Midwives’ perspectives about using individualized care plans in the provision of immediate postpartum care in Uganda; an exploratory qualitative study

Abstract Introduction Individualized care planning has been slowly integrated into practice in Uganda with minimal documentation of how the concept is applied in providing care. This study explored the perceptions of midwives about the use of individualized care plans (ICPs) in the provision of imme...

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Main Authors: Mariam Namutebi, Gorrette K. Nalwadda, Simon Kasasa, Patience A. Muwanguzi, Dan K. Kaye
Format: Article
Language:English
Published: BMC 2023-09-01
Series:BMC Nursing
Subjects:
Online Access:https://doi.org/10.1186/s12912-023-01512-5
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author Mariam Namutebi
Gorrette K. Nalwadda
Simon Kasasa
Patience A. Muwanguzi
Dan K. Kaye
author_facet Mariam Namutebi
Gorrette K. Nalwadda
Simon Kasasa
Patience A. Muwanguzi
Dan K. Kaye
author_sort Mariam Namutebi
collection DOAJ
description Abstract Introduction Individualized care planning has been slowly integrated into practice in Uganda with minimal documentation of how the concept is applied in providing care. This study explored the perceptions of midwives about the use of individualized care plans (ICPs) in the provision of immediate postpartum care. Methods An exploratory descriptive qualitative approach was used in this study. We interviewed fifty midwives from 37 health facilities in Uganda's greater Mpigi region. The midwives, who were certificate and diploma holders, were purposively enrolled in the selected facilities. Deductive content analysis was done based on the COM-B model. Results Four themes emerged from the data namely; compatibility, motivation, opportunities, and the midwives’ suggested strategies and targets for improved individualized care planning. The midwives were aware of individualized care planning and they utilized it in their provision of immediate postpartum care especially when assessing clients for risks, preparing clients for referral, caring for Human Immunodeficiency virus (HIV) exposed babies and their mothers, and educating/ supporting first-time mothers (automatic motivation). Having a good nurse-patient relationship, privacy, and ample time to care for the clients were noted as motivators for individualized care plan use, while poor documentation of care, high patient load, and perceived patients’ lack of understanding of the complexities of illness in the immediate postpartum period were the barriers (social opportunity) identified by midwives to the use of individualized care planning. Conclusion There are still capability, motivation, and opportunity hindrances to the use of individualized care planning. Staff recruitment, training, and harmonization of the documentation forms may improve the use of care plans in the postpartum period.
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spelling doaj.art-0c79a048f67f4875a19a12dfe91112662023-11-19T12:51:13ZengBMCBMC Nursing1472-69552023-09-0122112110.1186/s12912-023-01512-5Midwives’ perspectives about using individualized care plans in the provision of immediate postpartum care in Uganda; an exploratory qualitative studyMariam Namutebi0Gorrette K. Nalwadda1Simon Kasasa2Patience A. Muwanguzi3Dan K. Kaye4Department of Nursing, College of Health Sciences, School of Health Sciences, Makerere UniversityDepartment of Nursing, College of Health Sciences, School of Health Sciences, Makerere UniversityDepartment of Epidemiology and Biostatistics, College of Health Sciences, School of Public Health, Makerere UniversityDepartment of Nursing, College of Health Sciences, School of Health Sciences, Makerere UniversityDepartment of Obstetrics and Gynecology, College of Health Sciences, School of Medicine, Makerere UniversityAbstract Introduction Individualized care planning has been slowly integrated into practice in Uganda with minimal documentation of how the concept is applied in providing care. This study explored the perceptions of midwives about the use of individualized care plans (ICPs) in the provision of immediate postpartum care. Methods An exploratory descriptive qualitative approach was used in this study. We interviewed fifty midwives from 37 health facilities in Uganda's greater Mpigi region. The midwives, who were certificate and diploma holders, were purposively enrolled in the selected facilities. Deductive content analysis was done based on the COM-B model. Results Four themes emerged from the data namely; compatibility, motivation, opportunities, and the midwives’ suggested strategies and targets for improved individualized care planning. The midwives were aware of individualized care planning and they utilized it in their provision of immediate postpartum care especially when assessing clients for risks, preparing clients for referral, caring for Human Immunodeficiency virus (HIV) exposed babies and their mothers, and educating/ supporting first-time mothers (automatic motivation). Having a good nurse-patient relationship, privacy, and ample time to care for the clients were noted as motivators for individualized care plan use, while poor documentation of care, high patient load, and perceived patients’ lack of understanding of the complexities of illness in the immediate postpartum period were the barriers (social opportunity) identified by midwives to the use of individualized care planning. Conclusion There are still capability, motivation, and opportunity hindrances to the use of individualized care planning. Staff recruitment, training, and harmonization of the documentation forms may improve the use of care plans in the postpartum period.https://doi.org/10.1186/s12912-023-01512-5MidwivesIndividualized care planningPostpartum care
spellingShingle Mariam Namutebi
Gorrette K. Nalwadda
Simon Kasasa
Patience A. Muwanguzi
Dan K. Kaye
Midwives’ perspectives about using individualized care plans in the provision of immediate postpartum care in Uganda; an exploratory qualitative study
BMC Nursing
Midwives
Individualized care planning
Postpartum care
title Midwives’ perspectives about using individualized care plans in the provision of immediate postpartum care in Uganda; an exploratory qualitative study
title_full Midwives’ perspectives about using individualized care plans in the provision of immediate postpartum care in Uganda; an exploratory qualitative study
title_fullStr Midwives’ perspectives about using individualized care plans in the provision of immediate postpartum care in Uganda; an exploratory qualitative study
title_full_unstemmed Midwives’ perspectives about using individualized care plans in the provision of immediate postpartum care in Uganda; an exploratory qualitative study
title_short Midwives’ perspectives about using individualized care plans in the provision of immediate postpartum care in Uganda; an exploratory qualitative study
title_sort midwives perspectives about using individualized care plans in the provision of immediate postpartum care in uganda an exploratory qualitative study
topic Midwives
Individualized care planning
Postpartum care
url https://doi.org/10.1186/s12912-023-01512-5
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