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

Autor:	Nyondo-Mipando AL; Kamuzu University of Health Sciences, Blantyre, Malawi., Woo Kinshella ML; BC Children's and Women's Hospital and University of British Columbia, Vancouver, Canada., Salimu S; Kamuzu University of Health Sciences, Blantyre, Malawi., Chiwaya B; Kamuzu University of Health Sciences, Blantyre, Malawi., Chikoti F; Kamuzu University of Health Sciences, Blantyre, Malawi., Chirambo L; Kamuzu University of Health Sciences, Blantyre, Malawi., Mwaungulu E; Kamuzu University of Health Sciences, Blantyre, Malawi., Banda M; Kamuzu University of Health Sciences, Blantyre, Malawi., Hiwa T; Kamuzu University of Health Sciences, Blantyre, Malawi., Vidler M; BC Children's and Women's Hospital and University of British Columbia, Vancouver, Canada., Molyneux EM; Queen Elizabeth Central Hospital, Pediatrics, Blantyre, Malawi., Dube Q; Government of Malawi Ministry of Health, Lilongwe, Central Region, Malawi., Mfutso-Bengo J; Kamuzu University of Health Sciences, Blantyre, Malawi., Goldfarb DM; BC Children's and Women's Hospital and University of British Columbia, Vancouver, Canada., Kawaza K; Kamuzu University of Health Sciences, Blantyre, Malawi.
Jazyk:	angličtina
Zdroj:	Global pediatric health [Glob Pediatr Health] 2024 Apr 30; Vol. 11, pp. 2333794X241248982. Date of Electronic Publication: 2024 Apr 30 (Print Publication: 2024).
DOI:	10.1177/2333794X241248982
Abstrakt:	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. Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2024.)
Databáze:	MEDLINE
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