Original Research

Health care professionals' perspectives on the requirements facilitating the roll-out of kangaroo mother care in South Africa

Wilma ten Ham, Karin C.S. Minnie, Christa S.J.C. van der Walt
Health SA Gesondheid | Vol 21 | a958 | DOI: https://doi.org/10.4102/hsag.v21i0.958 | © 2016 Wilma ten Ham, Karin C.S. Minnie, Christa S.J.C. van der Walt | This work is licensed under CC Attribution 4.0
Submitted: 10 October 2017 | Published: 11 October 2016

About the author(s)

Wilma ten Ham, School of Nursing Sciences, North-West University, Potchefstroom Campus, South Africa
Karin C.S. Minnie, INSINQ Focus Area, North-West University, Potchefstroom Campus, South Africa
Christa S.J.C. van der Walt, INSINQ Focus Area, North-West University, Potchefstroom Campus, South Africa

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Abstract

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 rollout 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.


Keywords

Benefit levers; Best practice; Health professionals; Kangaroo mother care; Requirements; Rolling-out process; South Africa

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