Department of Obstetrics and Gynecology, British Columbia Children's and Women's Hospital and The University of British Columbia, Vancouver, British Columbia, Canada
Centre for International Child Health, BC Children's Hospital, Vancouver, British Columbia, Canada.
BMJ Open. 2022 Jan 11;12(1):e053486. doi: 10.1136/bmjopen-2021-053486.
To assess the feasibility, usability and acceptability of two non-invasive, multiparameter, continuous physiological monitoring (MCPM) technologies for use in neonates within a resource-constrained healthcare setting in sub-Saharan Africa.
A qualitative study using in-depth interviews and direct observations to describe healthcare professional and caregiver perspectives and experiences with investigational MCPM technologies from EarlySense and Sibel compared with selected reference technologies.
Pumwani Maternity Hospital is a public, high-volume, tertiary hospital in Nairobi, Kenya.
In-depth interviews were conducted with five healthcare administrators, 12 healthcare providers and 10 caregivers. Direct observations were made of healthcare providers using the technologies on 12 neonates overall.
Design factors like non-invasiveness, portability, ease-of-use and ability to measure multiple vital signs concurrently emerged as key themes supporting the usability and acceptability of the investigational technologies. However, respondents also reported feasibility challenges to implementation, including overcrowding in the neonatal unit, lack of reliable access to electricity and computers, and concerns about cost and maintenance needs. To improve acceptability, respondents highlighted the need for adequate staffing to appropriately engage caregivers and dispel misconceptions about the technologies.
Study participants were positive about the usefulness of the investigational technologies to strengthen clinical care quality and identification of at-risk neonates for better access to timely interventions. These technologies have the potential to improve equity of access to appropriate healthcare services and neonatal outcomes in sub-Saharan African healthcare facilities. However, health system strengthening is also critical to support sustainable uptake of technologies into routine care.
NCT03920761.
评估两种非侵入性、多参数、连续生理监测（MCPM）技术在撒哈拉以南非洲资源有限的医疗环境中用于新生儿的可行性、可用性和可接受性。
使用深度访谈和直接观察的定性研究，描述医疗保健专业人员和护理人员对 EarlySense 和 Sibel 的研究性 MCPM 技术与选定参考技术的看法和经验。
Pumwani 妇产医院是肯尼亚内罗毕的一家公立、大容量、三级医院。
对 5 名医疗行政管理人员、12 名医疗服务提供者和 10 名护理人员进行了深入访谈。总共对 12 名新生儿进行了直接观察医疗服务提供者使用这些技术的情况。
设计因素，如非侵入性、便携性、易用性和同时测量多个生命体征的能力，成为支持研究性技术可用性和可接受性的关键主题。然而，受访者还报告了实施方面的可行性挑战，包括新生儿病房过度拥挤、缺乏可靠的电力和计算机接入，以及对成本和维护需求的担忧。为了提高可接受性，受访者强调需要足够的人员配备，以便与护理人员适当接触，并消除对技术的误解。
研究参与者对研究性技术在加强临床护理质量和识别高危新生儿以更好地获得及时干预方面的有用性持积极态度。这些技术有可能改善撒哈拉以南非洲医疗机构中公平获得适当医疗服务和新生儿结局的机会。然而，加强卫生系统也至关重要，以支持技术可持续地纳入常规护理。
NCT03920761。
