Factors Influencing the Implementation of Infant Warming Devices Among Healthcare Workers in Malawian Hospitals.

IF 1.4 Q3 PEDIATRICS
Global Pediatric Health Pub Date : 2024-04-30 eCollection Date: 2024-01-01 DOI:10.1177/2333794X241248982
Alinane Linda Nyondo-Mipando, Mai-Lei Woo Kinshella, Sangwani Salimu, Brandina Chiwaya, Felix Chikoti, Lusungu Chirambo, Ephrida Mwaungulu, Mwai Banda, Tamanda Hiwa, Marianne Vidler, Elizabeth M Molyneux, Queen Dube, Joseph Mfutso-Bengo, David M Goldfarb, Kondwani Kawaza
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引用次数: 0

Abstract

Objectives. Preterm infants are at risk of hypothermia. This study described the available infant warming devices (IWDs) and explored the barriers and facilitators to their implementation in neonates in Malawi. Methods. A qualitative descriptive study was conducted among 19 health care workers in Malawi from January to March 2020. All interviews were digitally recorded, transcribed, and managed using NVivo and analyzed using a thematic approach. Results. The warming devices included radiant warmers, Blantyre hot-cots, wall-mounted heaters, portable warmers, and incubators. Inadequate equipment and infrastructure and gaps in staff knowledge and capacity were reported as the main challenges to optimal IWD implementation. Caregiver acceptance was described as the main facilitator. Strategies to optimize implementation of IWD included continuous practical training and adequate availability of equipment and spare parts. Conclusion. Implementation of warming devices for the management of neonatal hypothermia is effective when there are adequate human and material resources.

影响马拉维医院医护人员使用婴儿保暖设备的因素。
目的。早产儿有体温过低的风险。本研究介绍了现有的婴儿保暖设备(IWDs),并探讨了在马拉维新生儿中使用这些设备的障碍和促进因素。研究方法2020 年 1 月至 3 月,对马拉维的 19 名医护人员进行了定性描述研究。所有访谈均使用 NVivo 进行数字录音、转录和管理,并使用主题方法进行分析。结果取暖设备包括辐射取暖器、布兰太尔热锅、壁挂式取暖器、便携式取暖器和保温箱。据报告,设备和基础设施不足以及工作人员在知识和能力方面的差距是最佳实施综合取暖设备的主要挑战。护理人员的接受度被认为是主要的促进因素。优化 IWD 实施的策略包括持续的实践培训以及提供充足的设备和备件。结论如果有充足的人力和物力资源,使用保暖设备治疗新生儿体温过低是有效的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Global Pediatric Health
Global Pediatric Health Nursing-Pediatrics
CiteScore
2.20
自引率
0.00%
发文量
105
审稿时长
12 weeks
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