Experienced Personnel Research Articles (Page 1)

As the amyotrophic lateral sclerosis (ALS) clinical trial landscape continues to grow and evolve, optimization of research site efficiency is essential. Herein, we outline results from a formal discussion among multiple ALS research sites in the US to help establish and maintain efficient research site infrastructure. Ten ALS site managers collaborated over a 6-month period to develop a framework of operational strategies to support ALS clinical research sites. To address the evolving ALS research landscape, it was agreed that the traditional site operational model requires continuous evaluation and adaptation. Challenges, particularly affecting staff recruitment and retention (such as salary, burnout, and limited opportunities for professional growth for certain positions), were discussed. The group identified challenges related to increased burden to maintain staff training, evolving outcome measures, and limitations in available space. Sites agreed on the importance of well-trained and experienced site personnel, and the emergence of site research nurses and nurse practitioners as trial leaders. Successful strategies to address staffing barriers were discussed, recognizing the need for ongoing improvements and increased funding to support the research team. A centralized organizational approach, consisting of multiple specialized study teams supported by an overarching site operations infrastructure, was identified as a key driver to optimize staff performance, accelerate trial conduct, and streamline workflow. Future initiatives should include refining strategies to continuously enhance site operations, identify key metrics to quantify efficiency and ensure financial sustainability.

Background: A heart attack is commonly caused by acute coronary syndrome, which may be asymptomatic yet lead to sudden cardiac arrest, particularly outside a hospital setting. Ambulance personnel serve as frontline responders in delivering lifesaving interventions. This study analyzed the factors influencing ambulance response time in heart attack cases in Buleleng. Methods: A mixed-method design was applied in Buleleng Regency, simultaneously integrating quantitative and qualitative strands. This study involved 110 ambulance officers selected purposively from hospitals and community health centers across Buleleng. The qualitative strands involved 10 key informants. Quantitative variables included personnel experience, training, travel time, type of ambulance, and communication delay. Data were collected using structured questionnaires and complemented by interviews and FGDs for qualitative insights. Quantitative data were analyzed using correlation and regression tests, while qualitative data were thematically analyzed. Results: Personnel experience (r = –0.197; p = 0.039) significantly reduced response times, highlighting the importance of clinical competence acquired in the field. Training (r = 0.104; p = 0.278) enhanced service quality but showed limited direct impact without continuous practice and operational support. Travel time (r = 0.672; p < 0.001) emerged as the primary delay factor, influenced by distance, traffic, and road conditions. Type of ambulance (r = –0.235; p = 0.014) also affected mobilization efficiency, while communication barriers (r = 0.844; p < 0.001; OR = 0.002) were the strongest determinant of delays. Conclusion: Reducing ambulance response times requires systemic improvements in communication, fleet readiness, operational management, and infrastructure, beyond individual competence alone.

Background/Objectives: General movement assessment (GMA) is a clinical assessment tool used to predict risk for cerebral palsy (CP) in young infants. Equal access is challenging since GMA-trained personnel is a limited resource. An implementation study aimed to offer all high-risk infants born in the Central Norway Regional Health Authority equal access to GMA as part of the standard follow-up. This study explored the local health care personnel (HCP) experiences with early risk assessment for CP in young infants using remote GMA. Methods: This was a qualitative study with one focus group and four individual interviews. Participants were HCP from the local follow-up clinics who had experience with GMA. Analyses were inspired by Malterud’s systematic text condensation. Results: Attitudes towards GMA were, in general, positive, and GMA was considered an important and gentle examination contributing to earlier initiation of correct follow-up actions and appropriate treatment. The GMA results could improve communication between HCP and parents, and lead to a closer local municipality follow-up if GMA result was abnormal. Parents were given an active role with home video recording, which was considered family empowering. Especially pediatricians wanted more detailed information about the qualities of spontaneous movements to support clinical decision-making. Conclusions: This study indicated that further implementation of the GMA method to assess the risk of CP in high-risk infants could be recommended, and that GMA was a gentle method for the purpose. As suggested by pediatricians in this study, more detailed assessments using the GMA beyond FMs could be further explored as support to clinical decisions. The insight from this study may inform implementation in similar contexts.

White blood cell count in biological fluids: development and evaluation using the automated particle-analysis DxUⓇ Iris instrument.

