Audit and evaluation

 Questionnaires for staff and service users

Staff and client surveys have been developed for both topics. These are available on ‘survey monkey’.

Audit tools

Audit tools are available  in some cases the draft tools are already being piloted.  They are benchmarking tools which can be used to audit internal practices and collect data not collected anywhere else.

Audit – Care at admission in labour

The primary aim of the audit form is to provide a regional service evaluation by collecting none identifiable data from each maternity care unit across the region at three distinct times for one week (week commencing 21st Nov, 19th March, 18th June). The outcomes being development of regional evidence of practice change in relation to the programme of ‘Getting it right from the start-care at admission in labour’

Since developing the audit tool, practitioners involved within the education and normal birth sub groups, the labour ward coordinators network and those attending the ‘Champion and Enabler training days’ have made suggestions of potential additional uses of the tool across clinical practice.

Suggested potential additional uses

  • Internal audit of practice - in addition to the regional data collection by HIEC, the tool can be used as an ongoing evaluation of practice internally, to provide evidence of the impact of practice change or to highlight that good practice already exists and contributes positively to normalising birth outcomes
  • Annual Professional Development Review - The tool could be used as a prompt for discussion of individual midwives contributions to increasing normal birth rates and in highlighting professional development and training needs
  • Annual supervisory review - The tool could be used as a reflective tool by supervisees to self audit.
  • Annual LSA audit – The tool could be used prior to the LSA annual audit to highlight practice issues/support needs and good practice example units which could then be showcased and provide experience based scenarios/examples of practice to share across the whole region.
  • Students – the tool could be used as a way of documenting student birth caseloads. It could also facilitate reflective care discussion between student and mentor providing a joint learning opportunity around providing normalising care pathways.

These are suggested uses and are by no means exhaustive. If your area feels that there is another potential use for this audit tool, please let us know.

You can contact the team via Pauline Holloway at: [email protected]

Audit – Bonding, attachment and breastfeeding in neonatal units

This project aims to increase the rates of kangaroo skin-to-skin contact and breastfeeding and breastmilk feeding for babies on neonatal units.

This project is working with staff in neonatal units in Yorkshire and North Trent neonatal networks. We are offering development and training programmes to support these changes in routine practice. As part of this we would like to pilot this audit tool with neonatal unit staff and ask your opinion on its usefulness.

This is what we are asking you to do:

Record: On the same day each week (for example Tuesday)

How many babies in your neonatal unit, in the last 24 hours, had more than 10minutes of kangaroo skin-to-skin care as part of their daily routine?

Defined as ongoing skin-to-skin contact with the infant held between the mother’s breasts in an upright position (Renfrew et al 2009)

Instructions for use of this audit tool:

Template to be completed by your unit Champion or Enabler

 

 

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