ArticleBMC health services research2021
Using a human-centred design approach to develop a comprehensive newborn monitoring chart for inpatient care in Kenya.
Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 38 citations in OpenAlex.
- Human-centred design bolsters vaccine confidence in the Philippines: results of a randomised controlled trial.BMJ global health · 2023Trial
- Exploring change mechanisms of implementation strategies for providing guideline-adherent care by interprofessional teams in inpatient settings: a realist synthesis.Implementation science : IS · 2026Article
- Design and content of health facility routine data recording and reporting forms for maternal, newborn, and child health: a scoping review of literature.JAMIA open · 2026Review
- Culturally and linguistically appropriate vaccine education (CLAVE) for Indigenous communities: design and implementation study of a community-based approach to digital vaccine education in the Central Highlands of Guatemala.International journal for equity in health · 2026Article
- Using a novel hybrid AI-based paper-to-digital pipeline for extracting patient-level clinical data from routine hospital records in Kenya: a retrospective multicentre study.BMJ digital health & AI · 2026Article
- Co-design and implementation of nursing handover improvement tool in Kenyan newborn units: a pilot study.BMC nursing · 2025Article
- Article
- Response to patient safety incidents in healthcare settings in Ghana: the role of teamwork, communication openness, and handoffs.BMC health services research · 2023Article
- Development of a small and sick newborn clinical audit tool and its implementation guide using a human-centred design approach newborn clinical audit process and design.PLOS global public health · 2023Article
- Evaluating the documentation of vital signs following implementation of a new comprehensive newborn monitoring chart in 19 hospitals in Kenya: A time series analysis.PLOS global public health · 2023Article
- Improving facility-based care: eliciting tacit knowledge to advance intervention design.BMJ global health · 2022Article
- Implementing a comprehensive newborn monitoring chart: Barriers, enablers, and opportunities.PLOS global public health · 2022Article
- Improving in-patient neonatal data quality as a pre-requisite for monitoring and improving quality of care at scale: A multisite retrospective cohort study in Kenya.PLOS global public health · 2022Article
Corrections and comments
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Authors and funding
8 authors at 7 institutions in 8 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionJob aids such as observation charts are commonly used to record inpatient nursing observations. For sick newborns, it is important to provide critical information, intervene, and tailor treatment to improve health outcomes, as countries work towards reducing neonatal mortality. However, inpatient vital sign readings are often poorly documented and little attention has been paid to the process of chart design as a method of improving care quality. Poorly designed charts do not meet user needs leading to increased mental effort, duplication, suboptimal documentation and fragmentation. We provide a detailed account of a process of designing a monitoring chart.
methodsWe used a Human-Centred Design (HCD) approach to co-design a newborn monitoring chart between March and May 2019 in three workshops attended by 16-21 participants each (nurses and doctors) drawn from 14 hospitals in Kenya. We used personas, user story mapping during the workshops and observed chart completion to identify challenges with current charts and design requirements. Two new charts were piloted in four hospitals between June 2019 and February 2020 and revised in a cyclical manner.
resultsChallenges were identified regarding the chart design and supply, and how staff used existing charts. Challenges to use included limited staffing, a knowledge deficit among junior staff, poor interprofessional communication, and lack of appropriate and working equipment. We identified a strong preference from participants for one chart to capture vital signs, assessment of the baby, and feed and fluid prescription and monitoring; data that were previously captured on several charts. DISCUSSION: Adopting a Human-Centred Design approach, we designed a new comprehensive newborn monitoring chart that is unlike observation charts in the literature that only focus on vital signs. While the new chart does not address all needs, we believe that once implemented, it can help build a clearer picture of the care given to newborns.
conclusionThe chart was co-designed and piloted with the user and context in mind resulting in a unique monitoring chart that can be adopted in similar settings.
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