documentation practice in both public and private labour wards. Though there was a high level of awareness of critical aspects of labour to document and the importance of documentation by midwives from both wards, this did not necessarily translate to practice. There is a need to also formulate standard operating protocols and guidelines to guide and standardize documentation at MNMH.
},
 year = {2024}
}

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TY  - JOUR
T1  - Structural and Process Factors Influencing Documentation Practice in Private and Public Labour Wards of Parirenyatwa Maternity Hospital, Zimbabwe

AU  - Esther Hazvinei Mutema
AU  - Clara Haruzivish
AU  - Maxwell Mhlanga
Y1  - 2024/08/27
PY  - 2024
N1  - https://doi.org/10.11648/j.ajns.20241304.13
DO  - 10.11648/j.ajns.20241304.13
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 86
EP  - 97
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20241304.13
AB  - Background: Documentation is crucial for evidence-based nursing. Proper documentation ensures effective communication and quality patient care, while poor documentation compromises care. This study compared structural and process factors affecting documentation quality and patient outcomes in private and public labor wards at Parirenyatwa Mbuya Nehanda Maternity Hospital (MNMH). Methods: A multiple methods approach was used. A total of 177 records were assessed for quality documentation, and 10 midwives were observed on practice documentation. Additionally, 116 interviews were conducted with midwives to elicit information on documentation practices. Data was collected and quantitative data was analyzed using Statistical Package for Social Sciences version (SPSS version 20). Qualitative data was manually analysed and thematic analysis was used to generate codes and themes. Quantitative data was presented in tables, graphs, as frequencies and percentages while qualitative data was presented in narrative form. Results: With regards to structural factors, being in a public labour ward was significantly associated with increased the likelihood of higher nurse to patient ratio compared to being in a private labour ward (p=0.002). No process indicator was significantly associated with the type of labour. Those in the public labour ward were more likely to have complications and admitted in (Neonatal Intensive Care Unit) NICU (p=0.008). Conclusion: The study determined that there was poor documentation practice in both public and private labour wards. Though there was a high level of awareness of critical aspects of labour to document and the importance of documentation by midwives from both wards, this did not necessarily translate to practice. There is a need to also formulate standard operating protocols and guidelines to guide and standardize documentation at MNMH.

VL  - 13
IS  - 4
ER  -

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Author Information

Esther Hazvinei Mutema

Nursing Science Department, University of Zimbabwe, Harare, Zimbabwe

Contact Email

http://orcid.org/0009-0008-1284-4864
Clara Haruzivish

Nursing Science Department, University of Zimbabwe, Harare, Zimbabwe

Contact Email

http://orcid.org/0000-0002-4574-1158
Maxwell Mhlanga

Centre of Gender Equity, University of Global Health Equity, Kigali, Rwanda

Contact Email

http://orcid.org/0000-0003-4312-3097

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APA Style

Mutema, E. H., Haruzivish, C., Mhlanga, M. (2024). Structural and Process Factors Influencing Documentation Practice in Private and Public Labour Wards of Parirenyatwa Maternity Hospital, Zimbabwe. American Journal of Nursing Science, 13(4), 86-97. https://doi.org/10.11648/j.ajns.20241304.13

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ACS Style

Mutema, E. H.; Haruzivish, C.; Mhlanga, M. Structural and Process Factors Influencing Documentation Practice in Private and Public Labour Wards of Parirenyatwa Maternity Hospital, Zimbabwe. Am. J. Nurs. Sci. 2024, 13(4), 86-97. doi: 10.11648/j.ajns.20241304.13

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AMA Style

Mutema EH, Haruzivish C, Mhlanga M. Structural and Process Factors Influencing Documentation Practice in Private and Public Labour Wards of Parirenyatwa Maternity Hospital, Zimbabwe. Am J Nurs Sci. 2024;13(4):86-97. doi: 10.11648/j.ajns.20241304.13

