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Design uses a qualitative descriptive approach from January to February 2025, combining convenience and purposive sampling, with 51 direct observations, 8 focus group discussions, and 19 key informant interviews. Setting covers health institutions and health offices within Ethiopia’s Awi Zone. Results reveal two main themes on practice and improvement, with safety implementation inconsistent. Conclusion stresses addressing behavioral and structural, cultural, and systemic issues, enabling participation, teamwork, and regular monitoring for safer workplaces and stronger healthcare effectiveness.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/understanding-safety-measure-practices-and-improvement-strategies-among-health-professionals-in-resource-limited-health-care-settings-in-the-awi-zone-amhara-ethiopia-a-qualitative-study/434970/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/understanding-safety-measure-practices-and-improvement-strategies-among-health-professionals-in-resource-limited-health-care-settings-in-the-awi-zone-amhara-ethiopia-a-qualitative-study/434970.png","ImageObject",300,407,{"name":92,"@type":93},"Mabel","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-05","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What was the study’s objective regarding safety measures?","Question",{"text":112,"@type":113},"To explore current safety practices and improvement strategies for safety measures among health professionals in resource-limited settings.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How was the study conducted and what data were collected?",{"text":117,"@type":113},"A qualitative descriptive method was used from January to February 2025, using convenience and purposive sampling. Data collection included 51 direct observations, 8 focus group discussions, and 19 key informant interviews.",{"name":119,"@type":110,"acceptedAnswer":120},"What did the analysis identify about safety practice and improvement strategies?",{"text":121,"@type":113},"Two principal themes emerged: safety measures practice and improvement strategies. Safety practices varied from low to moderate, and improvements were linked to infrastructure and supplies, training, community engagement, stronger policy enforcement, and human resources with behavioral change interventions.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},434970,1791395476,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":41,"preview_page_count":4},7971474920318,"https://ap-avatar.wpscdn.com/avatar/74000ee537e6b0ca360?x-image-process=image/resize,m_fixed,w_180,h_180&k=1788430171632181674","Open access Original research  \n Understanding safety measure practices  \nand improvement strategies among health professionals in resource-limited health care settings in the Awi Zone, Amhara, Ethiopia: a qualitative study  \nAgumas Fentahun Ayalew  ,1,2 Amare Mebrat Delie  ,2 Lovel Fornah  ,1,3 Mulugeta Shegaze Shimbre  ,1,4 Wei Ma1,5  \nTo cite: Ayalew AF, Delie AM, Fornah L, et al. Understanding safety measure practices and improvement strategies among health professionals in resourcelimited health care settings in the Awi Zone, Amhara, Ethiopia:  \na qualitative study. BMJ Open 2025;15:e107492 . doi:10 . 1136/ bmjopen-2025-107492  \n► Prepublication history and additional supplemental material for this paper are available online. To view these files, please visit the journal online ([https://doi.org/10.1136/](https://doi.org/10.1136/)[ ](https://doi.org/10.1136/)[bmjopen-2025-107492](bmjopen-2025-107492)) .  \nReceived 05 July 2025  \nAccepted 28 November 2025  \n© Author(s) (or their employer(s)) 2025. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ Group.  \nFor numbered affiliations see end of article.  \nCorrespondence to  \nMr Agumas FentahunAyalew; fentahun143@gmail.com and Dr Wei Ma; [weima@sdu.edu.cn](weima@sdu.edu.cn)  \nABSTRACT  \nObjective The aim of this study was to explore current safety practices and improvement strategies for safety measures.  \nDesign A qualitative descriptive method was utilised from January to February 2025, employing both convenience and purposive sampling techniques. A total of 51 direct observations, 8 focus group discussions and 19 key informant interviews were conducted as part of the data collection.  \nSetting This study was conducted in health institutions, Woreda health offices and Zonal health offices within the Awi Zone of Ethiopia.  \nParticipants Comprising frontline health professionals, case team leaders, facility administrators and health officials at both the woreda and zonal levels.  \nResults The data analysis identified two principal themes:‘safety measures practice’ and ‘improvement strategies’. Safety practices varied from low to moderate. Five areas were found to have ways to improve safety measures: infrastructure and supply chain management, training and capacity-building, community engagement, policy strengthening and enforcement and human resources management with behavioural change interventions. Conclusion The implementation of safety measures was inconsistent. To enhance safety measures, addressing individual behaviours and issues that are structural, cultural and systemic is essential. Encouraging participation, fostering teamwork and implementing regular monitoring can help make safety practices a routine part of the organisation. This would make the workplace safer, improve healthcare and enhance the overall effectiveness of the healthcare system. This study provides valuable insights that can inform the development of effective implementation strategies in other resourcelimited settings.  \nINTRODUCTION  \nHealthcare-associated infections (HAIs) are major patient safety concerns that disproportionately impact resource-limited environments worldwide.1 With death rates up to  \nSTRENGTHS AND LIMITATIONS OF THE STUDY   \n⇒ The study had a wider range of views and experiences because it included health professionals from both public and private healthcare facilities.  \n⇒ Combining and integrating data from direct observations (DOs), focus group discussions (FGDs) and key informant interviews (KIIs) added methodological depth, enhancing the study’s reflexivity, rigour, trustworthiness and analytical richness.  \n⇒ The findings were framed via normalisation process theory, which provides a structured and adaptable explanation of how safety procedures become routine in healthcare settings.  \n⇒ Social desirability bias may have affected some responses during data collection; however, employing multiple sources enhanced the study’","cbCaijjXCbvSXVeX","https://ap.wps.com/l/cbCaijjXCbvSXVeX","pdf",968572,12,"English","# Abstract\n## Objective and Design\n## Setting and Participants\n## Results and Conclusion\n# Strengths and Limitations of the Study\n# Introduction","[{\"question\":\"What was the study’s objective regarding safety measures?\",\"answer\":\"To explore current safety practices and improvement strategies for safety measures among health professionals in resource-limited settings.\"},{\"question\":\"How was the study conducted and what data were collected?\",\"answer\":\"A qualitative descriptive method was used from January to February 2025, using convenience and purposive sampling. Data collection included 51 direct observations, 8 focus group discussions, and 19 key informant interviews.\"},{\"question\":\"What did the analysis identify about safety practice and improvement strategies?\",\"answer\":\"Two principal themes emerged: safety measures practice and improvement strategies. Safety practices varied from low to moderate, and improvements were linked to infrastructure and supplies, training, community engagement, stronger policy enforcement, and human resources with behavioral change interventions.\"}]","Understanding safety measure practices and improvement strategies among health professionals in resource-limited health care settings in the Awi Zone, Amhara, Ethiopia - a qualitative study | PDF",1790671320]