Dear Editor, Crohn’s Disease (CD) is a chronic Inflammatory Bowel Disease (IBD) causing lesions from mouth to anus, with symptoms like abdominal pain, weight loss, rectal bleeding, and chronic diarrhoea. Globally, the incidence of IBD is increasing, adding to the healthcare burden. High-income countries use advanced diagnostic methods like colonoscopy, capsule endoscopy, and CT enterography, which require specialized equipment unavailable in Pakistan, making diagnosis difficult. A 2019 study reported 4.9 million global IBD cases, with the highest numbers in China and the USA—both high-income countries with better access to diagnostic resources 1. A 2024 study found that in Pakistan, only 22 of 270 registered IBD patients were diagnosed and managed for CD. 2 The high costs associated with diagnosing and treating CD present major challenges in low-income countries, despite a rising number of cases. This letter highlights the diagnostic, management, and systemic healthcare limitations in such settings. Pakistan lacks substantial epidemiological data regarding the incidence and prevalence of CD, likely due to inaccessibility caused by a large rural population, which makes up 61.8% of the total 241.49 million (Pakistan Bureau of Statistics)3. Managing CD is challenging, with first-line drugs like Prednisolone, Sulfasalazine, and Azathioprine widely available, even in low-income countries. Surgical options include resection, stricturoplasty, and abscess drainage. [4]. However, the challenges include: A shortage of experienced medical personnel due to brain drain. Low patient awareness leading to delayed diagnosis Inaccessibility and unaffordability of biologics Diagnostic confusion with conditions like IBS, tuberculosis, and drug-induced colitis. These challenges lead to delayed diagnosis, causing avoidable severe complications with timely treatment. A study reported that 57.1% of healthcare providers in Asia identified cost as the most common challenge5. There are few public healthcare facilities and costly private hospitals; one provider in Pakistan reported CD flare hospitalization could exceed US $50005. Lack of access to follow-up care, medications, and surgery for Crohn's disease leads to poor quality of life, disability, and even death. The lack of CD reports in low-income countries like Pakistan is likely due to limited access to diagnosis and treatment, making timely diagnosis a challenge in resource-limited settings. To improve CD care, it is essential to invest in diagnostic infrastructure, raise clinical awareness, expand access to biologics and follow-up care, and provide targeted training for medical staff.

Evaluation of an artificial intelligence system for bull sperm morphology evaluation.

BackgroundChronic obstructive pulmonary disease (COPD) poses challenges to people's self-management, especially after hospital discharge. Few studies have qualitatively examined the experiences of patients and healthcare personnel following a nurse-led health literacy intervention to prevent readmission.MethodsThis exploratory qualitative process evaluation was conducted within a randomized controlled trial aimed at understanding the perspectives of both patients and professionals following the implementation of a health literacy intervention. The intervention includes home visits conducted by nurses trained in COPD, employing motivational interviewing techniques and supporting the development of individualised treatment plans post-hospital discharge. Eight semi-structured interviews with patients, one focus group, and one individual interview with healthcare providers (n = 6) were analysed using inductive thematic analysis.ResultsTwo main themes arose among patients: “Building health literacy through personalized nursing support” and “From knowledge to action: Strengthening health literacy through motivational support” – and two among healthcare professionals; “Health professionals’ experience of developing health literacy competency” and “Perceived shifts in understanding, roles, and relationships through health literacy awareness”.ConclusionThe nurse-led health literacy intervention was perceived as valuable by both patients and healthcare professionals. Patients described how home-based support from competent nurses may have contributed to a better understanding of post-discharge care and fostered a sense of preparedness. Professionals reported gaining insights into patient needs, which they felt enabled more tailored communication and care planning. While the findings are based on a small qualitative sample, they suggest that such interventions may support the transition from hospital to home.Trial registrationThe RCT study is registered on ClinicalTrials.gov (ID: NCT 03216603 (registered first 7/7–2017).Supplementary InformationThe online version contains supplementary material available at 10.1186/s12913-025-13299-z.

