Ngaiza Gloria Karungo, Oluoch Dorothy, Molyneux Catherine, Pope Catherine, Jones Caroline
Health Systems Collaborative, Nuffield Department of Medicine, University of Oxford, Oxford, UK
Health Systems and Research Ethics, KEMRI-Wellcome Trust Research Programme, Nairobi, Kenya.
BMJ Open Qual. 2025 Sep 16;14(3):e003501. doi: 10.1136/bmjoq-2025-003501.
Neonatal technologies can significantly improve care quality and reduce newborn deaths. However, their successful implementation in complex health system contexts requires effective communication among health professionals. A comprehensive understanding of communication among professionals using newborn technologies is needed to inform technology implementation. We conducted a scoping review of the current literature. We searched the grey literature and online resources, including PubMed, Web of Science, Scopus, Embase, Cochrane Library and Google Scholar, for articles. We included English literature that discussed the use of technology in newborn care. 13 papers met the inclusion criteria. We analysed the findings using a thematic approach. 11 of the 13 papers included were based on research conducted in low-income and middle-income countries (LMICs), with continuous positive airway pressure being the most frequently covered technology. The communication information was limited, as these topics were just one of many themes in the papers. Most studies focused on nurses, encompassing aspects of communication such as knowledge sharing and interactions during patient management, monitoring and documentation. However, there was little detail on the nature of these interactions or where they occurred. Factors influencing communication included physical contexts such as infrastructure, socio-organisational contexts such as hierarchy and levels of skills, and technology-related factors such as perceived usefulness and ease of use. If and how these factors interacted with each other to shape technology-related communication was unclear. We highlight gaps in the literature on communication among health professionals using newborn technology for care. We stress the importance of carefully examining the physical and socio-organisational contextual factors and technology-specific attributes that shape communication in all settings, including LMICs. Research aiming to better understand the context of technology implementation will support the successful implementation of potentially life-saving technologies.
新生儿技术可显著提高护理质量并减少新生儿死亡。然而，要在复杂的卫生系统环境中成功实施这些技术，卫生专业人员之间需要进行有效的沟通。为指导技术实施，需要全面了解使用新生儿技术的专业人员之间的沟通情况。我们对当前文献进行了一项范围综述。我们搜索了灰色文献和在线资源，包括PubMed、科学网、Scopus、Embase、Cochrane图书馆和谷歌学术，以查找相关文章。我们纳入了讨论新生儿护理中技术使用的英文文献。13篇论文符合纳入标准。我们采用主题分析法对研究结果进行了分析。纳入的13篇论文中有11篇基于在低收入和中等收入国家（LMICs）开展的研究，持续气道正压通气是研究最多的技术。由于这些主题只是论文众多主题之一，因此沟通信息有限。大多数研究聚焦于护士，涵盖了知识共享以及患者管理、监测和记录过程中的互动等沟通方面。然而，对于这些互动的性质或发生地点，细节很少。影响沟通的因素包括基础设施等物理环境、等级制度和技能水平等社会机构环境，以及感知有用性和易用性等与技术相关的因素。尚不清楚这些因素如何相互作用以形成与技术相关的沟通。我们强调了关于使用新生儿护理技术的卫生专业人员之间沟通的文献存在的空白。我们强调仔细研究在包括低收入和中等收入国家在内的所有环境中塑造沟通的物理和社会机构背景因素以及特定技术属性的重要性。旨在更好地理解技术实施背景的研究将支持可能挽救生命的技术的成功实施。
