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助产教育工作者国家持续专业发展计划及其在低收入和中等收入国家中的有效性:系统性审查
Duncan N Shikuku1,2, Sarah Bar-Zeev3, Charles Ameh4,5,6
1Liverpool School of Tropical Medicine (Kenya), P.O. Box 24672- 00100, Nairobi, Kenya. duncan.shikuku@lstmed.ac.uk.
BMC medical education
|September 26, 2025
概括
低收入和中等收入国家 (LMICs) 的助产教育人员的持续专业发展 (CPD) 对于改善母亲和新生儿护理至关重要. 然而,关于特定的CPD计划及其在LMICs中的有效性的证据仍然有限,强调需要更好的设计和评估.
科学领域:
- 孕产妇和新生儿的健康
- 医学教育 医学教育
- 全球健康 全球健康
背景情况:
- 持续的专业发展 (CPD) 对于助产士教育者来说至关重要,以提高助产士护理质量并降低孕产妇/新生儿死亡率.
- 障碍包括缺乏标准化的CPD课程和教育工作者更新能力的机会有限,特别是在低收入和中等收入国家 (LMICs).
- 现有的关于LMIC中助产教育工作者CPD计划的信息很少,使其可用性,内容和有效性在很大程度上未知.
研究的目的:
- 审查和评估目前的方法,内容和有效性,为助产士教育在LMICs的CPD计划.
- 为全球的助产士教育者确定现有的CPD倡议中的差距和改进领域.
主要方法:
- 在五个电子数据库 (2000-2021) 中进行了深入的文献搜索.
- 质量评估使用内部/外部有效性标准与叙事综合和PRISMA指南.
- 该协议已在PROSPERO (CRD42021283273) 中注册.
主要成果:
- 22项研究符合纳入标准,主要关注助产士教育者发展举措,而不是直接的CPD.
- 主要的CPD方法是国际"双胞胎"伙伴关系,国家监管机构的参与有限.
- 主要内容领域包括课程设计,教学方法,救生技能,研究和领导力;然而,学生评估,反,临床监督和数字技术的重点较少.
- 虽然项目显示了教育工作者和机构改善的个人/专业利益,但对学生学习和母亲/新生儿健康 (MNH) 结果的直接影响是有限的.
- 有效性测量通常依赖于定性和自我报告的数据.
结论:
- 关于在LMICs设计和评估的助产师教育专项CPD计划的证据水平较低.
- 国家助产士监管机构必须加强其参与指导和认证CPD计划.
- 需要强大的实验设计来评估CPD计划的有效性,并衡量对MNH结果的影响.
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