Multiple sclerosis (MS) is a chronic inflammatory autoimmune disease that according to the Atlas of MS of the Multiple Sclerosis International Federation affects nearly 3 million people worldwide, predominantly young adults (70—80 %) and 3—5 % of children. Motor impairments are among the leading MS symptoms as well as cognitive impairments (CI) which occur in 40—60 % of MS patients. However, due to their minimal impact on the overall EDSS score, disorders of cognitive functions are often overlooked, negatively affecting patients' quality of life and work capacity. Diagnosing CI is a crucial aspect of providing proper care, improving social adaptation, and expanding cognitive rehabilitation opportunities. This review aimed to systematize current knowledge about neuropsychological diagnostic methods for CI in patients with MS. We conducted a computerized search in PubMed, Scopus, and Web of Science using the keywords «multiple sclerosis», «cognitive impairment», and «assessment». In neuropsychology, CI is usually defined as performance falling more than 1.5 standard deviations below normative expectations, adjusted for demographic variables such as age and educational level. When diagnosing CI in MS, it is essential to consider comorbid psychiatric conditions, adverse effects of pharmacological treatment, and MS-related symptoms that may negatively influence cognitive function. Despite the wide range of existing methods for assessing CI in patients with MS, there is no consensus or clear recommendation regarding the use of specific tests, as no single tool provides comprehensive coverage of the patients’ cognitive profile. The existing batteries of tests are well-constructed, yet have their limitations and challenges as long duration, necessity of experienced well-trained personnel or restricted coverage of cognitive domains. Further research is needed to identify the optimal assessment approach.

Disaster risk management refers to the application of plans and procedures for reducing disaster risk to prevent new disaster risks, minimize current disaster risk, and manage residual risk. This process helps to reduce disaster losses and increase resilience (Disaster Risk Management | UNDRR, 2007). This study explored the experiences of disaster risk reduction and management personnel through a qualitative research method. The participants of this study were the ten (10) participants chosen from the five (5) DRRM sectors in the municipalities of the Province of Guimaras. All participants were subjected to individual in-depth interviews. The findings of this study are described in emergent themes. Four (4) emergent themes described the positive and negative experiences of the participants in the implementation of disaster risk reduction and management programs. For the positive experiences, two (2) emergent themes were developed, namely: Empowering Community Resilience and Satisfaction of Effective Crisis Response. For the negative experiences, two (2) emergent themes were also developed, namely: Hurdles in Promoting Public Compliance and Inadequate Resources and Manpower Constraints. Meanwhile, two (2) emergent themes were formulated to explain how the participants address the challenges encountered in the implementation of disaster risk reduction and management programs, namely: Collaborative Partnerships for Resource Management and Capacity Building through Continuous Training. Finally, two (2) emergent themes were created to express the Aspirations of the Participants to Improve the Quality of Service, namely: Institutional Support and Resource Sustainability and Fostering Proactive Community Engagement. Based on the emergent themes identified, it is advised that the DRRM personnel be provided with consistent resource management and community engagement training to enhance their ability to address constraints more effectively and promote a proactive stance on disaster risk reduction.

This study aimed to explore and understand the lived experiences of non-teaching personnel transitioning to teaching position in Carmen District, Division of Davao del Norte. A qualitative phenomenological research design was used in the study. Twelve teachers, who were non-teaching personnel s in their previous work, were chosen purposively had undergone in-depth interviews regarding their challenges, strategies and motivation, and insights on their transition to teaching roles. There were three research questions with five probing questions for each main question had been asked to the participants regarding their challenges, strategies and motivations, and insights. Data were collected through in-depth semi-structured interviews, guided by three main research questions with five probing sub-questions each. To ensure validity, the interview guide was reviewed by qualitative research experts and pilot-tested prior to actual data collection. Results on the responses of the participants on experiences include adjustment challenges, professional growth, and commitment and passion. For strategies and motivation, responses from participants include personal motivation and financial reasons, mentorship and peer support, and adaptation and skill application. For the insights, results from the participants include realization of teaching purpose, discovery of personal strengths, and adaptation to professional expectations. Future studies may concentrate on information regarding the transition experiences, challenges, and support mechanisms not only for non-teaching personnel but also for other career shifter s and other professionals entering the education sector.

