ArticleHealth SA = SA Gesondheid2021
An exploratory study of the experiences and challenges faced by advanced life support paramedics in the milieu of neonatal transfers.
Article in Health SA = SA Gesondheid, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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The trial behind it
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Who cites it
3 citing papers in PubMed.
- The development of a consensus-based curriculum for a Bespoke Online Neonatal Education for Transfers (BONNETs) course.BMC medical education · 2026Article
- Respiratory support during neonatal and infant aeromedical interfacility transfers in the Western Cape, South Africa: a retrospective review.BMC emergency medicine · 2025Article
- Causes of and Modifiable Factors Contributing to Neonatal Deaths at Dora Nginza Hospital in the Eastern Cape, South Africa.Global pediatric health · 2022Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe safe transfer of critically ill neonates is important for their survival. This calls for greater preparedness on the part of paramedics to effect these transfers safely.
aimTo understand the experiences and the challenges faced by advanced life support (ALS) paramedics during neonatal transfers.
settingThe study setting consisted of advanced life support paramedics from urban and rural areas in KwaZulu-Natal. It comprised of a network of district hospitals as well air and ground transfer facilities, both public and private.
methodUsing a qualitative research approach, the study sought the views of ALS paramedics who were involved in neonatal transfers in KwaZulu-Natal. A purposive sample of
resultsThe study found that paramedics faced multiple complex challenges related to neonatal transfers. Poor pre-transfer preparation of the neonate, equipment related challenges, lack of clinical support available during transfers and pressure to effect inappropriate transfers were some of the challenges they faced. These challenges coupled with insufficient education and the lack of sub-speciality programmes to capacitate, rendered them unprepared to deal with neonatal transfers effectively.
conclusionEmergency medicine needs to provide greater attention towards preparing all stakeholders for successful neonatal transfers. CONTRIBUTION: The findings provide recommendations for a programme that will limit risks involved with, and support the inter-healthcare facility transfer of critically ill neonates in South Africa.
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