Exploring stakeholders' perceptions of a task-shifting strategy for hypertension control in Ghana: a qualitative study.
Exploring stakeholders' perceptions of a task-shifting strategy for hypertension control in Ghana: a qualitative study.
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DOI：
10.1186/s12889-017-4127-9
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发表时间：
2017-02-21
影响因子：
4.5
通讯作者：
Ogedegbe G
中科院分区：
文献类型：
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作者：
Iwelunmor J;Gyamfi J;Plange-Rhule J;Blackstone S;Quakyi NK;Ntim M;Zizi F;Yeboah-Awudzi K;Nang-Belfubah A;Ogedegbe G
本研究的目的是探讨利益相关者对加纳32个社区卫生中心和地区医院正在进行的高血压循证任务转移策略（TASSH）的看法。使用焦点小组讨论和深入访谈，从81个关键利益相关者，包括患者，护士和参与TASSH试验的社区卫生中心的现场主任获得定性数据。定性数据进行了分析，使用开放和轴向编码技术。定性数据的分析揭示了三个主题，说明利益相关者对加纳血压控制的持续任务转移策略的看法，包括：1）对TASSH计划的认识和理解; 2）参与和不参与TASSH的原因; 3）TASSH计划的优点和缺点。研究结果支持的证据表明，任何任务转移策略的成功实施不仅要关注患者的个体特征，还要考虑组织和领导因素等背景因素的作用。研究结果还表明，重要的是要了解利益相关者的看法，以证据为基础的任务转移干预措施的高血压控制，因为它可能最终影响这些干预措施的可持续吸收到“真实的世界”的设置。
The purpose of this study was to explore stakeholders' perception of an on-going evidence-based task-shifting strategy for hypertension (TASSH) in 32 community health centers and district hospitals in Ghana. Using focus group discussions and in-depth interviews, qualitative data were obtained from 81 key stakeholders including patients, nurses, and site directors of participating community health centers involved in the TASSH trial. Qualitative data were analyzed using open and axial coding techniques. Analysis of the qualitative data revealed three themes that illustrate stakeholders' perceptions of the ongoing task-shifting strategy for blood pressure control in Ghana and they include: 1) awareness and understanding of the TASSH program; 2) reasons for participation and non-participation in TASSH; and 3) the benefit and drawbacks to the TASSH program. The findings support evidence that successful implementation of any task-shifting strategy must focus not only on individual patient characteristics, but also consider the role contextual factors such as organizational and leadership factors play. The findings also demonstrate the importance of understanding stakeholder's perceptions of evidence-based task-shifting interventions for hypertension control as it may ultimately influence the sustainable uptake of these interventions into "real world" settings.