Strategies to sustain a quality improvement initiative in neonatal resuscitation
Background: Many neonatal deaths can be prevented globally through effective resuscitation. South Africa (SA) committed towards attaining the Millennium Development Goal 4 (MDG4) set by the World Health Organization (WHO). However, SA’s district hospitals have the highest early neonatal mortality ra...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
AOSIS
2016-04-01
|
| Series: | African Journal of Primary Health Care & Family Medicine |
| Online Access: | https://phcfm.org/index.php/phcfm/article/view/958 |
| _version_ | 1818838551311155200 |
|---|---|
| author | Carlien van Heerden Carin Maree Elsie S. Janse van Rensburg |
| author_facet | Carlien van Heerden Carin Maree Elsie S. Janse van Rensburg |
| author_sort | Carlien van Heerden |
| collection | DOAJ |
| description | Background: Many neonatal deaths can be prevented globally through effective resuscitation. South Africa (SA) committed towards attaining the Millennium Development Goal 4 (MDG4) set by the World Health Organization (WHO). However, SA’s district hospitals have the highest early neonatal mortality rates. Modifiable and avoidable causes associated with patient-related, administrative and health care provider factors contribute to neonatal mortality. A quality improvement initiative in neonatal resuscitation could contribute towards decreasing neonatal mortality, thereby contributing towards the attainment of the MDG4.
Aim: The aim of this study was, (1) to explore and describe the existing situation regarding neonatal resuscitation in a district hospital, (2) to develop strategies to sustain a neonatal resuscitation quality improvement initiative and (3) to decrease neonatal mortality. Changes that occurred and the sustainability of strategies were evaluated.
Setting: A maternity section of a district hospital in South Africa.
Methods: The National Health Service (NHS) Sustainability Model formed the theoretical framework for the study. The Problem Resolving Action Research model was applied and the study was conducted in three cycles. Purposive sampling was used for the quantitative and qualitative aspects of data collection. Data was analysed accordingly.
Results: The findings indicated that the strategies formulated and implemented to address factors related to neonatal resuscitation (training, equipment and stock, staff shortages, staff attitude, neonatal transport and protocols) had probable sustainability and contributed towards a reduction in neonatal mortality in the setting.
Conclusion: These strategies had the probability of sustainability and could potentially improve neonatal outcomes and reduce neonatal mortality to contribute toward South Africa’s drive to attain the MDG4. |
| first_indexed | 2024-12-19T03:40:12Z |
| format | Article |
| id | doaj.art-f21a77e5dccc449b834e595014770c96 |
| institution | Directory Open Access Journal |
| issn | 2071-2928 2071-2936 |
| language | English |
| last_indexed | 2024-12-19T03:40:12Z |
| publishDate | 2016-04-01 |
| publisher | AOSIS |
| record_format | Article |
| series | African Journal of Primary Health Care & Family Medicine |
| spelling | doaj.art-f21a77e5dccc449b834e595014770c962022-12-21T20:37:15ZengAOSISAfrican Journal of Primary Health Care & Family Medicine2071-29282071-29362016-04-0182e1e1010.4102/phcfm.v8i2.958362Strategies to sustain a quality improvement initiative in neonatal resuscitationCarlien van Heerden0Carin Maree1Elsie S. Janse van Rensburg2Department of Nursing Science, University of PretoriaDepartment of Nursing Science, University of PretoriaDepartment of Health Studies, UNISABackground: Many neonatal deaths can be prevented globally through effective resuscitation. South Africa (SA) committed towards attaining the Millennium Development Goal 4 (MDG4) set by the World Health Organization (WHO). However, SA’s district hospitals have the highest early neonatal mortality rates. Modifiable and avoidable causes associated with patient-related, administrative and health care provider factors contribute to neonatal mortality. A quality improvement initiative in neonatal resuscitation could contribute towards decreasing neonatal mortality, thereby contributing towards the attainment of the MDG4. Aim: The aim of this study was, (1) to explore and describe the existing situation regarding neonatal resuscitation in a district hospital, (2) to develop strategies to sustain a neonatal resuscitation quality improvement initiative and (3) to decrease neonatal mortality. Changes that occurred and the sustainability of strategies were evaluated. Setting: A maternity section of a district hospital in South Africa. Methods: The National Health Service (NHS) Sustainability Model formed the theoretical framework for the study. The Problem Resolving Action Research model was applied and the study was conducted in three cycles. Purposive sampling was used for the quantitative and qualitative aspects of data collection. Data was analysed accordingly. Results: The findings indicated that the strategies formulated and implemented to address factors related to neonatal resuscitation (training, equipment and stock, staff shortages, staff attitude, neonatal transport and protocols) had probable sustainability and contributed towards a reduction in neonatal mortality in the setting. Conclusion: These strategies had the probability of sustainability and could potentially improve neonatal outcomes and reduce neonatal mortality to contribute toward South Africa’s drive to attain the MDG4.https://phcfm.org/index.php/phcfm/article/view/958 |
| spellingShingle | Carlien van Heerden Carin Maree Elsie S. Janse van Rensburg Strategies to sustain a quality improvement initiative in neonatal resuscitation African Journal of Primary Health Care & Family Medicine |
| title | Strategies to sustain a quality improvement initiative in neonatal resuscitation |
| title_full | Strategies to sustain a quality improvement initiative in neonatal resuscitation |
| title_fullStr | Strategies to sustain a quality improvement initiative in neonatal resuscitation |
| title_full_unstemmed | Strategies to sustain a quality improvement initiative in neonatal resuscitation |
| title_short | Strategies to sustain a quality improvement initiative in neonatal resuscitation |
| title_sort | strategies to sustain a quality improvement initiative in neonatal resuscitation |
| url | https://phcfm.org/index.php/phcfm/article/view/958 |
| work_keys_str_mv | AT carlienvanheerden strategiestosustainaqualityimprovementinitiativeinneonatalresuscitation AT carinmaree strategiestosustainaqualityimprovementinitiativeinneonatalresuscitation AT elsiesjansevanrensburg strategiestosustainaqualityimprovementinitiativeinneonatalresuscitation |