相关实验视频
在不同培训时间的卫生工作者之间,儿童护理的质量有多大差异? 一个多国观察性研究
Luis Huicho1, Robert W Scherpbier, A Mwansa Nkowane
1Universidad Nacional Mayor de San Marcos, Universidad Peruana Cayetano Heredia and Instituto de Salud del Niño, Lima, Peru, WHO, Geneva, Switzerland.
Lancet (London, England)
|September 16, 2008
概括
儿童疾病综合管理 (IMCI) 培训提高了儿童护理质量,在卫生工作者中同样提高了儿童护理质量,无论服务培训长度如何. 经过较短的培训的卫生工作者可以被部署到服务不足的地区进行儿童生存干预.
科学领域:
- 全球健康 全球健康
- 儿科 儿科 儿科
- 健康劳动力研究 卫生劳动力研究
背景情况:
- 高的儿童死亡率与卫生工作者短缺有关.
- 关于卫生工作者类型如何影响护理质量的证据有限.
- 儿童疾病综合管理 (IMCI) 培训是儿童生存的关键策略.
研究的目的:
- 为了比较IMCI培训的不同类别的卫生工作者的临床表现.
- 评估服务培训时间是否影响儿童医疗保健服务的质量.
主要方法:
- 对孟加拉国,巴西,乌干达和坦桑尼亚一级卫生设施调查数据的分析.
- 基于防腐剂培训时间 (较长或较短) 的临床性能比较.
- 照顾质量以IMCI儿童评估,分类和管理指南的遵守来衡量.
- 每个孩子都被评估两次:由IMCI训练员和金标准监督员进行评估.
主要成果:
- 在巴西和乌干达,经过较短的服务培训的卫生工作者比经过较长时间培训的卫生工作者表现出明显更好的儿童管理.
- 在坦桑尼亚,经过长期培训的卫生工作者表现出卓越的综合评估技能.
- 在孟加拉国,培训组之间没有观察到临床任务执行的显著差异.
- 总的来说,在所有任务和国家之间,临床表现没有一致的显著差异.
结论:
- IMCI培训使得卫生工作者干部的儿童护理质量可以比较,而不管医护人员的培训长度如何.
- 调查结果支持在服务不足的地区部署具有较短保存培训的卫生工作者,以扩大IMCI和儿童生存计划.
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