Improving locum practice in public and Christian Health Association of Malawi hospitals in Malawi

Abstract

Abstract Background: The use of locum healthcare workers poses challenges to the quality of care provided. This study explored the strategies for addressing locum challenges and improve locum practice challenges that public and faith-based hospitals in Malawi, face in the implementation of the practice. Methods: This study used an exploratory descriptive design. In-depth interviews with 15 hospital managers and three focus group discussions with nurses, midwives, medical officers, and clinical officers were conducted in the selected public and faith-based hospitals. All the interviews were audio-recorded and transcribed verbatim. The transcribed data were analysed inductively using thematic analysis. Results: The participants revealed several strategies to improve the quality of patient care provided by locum healthcare workers. The strategies included orientation of locum healthcare workers, need for regular supportive supervision, development of locum guidelines and adherence to the locum policy, and inclusion of locum payments in the hospital budget. Conclusion: The study revealed that the use of locum healthcare workers could improve the quality of care and be cost-effective when managed well. Therefore, the availability of clear guidelines can address the challenges that affect the quality of care provided by locum staff.