Efficacy of knowledge and competence-based training of non-physicians in the provision of early infant male circumcision using the Mogen clamp in Rakai, Uganda.
Efficacy of knowledge and competence-based training of non-physicians in the provision of early infant male circumcision using the Mogen clamp in Rakai, Uganda.
复制标题
在乌干达拉凯使用莫根钳对非医生进行早期婴儿男性包皮环切术的知识和能力培训的效果。
DOI：
10.1111/bju.13685
复制
发表时间：
2017
影响因子：
4.5
通讯作者：
Gray,R
中科院分区：
文献类型：
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作者：
Kankaka,EdwardNelson;Kigozi,Godfrey;Kayiwa,Daniel;Kighoma,Nehemiah;Makumbi,Frederick;Murungi,Teddy;Nabukalu,Dorean;Nampijja,Resty;Watya,Stephen;Namuguzi,Daniel;Nalugoda,Fred;Nakigozi,Gertrude;Serwadda,David;Wawer,Maria;Gray,R
目的评估收购的知识和能力，在执行早期婴儿男性包皮环切术（EIMC）的非医生培训使用结构化的curriculum.Subjects and MethodsTraining在提供EIMC使用摩根钳进行了10个临床官员（CO）和10个注册护士助产士（RNMW），在Rakai，乌干达。母亲同意参与研究的健康婴儿被分配给受训者，每个受训者至少进行10次EIMC。正在进行的评估和能力的反馈，和安全性评估的不良事件。ResultsDespite类似的基线知识，CO获得更多的教学知识比RNMW（P= 0.043）。总共有100名EIMC接受了能力增益评估。能力提升最大的是第一道和第三道程序之间，到第七道程序时，所有学员的能力和技能保留率均达到80%。CO组完成手术的中位（四分位距）时间为14.5（10-47）min，RNMW组为15（10-50）min（P= 0.180）。每次后续EIMC的手术时间减少2.2分钟（P= 0.005），CO和RNMW的改善率相似。不良事件之间的供应商（3.5%），其中1%是中度severity.ConclusionCompetence-为基础的培训非医生提高知识和能力，在EIMC进行CO和RNMW在乌干达。
ObjectiveTo assess acquisition of knowledge and competence in performing Early Infant Male Circumcision (EIMC) by non‐physicians trained using a structured curriculum.Subjects and MethodsTraining in provision of EIMC using the Mogen clamp was conducted for 10 Clinical Officers (COs) and 10 Registered Nurse Midwives (RNMWs), in Rakai, Uganda. Healthy infants whose mothers consented to study participation were assigned to the trainees, each of whom performed at least 10 EIMCs. Ongoing assessment and feedback for competency were done, and safety assessed by adverse events.ResultsDespite similar baseline knowledge, COs acquired more didactic knowledge than RNMWs (P= 0.043). In all, 100 EIMCs were assessed for gain in competency. The greatest improvement in competency was between the first and third procedures, and all trainees achieved 80% competency and retention of skills by the seventh procedure. The median (interquartile range) time to complete a procedure was 14.5 (10–47) min for the COs, and 15 (10–50) min for the RNMWs (P= 0.180). The procedure times declined by 2.2 min for each subsequent EIMC (P= 0.005), and rates of improvement were similar for COs and RNMWs. Adverse events were comparable between providers (3.5%), of which 1% were of moderate severity.ConclusionCompetence‐based training of non‐physicians improved knowledge and competency in EIMC performed by COs and RNMWs in Uganda.