埃塞俄比亚冈达尔紧急产科和新生儿护理培训的评估;混合方法研究
Myrrith Hulsbergen1,2,3, Birhanu Abera4, Mulat Adefris5
1Working Party on International Safe Motherhood and Reproductive Health, Groningen, Netherlands.
紧急产科和新生儿护理培训显著提高了埃塞俄比亚卫生工作者的知识和技能. 这种增强的护理对于减少孕产妇和产周死亡率和发病率至关重要.
科学领域:
- 医疗教育 医学教育
- 公共卫生 公共卫生
- 产科和妇科 产科和妇科
背景情况:
- 埃塞俄比亚的孕产妇和产后生病率和死亡率仍然很高.
- 及时获得高质量的紧急产科和新生儿护理对于预防不良结果至关重要.
- 医疗保健提供者培训对于改善护理质量和降低死亡率至关重要.
研究的目的:
- 评估在埃塞俄比亚冈达尔大学的研究生紧急产科和新生儿护理 (EmONC) 培训后卫生工作者知识,技能和行为方面的变化.
- 评估EmONC培训对医疗保健提供者的信心和临床实践的影响.
- 识别辅导员在实施培训计划时的观点和挑战.
主要方法:
- 一项描述性研究,采用前后方法,使用混合的定量和定性数据.
- 利用Kirkpatrick的训练评估模型,专注于反应,知识,技能和行为变化.
- 包括一个"经验教训"的方法,用于辅导员的反.
主要成果:
- 医疗保健提供者报告了对EmONC培训的积极反应,知识和技能得到了显著改善.
- 在培训前和培训后的知识 (平均差异13.8%) 和技能评估 (平均差异27.4%) 中观察到有统计学意义的差异.
- 参与者,特别是助产士 (79%),在接受培训后更有信心进行基本的产科和新生儿护理技能.
结论:
- 埃塞俄比亚冈达尔的EmONC培训有效地提高了卫生工作者的知识和技能.
- 该培训有可能增加熟练的分娩人员,并提高紧急产科和新生儿护理的质量.
- 应对当地可持续性和参与者承诺等挑战是这些培训计划在减少孕产妇和产前死亡率方面的长期成功的关键.
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