Facilitators and constraints to family integrated care in low-resource settings informed the adaptation in Uganda.

Autor: Kabajassi O; Walimu, Kampala, Uganda., Reiter A; Faculty of Medicine, McGill University, Montreal, Québec, Canada., Tagoola A; Jinja Regional Referral Hospital, Jinja, Uganda., Kenya-Mugisha N; Walimu, Kampala, Uganda., O'Brien K; Department of Paediatrics, Sinai Health System, Toronto, Ontario, Canada., Wiens MO; Walimu, Kampala, Uganda.; Centre for International Child Health, BC Children's & Women's Hospital, Vancouver, British Columbia, Canada., Feeley N; Ingram School of Nursing, McGill University, Montreal, Québec, Canada.; Centre for Nursing Research, Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, Québec, Canada., Duby J; Department of Pediatrics, McGill University, Montreal, Québec, Canada.
Jazyk: angličtina
Zdroj: Acta paediatrica (Oslo, Norway : 1992) [Acta Paediatr] 2024 Aug; Vol. 113 (8), pp. 1845-1851. Date of Electronic Publication: 2024 Feb 27.
DOI: 10.1111/apa.17182
Abstrakt: Aim: Family Integrated Care (FICare) was developed in high-income countries and has not been tested in resource-poor settings. We aimed to identify the facilitators and constraints that informed the adaptation of FICare to a neonatal hospital unit in Uganda.
Methods: Maternal focus groups and healthcare provider interviews were conducted at Uganda's Jinja Regional Referral Hospital in 2020. Transcripts were analysed using inductive content analysis. An adaptation team developed Uganda FICare based on the identified facilitators and constraints.
Results: Participants included 10 mothers (median age 28 years) and eight healthcare providers (seven female, median age 41 years). Reducing healthcare provider workload, improving neonatal outcomes and empowering mothers were identified as facilitators. Maternal stress, maternal difficulties in learning new skills and mistrust of mothers by healthcare providers were cited as constraints. Uganda FICare focused on task-shifting important but neglected patient care tasks from healthcare providers to mothers. Healthcare providers learned how to respond to maternal concerns. Intervention material was adapted to prioritise images over text. Mothers familiar with FICare provided peer-to-peer support to other mothers.
Conclusion: Uganda FICare shares the core values of FICare but was adapted to be feasible in low-resource settings.
(© 2024 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica.)
Databáze: MEDLINE
Externí odkaz: