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Evaluating midwifery-led antenatal care: using a programme logic model to identify relevant outcomes.
Michelle M Butler1, Mary C Brosnan, Jonathan Drennan
1School of Nursing, Midwifery and Health Systems, University College Dublin, Belfield, Dublin 4, Ireland.
Midwifery
|November 20, 2013
Summary
A program logic model systematically identified key outcomes for evaluating midwifery-led antenatal clinics. This approach ensured a comprehensive assessment of maternity care initiatives, enhancing patient choice and experience.
Area of Science:
- Maternal Health
- Healthcare Management
- Program Evaluation
Background:
- Midwifery-led care models are increasingly implemented globally to expand maternity care choices.
- A midwifery-led antenatal clinic was established in a Dublin maternity hospital.
- This paper details the evaluation design for these clinics, focusing on outcome selection using a program logic model.
Purpose of the Study:
- To utilize a program logic model as a framework for designing and analyzing evaluations of midwifery-led antenatal clinics.
- To identify and link program outcomes to the goals, inputs, and processes of the midwifery-led antenatal clinic.
- To ensure an inclusive approach in selecting the most relevant outcomes for evaluation.
Main Methods:
- A comprehensive literature review and policy document analysis were conducted.
- Interviews with healthcare professionals and managers identified potential outcomes.
- Focus groups with stakeholders and a follow-up survey refined and prioritized outcomes and data sources.
Main Results:
- Seven categories of outcomes were identified: choice, caregiver relationship, experience of care, preparation for childbirth/parenthood, care effectiveness, organizational outcomes, and program viability.
- Multiple data sources were identified for each outcome, including existing records, chart audits, surveys, and qualitative interviews/focus groups.
- The program logic model facilitated a systematic and inclusive outcome identification process.
Conclusions:
- The program logic model proved effective for an inclusive, systematic, and transparent outcome selection process for evaluating midwifery-led antenatal clinics.
- The identified outcomes and data sources have informed the design of the ongoing evaluation project.
- This methodology supports robust evaluation of innovative maternity care models.
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