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Strategic plan to improve trauma care in Tanzania
Descriptive
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Title
Strategic plan to improve trauma care in Tanzania
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Title
Trauma care in Tanzania
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Wilson
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Kayla F.
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Kayla F. Wilson
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author
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Willard
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Suzanne
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Suzanne Willard
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Advisory Committee
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chair
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Rutgers University
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degree grantor
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School of Nursing - RBHS
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school
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theses
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ETD doctoral
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2021
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2021-05
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English
Abstract
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Purpose of Project: Trauma remains a leading cause of death worldwide and in Sub-Saharan Africa accounts for more deaths than malaria, tuberculosis and AIDS combined. The persistently disproportionate burden of trauma among low-and middle-income countries, who bear over 90% of the global trauma burden, can be attributed to undeveloped trauma systems, demonstrating the need for urgent improvement in trauma care (Sawe et al., 2017). The purpose of this DNP project was the creation and implementation of a strategic plan to improve trauma care in Tanzania at Dodoma Regional Referral Hospital.
Methodology: The design of this project was in the development of evidence-based policies, procedures and supporting materials that were used to support trauma systems development. Outcomes measured were adoption of the created plan, implementation of policies and procedures, and barriers and facilitators to implementation. Data collected via interview with hospital Chief Nursing Officer was analyzed using qualitative descriptive analysis.
Results: The following themes emerged including: (1) facilitating factors to implementation including dedicated nursing leadership, hospital growth and development, and strategically chosen trauma team members (2) barriers to implementation including remote, technological and link barriers to accessing WHO training and tools and (3) plan support of trauma system development as demonstrated by trauma team designation, training compliance of 84%, creation of designated treatment areas, and integration of WHO Triage Tool and Trauma Care Checklist. Implications for Practice: The project was supportive of trauma care improvement as evidenced by development of triage supporting rapid identification of critical patients, evaluation and stabilization. The project identified barriers in accessing WHO web-based training and tools. Further studies on the feasibility of accessing and implementing WHO tools and training in LMICs are warranted.
Methodology: The design of this project was in the development of evidence-based policies, procedures and supporting materials that were used to support trauma systems development. Outcomes measured were adoption of the created plan, implementation of policies and procedures, and barriers and facilitators to implementation. Data collected via interview with hospital Chief Nursing Officer was analyzed using qualitative descriptive analysis.
Results: The following themes emerged including: (1) facilitating factors to implementation including dedicated nursing leadership, hospital growth and development, and strategically chosen trauma team members (2) barriers to implementation including remote, technological and link barriers to accessing WHO training and tools and (3) plan support of trauma system development as demonstrated by trauma team designation, training compliance of 84%, creation of designated treatment areas, and integration of WHO Triage Tool and Trauma Care Checklist. Implications for Practice: The project was supportive of trauma care improvement as evidenced by development of triage supporting rapid identification of critical patients, evaluation and stabilization. The project identified barriers in accessing WHO web-based training and tools. Further studies on the feasibility of accessing and implementing WHO tools and training in LMICs are warranted.
Subject
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Topic
Adult-Gerontology Acute Care Nurse Practitioner
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Topic
Trauma
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Topic
Trauma system
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Topic
Low-and-middle income country
Subject
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Topic
Wounds and injuries -- Treatment -- Tanzania
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Rutgers University Electronic Theses and Dissertations
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ETD_11483
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Extent
1 online resource (86 pages) : illustrations
Note
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DNP
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Includes bibliographical references
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World Health Organization
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School of Nursing (RBHS) DNP Projects
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rucore10004500001
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doi:10.7282/t3-y6at-9d57
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Rights
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The author owns the copyright to this work.
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Name
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Wilson
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Kayla
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Permission or license
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2021-01-21 09:13:51
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Kayla Wilson
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Rutgers University. School of Nursing - RBHS
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Author Agreement License
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I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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2021-05-31
DateTime
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2023-05-31
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after May 31st, 2023.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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2021-01-21T14:07:48
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2021-03-11T08:33:42
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