Table 2 Summary of barriers and facilitators by hospital level
| Â | Barriers | Facilitators |
|---|---|---|
Tertiary hospital | • Disagreements between clinicians and nurses (authority and training) • Insufficient availability of CPAP machines | • Frequent use of strengthened training and experience • Nurses dedicated to nursery • Reliable availability of physicians • Reliable availability of electricity |
District hospitals | • Lack of reliable electricity • Training gaps exacerbated by staff rotation • Severe staffing shortages • Unsupportive environment to strengthen self-efficacy • Poor systems of accountability | • Empowering nurses as decision-makers and initiators • Involving caretakers to help monitor • Availability of CPAP machines |