Telehealth to Expand Community Health Nurse Education in Rural Guatemala: A Pilot Feasibility and Acceptability Evaluation.
Telehealth to Expand Community Health Nurse Education in Rural Guatemala: A Pilot Feasibility and Acceptability Evaluation.
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DOI：
10.3389/fpubh.2017.00060
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发表时间：
2017
影响因子：
5.2
通讯作者：
Domek GJ
中科院分区：
文献类型：
--
作者：
McConnell KA;Krisher LK;Lenssen M;Bunik M;Bunge Montes S;Domek GJ
远程医疗教育有潜力成为扩大医护人员教育和支持的重要、低成本方法，特别是在低收入和中等收入国家的农村地区。我们描述了一项创新的教育战略，以加强危地马拉和美国合作伙伴之间的长期卫生专业能力建设伙伴关系。在这项试点评估中，危地马拉农村地区的社区保健护士通过远程医疗从美国支持机构的教员那里获得了定制的互动教育。对这 10 个讲座系列的项目评估显示了学习者和教师的高度满意度以及学习者的知识获取。平均有 5.5 名学习者和 2 名讲师参加了 10 场讲座，并使用李克特量表完成了调查，对有关讲座内容、技术和个人关系的陈述进行评分。关于讲座内容和日常工作适用性的积极陈述以及有关技术易用性和便利性的陈述获得了 98% 或更高的认同度。学习者 100% 同意与教师有联系的感觉，而教师则 86.4% 同意与联系相关的陈述。参加各自工作地点的讲师对便利性声明的认可度为 100%。该评估还证明了有效性，学习者的测试前后知识分数平均提高了 10.7%。随着全球卫生界考虑时间、金钱和环境的效率，远程医疗教育是考虑和发展卫生工作者教育的重要方法。我们的试点计划评估表明，远程医疗可能是向危地马拉农村地区的一线卫生工作者提供教育的有效方法。虽然需要进行更大规模的研究来量化特定知识获取的持续时间和收益，并对该计划进行成本效益分析，但我们的初步试点结果令人鼓舞，并表明美国大学和低收入和中等收入国家的农村社区卫生计划之间的远程医疗计划既可行又可以接受。
Telehealth education has the potential to serve as an important, low-cost method of expanding healthcare worker education and support, especially in rural settings of low- and middle-income countries. We describe an innovative educational strategy to strengthen a long-term health professional capacity building partnership between Guatemalan and US-based partners. In this pilot evaluation, community health nurses in rural Guatemala received customized, interactive education via telehealth from faculty at the supporting US-based institution. Program evaluation of this 10 lecture series demonstrated high levels of satisfaction among learners and instructors as well as knowledge gain by learners. An average of 5.5 learners and 2 instructors attended the 10 lectures and completed surveys using a Likert scale to rate statements regarding lecture content, technology, and personal connection. Positive statements about lecture content and the applicability to daily work had 98% or greater agreement as did statements regarding ease of technology and convenience. The learners agreed with feeling connected to the instructors 100% of the time, while instructors had 86.4% agreement with connection related statements. Instructors, joining at their respective work locations, rated convenience statements at 100% agreement. This evaluation also demonstrated effectiveness with an average 10.7% increase in pre- to posttest knowledge scores by learners. As the global health community considers efficiency in time, money, and our environment, telehealth education is a critical method to consider and develop for health worker education. Our pilot program evaluation shows that telehealth may be an effective method of delivering education to frontline health workers in rural Guatemala. While larger studies are needed to quantify the duration and benefits of specific knowledge gains and to perform a cost-effectiveness analysis of the program, our initial pilot results are encouraging and show that a telehealth program between a US-based university and a rural community health program in a low- and middle-income country is both feasible and acceptable.