Improvement and retention of emergency obstetrics and neonatal care knowledge and skills in a hospital mentorship program in Lilongwe, Malawi
Improvement and retention of emergency obstetrics and neonatal care knowledge and skills in a hospital mentorship program in Lilongwe, Malawi
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DOI：
10.1016/j.ijgo.2015.06.062
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发表时间：
2016-02-01
影响因子：
3.8
通讯作者：
Wilkinson, Jeffrey
中科院分区：
文献类型：
--
作者：
Tang, Jennifer H.;Kaliti, Charlotte;Wilkinson, Jeffrey
目的：评估以医院为基础的指导计划是否能显著提高医疗服务提供者的短期和长期产科急诊和新生儿护理（EmONC）知识和技能。方法：在一项前瞻性前后研究中，在马拉维利隆圭的Bwaila医院，使用专门创建的EmONC指导和培训计划对20名导师进行了培训。然后，这些导师又培训了114名提供者作为课程的学员。导师和学员被要求在培训开始前（预测试）、培训后立即（后测试1）和培训后至少6个月（后测试2）完成一项测试，以评估EmONC的书面和实际知识和技能。然后比较平均得分。结果：笔试（n =134，差异22.9%,P < 0.001）和实践测试（n = 125，差异29.5%,P < 0.001）的前测和后测成绩均有显著提高。后测2的笔试（n = 111，差异21.0%,P < 0.001）和实践测试（n = 103，差异29.3%,P < 0.001）的得分仍显著高于前测。结论：以医院为基础的指导项目可导致EmONC知识和技能的短期和长期改善。需要进一步的研究来评估这是否会导致改善孕产妇和新生儿结局的行为改变。(C) 2015年国际妇产科联合会。爱思唯尔爱尔兰有限公司出版。版权所有。
Objective: To evaluate whether a hospital-based mentoring program could significantly increase short- and longer term emergency obstetrics and neonatal care (EmONC) knowledge and skills among health providers. Methods: In a prospective before-and-after study, 20 mentors were trained using a specially-created EmONC mentoring and training program at Bwaila Hospital in Lilongwe, Malawi. The mentors then trained an additional 114 providers as mentees in the curriculum. Mentors and mentees were asked to complete a test before initiation of the training (Pre-Test), immediately after training (Post-Test 1), and at least 6 months after training (Post-Test 2) to assess written and practical EmONC knowledge and skills. Mean scores were then compared. Results: Scores increased significantly between the Pre-Test and Post-Test 1 for both written (n =134; difference 22.9%, P < 0.001) and practical (n = 125; difference 29.5%, P < 0.001) tests. Scores were still significantly higher in Post-Test 2 than in the Pre-Test for written (n = 111; difference 21.0%, P < 0.001) and practical (n = 103; difference 29.3%, P < 0.001) tests. Conclusion: A hospital-based mentoring program can result in both short- and longer-term improvement in EmONC knowledge and skills. Further research is required to assess whether this leads to behavioral changes that improve maternal and neonatal outcomes. (C) 2015 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.