Paediatric burns in LMICs: An evaluation of the barriers and facilitators faced by staff involved in burns education training programmes in Blantyre, Malawi

Harris, Leslie J.; Fioratou, Evie; Broadis, Emily

doi:10.1016/j.burns.2015.04.011

Cited by 4 publications

(5 citation statements)

References 11 publications

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“…Participants of this study observed that the practice leads to loss of some nurses who had gained experience in the ICUs and HDUs. This finding is consistent with previous studies in Malawi which reported that competency gaps are aggravated by an annual rotation of nurses22. Therefore, the findings of the present study add voice to the calls for authorities to revisit the annual rotation system to ensure optimal care provision.…”

Section: Discussionsupporting

confidence: 92%

Contextual issues that influence preparedness of nurses for critical care nursing practice in Malawi

et al. 2019

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Background There are no critical care nurse training programs in Malawi despite the high burden of diseases which culminate in critical illness. This paper presents contextual issues that influence preparedness of nurses for critical care nursing practice in Malawi. The qualitative findings presented are part of a larger mixed methods study which explored learning needs of critical care nurses as a way of informing the development of a training program for the critical care nurses in Malawi. Methods Interpretive descriptive design was used. Data were gathered through 10 key informant interviews with nurse leaders (n=8) and anaesthetists (n=2); and two focus group discussions with registered nurses and nurse midwife technicians working in intensive care and adult high dependency units at two tertiary hospitals. Transcribed data were analyzed manually and through the use of NVivo data management software utilizing Thorne's steps of analysis 1 . Results Being unprepared to work in intensive care and high dependency units was a dominant theme. Factors that contributed to this sense of unpreparedness were lack of educational preparation, organisational factors and workforce issues. The consequences of nurses' perceptions of being unprepared were fearfulness, a change of nurses' attitudes and elevation of risk to patients. The nurses managed unpreparedness by relying on other health professionals and learning on the job. Conclusion The findings illuminated contextual issues to be considered when developing programs for upskilling nurses in hospitals within Malawi and contributes to the developing body of knowledge related to nursing education and practice development within developing countries.

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Section: Discussionsupporting

confidence: 92%

Contextual issues that influence preparedness of nurses for critical care nursing practice in Malawi

et al. 2019

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“…Surprisingly, the two hospitals have a policy on the annual rotation of nurses from one department to another every year. This finding was also reported by Harris, Fioratou, and Broadis (2016) who observed that competency gaps are aggravated by the annual rotation of nurses. As suggested in a previous study, there is need for the hospital authorities to revisit the annual rotation system and identify other strategies for retaining nurses in these units to ensure optimal care provision (Gundo et al 2019a).…”

Section: Discussionsupporting

confidence: 83%

Self-assessed Competence of Nurses in Critical Care Units in Malawi: A Cross-sectional Survey

Gundo¹,

Gundo²,

Chirwa³

et al. 2022

IJCC

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Background: The birth of a premature infant and admission to the NICU is often unexpected and traumatic for families, leading to increased distress and can negatively impact parental-infant attachment. Appropriate interventions can help to lessen the negative impact of a NICU admission on families, improving parental mental health, reducing distress, enhancing parent- infant relationships, and improving the long-term physical, cognitive, emotional, and social development of the infant. Aims: The purpose of this study is to examine and evaluate research evidence on the effectiveness of current interventions for improving parental distress in the NICU. Methods: A rapid review was conducted utilizing a protocol based on the Virginia Commonwealth University guidance. Keyword searches were conducted on CINAHL, MEDLINE, and PsychINFO, and studies were selected according to pre-defined eligibility criteria, published between January 2015 and January 2020. The literature search included primary studies of interventions with parental stress and/or anxiety reduction as outcomes. Results: A total of 14 articles were included, evaluating the effectiveness of 13 different interventions, including narrative writing, art therapy, structured nursing interventions, anxiety counselling, spiritual care, organizational change, music therapy, relaxation, and mindfulness techniques. With the Pexception of three, all the studies found significant results in the reduction of stress and/or anxiety levels of the subjects, with mothers having overall higher levels of stress indicated by higher stress scores on standardized measurement tools. Conclusion: There is a need for ongoing assessment of parental distress and integration of appropriate interventions within the NICU settings. In this review, both individualized and group interventions including narrative writing, art therapy, music therapy, spiritual care, activity-based group therapy, music therapy, audio-assisted relaxation techniques, mindfulness based neurodevelopmental care, cognitive behavioral based counselling, family nurture intervention and a structured nursing intervention were shown to be effective in reducing parental stress and/or anxiety in the NICU. The small scale of the studies included in this review impact generalizability to a broader audience and emphasizes the need for larger scope, multi-center studies at an international level to build on and broaden our level of knowledge on how to better support families and reduce parental distress in the NICU.

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“…The results of the study demonstrate that it is possible to provide effective training on improvement and implementation science to nurses working in burns units, in Malawi and Ethiopia, through a combination of face-to-face and online learning. The study also highlights the wide range of barriers and facilitators experienced by the participants as they set up and conducted their projects, with issues relating to the high turn over of staff and limited resources resonating with an earlier study that focused on paediatric burn treatment education in Malawi [ 32 ]. While some of these will resonate with health professionals from all parts of the world [ 32 , 33 ], the results capture some of the particular challenges of working in an LMIC environment.…”

Section: Discussionmentioning

confidence: 77%

“…The study also highlights the wide range of barriers and facilitators experienced by the participants as they set up and conducted their projects, with issues relating to the high turn over of staff and limited resources resonating with an earlier study that focused on paediatric burn treatment education in Malawi [ 32 ]. While some of these will resonate with health professionals from all parts of the world [ 32 , 33 ], the results capture some of the particular challenges of working in an LMIC environment. The best testament to the quality of the projects completed by the participants can be found in an innovative open access educational resource in the form of an e-book (available at https://interburns.org/news/a-practical-guide-to-quality-improvement-in-burn-care or…”

Section: Discussionmentioning

confidence: 77%

Quality improvement training for burn care in low-and middle-income countries: A pilot course for nurses

Holden¹,

Ogada²,

Hebron³

et al. 2022

Burns

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Paediatric burns in LMICs: An evaluation of the barriers and facilitators faced by staff involved in burns education training programmes in Blantyre, Malawi

Cited by 4 publications

References 11 publications

Contextual issues that influence preparedness of nurses for critical care nursing practice in Malawi

Contextual issues that influence preparedness of nurses for critical care nursing practice in Malawi

Self-assessed Competence of Nurses in Critical Care Units in Malawi: A Cross-sectional Survey

Quality improvement training for burn care in low-and middle-income countries: A pilot course for nurses

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