Evidence map›Paper›PMID 31182055›Full record

ArticleBMC pregnancy and childbirth2019

Identifying and prioritising midwifery care process metrics and indicators: a Delphi survey and stakeholder consensus process.

Declan Devane, Nora Barrett, Anne Gallen, Mary Frances O'Reilly, Margaret Nadin, Gillian Conway, Linda Biesty, Valerie Smith

Open access · goldAbstract readConsensus Statement
In one paragraph

Article in BMC pregnancy and childbirth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
5.2field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 43 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Declan DevaneSchool of Nursing and Midwifery & HRB-Trials Methodology Research Network National University Ireland Galway, Galway, Ireland.
Nora BarrettSchool of Nursing and Midwifery, National University Ireland Galway, Galway, Ireland.
Anne GallenNursing and Midwifery Planning and Development Unit, Health Services Executive, North-West, Galway, Ireland.
Mary Frances O'ReillyNursing and Midwifery Planning and Development Unit, Health Services Executive, West/Mid-West, Galway, Ireland.
Margaret NadinNursing and Midwifery Planning and Development Unit, Health Services Executive, Dublin, North East, Ireland.
Gillian ConwayNursing and Midwifery Planning and Development Unit, Health Services Executive, West/Mid-West, Galway, Ireland.
Linda BiestySchool of Nursing and Midwifery, National University Ireland Galway, Galway, Ireland.
Valerie SmithSchool of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland. smithv1@tcd.ie.ORCID http://orcid.org/0000-0003-2249-6038
Health Service Executive · IEOllscoil na Gaillimhe – University of Galway · IETrials Methodology Research Network · IETrinity College Dublin · IE

Funding

Office of Nursing and Midwifery Services Directorate, Health Service Executive N/A
6 · The paper itself

Abstract

backgroundMeasuring care processes is an important component of any effort to improve care quality, however knowing the appropriate metrics to measure is a challenge both in Ireland and other countries. Quality of midwifery care depends on the expert knowledge of the midwife and her/his contribution to women and their babies' safety in the healthcare environment. Therefore midwives need to be able to clearly articulate and measure what it is that they do, the dimensions of their professional practice frequently referred to as midwifery care processes. The objective of this paper is to report on the development and prioritisation of a national suite of Quality Care Metrics (QCM), and their associated indicators, for midwifery care processes in Ireland.

methodsThe study involved four discrete, yet complimentary, phases; i) a systematic literature review to identify midwifery care process metrics and their associated measurement indicators; ii) a two-round, online Delphi survey of midwives to develop consensus on the set of midwifery care process metrics to be measured; iii) a two-round online Delphi survey of midwives to develop consensus on the indicators that will be used to measure prioritised metrics; and iv) a face-to-face consensus meeting with midwives to review the findings and achieve consensus on the final suite of metrics and indicators.

resultsFollowing the consensus meeting, 18 metrics and 93 indicators were prioritised for inclusion in the suite of QCM Midwifery Metrics. These metrics span the pregnancy, birth and postpartum periods.

conclusionThe development of this suite of process metrics and indicators for midwifery care provides an opportunity for measuring the safety and quality of midwifery care in Ireland and for adapting internationally. This initial work should be followed by a rigorous evaluation of the impact of the new suite of metrics on midwifery care processes.

Indexed as

Maternal-Child Health ServicesMidwiferyQuality ImprovementQuality Indicators, Health CareBenchmarkingDelphi TechniqueFemaleHealth Knowledge, Attitudes, PracticeHumansIrelandPregnancyStakeholder ParticipationDelphi surveyMidwifery care processesQuality care metrics

Identifiers

PMID31182055
PMCPMC6558705
OpenAlexW2950525228

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.