Midwives’ perspectives about using individualized care plans in the provision of immediate postpartum care in Uganda; an exploratory qualitative study

Table 2 Application of the COMB model in our study

Theme	Sub theme	Category	Code
Capability	Psychological capability	Awareness and meaning of ICP to the midwives	ICP knowledge
		Use of clinical reasoning and critical thinking	Critical thinking
		Training of midwives	Training
	Physical capabilities	Increasing the number of midwives	Staffing norms
		Assessing the clients’ risk for complications	Risk assessment
		Preparing patients for referral	Referral
		Caring for HIV positive mothers and their newborns	HIV care
		Educating and supporting first time mothers	Health education
Motivation	Automatic Motivation	Helps with planning and evaluation of the care	Planning and evaluation
		Improves the midwife patient relationship	Rapport
		Midwives are satisfied with their care	Job satisfaction
		Acts as proof of the care provided in case of complications	Proof of care
		Poor documentation culture	Documentation norms
		Harmonization of the documentation of ICP	Documentation harmonization
	Reflective motivation	Upholding the practice based on the Ideals taught in school	Ideal practice
	Reflective motivation	Perceived poor patient understanding of issues pertaining to their postpartum care	Perceived patient desires
Opportunity	Social opportunity	Documentation of the care	Documentation
	Social opportunity	Time and availability of the midwife	Time
	Physical opportunity	Availability of the documentation forms	Available stationery
		Number of clients and pressure for time	Work load
		Good midwife patient interaction and relationship	Midwife-patient interaction
		Privacy	Privacy

ISSN: 1472-6955