Antenatal and intrapartum care for women with gestational
diabetes: a best practice implementation project

J 2023

Antenatal and intrapartum care for women with gestational diabetes: a best practice implementation project

STAN, Daniela, Doina C MAZILU, Mariana ZAZU, Viorica NEDELCU, Monica TEODOR et. al.

Základní údaje

Originální název

Antenatal and intrapartum care for women with gestational diabetes: a best practice implementation project

Autoři

STAN, Daniela, Doina C MAZILU, Mariana ZAZU, Viorica NEDELCU, Monica TEODOR, Elvira BRATILA, Tereza VRBOVÁ (203 Česká republika, domácí), Miloslav KLUGAR (203 Česká republika, domácí) a Jitka KLUGAROVÁ (203 Česká republika, domácí)

Vydání

JBI EVIDENCE IMPLEMENTATION, PHILADELPHIA, LIPPINCOTT WILLIAMS & WILKINS, 2023, 2691-3321

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30230 Other clinical medicine subjects

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 2.300 v roce 2022

Kód RIV

RIV/00216224:14110/23:00133704

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.1097/XEB.0000000000000392

UT WoS

001111566500004

Klíčová slova anglicky

evidence-based practice; gestational diabetes; implementation project; midwives; nurses

Štítky

14119612, 14119613, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 29. 2. 2024 15:03, Mgr. Tereza Miškechová

Anotace

V originále

Objectives:This project aimed to improve the quality of antenatal and intrapartum care for women with gestational diabetes (GD) by increasing nursing and midwifery care compliance with best practice recommendations.Introduction:GD is one of the most common diseases that can lead to several important maternal and fetal complications.Methods:This project was based on JBI's evidence implementation approach and included a baseline audit, the implementation of strategies, and a follow-up audit. The project was conducted in an obstetrics-gynecology department of a hospital in Bucharest, and the sample included 30 pregnant women with GD from that ward.Results:Regarding antenatal care, the baseline audit revealed low compliance (63%-87%) for criterion 2 (specific education), criterion 3 (multidisciplinary team), criterion 4 (individualized care plan), criterion 5 (training on self-monitoring), criterion 8 (dietician consultation), and criterion 10 (physical exercise program). Compliance with criterion 9 (physiotherapist consultation) was nil. Higher compliance (90%-100%) was reported for criterion 1 (screening for GD), criterion 6 (self-monitoring), and criterion 7 (maintenance of glycemic values). The intrapartum care audit criteria regarding maintaining blood glucose levels had compliance rates of 97% (criteria 13 and 14), 73% (criterion 11), and 67% (criterion 12). As a result of implementing the most appropriate strategies, maximum improvement was observed for all 12 audit criteria found to be deficient in the baseline audit.Conclusions:Strategies were identified and applied to successfully implement the best practices (educational programs and improved procedures). However, specific actions, such as regular targeted audits and continuous monitoring, are needed to maintain long-term results.

Citovat

STAN, Daniela, Doina C MAZILU, Mariana ZAZU, Viorica NEDELCU, Monica TEODOR, Elvira BRATILA, Tereza VRBOVÁ, Miloslav KLUGAR a Jitka KLUGAROVÁ. Antenatal and intrapartum care for women with gestational diabetes: a best practice implementation project. JBI EVIDENCE IMPLEMENTATION. PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS, 2023, roč. 21, S1, s. "S38"-"S46", 9 s. ISSN 2691-3321. Dostupné z: https://dx.doi.org/10.1097/XEB.0000000000000392.

@article{2379989,
   author = {Stan, Daniela and Mazilu, Doina C and Zazu, Mariana and Nedelcu, Viorica and Teodor, Monica and Bratila, Elvira and Vrbová, Tereza and Klugar, Miloslav and Klugarová, Jitka},
   article_location = {PHILADELPHIA},
   article_number = {S1},
   doi = {http://dx.doi.org/10.1097/XEB.0000000000000392},
   keywords = {evidence-based practice; gestational diabetes; implementation project; midwives; nurses},
   language = {eng},
   issn = {2691-3321},
   journal = {JBI EVIDENCE IMPLEMENTATION},
   title = {Antenatal and intrapartum care for women with gestational diabetes: a best practice implementation project},
   url = {https://journals.lww.com/ijebh/fulltext/2023/12001/antenatal_and_intrapartum_care_for_women_with.5.aspx},
   volume = {21},
   year = {2023}
}

TY  - JOUR
ID  - 2379989
AU  - Stan, Daniela - Mazilu, Doina C - Zazu, Mariana - Nedelcu, Viorica - Teodor, Monica - Bratila, Elvira - Vrbová, Tereza - Klugar, Miloslav - Klugarová, Jitka
PY  - 2023
TI  - Antenatal and intrapartum care for women with gestational diabetes: a best practice implementation project
JF  - JBI EVIDENCE IMPLEMENTATION
VL  - 21
IS  - S1
SP  - "S38"-"S46"
EP  - "S38"-"S46"
PB  - LIPPINCOTT WILLIAMS & WILKINS
SN  - 26913321
KW  - evidence-based practice
KW  - gestational diabetes
KW  - implementation project
KW  - midwives
KW  - nurses
UR  - https://journals.lww.com/ijebh/fulltext/2023/12001/antenatal_and_intrapartum_care_for_women_with.5.aspx
N2  - Objectives:This project aimed to improve the quality of antenatal and intrapartum care for women with gestational diabetes (GD) by increasing nursing and midwifery care compliance with best practice recommendations.Introduction:GD is one of the most common diseases that can lead to several important maternal and fetal complications.Methods:This project was based on JBI's evidence implementation approach and included a baseline audit, the implementation of strategies, and a follow-up audit. The project was conducted in an obstetrics-gynecology department of a hospital in Bucharest, and the sample included 30 pregnant women with GD from that ward.Results:Regarding antenatal care, the baseline audit revealed low compliance (63%-87%) for criterion 2 (specific education), criterion 3 (multidisciplinary team), criterion 4 (individualized care plan), criterion 5 (training on self-monitoring), criterion 8 (dietician consultation), and criterion 10 (physical exercise program). Compliance with criterion 9 (physiotherapist consultation) was nil. Higher compliance (90%-100%) was reported for criterion 1 (screening for GD), criterion 6 (self-monitoring), and criterion 7 (maintenance of glycemic values). The intrapartum care audit criteria regarding maintaining blood glucose levels had compliance rates of 97% (criteria 13 and 14), 73% (criterion 11), and 67% (criterion 12). As a result of implementing the most appropriate strategies, maximum improvement was observed for all 12 audit criteria found to be deficient in the baseline audit.Conclusions:Strategies were identified and applied to successfully implement the best practices (educational programs and improved procedures). However, specific actions, such as regular targeted audits and continuous monitoring, are needed to maintain long-term results.
ER  -

STAN, Daniela, Doina C MAZILU, Mariana ZAZU, Viorica NEDELCU, Monica TEODOR, Elvira BRATILA, Tereza VRBOVÁ, Miloslav KLUGAR a Jitka KLUGAROVÁ. Antenatal and intrapartum care for women with gestational diabetes: a best practice implementation project. \textit{JBI EVIDENCE IMPLEMENTATION}. PHILADELPHIA: LIPPINCOTT WILLIAMS \&{} WILKINS, 2023, roč.~21, S1, s.~''S38''-''S46'', 9 s. ISSN~2691-3321. Dostupné z: https://dx.doi.org/10.1097/XEB.0000000000000392.

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