影响马拉维医院医护人员使用婴儿保暖设备的因素
Factors Influencing the Implementation of Infant Warming Devices Among Healthcare Workers in Malawian Hospitals.
作者信息
Nyondo-Mipando Alinane Linda, Woo Kinshella Mai-Lei, Salimu Sangwani, Chiwaya Brandina, Chikoti Felix, Chirambo Lusungu, Mwaungulu Ephrida, Banda Mwai, Hiwa Tamanda, Vidler Marianne, Molyneux Elizabeth M, Dube Queen, Mfutso-Bengo Joseph, Goldfarb David M, Kawaza Kondwani
机构信息
Kamuzu University of Health Sciences, Blantyre, Malawi.
BC Children's and Women's Hospital and University of British Columbia, Vancouver, Canada.
出版信息
Glob Pediatr Health. 2024 Apr 30;11:2333794X241248982. doi: 10.1177/2333794X241248982. eCollection 2024.
. 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. . 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. . 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. . Implementation of warming devices for the management of neonatal hypothermia is effective when there are adequate human and material resources.
早产儿有体温过低的风险。本研究描述了现有的婴儿保暖设备（IWDs），并探讨了在马拉维新生儿中实施这些设备的障碍和促进因素。
2020年1月至3月，对马拉维的19名医护人员进行了一项定性描述性研究。所有访谈均进行数字录音、转录，并使用NVivo进行管理，采用主题分析法进行分析。
保暖设备包括辐射保暖器、布兰太尔热床、壁挂式加热器、便携式保暖器和婴儿培养箱。据报告，设备和基础设施不足以及工作人员知识和能力方面的差距是最佳实施IWD的主要挑战。照顾者的接受度被描述为主要促进因素。优化IWD实施的策略包括持续的实践培训以及设备和备件的充足供应。
当有足够的人力和物力资源时，实施保暖设备来管理新生儿体温过低是有效的。
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