METHODS: Qualitative data collection techniques, including one focus group, 15 semi-structured interviews and four observations, were employed in urban and rural health facilities in Oaxaca, Mexico. The participants included medical doctors, nurses and health administrators. The data were analysed by thematic analysis guided by the Consolidated Framework for Implementation Research.
RESULTS: The analysis yielded four main themes: (I) the current state of neonatal care and NNJ detection, (II) the needs and desires for enhancing NNJ detection, (III) the barriers and facilitators to implementing Picterus JP in the health system and (IV) HCWs\' expectations of Picterus JP. The findings identify deficiencies in the current neonatal jaundice detection process and the participants\' desire for a more accurate method. Picterus JP was perceived as easy to use, useful and compatible with the work routine, but barriers to adoption were identified, including internet deficiencies and costs.
CONCLUSIONS: The introduction of Picterus JP as a supporting tool to screen for neonatal jaundice is promising but contextual barriers in the setting must be addressed for successful implementation. There is also an opportunity to optimise visual assessment to improve detection of neonatal jaundice.
方法:定性数据收集技术,包括一个焦点小组,15次半结构化访谈和4次观察,受雇于瓦哈卡的城乡医疗机构,墨西哥。参与者包括医生,护士和卫生管理员。在执行研究综合框架的指导下,通过专题分析对数据进行了分析。
结果:分析产生了四个主要主题:(I)新生儿护理和NNJ检测的现状,(二)加强NNJ检测的需求和愿望,(III)在卫生系统中实施PicterusJP的障碍和促进者,以及(IV)HCWs对PicterusJP的期望。研究结果发现了当前新生儿黄疸检测过程中的缺陷,以及参与者对更准确方法的渴望。PicterusJP被认为易于使用,有用且与工作例程兼容,但是发现了收养的障碍,包括互联网缺陷和成本。
结论:引入PicterusJP作为筛查新生儿黄疸的支持工具是有希望的,但必须解决背景障碍才能成功实施。还有机会优化视觉评估以改善新生儿黄疸的检测。