Table 2 Summary of barriers and facilitators by hospital level
| 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 |