TY - JOUR
T1 - Screening and nursing management of gestational diabetes in Ghana
T2 - Evidence-based recommendations
AU - Mensah, Gwendolyn Patience
AU - van Rooyen, Dalena (R M.).
AU - ten Ham-Baloyi, Wilma
N1 - Publisher Copyright:
© 2023 The Authors
PY - 2023/4
Y1 - 2023/4
N2 - Objective: To describe the development of evidence-based recommendations for screening and nursing management of gestational diabetes mellitus (GDM) in Ghana and present the recommendations. Design: A qualitative study. Setting: Military Health Institutions in Ghana. Measurements: Data from qualitative interviews with 7 women with GDM and 8 midwives, and an integrative literature review including available clinical practice guidelines on screening and nursing management of GDM, was used to develop the recommendations. The National Institute for Health and Care Excellence’ steps guided the recommendations’ development. Methodological quality of the recommendations was assessed based on an adapted version of the Appraisal of Guidelines for Research and Evaluation (AGREE II) tool. Six experts reviewed the recommendations and an infographic in support of the recommendations. Findings: Two main recommendations and an infographic were developed, including: 1. Early screening and diagnosis of GDM, and 2. Involvement of women with GDM and their significant others during pregnancy, intrapartum and postpartum management, in a culturally and socio-economically appropriate manner. Key conclusions: The recommendations and infographic, once reviewed and pilot tested, may assist midwives managing GDM in Ghana, with support of health institution management. Implications for practice: The study highlights the need for recommendations which can be used by midwives to manage GDM in Ghana. The recommendations are the first to be contextualized for the Ghanaian setting.
AB - Objective: To describe the development of evidence-based recommendations for screening and nursing management of gestational diabetes mellitus (GDM) in Ghana and present the recommendations. Design: A qualitative study. Setting: Military Health Institutions in Ghana. Measurements: Data from qualitative interviews with 7 women with GDM and 8 midwives, and an integrative literature review including available clinical practice guidelines on screening and nursing management of GDM, was used to develop the recommendations. The National Institute for Health and Care Excellence’ steps guided the recommendations’ development. Methodological quality of the recommendations was assessed based on an adapted version of the Appraisal of Guidelines for Research and Evaluation (AGREE II) tool. Six experts reviewed the recommendations and an infographic in support of the recommendations. Findings: Two main recommendations and an infographic were developed, including: 1. Early screening and diagnosis of GDM, and 2. Involvement of women with GDM and their significant others during pregnancy, intrapartum and postpartum management, in a culturally and socio-economically appropriate manner. Key conclusions: The recommendations and infographic, once reviewed and pilot tested, may assist midwives managing GDM in Ghana, with support of health institution management. Implications for practice: The study highlights the need for recommendations which can be used by midwives to manage GDM in Ghana. The recommendations are the first to be contextualized for the Ghanaian setting.
KW - Evidence-based
KW - Gestational diabetes mellitus
KW - Ghana
KW - Nursing management
KW - Recommendations
KW - Screening
UR - http://www.scopus.com/inward/record.url?scp=85152271725&partnerID=8YFLogxK
U2 - 10.1016/j.heliyon.2023.e15351
DO - 10.1016/j.heliyon.2023.e15351
M3 - Article
AN - SCOPUS:85152271725
SN - 2405-8440
VL - 9
JO - Heliyon
JF - Heliyon
IS - 4
M1 - e15351
ER -