Despite the widespread use of bladder catheterization in both inpatient and outpatient practice, the procedure carries a risk of serious complications, including urethral trauma, strictures, and the development of false passages. According to published data, their incidence ranges from 10.2% to 17.7%. The most common causes of unsuccessful bladder catheterization are anatomical or pathological changes in the urethra, as well as insufficient experience of medical personnel. Repeated attempts at catheterization increase the risk of iatrogenic injuries. In military medicine and emergency care, the problem is aggravated by the high frequency of urethral trauma. Despite the availability of alternative imaging techniques (ultrasound, retrograde urethrography), the choice of the optimal drainage method remains unresolved, particularly in settings with limited access to advanced endoscopic equipment. To evaluate the efficiency and safety of the Visus MG optical urethral catheter with a portable endoscopic system (PES) in various types of urethral injuries. A prospective study was conducted at the Institute of Urology and Reproductive Health, Sechenov University, and at the S.M. Kirov Military Medical Academy. Eighty-five patients were included (60 and 25 from each institution, respectively). The efficacy and safety of bladder catheterization using the Visus MG optical urethral catheter with PES were assessed after unsuccessful attempts at standard catheterization, and in some cases without prior standard attempts. Indications included acute urinary retention, urethral trauma (combat or iatrogenic), preoperative drainage, and approximation of urethral edges before urethroplasty. The optical catheter provided visual control of urethral passage and enabled successful drainage in the presence of anatomical obstructions. Patient age ranged from 20 to 86 years (mean: 59.8). The mean prostate volume among non-prostatectomy patients was 33.7 cc, most often between 20-39 cc (42.1%). Bladder catheterization was performed primarily in the operating room (43.5%) or in procedure rooms (37.6%), most commonly under local anesthesia (61.2%). Ahistory of prior urological procedures was documented in 70% of patients. The use of the Visus MG optical urethral catheter with PES achieved successful bladder drainage in 96.5% of cases (82/85) without complications. The main causes of failed standard catheterization were strictures, urethral trauma, and other obstructive conditions. The Visus MG optical urethral catheter with a PES enabled safe and effective bladder drainage in 96.5% of patients after failed standard bladder catheterization. The method is minimally invasive, provides direct visual control, and reduces the risk of false passages and urethral injury. It may serve as an alternative to cystoscopy in settings with limited access to full endoscopic equipment.

ABSTRACTAimThe aim of the study is to explore the experience and perspectives of healthcare personnel deployed from the hospitals and military into long‐term care (LTC) in Ontario during the pandemic.BackgroundPersonnel from acute care hospitals, community care, the Canadian Armed Forces (CAF), and the Canadian Red Cross were deployed in support of LTC homes across Ontario.IntroductionThis article reports on the study of personnel deployed into LTC during the COVID‐19 pandemic. Understanding the experiences and lessons learned will be useful to improve planning and responses to future pandemics and disasters.MethodsA descriptive, exploratory research study design with a demographic questionnaire and semi‐structured interviews was used. Data analysis used a combination of open and process coding to identify thematic categories. The COREQ checklist was used for reporting on the study.FindingsInterviews were conducted with 30 participants who described common challenges of navigating the unknown, defining one's role, and establishing order. Lessons included the importance of adaptability, flexibility, and pragmatism and emphasized the role of leadership.DiscussionThe findings highlight challenges that personnel from civilian and military backgrounds experience when responding to disaster, and underscore the importance of communication, effective leadership, and cohesive teams. These findings are consistent with existing literature, contribute to the understanding of how personnel in disasters address challenges, and inform how to better prepare and train personnel for future disasters.Implications for Nursing and Health PolicyThese findings can be used to inform disaster theory and practice, including disaster competencies such as the International Council of Nurses Disaster Nursing Competencies, and provide a framework to improve disaster planning and responder training.

Existing studies on the abrasive cutting process have primarily focused on the influence of cutting conditions on key parameters such as temperature, cut-off wheel wear, and machined surface quality. However, the choice of working conditions is often made based on the experience of qualified personnel or using data from reference sources. The literature also provides optimal values for the cutting mode elements, but these are only valid for specific methods and cutting conditions. This article proposes a new multi-objective optimization approach for determining the conditions for the implementation of the abrasive cutting process that leads to Pareto-optimal solutions for improving economic efficiency, evaluated by production rate and manufacturing net cost parameters. To demonstrate this approach, the elastic abrasive cutting process of structural steels C45 and 42Cr4 has been selected. Theoretical–experimental models for production rate and manufacturing net cost have been developed, reflecting the complex influence of the conditions of the elastic abrasive cutting process (compression force of the cut-off wheel on the workpiece and rotational frequency of the workpiece). Multi-objective compromise optimization based on a genetic algorithm has been conducted by applying two methods—the determination of a compromise optimal area for the conditions of the elastic abrasive cutting process and the generalized utility function method. Optimal conditions for the implementation of the elastic abrasive cutting process have been determined, ensuring the best combination of high production rate and low manufacturing net cost.

Military-civilian partnerships.

