在资源有限的环境中,提高医疗保健工作者的知识,态度和实践的基本耳鼻喉培训:一个前后和后后的横截面研究
Lufunda Lukama1,2, Colleen Aldous3, Sinoya Mbewe4
1Department of Otorhinolaryngology, Head and Neck Surgery, Nelson R Mandela School of Medicine, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa lufundal@gmail.com.
BMJ open
|December 24, 2024
概括
基本的耳鼻喉 (ENT) 培训显著提高了医疗保健工作人员在资源有限的环境中管理ENT疾病的知识和信心. 这凸显了持续医学教育对于更好的患者护理的重要性.
科学领域:
- 医学教育 医学教育
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 全球健康 全球健康
背景情况:
- 耳鼻喉 (ENT) 疾病的诊断错误在资源有限的环境中,在医疗保健工作者 (HCW) 中很常见.
- 有限的数据存在于HCW知识,态度和实践 (KAP) 关于在这些领域的耳鼻腔疾病管理.
- 在资源有限的环境中,基本耳,耳,耳和耳培训对HCW KAP的影响在很大程度上是不确定的.
研究的目的:
- 评估医疗保健工作者的知识,态度和实践 (KAP) 关于耳鼻喉 (ENT) 疾病管理.
- 为了评估基本的ENT培训对HCW KAP在资源有限的环境中的影响.
主要方法:
- 在公立医院的416名医疗保健工作者中进行了前后测试横截面调查.
- 提供了为期2天的基本耳鼻科医生培训,在培训前,之后和5个月后进行评估.
- 经过验证的问卷和统计测试 (Wilcoxon匹配对签名等级,Kruskal-Wallis) 用于分析KAP变异.
主要成果:
- 对于一般的耳鼻喉,耳朵,鼻和头疾病的基线中位知识得分低于60%.
- 获得耳鼻关键设备,如耳视镜和鼻腔镜是有限的.
- 培训后,中位数知识得分显著增加 (p<0.001),改善率为18-33%.
- 进行耳视镜并使用指南的HCW的比例在培训后5个月大幅增加.
结论:
- 在资源有限的环境中,基本的耳,耳,耳和耳培训对于解决知识差距和改善HCW态度和实践至关重要.
- 持续医学教育 (CME) 对于提高耳,耳,耳,耳的医疗保健服务至关重要.
- 调查结果为决策者提供了有价值的见解,以改善缺少服务的地区的耳,耳,耳护理.
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