Please use this identifier to cite or link to this item: https://hdl.handle.net/10321/3554
Title: Towards a safer and more efficient neonatal transfer system in South Africa : a qualitative inquiry with advanced life support paramedics
Authors: Bhagwan, Raisuyah
Ashokcoomar, Pradeep
Keywords: Neonatal;Transfers;Advanced life support;Paramedics
Issue Date: 18-May-2021
Publisher: Faculty of Health, Engineering and Science, Edith Cowan University
Source: Bhagwan, R. and Ashokcoomar, P. 2021. Towards a safer and more efficient neonatal transfer system in South Africa: A qualitative inquiry with advanced life support paramedics. Australasian Journal of Paramedicine. 18:1-9. doi:10.33151/ajp.18.951
Journal: Australasian Journal of Paramedicine; Vol.18 
Abstract: 
Introduction
The inter-healthcare transfer of the critically ill neonate is a critical aspect of larger neonatal intensive care, as it influences the safe
transport of neonates from the receiving to the referring hospital. It is crucial then that the transfer process be safe and efficient so
as not to compromise the already fragile condition of the neonate. The aim of the study was to understand the challenges advanced
life support (ALS) paramedics face during neonatal transfers and to understand how the process could be made safer and more
efficient. The objectives related to understanding the transfer process, the challenges linked to the critically ill neonate and the
difficulties associated with the ambulance vehicle and equipment.
Methods
Using a qualitative research approach we sought the views of ALS paramedics at the forefront of transfers nationally. In-depth
interviews were held with eight paramedics in KwaZulu-Natal and four focus group discussions with ALS paramedics in KwaZuluNatal, Gauteng, Free State and the Western Cape in South Africa. A total of 35 ALS paramedics were involved in these group
discussions.
Results
The study uncovered several challenges that paramedics face related to poor organisational preparation for transfer of the critically ill
neonate, and other crucial issues that compromise the transfer such as inadequate or defective equipment.
Conclusion
There is a need for greater scrutiny of the transfer process and a commitment from stakeholders to begin addressing the challenges
confronting the safe transfer of critically ill neonates.
URI: http://hdl.handle.net/10321/3554
ISSN: 2202-7270
DOI: 10.33151/ajp.18.951
Appears in Collections:Research Publications (Health Sciences)

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