Survey of computerised midwifery information systems

Dobson, Pam

doi:10.12968/bjom.1995.3.9.487

Cited by 8 publications

(5 citation statements)

References 6 publications

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“…Although computerised maternity information systems are supposed to make it easier to record and use data,17 many problems persist 18 19. Eleven of the trusts in our survey reported that it would take two or more weeks to obtain data that were not immediately accessible Unless information is readily available it cannot be used effectively to inform NHS decision making 1 6 9…”

Section: Discussionmentioning

confidence: 96%

Identifying problems with data collection at a local level: survey of NHS maternity units in England

Kenney

Macfarlane

1999

BMJ

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Objectives To document the extent to which maternity data are collected and how they are recorded, and to identify problems that may affect their availability throughout the NHS. Methods Postal survey in September 1997 with structured questionnaires. Setting 207 NHS trusts with maternity units in England. Participants Heads of midwifery in maternity units. Main outcome measures Extent to which maternity data were routinely recorded, how they were recorded and evaluated, and to whom they were made available. Results 167 (81%) of questionnaires were returned, representing 166 trusts. Of these trusts, 165 collected ≥ 17 of the 19 data items in HES maternity tail, and 158 collected ≥ 40 of the 45 items selected from Körner dataset. Only 18 collected all five items selected from the "indicators of success," and 17 did

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Section: Discussionmentioning

confidence: 96%

Identifying problems with data collection at a local level: survey of NHS maternity units in England

Kenney

Macfarlane

1999

BMJ

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“…While doctors and midwifery managers may have some power to shape EPR developments, the structural position of the practising midwife is somewhat different. A survey of computerization in the maternity services undertaken in the mid-1990s by Dobson (1995) found that although midwives were the main users of the systems being implemented, in nearly half of all maternity units surveyed midwives were not consulted about either their information needs or their choice of system. This resulted in the under-use of systems that midwives simply didn't feel they had any stake in.…”

Section: The Articulation Of Gender In Epr Systems Development: Discourse and Practicementioning

confidence: 99%

Articulating Gender in the Context of ICTs in Health Care: The Case of Electronic Patient Records in the Maternity Services

Henwood

Hart

2003

Critical Social Policy

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The article explores the articulation of gender in the context of information and communication technologies (ICTs) in health care. It explores how gender symbolism, gender structures and gender identities combine to produce what may be perceived as `resistance' to the development of electronic patient records (EPRs) in the maternity services. In particular, midwives define their work in opposition to computers, seeing IT work as antithetical to the core `woman-centred' philosophy of midwifery. The article argues that for ICTs to be used to improve both patient care and the skills and working lives of health care practitioners (as in New Labour's vision for the modern NHS), a far more detailed understanding of that care and those working lives is needed. The IT midwife is offered as a key figure in overcoming the gendered boundaries that exist between the IT and midwifery worlds. A case is made for this role to be expanded and supported to enable both sides to move beyond their traditional spheres to engage in the `co-production' of EPR systems that are acceptable to the maternity services staff and clients.

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“…Similarly a UK review of midwifery systems showed a probable increase as [18] reported that 38% of obstetric units had maternity systems, and [3] showed 59% of 218 obstetric units had a maternity system, which is probably an increase over the two previous years. (This allows for different methodologies, as the interest of the former was in medicine rather than midwifery.…”

Section: Computerized Nursing Systemsmentioning

confidence: 99%

“…One advantage of distributed networked systems is that the users may be permitted to take local ownership of information, maintaining and accessing information determined relevant and useful as part of a coherent larger system. Dobson [3] looked at the presence and perceived usefulness of maternity systems. Forty per cent of respondents were not satisfied with their systems, and these were more concentrated in systems that had been customized for maternity use, rather than built specifically for the task.…”

Section: Introductionmentioning

confidence: 99%

An international comparison of computer networks’ use and potential use

Anthony

2000

Health Informatics J

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This paper explores nursing organizations’ experiences, views and policies on computer networks; their ability to access such networks; and to what uses nursing organizations can put the Internet and other networks. There were significant differences between poor and rich countries with respect to access to networking facilities, but not with respect to opinions of the use or potential use of networking. Roughly two-fifths of nursing organizations had access to either the Internet or a local area network (LAN). Richer countries were more likely to have access to both the Internet and LANs. About a half of organizations had email, but only about a quarter accessed email lists. About two-fifths used the World Wide Web (WWW) but only about a tenth had access to USENET newsgroups. There was a significant difference between rich and poor countries with respect to WWW and USENET, with richer countries having greater access. Training for nurses and policies for using computer networks were identified in few organizations, although the potential for computer networks was understood by most. Enthusiasm for using computer networks was particularly noted in poorer and geographically more remote countries. From a list of ten services available via the Internet, the network resource most valued by nursing organizations was online databases; the least valued was videoconferencing.

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Survey of computerised midwifery information systems

Abstract: Exploring computerized midwifery information systems across the country and focusing on a research project and local initiatives.

Cited by 8 publications

References 6 publications

Identifying problems with data collection at a local level: survey of NHS maternity units in England

Identifying problems with data collection at a local level: survey of NHS maternity units in England

Articulating Gender in the Context of ICTs in Health Care: The Case of Electronic Patient Records in the Maternity Services

An international comparison of computer networks’ use and potential use

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