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báo cáo khoa học: "Newborn care and knowledge translationperceptions among primary healthcare staff in northern Vietnam"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Newborn care and knowledge translationperceptions among primary healthcare staff in northern Vietnam | Eriksson et al. Implementation Science 2011 6 29 http www.implementationscience.eom content 6 1 29 Implementation Science IMPLEMENTATION SCIENCE RESEARCH Open Access Newborn care and knowledge translationperceptions among primary healthcare staff in northern Vietnam Leif Eriksson1 Nguyen Thu Nga1 2 Dinh P Hoa3 Lars-Ake Persson1 Uwe Ewald4 and Lars Wallin5 Abstract Background Nearly four million neonatal deaths occur annually in the world despite existing evidence-based knowledge with the potential to prevent many of these deaths. Effective knowledge translation KT could help to bridge this know-do gap in global health. The aim of this study was to explore aspects of KT at the primary healthcare level in a northern province in Vietnam. Methods Six focus-group discussions were conducted with primary healthcare staff members who provided neonatal care in districts that represented three types of geographical areas existing in the province urban rural and mountainous . Recordings were transcribed verbatim translated into English and analyzed using content analysis. Results We identified three main categories of importance for KT. Healthcare staff used several channels for acquisition and management of knowledge 1 but none appeared to work well. Participants preferred formal training to reading guideline documents and they expressed interest in interacting with colleagues at higher levels which rarely happened. In some geographical areas traditional medicine 2 seemed to compete with evidence-based practices whereas in other areas it was a complement. Lack of resources low frequency of deliveries and poorly paid staff were observed barriers to keeping skills at an adequate level in the healthcare context 3 . Conclusions This study indicates that primary healthcare staff work in a context that to some extent enables them to translate knowledge into practice. However the established and structured healthcare system in Vietnam does constitute a base where such processes .