Perspectives of health care providers on obstetric point-of-care ultrasound in lower-level health facilities in Kenya.

IF 2.6 3区医学 Q1 NURSING Midwifery Pub Date : 2024-09-26 DOI:10.1016/j.midw.2024.104196

Lister N Onsongo, Sarah C Bett, Grace W Gachuiri, Stephen N Njuguna, Jacob W Masika, George O Otieno, Anthony K Wanyoro, Matthew S Haldeman, Dilys Walker, Nicole Santos, Grace K Githemo

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Abstract

Background: Ultrasound technology has become integral in antenatal care for its diagnostic effectiveness and potential to improve maternal and neonatal outcomes. Despite its proven benefits, challenges persist in its widespread adoption, particularly in low-resource settings like Kenya.

Aim: The aim of this study was to explore the perspectives of healthcare providers regarding the integration of obstetric point-of-care ultrasound into routine maternal services in low-level facilities Kenya.

Methods: Using a descriptive qualitative study embedded in a large scale implementation study 76 healthcare providers who had undergone obstetric point-ofcare ultrasound training and were providing maternal services were purposively sampled from healthcare facilities across eight counties. Data was collected using structured audiotaped interviews, which were transcribed, and analyzed using thematic analysis.

Results: Five main themes with several subthemes emerged from the analysis: (1) Clinical Decision-Making (2) Quality of Services, (3) Training, (4)Technology Issues, and (5) Sustainability.

Discussion: Findings from this study suggest that use of obstetric Point-of-Care Ultrasound in resource-limited primary care settings, can enhance clinical decision making and influence patient management, ultimately resulting in significant health outcomes.

Conclusion: Equipping health care providers with skills to conduct obstetric point of care ultrasound can lead to better-informed clinical decisions and ultimately contribute to improved health outcomes in underserved populations.

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医护人员对肯尼亚下级医疗机构产科护理点超声波检查的看法。

背景：超声波技术因其诊断效果和改善孕产妇及新生儿预后的潜力，已成为产前护理中不可或缺的一部分。目的：本研究旨在探讨肯尼亚低水平医疗机构的医护人员对将产科护理点超声波纳入常规孕产妇服务的看法：方法：采用描述性定性研究的方法，在一项大规模实施研究中，有目的性地从八个县的医疗机构中抽取了 76 名接受过产科护理点超声波培训并正在提供孕产妇服务的医疗服务提供者。通过结构化录音访谈收集数据，并对访谈内容进行转录和专题分析：结果：分析得出了五个主题和几个次主题：(1) 临床决策；(2) 服务质量；(3) 培训；(4) 技术问题；(5) 可持续性：讨论：本研究的结果表明，在资源有限的初级医疗机构中使用产科护理点超声波可加强临床决策并影响患者管理，最终带来显著的健康结果：让医疗服务提供者掌握进行产科护理点超声波检查的技能，可使临床决策更加明智，最终有助于改善服务不足人群的健康状况。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.