Clinical audit is a process of quality improvement that aims at improving patient care and results through incorporation of a systematic evaluation of care against an explicit criterion and the realization of change (Dulko & Mooney 2010). Selection of the features of the…
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In midwifery, for instance, clinical audit is used in monitoring and improving excellence and quality of care.
In the United Kingdom (UK), two major bodies help in ensuring that midwifes deliver quality services to their patients. These include the Nursing and Midwifery Council (NMC), and the National Institute of Clinical Excellence (NICE) (Marshall & Jackson, 2013). NICE offers national advice and guidance to help improve quality of health and social care. It is an agency under the National Health Service (NHS) having the responsibility of ensuring the promotion of clinical excellence of service providers in Wales and England through developing recommendations and guidance regarding the efficiency of medical and treatments procedures (Brayford et al, 2015). NMC specifically ensures provision of quality services through describing legal and ethical obligations of nursing and midwifery practice (Tingle & Cribb, 2013). With NICE and NMC in place, a standard clinic audit has been set in place for midwifery. This audit acts as a tool for quality improvement since it demonstrates whether a midwifery staff makes real efforts in delivering a professional care of high quality to all patients (Harris & Murray, 2013). An institution like the Royal College of Midwifery (RCM) plays a key role in the dissemination of information regarding professional midwifery practice; therefore it ensures that the UK has a nationwide recognized and well established platform for good midwifery practice (Jordan, 2010).
Clinical audit in midwifery is generally applied in gauging devotion to clinical practice guidelines considered to be evidence-based (Spiby & Munro, 2009). This audit helps midwifes in measuring their current practice and afterward notes any gaps. The key aim of midwifery audit is to thoroughly measure how well midwifery is done and to offer feedback to make efficient the local performance of midwifery care (Bowie et al, 2011). The auditing of
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In Sweden, Finland, and Norway, midwives are authorized to use obstetric forceps under certain conditions while in some countries they were forbidden to perform a repair of the perineum or episiotomy and even to administer pain-relieving drugs.
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In the midwifery model, however, "birth is something that women do, not something that is done to them" (Doherty, 1995, p53). Similarly, the knowledge derived from experience - personal knowledge of childbirth - is viewed as being at least as important as that which can be derived from education.
Midwifery is an internationally recognized profession with practitioners throughout the world. They have legally licensed practitioners who are able to give the necessary supervision, care and advice to women during pregnancy, labor and the postpartum period, to conduct deliveries on her own responsibility and to care for the newborn and the infant.
Scholars Lundy and Janes in their research argued that the main objective of healthcare administration is to ensure that the delivery of healthcare reaches residents in the efficient ways, to the required standards. Governments ensure that the provision in healthcare ensures continued support in the growth of the economies.
Litigation in itself involves a series of complex legal issues. First, it is important that an individual has adequate knowledge of the particular laws that govern the dispute. Secondly, it is necessary to have adequate knowledge of the particular laws that govern the particular procedures that need to be followed so that a claim is properly litigated.
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