Family caregiver perspectives on strengths and challenges in the care of pediatric injury patients at a tertiary referral hospital in Northern Tanzania.
<h4>Background</h4>Pediatric injuries are a leading cause of morbidity and mortality in low- and middle-income countries (LMICs). It is important that injured children get quality care in order to improve their outcomes. Injured children are nearly always accompanied by family member car...
| Autors principals: | , , , , , , , , , , |
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| Format: | Article |
| Idioma: | English |
| Publicat: |
Public Library of Science (PLoS)
2023-01-01
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| Col·lecció: | PLoS ONE |
| Accés en línia: | https://doi.org/10.1371/journal.pone.0286836 |
| _version_ | 1827359014286000128 |
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| author | Elizabeth M Keating Francis Sakita Maddy Vonderohe Getrude Nkini Ismail Amiri Kelly Loutzenheiser Bryan Young Sharla Rent Catherine A Staton Blandina T Mmbaga Melissa H Watt |
| author_facet | Elizabeth M Keating Francis Sakita Maddy Vonderohe Getrude Nkini Ismail Amiri Kelly Loutzenheiser Bryan Young Sharla Rent Catherine A Staton Blandina T Mmbaga Melissa H Watt |
| author_sort | Elizabeth M Keating |
| collection | DOAJ |
| description | <h4>Background</h4>Pediatric injuries are a leading cause of morbidity and mortality in low- and middle-income countries (LMICs). It is important that injured children get quality care in order to improve their outcomes. Injured children are nearly always accompanied by family member caregivers invested in their outcome, and who will be responsible for their recovery and rehabilitation after discharge.<h4>Objective</h4>The purpose of this study was to identify family member caregiver perspectives on strengths and challenges in pediatric injury care throughout hospitalization at a tertiary hospital in Northern Tanzania.<h4>Methods</h4>This study was conducted at a zonal referral hospital in Northern Tanzania. Qualitative semi-structured in-depth interviews (IDIs) were conducted by trained interviewers who were fluent in English and Swahili in order to examine the strengths and challenges in pediatric injury care. IDIs were completed from November 2020 to October 2021 with 30 family member caregivers of admitted pediatric injured patients. De-identified transcripts were synthesized in memos and analyzed through a team-based, thematic approach informed by applied thematic analysis.<h4>Results</h4>Strengths and challenges were identified throughout the hospital experience, including emergency medicine department (EMD) care, inpatient wards care, and discharge. Across the three phases, strengths were identified such as how quickly patients were evaluated and treated, professionalism and communication between healthcare providers, attentive nursing care, frequent re-evaluation of a patient's condition, and open discussion with caregivers about readiness for discharge. Challenges identified related to lack of communication with caregivers, perceived inability of caregivers to ask questions, healthcare providers speaking in English during rounds with lack of interpretation into the caregivers' preferred language, and being sent home without instructions for rehabilitation, ongoing care, or guidance for follow-up.<h4>Conclusion</h4>Caregiver perspectives highlighted strengths and challenges throughout the hospital experience that could lead to interventions to improve the care of pediatric injury patients in Northern Tanzania. These interventions include prioritizing communication with caregivers about patient status and care plan, ensuring all direct communication is in the caregivers' preferred language, and standardizing instructions regarding discharge and follow-up. |
| first_indexed | 2024-03-08T06:20:31Z |
| format | Article |
| id | doaj.art-8629f909998a4ddc8beeef658da384fb |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-03-08T06:20:31Z |
| publishDate | 2023-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-8629f909998a4ddc8beeef658da384fb2024-02-04T05:31:24ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-011812e028683610.1371/journal.pone.0286836Family caregiver perspectives on strengths and challenges in the care of pediatric injury patients at a tertiary referral hospital in Northern Tanzania.Elizabeth M KeatingFrancis SakitaMaddy VonderoheGetrude NkiniIsmail AmiriKelly LoutzenheiserBryan YoungSharla RentCatherine A StatonBlandina T MmbagaMelissa H Watt<h4>Background</h4>Pediatric injuries are a leading cause of morbidity and mortality in low- and middle-income countries (LMICs). It is important that injured children get quality care in order to improve their outcomes. Injured children are nearly always accompanied by family member caregivers invested in their outcome, and who will be responsible for their recovery and rehabilitation after discharge.<h4>Objective</h4>The purpose of this study was to identify family member caregiver perspectives on strengths and challenges in pediatric injury care throughout hospitalization at a tertiary hospital in Northern Tanzania.<h4>Methods</h4>This study was conducted at a zonal referral hospital in Northern Tanzania. Qualitative semi-structured in-depth interviews (IDIs) were conducted by trained interviewers who were fluent in English and Swahili in order to examine the strengths and challenges in pediatric injury care. IDIs were completed from November 2020 to October 2021 with 30 family member caregivers of admitted pediatric injured patients. De-identified transcripts were synthesized in memos and analyzed through a team-based, thematic approach informed by applied thematic analysis.<h4>Results</h4>Strengths and challenges were identified throughout the hospital experience, including emergency medicine department (EMD) care, inpatient wards care, and discharge. Across the three phases, strengths were identified such as how quickly patients were evaluated and treated, professionalism and communication between healthcare providers, attentive nursing care, frequent re-evaluation of a patient's condition, and open discussion with caregivers about readiness for discharge. Challenges identified related to lack of communication with caregivers, perceived inability of caregivers to ask questions, healthcare providers speaking in English during rounds with lack of interpretation into the caregivers' preferred language, and being sent home without instructions for rehabilitation, ongoing care, or guidance for follow-up.<h4>Conclusion</h4>Caregiver perspectives highlighted strengths and challenges throughout the hospital experience that could lead to interventions to improve the care of pediatric injury patients in Northern Tanzania. These interventions include prioritizing communication with caregivers about patient status and care plan, ensuring all direct communication is in the caregivers' preferred language, and standardizing instructions regarding discharge and follow-up.https://doi.org/10.1371/journal.pone.0286836 |
| spellingShingle | Elizabeth M Keating Francis Sakita Maddy Vonderohe Getrude Nkini Ismail Amiri Kelly Loutzenheiser Bryan Young Sharla Rent Catherine A Staton Blandina T Mmbaga Melissa H Watt Family caregiver perspectives on strengths and challenges in the care of pediatric injury patients at a tertiary referral hospital in Northern Tanzania. PLoS ONE |
| title | Family caregiver perspectives on strengths and challenges in the care of pediatric injury patients at a tertiary referral hospital in Northern Tanzania. |
| title_full | Family caregiver perspectives on strengths and challenges in the care of pediatric injury patients at a tertiary referral hospital in Northern Tanzania. |
| title_fullStr | Family caregiver perspectives on strengths and challenges in the care of pediatric injury patients at a tertiary referral hospital in Northern Tanzania. |
| title_full_unstemmed | Family caregiver perspectives on strengths and challenges in the care of pediatric injury patients at a tertiary referral hospital in Northern Tanzania. |
| title_short | Family caregiver perspectives on strengths and challenges in the care of pediatric injury patients at a tertiary referral hospital in Northern Tanzania. |
| title_sort | family caregiver perspectives on strengths and challenges in the care of pediatric injury patients at a tertiary referral hospital in northern tanzania |
| url | https://doi.org/10.1371/journal.pone.0286836 |
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