wow-inequalities/02-data/intermediate/wos_sample/68e7a3015f3d58194e56261f56d574ed-hategeka-celestin-a/info.yaml

136 lines
4.5 KiB
YAML
Raw Normal View History

2023-09-28 14:46:10 +00:00
abstract: 'Background: An emergency triage, assessment and treatment plus admission
care (ETAT+) intervention was implemented in Rwandan district hospitals
to improve hospital care for severely ill infants and children. Many
interventions are rarely implemented with perfect fidelity under
real-world conditions. Thus, evaluations of the real-world experiences
of implementing ETAT+ are important in terms of identifying potential
barriers to successful implementation. This study explored the
perspectives of Rwandan healthcare workers (HCWs) on the relevance of
ETAT+ and documented potential barriers to its successful
implementation.
Methods: HCWs enrolled in the ETAT+ training were asked, immediately
after the training, their perspective regarding (i) relevance of the
ETAT+ training to Rwandan district hospitals; (ii) if attending the
training would bring about change in their work; and (iii) challenges
that they encountered during the training, as well as those they
anticipated to hamper their ability to translate the knowledge and
skills learned in the ETAT+ training into practice in order to improve
care for severely ill infants and children in their hospitals. They
wrote their perspectives in French, Kinyarwanda, or English and
sometimes a mixture of all these languages that are official in the
post-genocide Rwanda. Their notes were translated to (if not already in)
English and transcribed, and transcripts were analyzed using thematic
content analysis.
Results: One hundred seventy-one HCWs were included in our analysis.
Nearly all these HCWs stated that the training was highly relevant to
the district hospitals and that it aligned with their work expectation.
However, some midwives believed that the ``neonatal resuscitation and
feeding{''''} components of the training were more relevant to them than
other components. Many HCWs anticipated to change practice by initiating
a triage system in their hospital and by using job aids including
guidelines for prescription and feeding. Most of the challenges stemmed
from the mode of the ETAT+ training delivery (e.g., language barriers,
intense training schedule); while others were more related to uptake of
guidelines in the district hospitals (e.g., staff turnover, reluctance
to change, limited resources, conflicting protocols).
Conclusion: This study highlights potential challenges to successful
implementation of the ETAT+ clinical practice guidelines in order to
improve quality of hospital care in Rwandan district hospitals.
Understanding these challenges, especially from HCWs perspective, can
guide efforts to improve uptake of clinical practice guidelines
including ETAT+ in Rwanda.'
affiliation: 'Hategeka, C (Corresponding Author), Rwanda Paediat Assoc, ETAT Program,
Kigali, Rwanda.
Hategeka, C (Corresponding Author), Univ British Columbia, Fac Med, Sch Populat
\& Publ Hlth, Vancouver, BC, Canada.
Hategeka, Celestin; Tuyisenge, Lisine, Rwanda Paediat Assoc, ETAT Program, Kigali,
Rwanda.
Hategeka, Celestin, Univ British Columbia, Fac Med, Sch Populat \& Publ Hlth, Vancouver,
BC, Canada.
Mwai, Leah, Int Dev Res Ctr, Maternal \& Child Hlth Program, Ottawa, ON, Canada.
Mwai, Leah, Afya Res Afr, Nairobi, Kenya.
Tuyisenge, Lisine, Univ Teaching, Hosp Kigali, Dept Pediat, Kigali, Rwanda.'
article-number: '256'
author: Hategeka, Celestin and Mwai, Leah and Tuyisenge, Lisine
author-email: celestin.hategeka@alumni.ubc.ca
author_list:
- family: Hategeka
given: Celestin
- family: Mwai
given: Leah
- family: Tuyisenge
given: Lisine
da: '2023-09-28'
doi: 10.1186/s12913-017-2193-4
files: []
issn: 1472-6963
journal: BMC HEALTH SERVICES RESEARCH
keywords: 'Implementation; Clinical practical guidelines; ETAT; Healthcare worker;
District hospital; Qualitative research; Rwanda'
keywords-plus: KNOWLEDGE; PROGRAM; KENYA
language: English
month: APR 7
number-of-cited-references: '42'
orcid-numbers: Hategeka, Celestin/0000-0001-7808-4652
papis_id: 1b5a0b8a135b771103d6f1d8e83016f6
ref: Hategeka2017implementingemergenc
times-cited: '27'
title: 'Implementing the Emergency Triage, Assessment and Treatment plus admission
care (ETAT plus ) clinical practice guidelines to improve quality of hospital care
in Rwandan district hospitals: healthcare workers'' perspectives on relevance and
challenges'
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000398622000001
usage-count-last-180-days: '0'
usage-count-since-2013: '2'
volume: '17'
web-of-science-categories: Health Care Sciences \& Services
year: '2017'