Interprofessional collaboration among health professionals in cleft lip and palate treatment and care in the public health sector of South Africa

Hlongwa, P.; Rispel, Laetitia C.

doi:10.1186/s12960-021-00566-3

Cited by 11 publications

(17 citation statements)

References 57 publications

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“…Only 6 of the 11 centres provided written, standard treatment protocols for CLP (Study Component 2) [ 15 ]. The audit of treatment and care provision revealed gaps, and the types of treatment provided was influenced by the categories of health care professionals in each centre [ 18 , 19 ].…”

Section: Resultsmentioning

confidence: 99%

“…This implies that patients and their caregivers are part of the team. However, the study found that IPC was sub-optimal [ 19 ]. The teams of health care professionals who managed individuals with CLP appeared to work in silos, and doctors tended to dominate the health care teams.…”

Section: Discussionmentioning

confidence: 99%

“…Using an audit tool of all possible CLP services, the PR surveyed the leaders or heads of the health care teams at each specialized centre [ 18 ]. The third component aimed at measuring inter-professional collaboration (IPC) among CLP team members at each specialized centre, across the seven domains of care expertise, shared power, collaborative leadership, shared decision-making, optimizing professional role and scope, effective group function and competent communication [ 19 ]. Following informed consent, each member of the CLP team completed a self-administered questionnaire on IPC, using the Interprofessional Competency Framework Self-Assessment Tool of the Registered Nurses Association of Ontario [ 20 ].…”

Section: Methodsmentioning

confidence: 99%

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Coproduction in the management of individuals with cleft lip and palate in South Africa: the Ekhaya Lethu model

Hlongwa

Rispel

2021

International Journal for Quality in Health Care

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Objective Cleft lip and palate (CLP), one of the most common congenital anomalies of the craniofacial complex, has a worldwide prevalence rate of 1 in 700 live births. In South Africa, a middle-income country, the CLP prevalence rate is 0.3 per 1000 live births in the public health sector. The complexity of the condition requires that individuals with CLP be treated by a multi-disciplinary team of health professionals, with the integral involvement of caregivers and families. Methods Between 2015 and 2018, we conducted a cross-sectional study entitled: The epidemiology and care of individuals with cleft lip and palate in South Africa, in fulfilment of a Doctor of Philosophy degree. The study setting consisted of 11 specialized academic centres (nine central hospitals and two specialized dental hospitals) that are situated in six of South Africa’s nine provinces. The study used a combination of quantitative and qualitative methods and consisted of four distinct but inter-linked components. The first component consisted of a record review of CLP data over a 2-year period to determine the prevalence of CLP in the public sector of South Africa. The second component consisted of a survey of the leaders or heads of the health care teams in the 11 specialized centres to determine the current approach to CLP care provision. The third component consisted of a survey among CLP team members to measure inter-professional collaboration. The fourth component consisted of interviews with parents or caregivers on their perceptions of health service provision and support for children with CLP. We draw on the findings of this large empirical study on CLP in South Africa’s public health sector and the theory and principles of health care service coproduction to present the Ekhaya Lethu model for the management of CLP. Results The conceptual design of Ekhaya Lethu derives from the findings of each of the study components. We describe the possible application of the model in the coproduction of health care to examine the roles, relationships and aims of the multidisciplinary team in CLP management. We highlight both the implications and challenges of coproduction in the care and management of CLP for multidisciplinary health teams, the caregivers and families of individuals with CLP, and for health managers and policy makers. Conclusion The proposed Ekhaya Lethu model introduces a discourse on coproduction in the design and implementation of quality health care to individuals with CLP in South Africa and other low-and middle-income countries.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Coproduction in the management of individuals with cleft lip and palate in South Africa: the Ekhaya Lethu model

Hlongwa

Rispel

2021

International Journal for Quality in Health Care

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“…Research has shown that female physicians have outnumbered male participants in leading IPC programs [ 14 ]. Additionally, a study by P. Hlongwa indicates that females may have enhanced competence in some areas [ 15 ]. Furthermore, a study by Akan et al found that the risk perception of males was significantly lower than that of females, indicating that females may have a better understanding of the risks associated with infection, which could contribute to their enhanced competence in IPC [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Exploring variations in IPC competencies: a cross-sectional study among healthcare professionals in Northwest China

Zhao,

Cui,

Liu

et al. 2024

BMC Infect Dis

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Background This cross-sectional study investigates infection prevention and control (IPC) competencies among healthcare professionals in northwest China, examining the influence of demographic factors, job titles, education, work experience, and hospital levels. Methods Data from 874 respondents across 47 hospitals were collected through surveys assessing 16 major IPC domains. Statistical analyses, including Mann-Whitney tests, were employed to compare competencies across variables. Results Significant differences were identified based on gender, job titles, education, work experience, and hospital levels. Females demonstrated higher IPC competencies, while senior positions exhibited superior performance. Higher educational attainment and prolonged work experience positively correlated with enhanced competencies. Variances across hospital levels underscored context-specific competencies. Conclusion Demographic factors and professional variables significantly shape IPC competencies. Tailored training, considering gender differences and job roles, is crucial. Higher education and prolonged work experience positively impact proficiency. Context-specific interventions are essential for diverse hospital settings, informing strategies to enhance IPC skills and mitigate healthcare-associated infections effectively.

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“…The treatment of cleft lip and palate requires a comprehensive multidisciplinary approach that mainly focuses on maxillofacial, orthodontics, dentistry, oral prosthetics, otolaryngology, speech pathology, pediatrics, nursing, genetics, and psychology (Hlongwa and Rispel, 2021). Patients with cleft lip and palate require multiple surgical treatments, complex medications, and long-term speech therapy (Jerome et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

Quality of Life in Patients With Velopharyngeal Insufficiency in West China

Yakupu

et al. 2021

The Cleft Palate Craniofacial Journal

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Objective This study aimed to investigate the quality of life (QOL) of patients with cleft lip and palate and velopharyngeal insufficiency (VPI) in relation to sex, age, age at initial cleft lip surgery, and age at initial cleft palate surgery. Design This is a cross-sectional study. Setting The study was conducted in a tertiary medical center. Participants The participants were caregivers of 72 patients with cleft lip and palate and VPI aged 4 to 20 years. Main Outcome Measure(s) Participants completed the Chinese version of the caregiver report of the VPI Effects on Life Outcomes (VELO) questionnaire. The Mann–Whitney U test was used to evaluate the patients’ sex, age, age at initial cleft lip repair, and age at initial cleft palate repair in relation to VELO total score and domains. Spearman correlation analysis was completed including all study variables. Associations between the study variables and the VELO total score were tested using a generalized linear mixed model. Results In the univariate analysis, patients’ age and age at initial cleft palate surgery influenced the QOL of patients with VPI. There were no differences in the VELO total score or domains based on sex or age at first cleft lip surgery. In the generalized linear mixed model, patients older than 8 years had higher VELO total scores. Conclusions By caregiver report, the QOL of patients under age 8 years with VPI was lower than older patients. In addition, the caregiver impact domain was higher for parents of children who had their initial cleft palate surgery at age 2 years or younger.

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Interprofessional collaboration among health professionals in cleft lip and palate treatment and care in the public health sector of South Africa

Cited by 11 publications

References 57 publications

Coproduction in the management of individuals with cleft lip and palate in South Africa: the Ekhaya Lethu model

Coproduction in the management of individuals with cleft lip and palate in South Africa: the Ekhaya Lethu model

Exploring variations in IPC competencies: a cross-sectional study among healthcare professionals in Northwest China

Quality of Life in Patients With Velopharyngeal Insufficiency in West China

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