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Type: Journal article
Title: Change in practice: a qualitative exploration of midwives' and doctors' views about the introduction of STan monitoring in an Australian hospital
Author: Mayes, M.
Wilkinson, C.
Kuah, S.
Matthews, G.
Turnbull, D.
Citation: BMC Health Services Research, 2018; 18(1):119-1-119-9
Publisher: BioMed Central
Issue Date: 2018
ISSN: 1472-6963
Statement of
M. E. Mayes, C. Wilkinson, S. Kuah, G. Matthews and D. Turnbull
Abstract: The present study examines the introduction of an innovation in intrapartum foetal monitoring practice in Australia. ST-Analysis (STan) is a technology that adds information to conventional fetal monitoring (cardiotocography) during labour, with the aim of reducing unnecessary obstetric intervention. Adoption of this technology has been controversial amongst obstetricians and midwives, particularly as its use necessitates a more invasive means of monitoring (a scalp clip), compared to external monitoring from cardiotocography alone. If adoption of this technology is going to be successful, then understanding staff opinions about the implementation of STan in an Australian setting is an important issue for maternity care providers and policy makers.Using a maximum variation purposive sampling method, 18 interviews were conducted with 10 midwives and 8 doctors from the Women's and Children's Hospital, South Australia to explore views about the introduction of the new technology. The data were analysed using Framework Analysis.Midwives and doctors indicated four important areas of consideration when introducing STan: 1) philosophy of care; 2) the implementation process including training and education; 3) the existence of research evidence; and 4) attitudes towards the new technology. Views were expressed about the management of change process, the fit of the new technology within the current models of care, the need for ongoing training and the importance of having local evidence.These findings, coupled with the general literature about introducing innovation and change, can be used by other centres looking to introduce STan technology.
Keywords: ST-analysis; foetal monitoring; technology; organisational change; views of healthcare professionals
Rights: © The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.
RMID: 0030083188
DOI: 10.1186/s12913-018-2920-5
Appears in Collections:Public Health publications

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