Referral and counter-referral practices in obstetric emergencies among health-care providers in selected health facilities in Plateau state,Nigeria
作者机构：Department of Nursing ScienceUniversity of CalabarCalabarCross River StateNigeria Department of MidwiferyCollege of Nursing and MidwiferyVomPlateau StateNigeria
出 版 物：《Journal of Integrative Nursing》 (中西医结合护理杂志（英文）)
年 卷 期：2022年第4卷第3期
页 面：127-136页
学科分类：07[理学] 0701[理学-数学] 070101[理学-基础数学]
主 题：Challenges counter‑referral health‑care facilities health‑care providers obstetric emergencies practices referral
摘 要：Objective:This study aimed to examine the referral and counter-referral practices in obstetric emergencies among health-care providers in selected health facilities in Plateau state of *** and Methods:A concurrent embedded descriptive mixed method consisting of both quantitative and qualitative methods was adopted for the ***(104)were recruited using multistage sampling and 8 participants using purposive sampling techniques for quantitative and qualitative aspects of the study,*** three-phase delay model directed the study.A self-developed structured questionnaire and an in-depth interview guide were used to elicit quantitative and qualitative responses from the *** instrument was tested for reliability,while the qualitative instrument went through the rigors of qualitative ***:Findings revealed low level of referral and counter-referral practices as only 19(18.27%)and 30(28.85%),respectively,of care providers referred patients above 10 times in a *** study also revealed inadequate human and material resources for referrals and *** mean on barriers to referral was 2.90,which was above the cutoff of mean of 2.50,which indicates that the barriers are militating against referral and counter-referral in obstetric ***:Low levels of referral and counter-referral practices are identified with inadequate resources among others posing as ***,provision of standard operational procedures/protocols in every health-care facility as well as provision of adequate material and skilled human resources among others is recommended to enhance referral and counter-referral network in obstetric *** is also a need for teamwork and synergy among all stakeholders in the referral chain.
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