Abstract Aircraft maintenance is a multifaceted process that requires highly skilled, qualified and experienced personnel. Effective maintenance processes optimise aircraft operational lifespan, minimise lifecycle costs and improve reliability by reducing the probability of unexpected maintenance events. The initial diagnostic phase relies on detailed visual inspections conducted by certified technicians. Following inspections, data assessment leads to the development of a comprehensive maintenance plan, along with the sourcing of necessary resources and spare parts. As the maintenance, repair and overhaul (MRO) sector transitions into the era of Industry 4.0, there is a growing emphasis on integrating data analytics and cyber-physical systems into maintenance practices. A key objective in this evolution is the adoption of robotic systems for inspection tasks. This shift requires the reconfiguration of formal inspection procedures to ensure compatibility with robotic operations. Moreover, it is critical to address the specific requirements of robotics and to incorporate smart hangar technologies that take advantage of real-time data to improve both efficiency and effectiveness in maintenance operations. This study provides a comprehensive review of the MRO landscape and maintenance checks, with a particular focus on robotic aircraft inspection systems, navigation and smart hangar infrastructure. The discussion concludes with an examination of defect detection methods using machine vision along with relevant metrics to compare with human performance.

Background/Objectives: This study examines the academic discourse surrounding Critical Incident Stress Debriefing (CISD) and Critical Incident Stress Management (CISM) for first responders using Latent Dirichlet Allocation (LDA) topic modeling. It aims to uncover latent topical structures in the literature and critically evaluate assumptions to identify gaps and limitations. Methods: A corpus of 214 research article abstracts related to CISD/M was gathered from the Web of Science Core Collection. After preprocessing, we used Orange Data Mining software’s LDA tool to analyze the corpus. We tested models ranging from 2 to 10 topics. To guide interpretation and labeling, we evaluated them using log perplexity, topic coherence, and LDAvis visualizations. A four-topic model offered the best balance of detail and interpretability. Results: Four topics emerged: (1) Critical Incident Stress Management in medical and emergency settings, (2) psychological and group-based interventions for PTSD and trauma, (3) peer support and experiences of emergency and military personnel, and (4) mental health interventions for first responders. Key gaps included limited focus on cumulative trauma, insufficient longitudinal research, and variability in procedural adherence affecting outcomes. Conclusions: The findings highlight the need for CISD/M protocols to move beyond event-specific interventions and address cumulative stressors. Recommendations include incorporating holistic, proactive mental health strategies and conducting longitudinal studies to evaluate long-term effectiveness. These insights can help refine CISD/M approaches and enhance their impact on first responders working in high-stress environments.

Engaging patients and families in critical care research is recognised as best practice. The extent of engagement in critical care trials in Australia and New Zealand is unknown, following introduction of national guidelines in 2016. To assess the extent of patient and family engagement in adult critical care research studies endorsed by the Australia and New Zealand Intensive Care Society Clinical Trials Group (ANZICS CTG). Prospective studies endorsed between January 2017 - December 2023 or previously endorsed and still recruiting during this period were included. The study design included a two-stage process: 1) retrospective independent assessment of patient and family engagement in study protocols, progress reports, and manuscripts and 2) prospective self-reported survey of study principal investigators and project managers to understand priority of engagement, types of activities, barriers and facilitators. Both stages assessed engagement using a modified version of an existing tool developed by the Canadian Critical Care Trials Group (CCCTG) Patient and Family Partnership Committee. The Guidance for Reporting Involvement of Patients and Public 2 (GRIPP2) tool was also used in Stage 1. Stage 1: Retrospective analysis using CCCTG and GRIPP2 tools. Of the 35 studies reviewed in Stage 1, patient and family engagement was infrequently reported [reported in eight protocols submitted to ANZICS CTG for endorsement (8/35, 23%), reported in one trial progress report (1/34, 3%) and in one protocol publication (1/17, 6%), and not reported in the ten primary trial publications (0/10, 0%)]. Stage 2: Survey responses using CCCTG tool. Twenty-eight of 35 studies (80%) had at least one survey response. Respondents for 20 of these studies (20/28, 71%) reported undertaking some form of patient and family engagement. The most common facilitator of engagement was staff engagement experience (12/28, 43%), and lack of resources (12/28, 43%) was identified as a key barrier. This study identified low rates of reported patient and family engagement in clinical trial protocols and manuscripts via independent appraisal, compared to a high self-reported rate of engagement activities, among studies endorsed via ANZICS CTG. This study highlighted importance of adequate resourcing for engagement activities, including experienced personnel and funding.

