The MomConnect Nurses and Midwives Support Platform (NurseConnect): A Qualitative Process Evaluation
The MomConnect Nurses and Midwives Support Platform (NurseConnect): A Qualitative Process Evaluation
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DOI：
10.2196/11644
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发表时间：
2019-02-13
影响因子：
5
通讯作者：
Lalla-Edward, Samanta Tresha
中科院分区：
文献类型：
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作者：
Fischer, Alex Emilio;Sebidi, Jane;Lalla-Edward, Samanta Tresha
背景：在过去十年中，低收入和中等收入国家的移动的保健服务稳步增加。然而，很少有平台能够像南非的MomConnect项目那样持续扩大规模。“护士连接”是作为“母亲连接”的一个能力建设组成部分创建的，旨在支持护士和助产士从事妇幼保健工作。国家卫生部致力于将NurseConnect扩展到全国所有护士，并对当前用户体验进行了评估，以告知成功的扩展。目的：本研究旨在评估护士和助产士对NurseConnect的感知和使用，以产生反馈，随着平台的不断扩展，这些反馈可用于优化用户体验。方法：我们对来自南非18个随机选择的医疗机构的110名护士和助产士进行了焦点小组讨论和深入访谈。问题集中在移动的电话使用，医疗信息的访问和他们的经验与NurseConnect注册，以及内容和不同的platforms.Results：所有参与者都有移动的电话和通信，通过电话和短信是主要使用在个人和工作环境。在110名参与者中，108人（98.2%）拥有支持数据的手机，互联网，谷歌和应用程序（南非国家卫生部指南，iTriage，Drugs.com）被广泛使用，特别是在工作环境中查找信息。在110名参与者中，有62人（56.4%）是注册的NurseConnect用户，他们喜欢信息内容，特别是精神分裂症和激励信息，这些信息在某些情况下会引起行为改变。然而，由于缺乏有关这些平台的信息，移动网站和帮助台没有得到充分利用。一些参与者不信任来自网站的医疗信息，对应用程序更有信心，而另一些人则将“帮助台”与呼叫服务联系起来，而不是消息服务。许多未注册的参与者没有听说过NurseConnect，一些人认为数据和时间限制是注册和使用的障碍。结论：移动的和智能手机渗透率非常高，参与者经常使用手机查找医疗信息。所有登记参与者都很喜欢NurseConnect的信息;但是，由于缺乏有关这些平台的信息和培训，移动电话和服务台没有得到充分利用。应探索加强营销和培训举措，优化现有社交网络，并提供数据和Wi-Fi，以确保改进登记，并确保用户在所有平台上都很活跃。
Background: Over the past decade, mobile health has steadily increased in low-income and middle-income countries. However, few platforms have been able to sustainably scale up like the MomConnect program in South Africa. NurseConnect was created as a capacity building component of MomConnect, aimed at supporting nurses and midwives in maternal and child health. The National Department of Health has committed to expanding NurseConnect to all nurses across the country, and an evaluation of the current user experience was conducted to inform a successful scale up.Objective: This study aims to evaluate the perception and use of NurseConnect by nurses and midwives to produce feedback that can be used to optimize the user experience as the platform continues to scale up.Methods: We conducted focus group discussions and in-depth interviews with 110 nurses and midwives from 18 randomly selected health care facilities across South Africa. Questions focused on mobile phone use, access to medical information and their experience with NurseConnect registration, as well as the content and different platforms.Results: All participants had mobile phones and communication through calls and messaging was the main use in both personal and work settings. Of 110 participants, 108 (98.2%) had data-enabled phones, and the internet, Google, and apps (South African National Department of Health Guidelines, iTriage, Drugs.com) were commonly used, especially to find information in the work setting. Of 110 participants, 62 (56.4%) were registered NurseConnect users and liked the message content, especially listeriosis and motivational messages, which created behavioral change in some instances. The mobisite and helpdesk, however, were underutilized because of a lack of information surrounding these platforms. Some participants did not trust medical information from websites and had more confidence in apps, while others associated a "helpdesk" with a call-in service, not a messaging one. Many of the unregistered participants had not heard of NurseConnect, and some cited data and time constraints as barriers to both registration and uptake.Conclusions: Mobile and smartphone penetration was very high, and participants often used their phone to find medical information. The NurseConnect messages were well-liked by all registered participants; however, the mobisite and helpdesk were underutilized owing to a lack of information and training around these platforms. Enhanced marketing and training initiatives that optimize existing social networks, as well as the provision of data and Wi-Fi, should be explored to ensure that registration improves, and that users are active across all platforms.