评估在坦桑尼亚西北部的儿科急性护理教育 (PACE) 计划的实施:以正常化过程理论为指导的混合方法研究
Joseph R Mwanga1, Adolfine Hokororo1,2, Hanston Ndosi1
1Catholic University of Health and Allied Sciences, Mwanza, Tanzania.
BMC health services research
|September 13, 2024
概括
儿科急症护理教育 (PACE) 显示出改善坦桑尼亚儿科护理的希望. 虽然供应商认为这是可以接受和可行的,但资源挑战需要解决,以获得长期成功.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 实施科学 实施科学
- 儿科急性护理 儿科急性护理
背景情况:
- 医疗保健提供者的能力对于低收入和中等收入国家 (LMICs) 的儿科护理质量至关重要.
- 儿科急性护理教育 (PACE) 是一项适应性学习计划,旨在提高提供者在管理严重疾病儿童的能力. 在坦桑尼亚.
- 在LMIC环境中适应性学习计划的最佳实施策略需要调查.
研究的目的:
- 评估儿童急性护理教育 (PACE) 计划在坦桑尼亚姆万扎的初始实施情况.
- 通过规范化过程理论 (NPT) 评估PACE的可行性,可接受性和可扩展性潜力.
主要方法:
- 在坦桑尼亚三个医疗机构的医疗保健提供者进行了一项混合方法研究.
- 使用规范化措施安全发展 (NoMAD) 调查问卷收集了定量数据.
- 通过深入访谈 (IDI) 和重点小组讨论 (FGD) 收集了定性数据.
主要成果:
- 高连贯性和认知参与表明,PACE被很好地理解并与医疗保健目标保持一致.
- 医疗保健提供者表示愿意整合PACE,将其与现有方法区分开来.
- 确定了与资源和基础设施相关的挑战,特别是影响集体行动的挑战. 最初的指标表明PACE的可持续性潜力.
结论:
- 该研究提供了关于在坦桑尼亚实施PACE的可行性和可接受性的见解.
- 解决资源/基础设施挑战和进行长期研究对于PACE的成功和可持续实施至关重要.
- 规范化过程理论 (NPT) 是指导实施的有价值的框架,对LMICs的实施科学和儿科急性护理有影响.
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