Assessing factors that influence participation of caregivers in the treatment of preterm neonates on bubble Continuous Positive Airway Pressure at Mangochi District Hospital
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Date
2021-12-16
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Kamuzu University of Health Sciences
Abstract
Title of study; Assessing factors influencing participation of caregivers in the treatment of
preterm neonates on bubble Continuous Positive Airway Pressure at Mangochi District Hospital.
Study problem; Global mortality of preterm babies remains high at 35% with many survivors
suffering lifetime disabilities such as learning disabilities, visual and hearing problems. The
leading cause of mortality among preterm neonates is Respiratory Distress Syndrome (RDS), a
condition that is effectively treated with the use of bubble Continuous Positive Airway Pressure
(CPAP) therapy. In addition, good neonatal outcomes are achieved when caregivers of preterm
neonates are incorporated in planning, delivery and evaluation of healthcare. However,
implementing the aspect of engaging caregivers in healthcare delivery face challenges as conflict
emerges between nurses and caregivers as nurses want to retain their role as primary caregivers
though it shifts to being mentors. Again, the aspect is not valued nor encouraged especially in
low- and middle-income countries.
Study objectives; the aim of the study is to assess factors that influence participation of
caregivers in the treatment of preterm neonates on bubble Continuous Positive Airway Pressure
at Mangochi District Hospital. The investigator will explore caregivers’ knowledge on their role
in provision of care, the barriers and enablers of their participation in care and the strategies for
improving caregiver participation in treatment of preterm neonates receiving bubble CPAP.
Methodology; This is a qualitative study employing in-depth interviews, focus group
discussions and observations. The study will take place at Mangochi District Hospital.
Participants will be caregivers for preterm babies who have been on bubble CPAP for at least 24
hours and they will be recruited purposively. Data will be collected by conducting interviews,
focus group discussions and observations to achieve objectives of the study. Ethical approval of
the study will be obtained from COMREC and individual participants in the study will give
informed consent to participate. Participants identification will be protected by using identity
codes and not their names and all study documents will be kept in a lockable cabinet which will
be accessed by study team only.
Expected findings and their dissemination; the study will inform factors that influence the
utilization of a simple but effective strategy in reducing neonatal mortality, thus, engaging
caregivers in care provision to preterm babies, from caregiver perspective. Results will be
disseminated through a written report to KUHES library, COMREC secretariat and Mangochi
District Health Office. Furthermore, results will be presented at a research conference organized
by KUHES and will be published in a peer review journal.
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Keywords
Caregiver participation in treatment of preterm neonates