@article{fdi:010072291,
  title = {{A}ssessment of clinical decision-making among healthcare professionals performing caesarean deliveries in {B}urkina {F}aso},
  author = {{K}abor{\'e}, {C}. and {R}idde, {V}al{\'e}ry and {K}ouanda, {S}. and {D}umont, {A}lexandre},
  editor = {},
  language = {{ENG}},
  abstract = {{O}bjective : {T}o identify the factors associated with quality decision-making of healthcare professionals in managing complicated labour and delivery in referral hospitals of {B}urkina {F}aso. {M}ethods : {W}e carried out a six-month observational cross-sectional study among 123 healthcare professionals performing caesareans in 22 hospitals. {C}linical decision-making was evaluated using hypothetical patient vignettes framed around four main complications during labour and delivery and developed using guidelines validated by an expert committee. {T}he results were used to generate a quality decision-making score. {A} multivariate linear regression analysis was used to identify the factors independently associated with the score.  {R}esults : {O}ut of 100, the mean +/-?{SD} quality decision-making score was 63.84 +/- ?7.21 for midwives, 65.58? +/-? 6.90 for general practitioners ({GP}s), and 71.94 ?+/- ?6.70 for gynaecologist-obstetricians (p?<?0.001). {Q}uality decision-making score was higher among professionals with more than seven years' work experience and those with the highest level of professional qualification. {W}orking in a service where partograms are regularly reviewed by peers dramatically increased the skills of professionals. {C}onclusion : {T}he simple dissemination of written clinical guidelines is not sufficient to maintain high-quality decision-making among healthcare professionals in {B}urkina {F}aso. {M}idwives may have some better scores than {GP}s if duly retrained and supervised. {I}ncreasing in-service training and supervision of both junior staff and lower-qualified healthcare professionals might help to improve obstetric practices in referral hospitals of {B}urkina {F}aso.},
  keywords = {{BURKINA} {FASO}},
  booktitle = {},
  journal = {{S}exual and {R}eproductive {H}ealthcare},
  volume = {16},
  numero = {},
  pages = {213--217},
  ISSN = {1877-5756},
  year = {2018},
  DOI = {10.1016/j.srhc.2018.04.008},
  URL = {https://www.documentation.ird.fr/hor/fdi:010072291},
}