A review of the first edition of The Obstetric Guidelines 2011-13

1. A review of the first edition of The Obstetric Guidelines 2011-13 Dr Adil Todiwala (FY1) Miss Radha Indusekhar (Consultant) Sarah Carnwell (Network Administrator)

2. Introduction • Evidenced-based medicine is rapidly becoming more embedded in the practice of clinical medicine. • Clinical guidelines are quickly emerging in almost all wards and clinical environments, and the familiarity and dependency of them are growing. • The first edition of The Bedside Clinical Guidelines Partnership: Obstetric Guidelines has been published in February 2011. • It was compiled as an aide-memoir for all staff concerned with obstetric management, with the aim of standardising patient care.

3. Dudley Group of Hospitals NHS Trust Mid Staffordshire General Hospital NHS Trust The Royal Wolverhampton Hospitals NHS Trust The Shrewsbury and Telford Hospitals NHS Trust University Hospital of North Staffordshire Walsall Hospitals NHS Trust

4. Aims & Objectives • Determine if the guidelines meet with the requirements of the obstetric staff. • Determine the awareness and usage of these guidelines amongst the obstetric staff. • Assess the usefulness and ease of the guidelines. • Evaluate the guidelines in a way which can help direct the development of further editions.

5. Methods • Data collection: by questionnaire. • Members of obstetric staff included: • Doctors (Consultants, Specialist Registrars, SHO, FY1/2) • Midwives • Advanced Nurse Practitioners • Others (Medical Student, Student Midwife)

6. Methods • Centres included: • University Hospital of North Staffordshire • Shrewsbury and Telford • Walsall Manor • Mid Staffordshire General • Royal Wolverhampton • Dudley Group Hospitals

8. Data Collection

9. Are you aware of the Obstetric Guidelines? 100 90 50

10. Have you seen a copy of the Obstetric Guidelines? 100 80 25

11. In what form have you seen a copy of the Obstetric Guidelines? 26 29 100 70 74

12. Do you have your own copy of the guidelines? 84 29

13. Who provided you with a copy of the guidelines?

14. When at work, do you keep your copy of the guidelines with you? 22 24 52 33 44 24

15. How often do you refer to the guidelines? 16 19 100 52 52 22 32 7

16. How easy / difficult do you find the guidelines to use? 12 96 60 100 28 4

17. How easy / difficult do you find the index to use to find the information you require in the guidelines? 4 13 80 71 100 16 17

18. What do you think about the quantity of information in the guidelines? 92 83 100 13

19. How easy / difficult to follow do you find the text in the guidelines? 8 13 84 75 100 13 8

20. How clear / difficult to follow do you find the diagrams in the guidelines? 13 92 75 100 13 8

21. In which format would you prefer the guidelines to be available in? 9 21 16 25 19 100 4 56 50

22. Conclusions • 92% are aware of the Obstetric guidelines • 85% have seen a copy of the Obstetric guidelines • 73% A5 pocket book, 27% copy on the intranet • 84% of medical staff own a copy of the guidelines, compared to 29% of nursing staff • 30% keep their copy with them at all times, compared to 47% some of the time

23. Conclusions 88% felt the guidelines contained the right amount of detail 76% found the index easy to use 80% found the text easy to follow 84% found the diagrams easy to follow 78% found the guidelines as a whole easy to use

24. Conclusions • 51% refer to the guidelines once a month, compared to 26% once a week, and 6% daily • All members of staff preferred the A5 pocket book (54% total) • However more nursing staff (19%) preferred to have the guidelines as an A4 folder, compared to medical staff (4%)

25. Conclusions Improved feedback from Mid Staffordshire General Hospital and Dudley Group of Hospitals Reasons why some trusts use the guidelines more than others Promotion and increased awareness in trusts More numbers, greater feedback

26. Action Plan