结合体验式学习模式和专业间的同行指导,改善母亲和新生儿健康:从印度尼西亚学到的教训
Prattama Santoso Utomo1, Robertus Arian Datusanantyo2, John Hartono3
1Department of Medical Education and Bioethics, Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada; Department of Emergency Medicine, Panti Rapih Hospital, Yogyakarta, Indonesia.
这项跨专业的同行指导计划显著提高了医疗保健工作者的能力和对孕产妇和新生儿卫生服务的信心. 该计划成功地提高了初级保健机构的技能和意识.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
- 医学教育 医学教育
背景情况:
- 印度尼西亚东努萨坦加拉东部地区的高产妇新生儿死亡率需要改善医疗保健质量和预防策略.
- 一个涉及卫生专业人员和社区成员的工作组实施了一项跨专业的同行指导倡议,以解决这些问题.
研究的目的:
- 评估跨专业同行辅导计划的有效性.
- 评估医疗保健工作人员能力和社区对初级保健中母亲和新生儿健康的认识的改善.
主要方法:
- 在8个月的时间里,采用了一种混合方法的行动研究设计.
- 15名同行导师培训了来自不同专业背景的60名学员.
- 使用描述性统计和Wilcoxon测试分析的定量数据;通过内容分析分析的日志和开放式响应的定性数据.
主要成果:
- 同行导师培训显著提高了知识和准备能力 (3.64至4.23,P<0.001).
- 参与者报告说,在孕产妇和新生儿服务方面,他们的自信和工作能力有所提高 (3.47至3.98,P<0.001).
- 导师和受教者都报告了积极的学习经验,尽管资历构成了障碍.
结论:
- 专业间的同行指导计划有效地提高了对母婴初级医疗保健的知识,信心和能力.
- 该计划为参与者提供了宝贵的体验式学习.
- 建议对长期结果进行进一步的研究.
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