Training needs assessment for practicing pediatric critical care nurses in Malawi to inform the development of a specialized master's education pathway: a cohort study.
Training needs assessment for practicing pediatric critical care nurses in Malawi to inform the development of a specialized master's education pathway: a cohort study.
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DOI：
10.1186/s12912-021-00772-3
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发表时间：
2022-01-04
期刊：
影响因子：
3.2
通讯作者：
Majamanda M
中科院分区：
文献类型：
--
作者：
Renning K;van de Water B;Brandstetter S;Kasitomu C;Gowero N;Simbota M;Majamanda M
在过去的三十年中，马拉维五岁以下儿童的死亡率有了显著的改善;然而，马拉维的医疗保健在获得高质量的儿科重症护理护理培训和教育方面仍然存在差距。为了提高马拉维儿科重症监护护士的专业知识，Kamuzu健康科学大学（KUHeS），伊丽莎白女王中央医院（QECH）和Mercy James中心（MJC）与美国非政府组织Seed Global Health建立了合作伙伴关系。进行了需求评估，以了解目前在儿科重症监护工作的护士的培训需求，并准备在KUHeS的儿科重症监护（PCC）护理专业硕士学位的儿童健康途径的发展。使用ABCDE（气道、呼吸、循环、残疾和暴露）框架格式的调查问卷完成需求评估。问卷包括Likert量表和是/否问题。将数据手动输入Excel，并使用描述性统计进行分析。QECH和MJC的153名护士回答了调查。大多数护士年龄在25 - 35岁之间（N = 98，64%），女性（N = 105，69%），持有护理学士学位（N = 72，47%）或文凭（N = 70，46%）。护士对某些技能有较高的信心：气道管理（N = 120，99%），呼吸评估和管理（N = 153，100%）。然而，护士在以下领域表现出很少或没有信心：机械通气（N = 68，44%），ECG评估（N = 74，48%）和动脉血气采集和解释（N = 49，32%）。重要的是要确定培训和技能发展的优先领域，以解决在KUHeS儿童健康途径内的PCC硕士学位。理想情况下，这种伙伴关系将产生实践准备PCC护士，并将在马拉维建立一个公认的PCC护理队伍。
Significant improvements in under-five mortality in Malawi have been demonstrated over the past thirty years; however, Malawian healthcare remains with gaps in availability and access to quality pediatric critical care nursing training and education. To improve expertise of pediatric critical care nurses in Malawi, Kamuzu University of Health Sciences (KUHeS), Queen Elizabeth Central Hospital (QECH), and Mercy James Center (MJC) entered a partnership with Seed Global Health, a US non-governmental organization. A needs assessment was conducted to understand the training needs of nurses currently working in pediatric critical care and in preparation for the development of a specialized Master’s in Child Health pathway in Pediatric Critical Care (PCC) Nursing at KUHeS. The needs assessment was completed using a survey questionnaire formatted using an ABCDE (Airway, Breathing, Circulation, Disability, and Exposure) framework. The questionnaire had Likert scale and yes/no questions. Data was manually entered into excel and was analyzed using descriptive statistics. One hundred and fifty-three nurses at QECH and MJC responded to the survey. Most nurses were between the ages of 25 and 35 years (N = 98, 64%), female (N = 105, 69%), and held either a Bachelors (N = 72, 47%) or diploma (N = 70, 46%) in nursing. Nurses had high rates of confidence in certain skills: airway management (N = 120, 99%), breathing assessment & management (N = 153, 100%). However, nurses demonstrated little to no confidence in areas such as: mechanical ventilation (N = 68, 44%), ECG evaluation (N = 74, 48%), and arterial blood gas collection & interpretation (N = 49, 32%). It is important to identify priority areas for training and skills development to address in the PCC master’s within the child health pathway at KUHeS. Ideally this partnership will produce practice-ready PCC nurses and will establish a recognized PCC nursing workforce in Malawi.
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