Using behavioural science to explore impact and implementation of obstetric anaesthesia training in Tanzania, Nepal and Bangladesh: a qualitative evaluation study with obstetric anaesthesia providers.
Objective: High quality obstetric anaesthetic care is integral to reducing preventable maternal deaths in Low-and-Middle-Income-Countries (LMICs). We applied behavioural science to evaluate SAFE Obstetrics, a 3-day Continuing Professional Development (CPD) course, on physician and non-physician anae...
| Publicado en: | Psychology & Health Vol. 39; no. 10; pp. 1451 - 1466 |
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| Autores principales: | , , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Oct2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=179482971&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 179482971 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08870446 7WK jtl: Psychology & Health issn: 08870446 maglogo: N pubinfo: dt: Oct2024 vid: 39 iid: 10 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 179482971 161177319 179482971 179482971 10.1080/08870446.2022.2160472 179482971 ppf: 1451 ppct: 15 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Using behavioural science to explore impact and implementation of obstetric anaesthesia training in Tanzania, Nepal and Bangladesh: a qualitative evaluation study with obstetric anaesthesia providers. aug: au: Dharni, Nimarta Byrne-Davis, Lucie M. T. Sanga, Evans Hart, Jo Shrestha, Amir Babu Gurung, Tara Shrestha, Ravi R. Vaidya, Pradip R. Hossain, Amir Lilaonitkul, Maytinee Snell, David Barrett-Chapman, Alex Walker, Isabeau Bull, Eleanor R. affil: Institute of Applied Health Research, University of Birmingham, Birmingham, UK sug: subj: Behavioral Sciences Utilization Anesthesia, Obstetrical Education Anesthesiology Education Program Implementation Outcomes of Education Evaluation Anesthesiologists Obstetric Care Low and Middle Income Countries Professional Development Human Funding Source Male Female Tanzania Nepal Bangladesh Qualitative Studies Evaluation Research Structured Interview Conceptual Framework Behavioral Changes Audiorecording Content Analysis Thematic Analysis Patient Centered Care Patient Safety Teamwork Confidence Professional Identity Work Environment Social Norms Male Female ab: Objective: High quality obstetric anaesthetic care is integral to reducing preventable maternal deaths in Low-and-Middle-Income-Countries (LMICs). We applied behavioural science to evaluate SAFE Obstetrics, a 3-day Continuing Professional Development (CPD) course, on physician and non-physician anaesthetists' practice behaviours across 3 LMICs.Methods: Seven anaesthetist Fellows from Bangladesh, Nepal and Tanzania were trained in qualitative methods and behavioural science. Structured interviews were undertaken by Fellows and two UK behavioural scientists with course participants. Interviews were based on the Theoretical Domains Framework: a comprehensive framework of influences on behaviour change. Interviews were recorded, transcribed and analysed using content and thematic analysis.Results: 78 physician and non-physician anaesthetists participated (n = 26 Bangladesh, n = 24 Nepal and n = 28 Tanzania). Participants reported positive improvements in patient-centered working, safety, teamwork and confidence. Across countries, we found similar barriers and facilitators: environmental resources, a strong professional identity and positive social influences were key facilitators of change.Conclusion: This multi-country theory-based evaluation highlighted the impact of SAFE Obstetrics on participants' clinical practice. A supportive work environment was crucial for implementing learning following training; CPD courses in LMICs must furnish participants with skills and equipment to address training implementation challenges. Building local behavioural science capacity can strengthen LMIC health intervention evaluations. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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