Healthcare Practitioners’ perspectives on paediatric burns management at Korle Bu Teaching Hospital, Ghana

• The multidisciplinary approach enhances paediatric burn care outcomes. • Lack of formal protocols, inadequate infrastructure, and financial burdens on families were identified as major barriers to burn care. • Healthcare practitioners stressed the impact of paediatric burn care on patients and families, leading to psychological trauma and limited support. • Socio-cultural beliefs, practices and socioeconomic status were perceived as important influences on burn management and recovery outcomes. • Healthcare practitioners recommended enhancing social welfare services, upgrading burn facilities and improving training for staff. Paediatric burns pose significant challenges in healthcare management. Paediatric burns require specialized care due to the distinct anatomical and physiological characteristics of children, which make them more vulnerable to complications. In resource-limited settings like Ghana, the absence of adequate supplies and standardized protocols can exacerbate these challenges, necessitating the need for a comprehensive understanding of the perspectives of healthcare practitioners involved in their care. Study Objective. To explore healthcare practitioners’ perspectives on paediatric burns management at a tertiary hospital, Ghana, covering current practices, barriers, impacts on patients and families, and recommendations for improvement. This study employed a qualitative research approach utilizing Focus Group Discussion (FGD) with 15 participants from various disciplines, including Plastic Surgery, Medicine, Anaesthetics, Physiotherapy, Occupational Therapy, Dietetics, Nursing, Pharmacy, Clinical Psychology, Public Health Nursing and. Laboratory Scientist. Participants were recruited through a convenience sampling technique. The discussion lasting approximately 90 min, were audio recorded, and facilitated by a discussion guide based on existing literature. The audio recordings were transcribed verbatim, and the transcripts were compared with handwritten notes for accuracy. The final transcribed data were coded and analyzed using thematic content analysis to identify recurring themes and patterns. Findings revealed four primary themes: strengths of current practices (multidisciplinary approach, experienced practitioners), barriers (lack of formal protocols, infrastructure limitations, financial burdens), contextual factors influencing burn care (psychological trauma, inadequate support, socio-cultural beliefs and socioeconomic status), and recommendations for enhancing burns care (improved social welfare, facility upgrades, staff training and mental health support). While burns care has improved in Ghana, there are clear opportunities for improvement. A move towards more integrated care, the development of locally adapted protocols, better financial support, and enhanced caregiver education are essential next steps in elevating the quality of paediatric burn management in Ghana.

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Publication Details

Journal
Burns Open
Published
2024-12-04
DOI
https://doi.org/10.1016/j.burnso.2024.100387
Citations
1
Primary Topic
Burn Injury Management and Outcomes
Type
article
Field-Weighted Citation Impact
0.39
Controls
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article

Healthcare Practitioners’ perspectives on paediatric burns management at Korle Bu Teaching Hospital, Ghana

Natalie Benjamin‐Damons, Sonti Pilusa, Alberta Amissah Rockson
1 citations
Burns Open
Burn Injury Management and Outcomes
0.39
article

Healthcare Practitioners’ perspectives on paediatric burns management at Korle Bu Teaching Hospital, Ghana

Natalie Benjamin‐Damons, Sonti Pilusa, Alberta Amissah Rockson
article en
1 citations

Abstract

• The multidisciplinary approach enhances paediatric burn care outcomes. • Lack of formal protocols, inadequate infrastructure, and financial burdens on families were identified as major barriers to burn care. • Healthcare practitioners stressed the impact of paediatric burn care on patients and families, leading to psychological trauma and limited support. • Socio-cultural beliefs, practices and socioeconomic status were perceived as important influences on burn management and recovery outcomes. • Healthcare practitioners recommended enhancing social welfare services, upgrading burn facilities and improving training for staff. Paediatric burns pose significant challenges in healthcare management. Paediatric burns require specialized care due to the distinct anatomical and physiological characteristics of children, which make them more vulnerable to complications. In resource-limited settings like Ghana, the absence of adequate supplies and standardized protocols can exacerbate these challenges, necessitating the need for a comprehensive understanding of the perspectives of healthcare practitioners involved in their care. Study Objective. To explore healthcare practitioners’ perspectives on paediatric burns management at a tertiary hospital, Ghana, covering current practices, barriers, impacts on patients and families, and recommendations for improvement. This study employed a qualitative research approach utilizing Focus Group Discussion (FGD) with 15 participants from various disciplines, including Plastic Surgery, Medicine, Anaesthetics, Physiotherapy, Occupational Therapy, Dietetics, Nursing, Pharmacy, Clinical Psychology, Public Health Nursing and. Laboratory Scientist. Participants were recruited through a convenience sampling technique. The discussion lasting approximately 90 min, were audio recorded, and facilitated by a discussion guide based on existing literature. The audio recordings were transcribed verbatim, and the transcripts were compared with handwritten notes for accuracy. The final transcribed data were coded and analyzed using thematic content analysis to identify recurring themes and patterns. Findings revealed four primary themes: strengths of current practices (multidisciplinary approach, experienced practitioners), barriers (lack of formal protocols, infrastructure limitations, financial burdens), contextual factors influencing burn care (psychological trauma, inadequate support, socio-cultural beliefs and socioeconomic status), and recommendations for enhancing burns care (improved social welfare, facility upgrades, staff training and mental health support). While burns care has improved in Ghana, there are clear opportunities for improvement. A move towards more integrated care, the development of locally adapted protocols, better financial support, and enhanced caregiver education are essential next steps in elevating the quality of paediatric burn management in Ghana.

Burns OpenVol. 9
University of the Witwatersrand (ZA), Korle Bu Teaching Hospital (GH)
Openalex Percentile: Top 31%
Burn Injury Management and Outcomes
0.39
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