Guidelines for maternal and neonatal “point of care”: Needs of and attitudes towards a computerized clinical decision support system in rural Burkina Faso

Zakane, Sidagna Alphonse; Gustafsson, Lars L.; Tomson, Göran; Loukanova, Svetla; Sié, Ali; Nasiell, Josefine; Bastholm‐Rahmner, Pia

doi:10.1016/j.ijmedinf.2014.01.013

Cited by 44 publications

(53 citation statements)

References 23 publications

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“…Peripheral healthcare facilities are mainly managed by nurse and midwife assistants with occasional access to midwifes, physicians or obstetricians (3,4). It is well known that skilled and educated healthcare workers (HCWs) are needed to provide high quality maternal and neonatal care (5) to help reduce neonatal and maternal mortality.…”

Section: Introductionmentioning

confidence: 99%

“…Unfortunately, CDSS systems are commonly designed without a clear strategy for understanding the needs of end-users and their working conditions (3,9). Designing a CDSS without considering the user perspective fails to provide interest, and can raise resistance to their use in daily practice (7,(9)(10)(11).…”

Section: Introductionmentioning

confidence: 99%

“…Designing a CDSS without considering the user perspective fails to provide interest, and can raise resistance to their use in daily practice (7,(9)(10)(11). The benefits of CDSS systems are ensured if they have a specific purpose, are "easy to use" and are adapted to the workflow at the healthcare facility (3,6,7,12,13).…”

Section: Introductionmentioning

confidence: 99%

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Opportunities and obstacles using a clinical decision support system for maternal care in Burkina Faso

Zakane

Gustafsson

Sié

et al. 2017

OJPHI

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Objective: Maternal and neonatal mortality is high in sub-Saharan Africa. To support Healthcare Workers (HCWs), a computerized decision support system (CDSS) was piloted at six rural maternal care units in Burkina Faso. During the two years of the study period, it was apparent from reports that the CDSS was not used regularly in clinical practice. This study aimed to explore the reasons why HCWs failed to use the CDSS.Methods: A workshop, organized as group discussions and a plenary session, was performed with 13 participants to understand their experience with the CDSS and suggest improvements if pertinent. Workshop transcripts were analyzed thematically. Socio-demographic and usage patterns of the CDSS were examined by a questionnaire and analyzed descriptively.Results: The participants reported that the contextual basic conditions for using the CDSS were not fulfilled. These included unreliable power supply, none user-friendly partograph, the CDSS was not integrated with workflow and staff lacked motivational incentives. Despite these limitations, the HCWs reported learning benefits from guidance and alerts in the CDSS. Using the CDSS enabled them to discover problems earlier as they learned to focus on symptoms to prevent harmful situations.Opportunities and obstacles using a clinical decision support system for maternal care in Burkina Faso

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Opportunities and obstacles using a clinical decision support system for maternal care in Burkina Faso

Zakane

Gustafsson

Sié

et al. 2017

OJPHI

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“…The access to cell phones alone was shown to increase self-efficacy and knowledge of health among MHWs in rural countries, and empower MHWs in post-ware regions [15,29]. While MHWs are ready and willing to adopt these innovations, concerns are raised regarding complexity and training required for these systems [4,30]. However, findings suggest that early adoption programs have improved promptness of data collection, improved data accuracy and adherence to guidelines [1].…”

Section: Empowering Mhwsmentioning

confidence: 99%

Development and Evaluation of a Perinatal Service Delivery Web Platform for Prenatal Care Coordinators (Preprint)

Chaudhry¹

2018

Preprint

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Background: Digital technology is increasingly being used to enhance various aspects of health care. In the area of community-based, it is important to understand the circumstances and challenges of deploying this technology to solve health care issues. Objective: To develop a tool to support communication and care coordination efforts of community-based prenatal care coordinators who serve low-income pregnant women, and to uncover barriers and facilitators to the tool's use before a wide-scale pilot study. Methods: We devised a four-step development and evaluation process: (1) state-wide stakeholder collaboration to conceptualize the system; (2) expert panel to identify key functionalities to support care coordination and communication between communitybased health workers and pregnant women; (3) iterative and incremental development using agile design and software development; and (4) two evaluations to test usability and user acceptance of the system using real-life scenarios. Results Participants found the web app easy to use and envisioned many benefits of using it in their practices. From the qualitative data, we uncovered many barriers around implementation of the technology, including care coordinator's lack of motivation to participate in the study and provide feedback on the system design. Conclusions: This research provides a methodology for development and deployment of a web-delivered technology in community-based setting. In addition, the research provides insights on real-life challenges of deploying a technology-based solution in communitybased settings.

