Emergency department risk factors for serious clinical deterioration in a paediatric hospital in Peru

Nielsen, Katie R.; Rojas, Rubén Aronés; Fieno, José Tantaleán da; Huicho, Luis; Roberts, Joan; Zunt, Joseph R.

doi:10.1111/jpc.13904

Cited by 2 publications

(1 citation statement)

References 36 publications

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“…Instituto Nacional de Salud del Niño is the largest freestanding children's hospital in Peru. Its basic demographics have been described elsewhere , and PICU characteristics are summarised in Table .…”

Section: Methodsmentioning

confidence: 99%

Key considerations prior to nasal high flow deployment in a Peruvian PICU from providers’ perspectives

Ellington

Jacob‐Files²,

Becerra

et al. 2018

Acta Paediatrica

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Aim: Implementation of healthcare interventions in resource-limited settings remains challenging. This exploratory qualitative study describes social and institutional factors to consider prior to nasal high flow deployment in a middle-income country.Methods: Researchers conducted eight nursing focus groups and four semi-structured physician interviews at Instituto Nacional de Salud del Niño in Lima, Peru. Participants were identified via purposive sampling. Data were transcribed, translated and coded using a rigorous and iterative process. Pertinent themes were identified using thematic analysis with Dedoose software.Results: Thirty-nine nurses and four physicians participated in focus groups and interviews, respectively. Participants identified five major factors: (i) Adequate training, (ii) Clinician buy-in, (iii) Resource-limited setting, (iv) Local social context and (v) Organizational change management. To create buy-in, physicians and nurses emphasised the need to recognise benefit of the intervention and agree with clinical practice standardization. Physicians and nurses described barriers specific to resource-limited settings, including unreliable supply chain, whereas nurses shared concerns about increasing workload and physician-nurse social hierarchy. Participants recognised the importance of team commitment and ongoing interdisciplinary communication for sustainability.Conclusion: While some factors to consider prior to deployment of healthcare technology are universal, resource-limited settings have unique implementation barriers.

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Section: Methodsmentioning

confidence: 99%