The development of continuing education for trauma care in an African nation
The development of continuing education for trauma care in an African nation
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DOI：
10.1016/j.injury.2004.12.044
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发表时间：
2005-06-01
影响因子：
2.5
通讯作者：
Donkor, P
中科院分区：
文献类型：
--
作者：
Mock, CN;Quansah, R;Donkor, P
背景：为满足加纳乡村医院的需求，开发了创伤继续教育课程。方法：通过课程前、课程后的测试成绩，以及一年后对课程参与者的访谈，对课程的效果进行评估。结果：平均测试分数从69%(正确)提高到80%。在所有主要类别中都有改善：初始管理、躯干、整形外科、矫形外科和X射线解读。随访访问显示，基本呼吸道操作的使用率很高(93%的参与者至少使用一次)和胸管插入(67%)，但高级呼吸道操作的使用率有限(20%)。与会者报告说，他们提供的大多数类别的护理都有所改善。进步较小的类别是：开放性骨折的处理(33%)、闭合性骨折(20%)和腹部损伤的诊断(20%)。讨论：这一本地开发的课程提高了参与者的知识和他们对创伤护理的自我报告过程。测试分数低的创伤护理方面表明需要加强的领域。随后使用的两个方面，如先进的呼吸道管理，表明可能需要注意护理的其他组成部分，如设备可用性和辅助工作人员的培训。这些发现为其他低收入国家改善创伤护理提供了经验教训。(C)2004爱思唯尔有限公司。保留所有权利。
Background: A trauma continuing education course was developed to meet the needs of rural hospitals in Ghana.Methods: The course's effectiveness was evaluated by pre-course and post-course test scores; and by interviews with course participants 1 year afterwards.Results: Mean test scores improved from 69% (% correct) to 80%. There were improvements in all major categories: initial management, torso, plastic surgery, orthopaedics, and X-ray interpretation. Follow-up interviews revealed high level of utilisation of basic airway manoeuvres (93% of participants utilising at least once) and chest tube insertion (67%), but limited utilisation of advanced airway manoeuvres (20%). Participants reported that their provision of most categories of care had improved. Categories with less improvement were: management of open fractures (33% not improved), closed fractures (20%), and diagnosis of abdominal injury (20%).Discussion: This Locally developed course improved the participants' knowledge and their self-reported process of trauma care. Aspects of trauma care with Low test scores indicate areas needing reinforcement. Aspects with tow subsequent utilisation, such as advanced airway management, indicate areas that might need attention to other components of care, such as equipment availability and training of ancillary staff. These findings provide lessons for efforts to improve trauma care in other low income countries. (c) 2004 Elsevier Ltd. All rights reserved.