Montero Stephanie, Morón Gloria, Arrunategui-Salas Giuliana, Casado Fanny L, Castaneda Benjamin, Salmon-Mulanovich Gabriela
Proyecto Masi, Pontificia Universidad Catolica del Peru, Peru.
Escuela Profesional de Medicina Humana, Universidad Privada San Juan Bautista, Chincha, Peru.
Heliyon. 2023 Sep 1;9(9):e19586. doi: 10.1016/j.heliyon.2023.e19586. eCollection 2023 Sep.
Limited supply of resources during the COVID-19 emergency encouraged the local development of the Masi mechanical ventilator (MV). Despite the efforts to promote Masi, adopting this innovation faced multiple obstacles, regardless of its performance. We explored the perceptions among healthcare personnel towards incorporating Masi to provide ventilatory support to COVID-19 patients during the second wave in Peru (January to June 2021).
We conducted twelve in-depth virtual interviews. Topics included experience when handling Masi, the impact of the training received, confidence in the device, barriers perceived, and enablers identified. All participants provided verbal informed consent.
Most of the participants were male physicians. Participants belonged to seven hospitals that exhibited a wide range of healthcare capacities. Globally, the adoption of Masi MV was driven by the scarcity of ventilatory devices in the wards and reinforced by appropriate training and prompt technical support. Participants reported that Masi's structural and operational features played both advantages and disadvantages. Hospital infrastructure readiness, availability of commercial MVs, mistrust in its simple appearance, and resistance to change among healthcare personnel were perceived as barriers, while low-cost, prompt technical support and user-friendliness were valuable enablers. The first two enablers were observed in participants regardless of their attitude towards Masi. Despite the small number of participants for this qualitative study, it is important to note that the sample size was sufficient to reach saturation, as the topics discussed with participants became redundant and did not yield new information.
The perceptions among healthcare personnel to incorporate Masi as a mechanical ventilator for COVID-19 patients showed that communication, training and experience, and peer encouragement were essential to secure its use and sustainability of the technology. judgments and perceptions unrelated to the performance of the novel device were observed, and its proper management may define its further implementation. Altogether our study suggests that along with strengthening local technological development, strategies to improve their adoption process must be considered as early as possible in medical innovations.
在新冠疫情紧急状态期间，资源供应有限促使当地研发了马西机械呼吸机（MV）。尽管为推广马西呼吸机付出了努力，但无论其性能如何，采用这项创新都面临多重障碍。我们探讨了秘鲁第二波疫情期间（2021年1月至6月）医护人员对于使用马西呼吸机为新冠患者提供通气支持的看法。
我们进行了12次深入的虚拟访谈。主题包括操作马西呼吸机的经验、所接受培训的影响、对该设备的信心、察觉到的障碍以及确定的推动因素。所有参与者均提供了口头知情同意。
大多数参与者为男性医生。参与者来自七家医院，这些医院的医疗能力各不相同。总体而言，病房内通气设备的短缺推动了马西呼吸机的采用，而适当的培训和及时的技术支持则强化了这一趋势。参与者报告称，马西呼吸机的结构和操作特点既有优点也有缺点。医院基础设施的准备情况、商用呼吸机的可用性、对其外观简单的不信任以及医护人员对变革的抵触被视为障碍，而低成本、及时的技术支持和用户友好性则是重要的推动因素。无论参与者对马西呼吸机的态度如何，都观察到了前两个推动因素。尽管参与这项定性研究的人数较少，但需要注意的是，样本量足以达到饱和，因为与参与者讨论的主题变得重复且未产生新信息。
医护人员对于将马西呼吸机用于新冠患者的看法表明，沟通、培训与经验以及同行鼓励对于确保该技术的使用及其可持续性至关重要。观察到了与新型设备性能无关的判断和看法，其妥善管理可能决定其进一步实施。我们的研究总体表明，在加强本地技术研发的同时，必须尽早考虑改善医疗创新采用过程的策略。
