Abstract
Introduction: The quality of healthcare depends on the integrity, reliability and accuracy of health information. Evidence based midwifery care requires accuracy in the sources of data used to underpin practice. National and state perinatal data collections are extensively used as sources of evidence in Australia for determining areas of most need for funding and practice change. Methods: Grounded theory methodology was used to guide the research design. 15 participants from 12 healthcare jurisdictions in Queensland were interviewed about their experiences utilising three different health information systems for perinatal data collection. Findings: Outcomes revealed that midwives face many challenges as they enter complete and accurate perinatal data. Analysing their experiences identified a shift in focus from the woman to the computer, lack of governance, inconsistent professional development and a lack of reliable application of field definitions between midwives and maternity units. The Theory of Beneficial Engagement, which will be discussed in the presentation, offers strategies for midwives to address challenges to perinatal data entry. In particular, identification of elements which enhance beneficial engagement may enable midwives to overcome barriers to perinatal data entry and improve accuracy and completeness. Conclusion: Midwifery care is rapidly moving to a paperless environment. Data is increasingly collected via computer, eHealth and wireless applications. As such, addressing issues that pose as barriers facilitates data entry and accuracy. Findings from this research are important for all midwives who utilise research in ensuring best practice in caring for women and their families. In addition, for educators and policy makers, awareness of strategies that assist in ensuring data entered for the perinatal data collection is first class.
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