GH11-005, UGANDA: Measuring the Impact of onsite mentorship on midlevel practitioners HIV and TB Ca

GH11-005，乌干达：衡量现场指导对中级从业者 HIV 和 TB Ca 的影响

• 批准号: 8462128
• 负责人: Sarah Naikoba
• 金额: $ 50万
• 依托单位: INFECTIOUS DISEASES INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-05-01 至 2016-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8462128
• 关键词: GH11; 005; UGANDA; Measuring; Impact

Abstract Effective training solutions for ensuring highly competent health care workers are needed to address the vast need for capacity building in the context of task shifting to non physician practitioners (MLPs) of the management of HIV and related opportunistic infections. The partners in this proposed study previously implemented a large scale evaluation of an intervention with an on site support component including 1-2 hours of individual clinical mentorship monthly for nine months. That approach did not appear to achieve the expected impact on individual competencies and it is hypothesized that the clinical mentorship dosage may have been inadequate. This study will build upon the previous work to determine the effectiveness of using prolonged hours of on-site clinical mentorship to improve clinical competencies of clinical officers and nursing officers in prevention, care and treatment of HIV/AIDS and TB at eight rural based level IV health facilities in Uganda. Four intervention sites will be matched with four control sites. Each intervention site will receive week long visits every six weeks for nine months from a mentorship team composed of one clinical officer, a laboratory specialist and a district health nurse. The mentors will provide 8-hours of focused one to one mentorship to each of the sites' MLP during the visit, teaching core principles of Uganda's TB and HIV/AIDS guidelines and standards of care and coaching as the MLP sees patients. Key outcomes of the study which will be measured using written case scenarios and observed clinical skills assessments at the start, end of intervention, and six months post intervention. Improved performance/practice against expected standards of care for HIV, TB and other related OIs will be monitored on continuous basis throughout the project implementation period using modified and computerized Ministry of Health management information data collection tools. The results from the study will guide decision making about the dosage levels of clinical mentorship required to make a significant impact on midlevel provider's competencies.

摘要 需要有效的培训解决方案来确保高素质的医护人员 在任务转移到非医生从业者的背景下， 艾滋病毒和相关机会性感染的管理。这件事的合伙人 拟议的研究以前实施了一项大规模的现场干预评估， 支持部分包括每月1-2小时的个人临床指导，为期9个月。 这一办法似乎没有对个人能力产生预期影响， 假设临床指导剂量可能不足。这项研究将建立 根据以前的工作，以确定使用长时间的现场临床的有效性， 加强临床主任和护理主任在预防方面的临床能力， 在乌干达八个农村四级保健设施提供艾滋病毒/艾滋病和结核病的护理和治疗。 四个干预部位将与四个对照部位相匹配。每个干预研究中心将收到 为期一周的访问，每六个星期，为期九个月，由一个临床 一名卫生官员、一名实验室专家和一名地区保健护士。导师将提供8小时的 在访问期间，我专注于对每个站点的MLP进行一对一的指导，教授 乌干达结核病和艾滋病毒/艾滋病的指导方针和标准，以及MLP所看到的指导 患者将使用书面案例情景来衡量研究的主要成果， 在干预开始、结束和6个月后观察临床技能评估 干预根据艾滋病毒、结核病和疟疾的预期护理标准， 在整个项目实施过程中，将持续监测其他相关的开放性倡议 卫生部管理信息数据收集经过修改和计算机化 工具.研究结果将指导临床剂量水平的决策。 需要导师对中级供应商的能力产生重大影响。