An exploratory study of the experiences and challenges faced by advanced life support paramedics in the milieu of neonatal transfers

Background: The safe transfer of critically ill neonates is important for their survival. This calls for greater preparedness on the part of paramedics to effect these transfers safely. Aim: To understand the experiences and the challenges faced by advanced life support (ALS) paramedics during neon...

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Autores principales:	Raisuyah Bhagwan, Pradeep Ashokcoomar
Formato:	article
Lenguaje:	AF EN
Publicado:	AOSIS 2021
Materias:	neonates transfers education als paramedics kwazulu-natal Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/7f99ba3790da4b9cafdc53852a6e4b2b
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spelling	oai:doaj.org-article:7f99ba3790da4b9cafdc53852a6e4b2b2021-11-24T07:40:31ZAn exploratory study of the experiences and challenges faced by advanced life support paramedics in the milieu of neonatal transfers1025-98482071-973610.4102/hsag.v26i0.1562https://doaj.org/article/7f99ba3790da4b9cafdc53852a6e4b2b2021-10-01T00:00:00Zhttps://hsag.co.za/index.php/hsag/article/view/1562https://doaj.org/toc/1025-9848https://doaj.org/toc/2071-9736Background: The safe transfer of critically ill neonates is important for their survival. This calls for greater preparedness on the part of paramedics to effect these transfers safely. Aim: To understand the experiences and the challenges faced by advanced life support (ALS) paramedics during neonatal transfers. Setting: The study setting consisted of advanced life support paramedics from urban and rural areas in KwaZulu-Natal. It comprised of a network of district hospitals as well air and ground transfer facilities, both public and private. Method: Using a qualitative research approach, the study sought the views of ALS paramedics who were involved in neonatal transfers in KwaZulu-Natal. A purposive sample of n = 8 ALS paramedics was selected. Data were collected using in-depth semi-structured interviews. The data were analysed through the process of thematic analysis. Results: The study found that paramedics faced multiple complex challenges related to neonatal transfers. Poor pre-transfer preparation of the neonate, equipment related challenges, lack of clinical support available during transfers and pressure to effect inappropriate transfers were some of the challenges they faced. These challenges coupled with insufficient education and the lack of sub-speciality programmes to capacitate, rendered them unprepared to deal with neonatal transfers effectively. Conclusion: Emergency medicine needs to provide greater attention towards preparing all stakeholders for successful neonatal transfers. Contribution: The findings provide recommendations for a programme that will limit risks involved with, and support the inter-healthcare facility transfer of critically ill neonates in South Africa.Raisuyah BhagwanPradeep AshokcoomarAOSISarticleneonatestransferseducationals paramedicskwazulu-natalPublic aspects of medicineRA1-1270AFENHealth SA Gesondheid: Journal of Interdisciplinary Health Sciences, Vol 26, Iss 0, Pp e1-e9 (2021)
institution	DOAJ
collection	DOAJ
language	AF EN
topic	neonates transfers education als paramedics kwazulu-natal Public aspects of medicine RA1-1270
spellingShingle	neonates transfers education als paramedics kwazulu-natal Public aspects of medicine RA1-1270 Raisuyah Bhagwan Pradeep Ashokcoomar An exploratory study of the experiences and challenges faced by advanced life support paramedics in the milieu of neonatal transfers
description	Background: The safe transfer of critically ill neonates is important for their survival. This calls for greater preparedness on the part of paramedics to effect these transfers safely. Aim: To understand the experiences and the challenges faced by advanced life support (ALS) paramedics during neonatal transfers. Setting: The study setting consisted of advanced life support paramedics from urban and rural areas in KwaZulu-Natal. It comprised of a network of district hospitals as well air and ground transfer facilities, both public and private. Method: Using a qualitative research approach, the study sought the views of ALS paramedics who were involved in neonatal transfers in KwaZulu-Natal. A purposive sample of n = 8 ALS paramedics was selected. Data were collected using in-depth semi-structured interviews. The data were analysed through the process of thematic analysis. Results: The study found that paramedics faced multiple complex challenges related to neonatal transfers. Poor pre-transfer preparation of the neonate, equipment related challenges, lack of clinical support available during transfers and pressure to effect inappropriate transfers were some of the challenges they faced. These challenges coupled with insufficient education and the lack of sub-speciality programmes to capacitate, rendered them unprepared to deal with neonatal transfers effectively. Conclusion: Emergency medicine needs to provide greater attention towards preparing all stakeholders for successful neonatal transfers. Contribution: The findings provide recommendations for a programme that will limit risks involved with, and support the inter-healthcare facility transfer of critically ill neonates in South Africa.
format	article
author	Raisuyah Bhagwan Pradeep Ashokcoomar
author_facet	Raisuyah Bhagwan Pradeep Ashokcoomar
author_sort	Raisuyah Bhagwan
title	An exploratory study of the experiences and challenges faced by advanced life support paramedics in the milieu of neonatal transfers
title_short	An exploratory study of the experiences and challenges faced by advanced life support paramedics in the milieu of neonatal transfers
title_full	An exploratory study of the experiences and challenges faced by advanced life support paramedics in the milieu of neonatal transfers
title_fullStr	An exploratory study of the experiences and challenges faced by advanced life support paramedics in the milieu of neonatal transfers
title_full_unstemmed	An exploratory study of the experiences and challenges faced by advanced life support paramedics in the milieu of neonatal transfers
title_sort	exploratory study of the experiences and challenges faced by advanced life support paramedics in the milieu of neonatal transfers
publisher	AOSIS
publishDate	2021
url	https://doaj.org/article/7f99ba3790da4b9cafdc53852a6e4b2b
work_keys_str_mv	AT raisuyahbhagwan anexploratorystudyoftheexperiencesandchallengesfacedbyadvancedlifesupportparamedicsinthemilieuofneonataltransfers AT pradeepashokcoomar anexploratorystudyoftheexperiencesandchallengesfacedbyadvancedlifesupportparamedicsinthemilieuofneonataltransfers AT raisuyahbhagwan exploratorystudyoftheexperiencesandchallengesfacedbyadvancedlifesupportparamedicsinthemilieuofneonataltransfers AT pradeepashokcoomar exploratorystudyoftheexperiencesandchallengesfacedbyadvancedlifesupportparamedicsinthemilieuofneonataltransfers
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An exploratory study of the experiences and challenges faced by advanced life support paramedics in the milieu of neonatal transfers

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