Midwives' experiences of participation in a national quality improvement intervention: Lessons from scaling PRECePT (Prevention of cerebral palsy in pre-term labour: Poster Presentation

Research output: Chapter in Book/Report/Conference proceedingConference Contribution (Conference Proceeding)


Project Introduction and Aims *
Quality improvement interventions aim to tackle and rectify operational failures which compromise efficiency, safety and wellbeing of staff and patients [1]. Intervention success tends to be gauged against outcomes relating to patient care, e.g. adherence to clinical guidance and health outcomes. Social impacts however, such as staff wellbeing, shape sustainability of interventions and should be taken into consideration when evaluating quality improvement interventions [2, 3].
We use the example of the PReCePT (Prevention of Cerebral Palsy in Preterm Labour) Quality Improvement (QI) intervention to describe midwives’ experiences of leading on PReCePT implementation locally, and its impact on job satisfaction and wellbeing.
Project Methodology / PDSA Cycles *
The National PReCePT Programme used a QI intervention for scaling the administration of magnesium sulphate during preterm labour to all eligible mothers across all units in England. Midwives from each unit (midwife champions) were recruited to lead on local implementation activities, and were mentored and supported by improvement experts from Academic Health Science Networks(AHSNs), and neonatal and/or obstetric clinical leads
A qualitative process evaluation used semi-structured telephone interviews with 22 midwife champions to understand processes of implementation, enablers and challenges faced by champions, and the impact of PReCePT on local systems, staff and patients. Interviews were audio-recorded and transcribed with consent, and analysed using the framework approach [4]
Project Results and Lessons Learned *
Midwives were passionate about PReCePT and deeply invested in its success; often working over and above funded time. Participation had an emancipatory effect on them and their team: it created opportunities for involvement in QI activities and networks not usually accessible to them, developed sense of agency in shaping the care delivered to women, and built QI skills and competencies which supported career development.
Allowing opportunities for midwives and nurses on the ground to take more active roles in QI can improve staff job satisfaction, and built improvement capability within the organisation, both crucial for improving quality of care, and retaining staff. Adequate backfill funding for champions and organisational support for QI activities are essential for achieving maximum impact.
Original languageEnglish
Title of host publicationBristol Patient Safety Conference 2023
Publication statusPublished - 17 May 2023
EventBristol Patient Safety Conference 2023 - Digital, Bristol, United Kingdom
Duration: 17 May 2023 → …


ConferenceBristol Patient Safety Conference 2023
Country/TerritoryUnited Kingdom
Period17/05/23 → …
Internet address


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