Eleyyan Saeed Y, ELssyed Etewa Bothyna B, Al'Haj Ahmad Fatma, El Bilbeisi Abdel Hamid
Department of Pediatric Nursing, School of Nursing, University of Albutana, Rufaa, The Republic of the Sudan.
Department of Clinical Nutrition, Faculty of Applied Medical Sciences, Al Azhar University of Gaza, Gaza Strip, Palestine.
Front Pediatr. 2025 Jun 5;13:1587984. doi: 10.3389/fped.2025.1587984. eCollection 2025.
The quality of pediatric care in Gaza hospitals is a critical concern, especially given the region's limited resources and ongoing political instability. This study aimed to assess healthcare providers' perspectives on the quality of pediatric care in Gaza's major hospitals, focusing on the integration of evidence-based practices (EBPs) and illness management, health information systems (HIS), and referral efficiency.
A cross-sectional study was conducted in 2023 at three major pediatric hospitals in the Gaza Strip: Al-Nasr Pediatric Hospital, EL-Dorra Pediatric Hospital, and Al-Rantisi Specialized Pediatric Hospital. A structured interview-based questionnaire was used to collect data from the healthcare providers. Three domains of the World Health Organization (WHO) integrated tool, "Standards for Improving the Quality of Care for Children in Health Facilities" was employed to assess pediatric care quality. Statistical analysis was performed using SPSS version 26.
The study's participants (336 healthcare providers) were predominantly male (59.5%), with an average age of 36.2 ± 8.73 years. Most were nurses (71%), but only a small fraction (0.6%) were pediatric nurses. A significant portion (64.6%) held a bachelor's degree, and a majority (83.3%) had not pursued specialized studies in pediatric care. However, more than half (58.3%) had attended pediatric care training courses, and 23.2% had less than five years of experience. Findings revealed that the integration of EBPs was inconsistent, with only 66.7% of participants reporting proper triage and assessment of emergency cases. Illness management, particularly in areas like malnutrition and anemia, showed significant gaps, with less than 60% adherence to standard practices. The HIS was underdeveloped, with 69.4% of providers reporting accurate medical records, and only 63.7% indicated proper use of data for quality improvement. Referral efficiency was also compromised, with only 65.2% of providers reporting timely referrals.
While some progress has been made in pediatric care quality in Gaza, significant gaps remain in evidence-based practice, illness management, HIS functionality, and referral efficiency. Addressing these challenges requires improved infrastructure, resource allocation, and enhanced training for healthcare providers.
加沙地带医院的儿科护理质量是一个至关重要的问题，特别是考虑到该地区资源有限且政治局势持续不稳定。本研究旨在评估医疗服务提供者对加沙主要医院儿科护理质量的看法，重点关注循证实践（EBPs）与疾病管理、健康信息系统（HIS）以及转诊效率的整合情况。
2023年在加沙地带的三家主要儿科医院开展了一项横断面研究，这三家医院分别是纳赛尔儿科医院、多拉儿科医院和兰提西专科医院。采用基于结构化访谈的问卷从医疗服务提供者那里收集数据。运用世界卫生组织（WHO）的综合工具“改善医疗机构儿童护理质量标准”的三个领域来评估儿科护理质量。使用SPSS 26版进行统计分析。
该研究的参与者（336名医疗服务提供者）以男性为主（59.5%），平均年龄为36.2±8.73岁。大多数是护士（71%），但儿科护士仅占一小部分（0.6%）。相当一部分人（64.6%）拥有学士学位，大多数人（83.3%）没有接受过儿科护理方面的专业学习。然而，超过一半（58.3%）的人参加过儿科护理培训课程，23.2%的人工作经验不足五年。研究结果显示，循证实践的整合情况参差不齐，只有66.7%的参与者报告对急诊病例进行了适当的分诊和评估。疾病管理，尤其是在营养不良和贫血等领域，存在显著差距，遵循标准做法的比例不到60%。健康信息系统不发达，69.4%的提供者报告病历准确，只有63.7%的人表示正确使用数据以改进质量。转诊效率也受到影响只有65.2%的提供者报告能及时转诊。
虽然加沙在儿科护理质量方面取得了一些进展，但在循证实践、疾病管理、健康信息系统功能和转诊效率方面仍存在显著差距。应对这些挑战需要改善基础设施、资源分配，并加强对医疗服务提供者的培训。
