一个偏远岛屿的初级医疗保健提供者的急救培训:一种混合方法研究
Ninh Do Thi1,2, Giang Hoang Thi3, Yoonjung Lee4
1College of Nursing, Ewha Womans University, Seoul, Korea. dtninh90@gmail.com.
BMC medical education
|July 23, 2024
概括
急救培训显著提高了越南初级医疗保健提供者的知识. 虽然最初的收益是持续的,但对于偏远地区来说,持续教育至关重要,以加强应急准备,实现全民健康覆盖.
科学领域:
- 公共卫生 公共卫生
- 医学教育 医学教育
- 紧急医疗 紧急医疗
背景情况:
- 持续的急救培训对于优质的医疗保健和全民医疗覆盖至关重要.
- 低至中等收入国家,特别是偏远地区的初级医疗保健提供者需要更多的培训和能力建设.
- 这项研究评估了一项越南岛屿的PHP急救培训计划的有效性.
研究的目的:
- 评估一项急救培训计划对PHP知识和信心的影响.
- 探索PHP在资源有限的岛屿环境中实施急救的观点和经验.
- 通过PHPs识别促进者和障碍者,以提供有效的急救.
主要方法:
- 涉及39个PHP的混合方法方法,用于定量数据的准实验设计和定性数据的半结构焦点小组采访.
- 在培训前,培训后立即和培训后三个月,对急救知识的定量评估.
- 对定性数据进行主题分析,以了解感知,促进者和障碍.
主要成果:
- 在培训后立即和三个月后续的PHP的急救知识得分显著改善 (p < 0.001).
- 在培训后立即和三个月的随访期间,知识分数没有显著差异 (p > 0.05).
- 主要障碍包括基础设施,劳动力短缺和资源限制;促进者包括同事支持和通信技术.
结论:
- 在资源有限的环境中,定期为PHP提供急救复习培训对于实现全民健康覆盖至关重要.
- 培训提高了PHP对紧急情况的准备,提高了初级医疗保健服务的一致性.
- 解决已识别的障碍和利用促进者可以优化偏远地区的急救服务.
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