Factors Associated With Integration of Non-clinicians in the Emergency Obstetric Response System of Bungoma County Referral Hospital, Kenya

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@article{1705248,
      author = {Anne N. Wakora, Ongecha-Owuor Francisca},
      title = {Factors Associated With Integration of Non-clinicians in the Emergency Obstetric Response System of Bungoma County Referral Hospital, Kenya},
      journal = {Iconic Research And Engineering Journals},
      year = {2023},
      volume = {7},
      number = {5},
      pages = {201-212},
      issn = {2456-8880},
      url = {https://www.irejournals.com/formatedpaper/1705248.pdf},
      abstract = {The inclusion of non-clinicians in obstetric emergencies is significant due to its multifaceted advantages including prompt intervention thus addressing urgent situations and leveraging community insights for culturally adept responses. This collaborative effort relieves clinical personnel for effective practice, prioritizes patient preferences, and enhances maternal and infant outcomes, exemplifying a holistic approach to emergency care. The study focused on non-clinicians' role in obstetric emergencies at Bungoma County Referral Hospital. Employing a cross-sectional survey, it quantitatively and qualitatively examined variables, sampling 93 non-clinicians. Data collection conducted using questionnaires and interviews hence yielding insights. Descriptive and inferential statistics aided analysis. Adherence to ethics and Covid-19 protocols was stringent. Triangulation and comprehensiveness were strengths, offering baseline data for policymaking. However, limitations included limited generalizability, dearth literature, and potential bias. Control measures were enacted for rigour. Results showed a 100% response rate, ensuring data sufficiency. Majority of the 93 non-clinicians were female (51.6%), 63.4% were aged 31-45 years, 83.9% married and 45.2% had college-level education. Sensitization training strongly influenced integration (84.4% were in agreement), while length of stay impacted performance (47.3% in agreement). Non-clinicians agreed (44.1%) they have a role in emergency response. Regression analysis indicated capacity (R2 = 0.158) and health system factors (R2 = 0.226) influenced quality. Health system had a 47.5% impact. Moderated multiple regression explored additional influences on integration. Incorporating non-clinicians into obstetric emergencies holds vital benefits, offering prompt and culturally attuned responses. This collaborative approach alleviates clinical burden, prioritizes patient preferences, and improves maternal and infant outcomes. It also underscores the critical role of capacity and health system factors, guiding the integration of non-clinicians for effective obstetric emergency response.},
      keywords = {Non-clinician, Obstetrics emergency, Response, Integration.},
      month = {November},
  }