A Standardized Needs Assessment Tool to Inform the Curriculum Development Process for Pediatric Resuscitation Simulation-Based Education in Resource-Limited Settings.
A Standardized Needs Assessment Tool to Inform the Curriculum Development Process for Pediatric Resuscitation Simulation-Based Education in Resource-Limited Settings.
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DOI：
10.3389/fped.2018.00037
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发表时间：
2018
影响因子：
2.6
通讯作者：
Jung J
中科院分区：
文献类型：
--
作者：
Shilkofski N;Crichlow A;Rice J;Cope L;Kyaw YM;Mon T;Kiguli S;Jung J
发展中国家低收入和中等收入国家 (LMIC) 儿童的五岁以下儿童死亡率 (UFMR) 仍然很高。对这些环境中的从业者进行教育是改善成果的关键因素，以实现联合国可持续发展目标 3 和 10（良好的健康和福祉以及减少不平等）。为了使用模拟适当地将课程情境化，有必要首先对目标学习者群体进行需求评估。世界卫生组织 (WHO) 发布了一个工具来评估中低收入国家的急诊和外科护理能力，该工具适用于这一目标。世卫组织评估紧急和基本外科护理情况分析工具进行了修改，以评估两个中低收入国家（乌干达和缅甸）临床环境中的儿科复苏能力。修改包括评估自我确定的学习需求、当前实践和每个临床环境中疾病负担的流行病学，以及对基础设施、程序、设备和用品方面的儿科复苏能力的评估。修改后的工具适用于来自两个环境的 94 名受访者，他们是拟议的儿科和新生儿复苏模拟课程的目标学习者。传染病（呼吸道疾病和腹泻病）被认为是两国儿童死亡的最常见原因。自我确定的学习需求包括儿科气道/呼吸主题的知识和技能发展，以及一般复苏主题，例如心肺复苏和休克时的液体复苏。不同环境下的设备和供应可用性存在很大差异，并且每个环境中都发现了严重短缺。当前的实践和程序常常受到设备可用性或基础设施考虑的限制。受访者报告的疾病负担流行病学与世卫组织各国家特定 UFMR 统计数据相对一致。随后，需求评估调查的结果被用来完善模拟课程的目的和目标，并确保提供实用的教育内容，并提出适合当地能力和资源可用性的建议。在两种不同的环境中有效使用该工具可以增加其潜在的通用性。
Under five mortality rates (UFMR) remain high for children in low- and middle-income countries (LMICs) in the developing world. Education for practitioners in these environments is a key factor to improve outcomes that will address United Nations Sustainable Development Goals 3 and 10 (good health and well being and reduced inequalities). In order to appropriately contextualize a curriculum using simulation, it is necessary to first conduct a needs assessment of the target learner population. The World Health Organization (WHO) has published a tool to assess capacity for emergency and surgical care in LMICs that is adaptable to this goal. The WHO Tool for Situational Analysis to Assess Emergency and Essential Surgical Care was modified to assess pediatric resuscitation capacity in clinical settings in two LMICs: Uganda and Myanmar. Modifications included assessment of self-identified learning needs, current practices, and perceived epidemiology of disease burden in each clinical setting, in addition to assessment of pediatric resuscitation capacity in regard to infrastructure, procedures, equipment, and supplies. The modified tool was administered to 94 respondents from the two settings who were target learners of a proposed simulation-based curriculum in pediatric and neonatal resuscitation. Infectious diseases (respiratory illnesses and diarrheal disease) were cited as the most common causes of pediatric deaths in both countries. Self-identified learning needs included knowledge and skill development in pediatric airway/breathing topics, as well as general resuscitation topics such as CPR and fluid resuscitation in shock. Equipment and supply availability varied substantially between settings, and critical shortages were identified in each setting. Current practices and procedures were often limited by equipment availability or infrastructural considerations. Epidemiology of disease burden reported by respondents was relatively consistent with WHO country-specific UFMR statistics in each setting. Results of the needs assessment survey were subsequently used to refine goals and objectives for the simulation curriculum and to ensure delivery of pragmatic educational content with recommendations that were contextualized for local capacity and resource availability. Effective use of the tool in two different settings increases its potential generalizability.
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影响因子：
2.4
作者：
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