Eze Chinwe, Murphy-Okpala Ngozi, Ezeakile Okechukwu, Chukwu Joseph, Ekeke Ngozi, Agu Chibuike, Ezenwosu Ifeyinwa, Matiku Sode, Kirubi Beatrice, Meka Anthony, Njoku Martin, Iyama Francis S, Ossai Edmund, Bassey Akpan, Babalola Johnson, Chijioke-Akaniro Obioma, Nwafor Charles
Department of Programs, RedAid Nigeria, Enugu, Nigeria.
Department of Medical, DAHW German Leprosy and Tuberculosis Relief Association, Würzburg, Germany.
Front Public Health. 2025 Apr 9;13:1462944. doi: 10.3389/fpubh.2025.1462944. eCollection 2025.
Proper documentation is very essential to healthcare practice. It is vital for continuity of care and communication among healthcare workers. This study was designed to determine the effectiveness of the application of Social and Behavioral Change Communication strategy to improving documentation practices among healthcare workers in two states in Nigeria.
A longitudinal study with a pre-post-intervention design was utilized. An audit of documented specimen examination request forms was conducted at two-month intervals. The initial audit served as baseline. Subsequent audits were to monitor progress and assess impact of intervention. For each audit, a minimum of 10 facilities was purposively selected across the two states, including an average of five GeneXpert sites and six health facilities. Based on availability, a maximum of 50 specimen examination request forms were consecutively selected per GeneXpert site or facility for audit. The interventions included modification of the specimen examination request form, training and educational sessions, regular audit of forms, progress monitoring, and feedback.
There was an increase in the proportion of each variable meeting the documentation standard across the four audit rounds. This progress was observed across the four audit rounds for most of the variables, with the most substantial improvement recorded in the fourth audit. In all, there was a significant improvement in the proportion of each specimen examination form that met the documentation standards ( < 0.001). These variables included detailed address of patient, patient phone number and phone number of person requesting the examination. Variables on the revised form which showed significant changes across the four audit periods included name and phone number of next of kin ( < 0.001).
The SBCC intervention markedly enhanced accurate and comprehensive documentation of specimen examination request forms among frontline healthcare workers. Key components, such as repeated training sessions, education emphasizing the benefits of sound documentation practices, consistent supervision, monitoring, feedback, and ensuring a sufficient supply of forms, collectively played integral roles in maximizing the effectiveness of the intervention.
妥善记录对于医疗实践至关重要。它对于医疗工作者之间的护理连续性和沟通至关重要。本研究旨在确定应用社会和行为改变沟通策略对改善尼日利亚两个州医疗工作者的记录实践的有效性。
采用干预前后设计的纵向研究。每两个月对记录的标本检查申请表进行一次审核。首次审核作为基线。后续审核用于监测进展并评估干预效果。每次审核时，在两个州内有目的地选择至少10个机构，包括平均5个GeneXpert检测点和6个医疗机构。根据可用性，每个GeneXpert检测点或机构最多连续选择50份标本检查申请表进行审核。干预措施包括修改标本检查申请表、培训和教育课程、定期审核表格、进展监测和反馈。
在四轮审核中，每个符合记录标准的变量比例均有所增加。大多数变量在四轮审核中都观察到了这种进展，第四轮审核中记录的改善最为显著。总体而言，每份符合记录标准的标本检查表格的比例有显著提高（<0.001）。这些变量包括患者的详细地址、患者电话号码和申请检查者的电话号码。修订表格上在四个审核期内显示出显著变化的变量包括近亲的姓名和电话号码（<0.001）。
社会和行为改变沟通干预显著提高了一线医疗工作者对标本检查申请表的准确和全面记录。重复培训课程、强调完善记录实践益处的教育、持续监督、监测、反馈以及确保表格的充足供应等关键组成部分共同在最大化干预效果方面发挥了不可或缺的作用。
