An evaluation of obstetric ultrasound education program in Nepal using the RE-AIM framework.
An evaluation of obstetric ultrasound education program in Nepal using the RE-AIM framework.
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DOI：
10.1186/s12909-021-02484-3
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发表时间：
2021-01-15
影响因子：
3.6
通讯作者：
Kim WH
中科院分区：
文献类型：
--
作者：
Kim J;Shakya PR;Choi S;Park JS;Tamrakar SR;Heo J;Kim WH
尼泊尔的先天性畸形发病率很高，导致婴儿死亡率很高。超声波是检测先天性异常和管理与孕产有关的风险因素的一个重要工具，但在尼泊尔没有得到适当使用，因为尼泊尔医生学习超声波技术的机会有限。因此，我们从2016年到2018年制定并实施了超声教育计划。本研究的目的是评估教育计划使用的范围，有效性，采用，实施和维护（RE-AIM）的框架。我们进行了一项混合方法研究，以评估RE-AIM的每个组件。该团队从行政记录、测试、调查和在线跟踪调查中收集了定量数据。定性数据是在项目实施至少一年后从个人深入访谈中收集的。定量数据采用比例、均值和t检验，定性数据采用主题编码。从2016年到2018年，共有228名医疗工作者获得了援助，占尼泊尔地区的27.3%。该计划提高了参与者的知识（100人中每年增加29.3，8.7和23.8，p <0.001，n = 85）和自信心（4.0人中增加0.6，0.3，1.3，p <0.01，n = 111）。参与者对该计划非常满意（4.2、4.1和4.0分，共5.0分，n = 162）。在线随访调查的受访者（n = 28）中，60.7%的人在教育计划后在日常实践中使用超声，医疗机构建立了超声培训中心。缺乏明确的认证和实用的超声波使用指南被认为是采用和维护的障碍。该计划成功地提高了参与者对超声技术的知识和自信心，并显示出在实践中采用和维护这些技术的巨大潜力。继续实施该计划和机构政策变化，以促进超声波的使用可能会增加超声波的使用，并提高超声波服务质量在尼泊尔。
Nepal has a high prevalence of congenital anomaly contributing to high infant mortality. Ultrasound, an important tool to detect congenital anomalies and manage maternity-related risk factors, is not properly used in Nepal because Nepali doctors have limited opportunities for learning ultrasound techniques. Hence, we developed and implemented an ultrasound education program from 2016 to 2018. The objective of this study is to evaluate the education program using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework. We conducted a mixed-method study to evaluate each component of RE-AIM. The team collected quantitative data from administrative records, tests, surveys, and an online follow-up survey. Qualitative data were collected from individual in-depth interviews at least a year after the program. The proportions, means, and t-tests were used for quantitative data, and thematic coding for qualitative data. A total of 228 healthcare workers representing 27.3% of the districts of Nepal were reached from 2016 to 2018. The program improved participants’ knowledge (29.3, 8.7, and 23.8 increases out of 100, each year, p< 0.001, n=85) and self-confidence (0.6, 0.3, 1.3 increases out of 4.0, p< 0.01, n=111). The participants were highly satisfied with the program (4.2, 4.1, and 4.0 out of 5.0, n=162). Among the respondents of the online follow-up survey (n=28), 60.7% had used ultrasound in their daily practice after the education program, and a medical institution established an ultrasound training center. The absence of clear accreditation and practical guidelines in ultrasound use were presented as barriers for adoption and maintenance. The program was successful in improving participant’s knowledge and self-confidence in ultrasound techniques and showed great potential for the adoption and maintenance of the techniques in their practice. Continuous implementation of the program and institutional policy changes to facilitate ultrasound use may increase the ultrasound use and improve ultrasound service quality in Nepal.
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影响因子：
12.7
作者：
Glasgow, RE;Vogt, TM;Boles, SM
通讯作者：
Boles, SM
影响因子：
1.3
作者：
Nathan R;Swanson JO;Marks W;Goldsmith N;Vance C;Sserwanga NB;Swanson D;McClure EM;Franklin H;Mirza W;Mwenechanya M;Muyodi D;Figuero L;Bolamba VL;Goldenberg RL;Pineda IS
通讯作者：
Pineda IS
影响因子：
--
作者：
Pietersen PI;Madsen KR;Graumann O;Konge L;Nielsen BU;Laursen CB
通讯作者：
Laursen CB
DOI：
10.1186/1748-5908-9-74
发表时间：
2014-06-12
期刊：
Implementation science : IS
影响因子：
--
作者：
Sweet SN;Ginis KA;Estabrooks PA;Latimer-Cheung AE
通讯作者：
Latimer-Cheung AE
影响因子：
2.3
作者：
Shaffer, Mark;Brown, Heather A.;Bashaka, Prosper
通讯作者：
Bashaka, Prosper