Translation of novel antiemetic to sub‐Saharan Africa using diffusion of innovation framework.

Objective: Studies indicate inhaled isopropyl alcohol (IIA) is effective or superior to ondansetron for adult patients. Although quick‐acting and low cost, it cannot be assumed this remedy is suitable for adoption in all settings. We explored how an innovative antiemetic remedy studied in the United...

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Publicado en:Public Health Nursing Vol. 39; no. 3; pp. 528 - 536
Autores principales: Bostwick, Linda W., Champion, Jane D.
Formato: research Journal Article
Publicado: Wiley-Blackwell May/Jun2022
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Public Health Nursing
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      dt: May/Jun2022
      vid: 39
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        156784365
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        10.1111/phn.12992
        156784365
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        atl: Translation of novel antiemetic to sub‐Saharan Africa using diffusion of innovation framework.
      aug:
        au:
          Bostwick, Linda W.
          Champion, Jane D.
        affil: The University of Texas at Austin, Austin Texas, , USA
      sug:
        subj:
          Diffusion of Innovation
          Antiemetics Therapeutic Use
          Change Management
          Implementation Science
          Nausea and Vomiting Drug Therapy
          Africa South of the Sahara
          Qualitative Studies
          Purposive Sample
          Human
          Health Personnel
          Semi-Structured Interview
          Thematic Analysis
          Content Analysis
          Descriptive Research
          Malaria
          Aromatherapy
          Male
          Female
          Adult
          Middle Age
          Adolescence
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Adolescent: 13-18 years
          Male
          Female
      ab: Objective: Studies indicate inhaled isopropyl alcohol (IIA) is effective or superior to ondansetron for adult patients. Although quick‐acting and low cost, it cannot be assumed this remedy is suitable for adoption in all settings. We explored how an innovative antiemetic remedy studied in the United States translates to a sub‐Saharan Africa clinic/hospital setting using Rogers' Diffusion of Innovation Framework. Design: Qualitative design with purposive sampling. Sample: Health care staff (n = 11) providing and community members (n = 22) accessing health care services in a sub‐Saharan Africa clinic/hospital. Measurements: Semi‐structured interviews with coding and identification of themes via deductive content analysis using Rogers' Diffusion of Innovation Framework. Results: Nausea and vomiting was a common complaint, with malaria the most common etiology. Participants emphasized treatment of etiology over symptomatic treatment and described previous aromatherapy use. IIA advantages included administration route, quick‐acting, self‐administration, portable, available, and easy trialability. Participants expressed concerns regarding use of term "alcohol" as potentially offensive to others. Conclusion: Use of Rogers' Diffusion of Innovation framework identified barriers and facilitators to translation of a novel antiemetic remedy for sub‐Saharan Africa clinic/hospital settings. Evaluating clinical innovations from perspectives of relative advantage, compatibility, complexity, trialability, and observability enhances adoption of innovations within clinical settings.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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