Improving quality of home-based postnatal care by microteaching of multipurpose workers in rural and urban slum areas of Chandigarh, India: a pilot study
Improving quality of home-based postnatal care by microteaching of multipurpose workers in rural and urban slum areas of Chandigarh, India: a pilot study
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DOI：
10.2147/amep.s111697
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发表时间：
2017-01-01
影响因子：
2
通讯作者：
Bhag, Chering
中科院分区：
文献类型：
--
作者：
Gupta, Madhu;Tripathy, Jaya Prasad;Bhag, Chering
背景：微格教学是一种有效的提高技能的教学工具。到目前为止，它在卫生部门的使用非常有限。进行了试点研究，以提高家庭为基础的产后护理质量的微格教学的卫生工作者（HWs），并确定其可行性支持supervisory.Methods：所有（n= 12）的HWs迎合人口类似的0.1万进行视频记录，同时执行家庭为基础的产后检查在昌迪加尔从2013年8月至2014年12月。每一轮结束后，HWs都会在设施和家中观看他们的视频并接受培训。录像、评估和培训一直持续到保健工作者获得预期技能。一个预先测试的结构化的检查表的基础上，国家家庭为基础的产后护理指南被用来记录和评估产后技能。没有完成任务的得分为“0”，错误完成或部分完成任务的得分为“1”，正确完成任务的得分为“2”。结果：经过3轮录像后，新生儿检查技能总评分由0.64分提高到1.76分，新生儿检查技能由0.52分提高到1.63分，产妇检查技能由0.54分提高到1.62分，咨询技能由1.01分提高到1.85分。携带体温计的保健工作者的比例从21%增加到100%。第二和第三轮的录像和微格教学成功地进行了程序supervisors.Conclusion：这是第一次研究报告有效地利用微格教学在提高家庭为基础的产后护理技能的卫生保健工作者和支持性监督的可行性。
Background: Microteaching is an efficient teaching tool to improve skills. Until now, its use is very limited in the health sector. A pilot study was carried out to improve the quality of home-based postnatal care by microteaching of health workers (HWs) and ascertain its feasibility for supportive supervision.Methods: All (n= 12) the HWs catering to a population of similar to 0.1 million were video recorded while performing home-based postnatal check up in Chandigarh from August 2013 to December 2014. After each round, HWs were shown their videos and trained in the facility and at home. Video recordings, assessments followed by training, continued until HWs acquired the intended skills. A pretested structured checklist based on the national home-based postnatal care guidelines was used for recording and assessing of postnatal skills. A score "0" given for no task, "1" for incorrectly done or partially done task, and "2" for correct task. The average score of each round was calculated and compared.Results: The overall skill assessment score improved from 0.64 to 1.76, newborn examination skill from 0.52 to 1.63, maternal examination from 0.54 to 1.62, and counseling from 1.01 to 1.85 after three rounds of video recording. The proportion of HWs carrying a thermometer increased from 21% to 100%. Second and third rounds of video recording and microteaching were successfully carried out by the program supervisors.Conclusion: This was the first study to report on the effective use of microteaching in improving home-based postnatal care skills of the health care workers and its feasibility for supportive supervision.