Simplifying the language of fetal monitoring.

Attitude of Health Personnel Australia Data Display Female Fetal Monitoring Humans New Zealand Practice Guidelines as Topic Practice Patterns, Physicians' Pregnancy
cardiotocogram electronic fetal monitoring health education learning practice guidelines

Journal

The Australian & New Zealand journal of obstetrics & gynaecology
ISSN: 1479-828X
Titre abrégé: Aust N Z J Obstet Gynaecol
Pays: Australia
ID NLM: 0001027

Informations de publication

Date de publication:
08 2019
Historique:
received: 05 07 2018
accepted: 19 10 2018
pubmed: 22 11 2018
medline: 26 6 2020
entrez: 22 11 2018
Statut: ppublish

Résumé

Health professionals in Australia and New Zealand have used various intrapartum fetal surveillance (IFS) guidelines, with clear differences in how these guidelines present information. Based on clinician feedback, the 2015 Queensland Clinical Guideline on IFS structured the prose-based Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) IFS Guidelines as a traffic-light matrix and represented the categorical terms of unlikely, maybe, possible and likely fetal compromise, as the colours GREEN, BLUE, AMBER, and RED, respectively. To determine whether the interpretation of the RANZCOG IFS Guidelines in Table Format is more accurate and quicker compared to the current presentation of the RANZCOG Guideline in prose format. Twenty-nine clinicians, naïve to the use of the RANZCOG IFS Guidelines, interpreted ten cardiotocographs (CTGs) using one format and then the alternative format (totalling 580 CTG interpretations). Accuracy and time to decision were recorded as well as a participant questionnaire. A repeated measures analysis of variance was used to compare differences. Compared to prose format, clinicians interpreted CTGs quicker using the table format (P < 0.01), especially CTGs representative of unlikely and maybe fetal compromise. There was a trend toward more accurate interpretation for table format for all clinicians, with significance among medical officers (P = 0.02). Participants responded more favourably to the table format regarding questions about ease of use, determining actions required, and desire to use the system in the future (P < 0.01). Presenting the RANZCOG IFS Guideline in table format as opposed to prose format improved the speed and accuracy of CTG interpretation and is preferred by clinicians.

Sections du résumé

BACKGROUND
Health professionals in Australia and New Zealand have used various intrapartum fetal surveillance (IFS) guidelines, with clear differences in how these guidelines present information. Based on clinician feedback, the 2015 Queensland Clinical Guideline on IFS structured the prose-based Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) IFS Guidelines as a traffic-light matrix and represented the categorical terms of unlikely, maybe, possible and likely fetal compromise, as the colours GREEN, BLUE, AMBER, and RED, respectively.
AIMS
To determine whether the interpretation of the RANZCOG IFS Guidelines in Table Format is more accurate and quicker compared to the current presentation of the RANZCOG Guideline in prose format.
MATERIALS AND METHOD
Twenty-nine clinicians, naïve to the use of the RANZCOG IFS Guidelines, interpreted ten cardiotocographs (CTGs) using one format and then the alternative format (totalling 580 CTG interpretations). Accuracy and time to decision were recorded as well as a participant questionnaire. A repeated measures analysis of variance was used to compare differences.
RESULTS
Compared to prose format, clinicians interpreted CTGs quicker using the table format (P < 0.01), especially CTGs representative of unlikely and maybe fetal compromise. There was a trend toward more accurate interpretation for table format for all clinicians, with significance among medical officers (P = 0.02). Participants responded more favourably to the table format regarding questions about ease of use, determining actions required, and desire to use the system in the future (P < 0.01).
CONCLUSIONS
Presenting the RANZCOG IFS Guideline in table format as opposed to prose format improved the speed and accuracy of CTG interpretation and is preferred by clinicians.

Identifiants

DOI: 10.1111/ajo.12929 PMID: 30460717
pubmed: 30460717
doi: 10.1111/ajo.12929
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

538-544

Informations de copyright

© 2018 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists.

Auteurs

Melissa Yeoh (M)

Department of Obstetrics and Gynaecology, Mater Health, Brisbane, Queensland, Australia.
ORCID: 0000-0003-3845-1213

Devini Ameratunga (D)

Department of Obstetrics and Gynaecology, Mater Health, Brisbane, Queensland, Australia.
School of Medicine, The University of Queensland, Brisbane, Queensland, Australia.

Jacinta Lee (J)

Queensland Clinical Guidelines, Queensland Health, Brisbane, Queensland, Australia.

Michael Beckmann (M)

Mothers Babies and Women's Health Services Mater Health, Mater Research, The University of Queensland, Brisbane, Queensland, Australia.

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Classifications MeSH

questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Prestations des soins de santé › Attitude du personnel soignant › Simplifying the language of fetal monitoring.
questionsmedicales.fr › Régions géographiques › Océanie › Australasie › Australie › Simplifying the language of fetal monitoring.
questionsmedicales.fr › Sciences de l'information › Affichage de données › Simplifying the language of fetal monitoring.
questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Monitorage physiologique › Surveillance de l'activité foetale › Simplifying the language of fetal monitoring.
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Simplifying the language of fetal monitoring.
questionsmedicales.fr › Régions géographiques › Océanie › Australasie › Nouvelle-Zélande › Simplifying the language of fetal monitoring.
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Assurance de la qualité des soins de santé › Recommandations comme sujet › Guides de bonnes pratiques cliniques comme sujet › Simplifying the language of fetal monitoring.
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Prestations des soins de santé › Types de pratiques des médecins › Simplifying the language of fetal monitoring.
questionsmedicales.fr › Phénomènes physiologiques des appareils urinaire et reproducteur › Phénomènes physiologiques de la reproduction › Reproduction › Grossesse › Simplifying the language of fetal monitoring.