n Health SA Gesondheid - Health care professionals' perspectives on the requirements facilitating the roll-out of kangaroo mother care in South Africa
|Article Title||Health care professionals' perspectives on the requirements facilitating the roll-out of kangaroo mother care in South Africa|
|© Publisher:||University of Johannesburg|
|Journal||Health SA Gesondheid|
|Affiliations||1 North-West University, 2 North-West University and 3 North-West University|
|Publication Date||Jan 2016|
|Pages||228 - 237|
|Keyword(s)||Benefit levers, Best practice, Health professionals, Kangaroo mother care, Requirements, Rolling-out process and South Africa|
Background: Using best evidence to inform practice is the cornerstone of quality patient care, and requires spread, uptake, implementation and roll-out of best practices. Kangaroo mother care (KMC) was used as a best practice which has been partly rolled-out in South Africa. In order for successful roll-out of best practices, it is important to understand what health professionals perceive as requirements for the rolling-out process. However, no published research was found on requirements for rolling-out a best practice in the South African context.
Purpose: of the research: To explore and describe the perspectives of health professionals on the requirements for the rolling-out process of KMC as a best practice in South Africa.
Methodology: Twelve semi-structured individual interviews were conducted in 2012 with health professionals from various South African healthcare levels, involved in the implementation and the rolling-out process of kangaroo mother care. Content analysis were guided in terms of the four requirements for roll-out of best practices, identified in Edwards and Grinspun's Evidence Informed Model of Care.
Results: The requirements for the successful roll out of best practices mentioned by the participants in this study concur with the requirements of Edwards and Grinspun: personal alignment and protocol/policy alignment with the best practice; a roll-out plan; leadership; and supporting and reinforcing structures such as: resources, communicating, education and development regarding the best practice, and the organisational structure. The requirements were identified at four different levels: individual level (e.g. the nurse and medical specialists), management level (of the hospital), provincial level and national level.
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