Implementation barriers and facilitators of Moyo foetal heart rate monitor during labour in public hospitals in Nepal

Figures & data

Table 1. Participant table from the hospitals.

Profession	Education	Age (yrs.)	Years of practice	Years working in current ward
Nursing Officer	MSc Nursing	34	10	4
Hospital Nursing Inspector	BSN, M. in Sociology	42	22	10
General Nursing	BSN	39	20	2
Staff Nurse	BSN	32	12	5
Staff Nurse	SANM	40	14	1,5
Staff Nurse	PCL Nursing	33	20	3
Staff Nurse	BSN	30	8	3
Staff Nurse	BSN	31	11	1
Staff Nurse	PCL Nursing	25	7	4
Staff Nurse	BSN	29	12	2
Staff Nurse	MSc Nursing	24	4	2,5
Staff Nurse	ANM	52	27	10
Staff Nurse	ANM	26	8	1,5
Staff Nurse	ANM	43	22	8
Staff Nurse	ANM	33	12	11
Staff Nurse	BSN	33	10	1
Staff Nurse	BSN/PCL Nursing	33	11	3
Staff Nurse	BSN	46	28	23
Staff Nurse	PCL Nursing	24	4	1
Staff Nurse	BSN, PCL Nursing	35	12	1

Table 2. Three main categories and their sub-categories.*

Sub-categories	Main categories
Better monitoring for more patients	Practice change-Improved intrapartum FHRM
Ability to provide continuous remote monitoring
Problems in design and technology	Barriers for the successful implementation of FHRM with Moyo
Negligence and mistrust towards Moyo
Lack of human resources
Previous failure to implement new innovations
Covid-19 helped and hindered
Motivating and well-executed training on Moyo	Facilitators for the successful implementation of FHRM with Moyo
Improved intrapartum care and staff morale
Moyo facilitated easy FHRM and multi-tasking
PDSA meeting facilitated improved practice
Leadership supporting practice change
Covid-19 helped and hindered

*Using deductive approach main category was developed and subcategories under each category were developed using principles of inductive content analysis.

Data availability statement

The datasets generated and/or analysed during the current study cannot be made publicly available due to the involvement of information of individuals disclosing identifiers.