Perceptions of health providers towards the use of standardised trauma form in managing trauma patients: a qualitative study from Tanzania

dc.contributor.authorSawe, Hendry R
dc.contributor.authorSirili, Nathanael
dc.contributor.authorWeber, Ellen
dc.contributor.authorCoats, Timothy J
dc.contributor.authorReynolds, Teri A
dc.contributor.authorWallis, Lee A
dc.date.accessioned2020-05-06T17:16:01Z
dc.date.available2020-05-06T17:16:01Z
dc.date.issued2020-05-01
dc.date.updated2020-05-03T03:50:17Z
dc.description.abstractBackground Trauma registries (TRs) are essential to informing the quality of trauma care within health systems. Lack of standardised trauma documentation is a major cause of inconsistent and poor availability of trauma data in most low- and middle-income countries (LMICs), hindering the development of TRs in these regions. We explored health providers’ perceptions on the use of a standardised trauma form to record trauma patient information in Tanzania. Methods An exploratory qualitative research using a semi-structured interview guide was carried out to purposefully selected key informants comprising of healthcare providers working in Emergency Units and surgical disciplines in five regional hospitals in Tanzania. Data were analysed using a thematic analysis approach to identify key themes surrounding potential implementation of the standardised trauma form. Results Thirty-three healthcare providers participated, the majority of whom had no experience in the use of standardised charting. Only five respondents had prior experience with trauma forms. Responses fell into three themes: perspectives on the concept of a standardised trauma form, potential benefits of a trauma form, and concerns regarding successful and sustainable implementation. Conclusion Findings of this study revealed wide healthcare provider acceptance of moving towards standardised clinical documentation for trauma patients. Successful implementation likely depends on the perceived benefits of using a trauma form as a tool to guide clinical management, standardise care and standardise data reporting; however, it will be important moving forward to factor concerns brought up in this study. Potential barriers to successful and sustainable implementation of the form, including the need for training and tailoring of form to match existing resources and knowledge of providers, must be considered.
dc.identifier.apacitationSawe, H. R., Sirili, N., Weber, E., Coats, T. J., Reynolds, T. A., & Wallis, L. A. (2020). Perceptions of health providers towards the use of standardised trauma form in managing trauma patients: a qualitative study from Tanzania. <i>Injury Epidemiology</i>, 7(1), 15. en_ZA
dc.identifier.chicagocitationSawe, Hendry R, Nathanael Sirili, Ellen Weber, Timothy J Coats, Teri A Reynolds, and Lee A Wallis "Perceptions of health providers towards the use of standardised trauma form in managing trauma patients: a qualitative study from Tanzania." <i>Injury Epidemiology</i> 7, 1. (2020): 15. en_ZA
dc.identifier.citationSawe, H.R., Sirili, N., Weber, E., Coats, T.J., Reynolds, T.A. & Wallis, L.A. 2020. Perceptions of health providers towards the use of standardised trauma form in managing trauma patients: a qualitative study from Tanzania. <i>Injury Epidemiology.</i> 7(1):15. en_ZA
dc.identifier.ris TY - Journal Article AU - Sawe, Hendry R AU - Sirili, Nathanael AU - Weber, Ellen AU - Coats, Timothy J AU - Reynolds, Teri A AU - Wallis, Lee A AB - Background Trauma registries (TRs) are essential to informing the quality of trauma care within health systems. Lack of standardised trauma documentation is a major cause of inconsistent and poor availability of trauma data in most low- and middle-income countries (LMICs), hindering the development of TRs in these regions. We explored health providers’ perceptions on the use of a standardised trauma form to record trauma patient information in Tanzania. Methods An exploratory qualitative research using a semi-structured interview guide was carried out to purposefully selected key informants comprising of healthcare providers working in Emergency Units and surgical disciplines in five regional hospitals in Tanzania. Data were analysed using a thematic analysis approach to identify key themes surrounding potential implementation of the standardised trauma form. Results Thirty-three healthcare providers participated, the majority of whom had no experience in the use of standardised charting. Only five respondents had prior experience with trauma forms. Responses fell into three themes: perspectives on the concept of a standardised trauma form, potential benefits of a trauma form, and concerns regarding successful and sustainable implementation. Conclusion Findings of this study revealed wide healthcare provider acceptance of moving towards standardised clinical documentation for trauma patients. Successful implementation likely depends on the perceived benefits of using a trauma form as a tool to guide clinical management, standardise care and standardise data reporting; however, it will be important moving forward to factor concerns brought up in this study. Potential barriers to successful and sustainable implementation of the form, including the need for training and tailoring of form to match existing resources and knowledge of providers, must be considered. DA - 2020-05-01 DB - OpenUCT DP - University of Cape Town IS - 1 J1 - Injury Epidemiology KW - Trauma registry KW - Standardized documentation KW - Provider perception KW - Africa KW - Tanzania LK - https://open.uct.ac.za PY - 2020 T1 - Perceptions of health providers towards the use of standardised trauma form in managing trauma patients: a qualitative study from Tanzania TI - Perceptions of health providers towards the use of standardised trauma form in managing trauma patients: a qualitative study from Tanzania UR - ER - en_ZA
dc.identifier.urihttps://doi.org/10.1186/s40621-020-00244-3
dc.identifier.urihttps://hdl.handle.net/11427/31824
dc.identifier.vancouvercitationSawe HR, Sirili N, Weber E, Coats TJ, Reynolds TA, Wallis LA. Perceptions of health providers towards the use of standardised trauma form in managing trauma patients: a qualitative study from Tanzania. Injury Epidemiology. 2020;7(1):15. .en_ZA
dc.language.rfc3066en
dc.rights.holderThe Author(s)
dc.sourceInjury Epidemiology
dc.source.journalissue1
dc.source.journalvolume7
dc.source.pagination15
dc.source.urihttps://injepijournal.biomedcentral.com/
dc.subjectTrauma registry
dc.subjectStandardized documentation
dc.subjectProvider perception
dc.subjectAfrica
dc.subjectTanzania
dc.titlePerceptions of health providers towards the use of standardised trauma form in managing trauma patients: a qualitative study from Tanzania
dc.typeJournal Article
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