The rapid shift to Emergency Remote Teaching (ERT) during the COVID-19 pandemic exposed significant challenges within higher education (HE), particularly in rural and under-resourced institutions. While ERT enabled academic continuity, it highlighted critical gaps in digital infrastructure, staff preparedness, and institutional support. This study explores senior academics' strategies to enhance ERT at a rural University of Technology (UoT) in South Africa, emphasising the need for sustainable solutions beyond temporary crisis responses. Employing a qualitative, phenomenological research design, the study collected data through individual semi-structured interviews with twelve senior academic personnel who experienced the transition to ERT first-hand. Thematic analysis using NVivo software identified key strategic themes, including addressing issues of technological capacity, inadequate professional development, and compromised academic integrity during remote assessments. Findings revealed the need for continuous staff training, improved online learning platforms with enhanced security features, and collaborative partnerships to support resource-constrained institutions. The study’s significance lies in addressing the overlooked experiences of rural senior academic personnel, often neglected in ERT literature focused on well-resourced institutions and a diverse population that lacks seniority. The research recommends implementing structured, ongoing professional development, investment in digital infrastructure, and establishing national policies ensuring equitable access to online learning resources. This study provides critical insights for policymakers, educators, and institutional leaders seeking to bridge the digital divide and ensure equitable access to quality education during future disruptions.

The purpose was to analyze the impact of the use of tourniquets by military personnel during massive or critical bleeding, as well as in cases of traumatic amputations of limbs. Special attention is devoted to the timely conversion of the tourniquet, determining the feasibility and inappropriateness of its use, assessing the duration of its application, and analyzing complications arising from excessively long use, especially in conditions of intense hostilities or prolonged evacuation. Materials and methods. We conducted review of the scientometric databases Scopus, PubMed, ResearchGate, as well as professional periodicals: Health.mil, Military Medicine, Ukrainian Journal of Military Medicine etc. We used the following keywords for search: “tourniquet”, ”alternative”, “stop the bleed”. Our part of clinical study described in this article was conducted on the basis of a Role 2 surgical hospital in the hottest combat zone in April-May, 2024, n=70 servicemen. The article describes 4 clinical cases of temporary stopping of critical bleeding in military personnel, medical interventions at the Role 2 stage to transfer medical evacuation to the Role 3 stage of medical support. Results. The analysis of the duration of tourniquet application showed that they were used for 1-2 hours in 50.0% of cases, from 2 to 3 hours in 40.0% of cases-, and the duration of its implementation after combat trauma exceeded 3 hours in 10.0% of cases. Thus, the application of tourniquets was inappropriate in 30.0% of servicemen. Conclusions. According to the results of the study, one of the most serious complications of tourniquet application is irreversible limb ischemia, which requires amputation and was observed in 45.0% of cases observed by us. The importance of timely, correct tourniquet application technique is reflected in the experience of tactical medicine personnel in self- and mutual aid on the battlefield and saves the lives of servicemen.

The digitization of healthcare through Electronic Health Records (EHRs) has transformed medical service delivery globally thus leading to improved efficiency, data accuracy, and patient care. However, developing countries like Zambia face significant implementation challenges, including skills challnges, infrastructure gaps and policy limitations. This study examines the implementation of Zambia's SmartCare Electronic Health Record (EHR) system in first-level hospitals of Lusaka District, focusing on registry personnel's experiences, policy frameworks, service delivery impacts, and implementation challenges. The study employed a qualitative research design, exploiting a purposive sampling method to select 30 registry personnel across five hospitals in Lusaka. Data was collected from 25 registry personnel through in-depth interviews and analysed using thematic analysis. The findings reveal that all twenty-five participants emphasized that the SmartCare system was usefull, was user-friendly and its ability to streamline data capture and retrieval made work enjoyable and much easier. However, findings also revealed a concerning gap in policy awareness among registry staff, which potentially compromise data governance and system interoperability. The study further established that while SmartCare has significantly improved efficiency in patient record management, reducing paperwork and enhancing data accessibility, substantial barriers hinder its optimal utilization. Key challenges include system failures (reported by all participants), erratic power supply, inadequate training and therefore limited skills,, insufficient computer resources, and inconsistent distribution of SmartCare cards.