The Use and Misuse of Mobile Phones in the Maternity Ward—A Threat to Patient Safety?

An important task for the midwife is following up mother-child interaction to facilitate mother-infant attachment. The aim of this study was to explore midwives’ perceptions of parents’ use of mobile phones in the maternity ward. The research question was: Is the use of mobile phones in the maternity ward a threat to patient safety? Two focus group interviews exploring midwives’ perceptions (n = 10) of parent’ use of mobile phones during and after the birth were conducted in January 2016. Systematic text condensation was used to analyse the data, revealing three themes pertaining to safety concerns: Interrupted communication due to parents’ excessive use of mobile phones during labour and postnatally, Unsafe care caused by lack of attention to the newborn baby’s signals as a result of being disturbed by the mobile phone and Unsafe care because of parents interrupting their conversation with the midwife by answering the mobile, acting in a disrespectful manner and failing to pay attention. The midwives’ descriptions of parents’ use of mobile phones in the maternity ward included reflections on mobile phone usage as a permanent phenomenon. They were concerned that parents’ use of mobile phones in the maternity ward could negatively affect the attachment process and considered that it interrupted their work. In conclusion, there is a need for increased awareness of parents’ use of mobile phones in the maternity ward. Further research is required to gain greater insight into the consequences of mobile phone use in order to promote patient safety by ensuring effective communication between parents and midwives. In addition, research is needed to explore the safety discourse, clinical risks and/or health problems involved in the development of infant-parent attachment in newborn babies.

Perception of the Community towards Child Sexual Abuse: A Case of Chawama Lusaka, Zambia

A number of scholars have reported high incidence of sexual abuse cases among children in the communities. However, little is known about the perceptions the community people have towards child sexual abuse cases. Therefore, this study aimed to explore the perception of the community towards child sexual abuse which hinders the disclosure and reporting of abuse cases. Data were collected through focused group discussions and indepth interviews, with sixty nine participants from nine (9) focused group discussions and nine (9) indepth interviews. Participants were the general community members and relatives to abused children. The interviews were recorded verbatim and transcribed;analysis of data was done using qualitative thematic analysis. Three themes emerged summarizing the factors associated with non-reporting of child sexual abuse cases which included, fear of family and community breakdown, relationship between the victim and the perpetrator and inadequate service provision by the police which also reflected the community’s role in supporting the child. In conclusion the study therefore showed that child sexual abuse is common in Zambia and cases are still on the increase. However, there is great need to enforce laws regarding sexual abuse and in addition great change in attitude is needed to prevent occurrence of cases.