Skip to main content
Have a personal or library account? Click to login
Transitioning from Episodic Cardiac Missions to Sustainable National Cardiac Surgery Services in Papua New Guinea: A Mixed-Methods Programme Evaluation Cover

Transitioning from Episodic Cardiac Missions to Sustainable National Cardiac Surgery Services in Papua New Guinea: A Mixed-Methods Programme Evaluation

Open Access
|May 2026

Figures & Tables

Figure 1

Participant characteristics by country and professional role.

(a) Distribution of participants by country of origin.

(b) Distribution of participants by professional role within the multidisciplinary cardiac team. Data are presented for all respondents (n = 28).

Table 1

Quantitative evaluation of mission domains using Likert‑scale responses. Summary of participant responses to the Singapore–Papua New Guinea cardiac surgery mission evaluation (n = 28). Data are presented as mean ± standard deviation (SD) based on 5‑point Likert‑scale ratings (1 = strongly disagree/very poor, 5 = strongly agree/excellent). Domains assessed include overall experience, pre‑mission planning, intraoperative workflow, post‑operative care, education and capacity building, collaboration, sustainability and team well‑being. Higher scores indicate more favourable perceptions.

DOMAINMEAN ± SD
Overall experience
Objective4.32 ± 0.94
Communication3.86 ± 1.08
Roles and responsibilities3.71 ± 1.01
Clinical workload4.21 ± 0.99
Overall4.61 ± 1.07
Pre‑mission planning and preparation
Adequate briefing4.04 ± 1.14
Appropriate case selection4.39 ± 1.03
Sufficient preoperative patient information3.89 ± 1.17
Adequate equipment and consumable planning3.93 ± 1.05
Well‑organized travel, lodging and logistics4.14 ± 1.04
Intraoperative and clinical workflow
Efficient operating theatre flow3.86 ± 1.11
Effective operating theatre teamwork4.14 ± 0.97
Collaborative decision‑making4.32 ± 0.94
Patient safety standards4.32 ± 0.98
Post‑operative care and ICU management
Clear post‑operative care protocols2.86 ± 1.33
Effective handover3.68 ± 1.22
Adequate ICU staffing and resources3.43 ± 1.29
Well‑coordinated complication management3.46 ± 1.07
Education, skills transfer and capacity building
Adequate teaching and learning opportunities4.14 ± 0.93
Bi‑directional knowledge exchange4.04 ± 1.07
Cultural and professional collaboration
Collegial and respectful working relationship4.43 ± 0.92
Sustainability and long‑term Impact
Mission aligns with long‑term PNG goals4.57 ± 0.96
Sustainable system locally3.86 ± 1.01
Realistic and achievable follow‑up plan3.96 ± 1.07
Well‑being and team support
Manageable workload4.18 ± 1.09
Adequate rest and recovery3.68 ± 1.19
Sufficient emotional and psychological support3.89 ± 1.26
DOI: https://doi.org/10.5334/aogh.5309 | Journal eISSN: 2214-9996
Language: English
Page range: 50 - 50
Submitted on: Apr 14, 2026
Accepted on: May 10, 2026
Published on: May 29, 2026
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2026 Marco Lizwan, Ling Zhu, Noah Tapaua, Antonia Zeng, Oriana Ng, Kim Chai Chua, Yeow Leng Chua, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.