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“…Os resultados de usabilidade indicaram a utilidade, eficácia, aceitação e satisfação da ferramenta 26 . De modo similar, estudos vêm sendo desenvolvidos com o objetivo de apoiar decisões atinentes aos cuidados de enfermagem para mães e recém-nascidos 27 …”

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Modelos de tomada de decisão em bioética clínica: apontamentos para a abordagem computacional

Siqueira-Batista

Gomes

Maia³

et al. 2014

Rev. Bioét.

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ResumoA bioética tem se tornado, nas últimas décadas, um tema de importância central para a prática clínica, por fornecer ferramentas teóricas para a tomada de decisão do profissional de saúde. A questão que se propõe diz respeito a como saber se a decisão é a mais apropriada, já que uma decisão na esfera clínica -quer se esteja atuando na atenção primária, secundária ou terciária -deve, necessariamente, ser acertada tanto do ponto de vista técnico, quanto do ponto de vista ético. A literatura tem apresentado diferentes modelos para a tomada de decisão no campo de análise da bioética clínica. Com base nessas ponderações, objetiva-se, no presente ensaio, apresentar apontamentos sobre (i) a tomada de decisão na área de bioética clínica e (ii) as possibilidades de abordagem computacional das decisões bioéticas. Palavras-chave: Bioética. Computação. Informática médica. Tomada de decisões. Técnicas de apoio para a decisão. Tomada de decisões gerenciais. ResumenLos modelos de toma de decisiones en bioética clínica: apuntes para un enfoque computacional La bioética se ha convertido, en las últimas décadas, en un tema de gran importancia en la práctica clínica, proporcionando herramientas teóricas para la toma de decisiones de los profesionales de la salud. La pregunta que se plantea es cómo saber si la decisión es la más apropiada, puesto que una decisión en el ámbito clínico -si se está trabajando en la atención primaria, secundaria o terciaria -debe necesariamente ser correcta desde el punto de vista técnico, como el punto de vista ético. La literatura ha presentado diferentes modelos para la toma de decisiones en el ámbito del análisis de la bioética clínica. Sobre la base de estas consideraciones, el objetivo en el siguiente texto es presentar puntos sobre (i) la toma de decisiones en el ámbito de la bioética clínica y (ii) las posibilidades de un enfoque computacional de las decisiones bioéticas. Palabras-clave: Bioética. Computación. Informática médica. Toma de decisiones. Técnicas de apoyo a la decisión. Toma de decisiones gerenciales. Abstract Models of decision making in clinical bioethics: notes for a computational approachBioethics has become over the recent decades a central question to clinical practice, due to the fact that it provides theoretical tools for decision making in health care. The issue that arises concerns how to know whether the decision made is the most appropriate, considering that a clinic decision -whether working in primary, secondary, or tertiary care -must be accurate from both the technical and the ethical point of views. As a result, different models for decision making in clinical bioethics have been presented in the literature. Based on these considerations, the objective of this article is to point important issues about (i) decision making in the field of clinical bioethics and (ii) the possibilities of computational approaches to assist such decisions.

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Guidelines for maternal and neonatal “point of care”: Needs of and attitudes towards a computerized clinical decision support system in rural Burkina Faso

Cited by 44 publications

References 23 publications

Opportunities and obstacles using a clinical decision support system for maternal care in Burkina Faso

Opportunities and obstacles using a clinical decision support system for maternal care in Burkina Faso

Development and Evaluation of a Perinatal Service Delivery Web Platform for Prenatal Care Coordinators (Preprint)

Modelos de tomada de decisão em bioética clínica: apontamentos para a abordagem computacional

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