Exploring Barriers and Facilitators to Incorporating New Practices and Innovations in the Pediatric Perioperative Ecosystem in Sub-Saharan Africa: A Mixed Methods Study
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View abstract on PubMed
Summary
This summary is machine-generated.Pediatric anesthetists returning to sub-Saharan Africa face significant barriers to implementing evidence-based practices. However, facilitators like leadership support and personal traits enable change, suggesting a need for enhanced fellowship training in change management.
Area Of Science
- Perioperative Medicine
- Pediatric Anesthesia
- Healthcare Innovation
Background
- Integrating evidence-based findings into perioperative medicine is crucial for enhancing patient care.
- The perioperative environment requires coordination among multiple stakeholders, facing challenges in implementing changes.
- This study investigates barriers and facilitators for pediatric anesthetists implementing innovations in sub-Saharan Africa.
Purpose Of The Study
- To explore the barriers and facilitators encountered by pediatric anesthetists returning to sub-Saharan Africa.
- To understand the challenges in implementing new practices and innovations within the pediatric perioperative ecosystem.
- To identify factors that enable or hinder the adoption of evidence-based changes.
Main Methods
- A mixed-methods study with an explanatory sequential design was employed.
- A survey was distributed to 28 fellowship-trained pediatric anesthetists in sub-Saharan Africa.
- Reflexive thematic analysis was used for survey and subsequent interview data from 10 participants.
Main Results
- All 17 respondents (61% response rate) reported barriers to change implementation.
- Resource constraints, individual, and organizational resistance were primary barriers.
- Key enablers included persistence, adaptability, mentorship, leadership support, and contextualization of skills.
Conclusions
- Pediatric fellows face substantial challenges implementing changes post-training in sub-Saharan Africa.
- Successful change implementation is facilitated by personal traits, leadership, and mentorship.
- Fellowship programs should incorporate leadership and change management training for improved practice implementation.
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