背景:在过去的三十年中,马拉维五岁以下儿童死亡率有了显著改善;然而,马拉维医疗保健在可用性和获得优质儿科重症监护护理培训和教育方面仍然存在差距。为了提高马拉维儿科重症监护护士的专业知识,Kamuzu健康科学大学(KUHeS),伊丽莎白女王中心医院(QECH),仁慈詹姆斯中心(MJC)与全球种子健康建立了合作伙伴关系,美国非政府组织。进行了需求评估,以了解目前在儿科重症监护工作的护士的培训需求,并准备在KUHeS开发儿科重症监护(PCC)护理专业的儿童健康硕士途径。
方法:使用ABCDE(Airway,呼吸,循环,残疾,和曝光)框架。问卷有李克特量表和是/否问题。将数据手动输入到Excel中并使用描述性统计进行分析。
结果:QECH和MJC的一百五十三名护士对调查做出了回应。大多数护士年龄在25至35岁之间(N=98,64%),女性(N=105,69%),并持有护理学士学位(N=72,47%)或文凭(N=70,46%)。护士对某些技能的信任率很高:气道管理(N=120,99%),呼吸评估与管理(N=153,100%)。然而,护士对机械通气等领域几乎没有信心(N=68,44%),心电图评价(N=74,48%),动脉血气收集和解释(N=49,32%)。
结论:在KUHeS的儿童健康途径中,确定培训和技能发展的优先领域非常重要。理想情况下,这种伙伴关系将培养出实践就绪的PCC护士,并将在马拉维建立公认的PCC护理队伍。
BACKGROUND: Significant improvements in under-five mortality in Malawi have been demonstrated over the past thirty years; however, Malawian healthcare remains with gaps in availability and access to quality pediatric critical care nursing training and education. To improve expertise of pediatric critical care nurses in Malawi, Kamuzu University of Health Sciences (KUHeS), Queen Elizabeth Central Hospital (QECH), and Mercy James Center (MJC) entered a partnership with Seed Global Health, a US non-governmental organization. A needs assessment was conducted to understand the training needs of nurses currently working in pediatric critical care and in preparation for the development of a specialized Master\'s in Child Health pathway in Pediatric Critical Care (PCC) Nursing at KUHeS.
METHODS: The needs assessment was completed using a survey questionnaire formatted using an ABCDE (Airway, Breathing, Circulation, Disability, and Exposure) framework. The questionnaire had Likert scale and yes/no questions. Data was manually entered into excel and was analyzed using descriptive statistics.
RESULTS: One hundred and fifty-three nurses at QECH and MJC responded to the survey. Most nurses were between the ages of 25 and 35 years (N = 98, 64%), female (N = 105, 69%), and held either a Bachelors (N = 72, 47%) or diploma (N = 70, 46%) in nursing. Nurses had high rates of confidence in certain skills: airway management (N = 120, 99%), breathing assessment & management (N = 153, 100%). However, nurses demonstrated little to no confidence in areas such as: mechanical ventilation (N = 68, 44%), ECG evaluation (N = 74, 48%), and arterial blood gas collection & interpretation (N = 49, 32%).
CONCLUSIONS: It is important to identify priority areas for training and skills development to address in the PCC master\'s within the child health pathway at KUHeS. Ideally this partnership will produce practice-ready PCC nurses and will establish a recognized PCC nursing workforce in Malawi.