Exploring Barriers and Facilitators to Incorporating New Practices and Innovations in the Pediatric Perioperative Ecosystem in Sub‐Saharan Africa: A Mixed Methods Study
Authors' conclusion
Fellows experience significant challenges when attempting to implement changes based on the knowledge and skills acquired during advanced training. Facilitators enabling successful change implementation exist.
Study context
- Population
- Fellowship-trained pediatric anesthetists who had returned to work in sub-Saharan Africa post-fellowship
- Participants
- 17 participants · 10 countries
- Outcome
- Barriers and facilitators to change implementation
Methodological detailsexplanatory sequential design, survey, interviews, reflexive thematic analysis
- Explanatory sequential design
- Survey
- Interviews
- Reflexive thematic analysis
Main finding
As reported in the abstract
Encountered barriers to change implementation
17/17, 100%
Facilitators enabling change existed
12 of 15
80%
Observational data: associations, not effects.
Further findings
Survey response rate
- Response rate
- 17/28, 61%
Original publication
Exploring Barriers and Facilitators to Incorporating New Practices and Innovations in the Pediatric Perioperative Ecosystem in Sub‐Saharan Africa: A Mixed Methods Study. Paediatr Anaesth. Published 4 December 2025. doi:10.
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