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@article{10.11648/j.ajns.20241304.13,
  author = {Esther Hazvinei Mutema and Clara Haruzivish and Maxwell Mhlanga},
  title = {Structural and Process Factors Influencing Documentation Practice in Private and Public Labour Wards of Parirenyatwa Maternity Hospital, Zimbabwe
},
  journal = {American Journal of Nursing Science},
  volume = {13},
  number = {4},
  pages = {86-97},
  doi = {10.11648/j.ajns.20241304.13},
  url = {https://doi.org/10.11648/j.ajns.20241304.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20241304.13},
  abstract = {Background: Documentation is crucial for evidence-based nursing. Proper documentation ensures effective communication and quality patient care, while poor documentation compromises care. This study compared structural and process factors affecting documentation quality and patient outcomes in private and public labor wards at Parirenyatwa Mbuya Nehanda Maternity Hospital (MNMH). Methods: A multiple methods approach was used. A total of 177 records were assessed for quality documentation, and 10 midwives were observed on practice documentation. Additionally, 116 interviews were conducted with midwives to elicit information on documentation practices. Data was collected and quantitative data was analyzed using Statistical Package for Social Sciences version (SPSS version 20). Qualitative data was manually analysed and thematic analysis was used to generate codes and themes. Quantitative data was presented in tables, graphs, as frequencies and percentages while qualitative data was presented in narrative form. Results: With regards to structural factors, being in a public labour ward was significantly associated with increased the likelihood of higher nurse to patient ratio compared to being in a private labour ward (p=0.002). No process indicator was significantly associated with the type of labour. Those in the public labour ward were more likely to have complications and admitted in (Neonatal Intensive Care Unit) NICU (p=0.008). Conclusion: The study determined that there was poor documentation practice in both public and private labour wards. Though there was a high level of awareness of critical aspects of labour to document and the importance of documentation by midwives from both wards, this did not necessarily translate to practice. There is a need to also formulate standard operating protocols and guidelines to guide and standardize documentation at MNMH.
},
 year = {2024}
}

Copy | Download

TY  - JOUR
T1  - Structural and Process Factors Influencing Documentation Practice in Private and Public Labour Wards of Parirenyatwa Maternity Hospital, Zimbabwe

AU  - Esther Hazvinei Mutema
AU  - Clara Haruzivish
AU  - Maxwell Mhlanga
Y1  - 2024/08/27
PY  - 2024
N1  - https://doi.org/10.11648/j.ajns.20241304.13
DO  - 10.11648/j.ajns.20241304.13
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 86
EP  - 97
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20241304.13
AB  - Background: Documentation is crucial for evidence-based nursing. Proper documentation ensures effective communication and quality patient care, while poor documentation compromises care. This study compared structural and process factors affecting documentation quality and patient outcomes in private and public labor wards at Parirenyatwa Mbuya Nehanda Maternity Hospital (MNMH). Methods: A multiple methods approach was used. A total of 177 records were assessed for quality documentation, and 10 midwives were observed on practice documentation. Additionally, 116 interviews were conducted with midwives to elicit information on documentation practices. Data was collected and quantitative data was analyzed using Statistical Package for Social Sciences version (SPSS version 20). Qualitative data was manually analysed and thematic analysis was used to generate codes and themes. Quantitative data was presented in tables, graphs, as frequencies and percentages while qualitative data was presented in narrative form. Results: With regards to structural factors, being in a public labour ward was significantly associated with increased the likelihood of higher nurse to patient ratio compared to being in a private labour ward (p=0.002). No process indicator was significantly associated with the type of labour. Those in the public labour ward were more likely to have complications and admitted in (Neonatal Intensive Care Unit) NICU (p=0.008). Conclusion: The study determined that there was poor documentation practice in both public and private labour wards. Though there was a high level of awareness of critical aspects of labour to document and the importance of documentation by midwives from both wards, this did not necessarily translate to practice. There is a need to also formulate standard operating protocols and guidelines to guide and standardize documentation at MNMH.

VL  - 13
IS  - 4
ER  -

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