一种评估印度尼西亚护士和助产士专业发展需求的方法：三篇系列论文中的第一篇。
A methodology for assessing the professional development needs of nurses and midwives in Indonesia: paper 1 of 3.
作者信息
Hennessy Deborah, Hicks Carolyn, Hilan Aflah, Kawonal Yoanna
机构信息
School of Health Sciences, University of Birmingham, Birmingham, UK.
出版信息
Hum Resour Health. 2006 Apr 19;4:8. doi: 10.1186/1478-4491-4-8.
BACKGROUND
Despite recent developments, health care provision in Indonesia remains suboptimal. Difficult terrain, economic crises, endemic diseases and high population numbers, coupled with limited availability of qualified health care professionals, all contribute to poor health status. In a country with a population of 220 million, there are currently an estimated 50 nurses and 26 midwives per 100,000 people. In line with government initiatives, this series of studies was undertaken to establish the training and development needs of nurses and midwives working within a variety of contexts in Indonesia, with the ultimate aim of enhancing care provision within these domains.
METHODS
An established, psychometrically valid and reliable training needs instrument was modified for use within the Indonesian context. While this technique has had widespread international use in the developed world, its application for developing countries has not yet been established. The standard form consists of a biographical cover sheet and a core set of 30 items (all health-related tasks), which have to be rated along two seven-point scales. The first of these scales asks respondents to assess how important the task is to their job and the second scale is a self-assessment of respondents' current performance level of the task. By comparing the importance rating with the performance rating, an index of training need can be obtained (high importance and low performance indicating a significant training need). The modifications incorporated for use in this series of studies were a further 10 items, which were constructed following expert group and focus group discussions and a review of the relevant literature. Pilot trials with 109 respondents confirmed its feasibility and acceptability. The instrument was then administered to 524 nurses and 332 midwives across Indonesia.
RESULTS
The data were subjected to a retrospective factor analysis, using a Varimax rotation and Cronbach's alpha to check the instrument's validity and reliability following modification. The results yielded six factors, which accounted for >53% of the variance, each of which had a Cronbach's alpha score of between 0.8644 and 0.7068.
CONCLUSION
The results suggest that the modified instrument remained valid and reliable for use in the Indonesian nursing and midwifery context.
背景
尽管近期有所发展，但印度尼西亚的医疗保健服务仍不尽人意。地形复杂、经济危机、地方病以及人口众多，再加上合格医疗保健专业人员数量有限，这些因素共同导致了健康状况不佳。在这个拥有2.2亿人口的国家，目前估计每10万人中有50名护士和26名助产士。为配合政府倡议，开展了这一系列研究，以确定在印度尼西亚各种环境下工作的护士和助产士的培训与发展需求，最终目标是改善这些领域的护理服务。
方法
对一种既定的、心理测量学上有效且可靠的培训需求工具进行修改，以便在印度尼西亚使用。虽然这种技术在发达国家已得到广泛国际应用，但其在发展中国家的应用尚未确立。标准形式包括一份传记封面页和一组30项核心内容（均为与健康相关的任务），这些内容必须按照两个七点量表进行评分。第一个量表要求受访者评估该任务对其工作的重要性，第二个量表是受访者对自己当前任务执行水平的自我评估。通过比较重要性评分和绩效评分，可以获得培训需求指数（重要性高且绩效低表明有显著培训需求）。为用于这一系列研究而进行的修改包括另外10项内容，这些内容是在专家组和焦点小组讨论以及对相关文献进行审查后构建的。对109名受访者进行的试点试验证实了其可行性和可接受性。然后，该工具被应用于印度尼西亚各地的524名护士和332名助产士。
结果
对数据进行回顾性因子分析，使用方差最大化旋转和克朗巴哈系数来检查修改后工具的有效性和可靠性。结果产生了六个因子，它们解释了超过53%的方差，每个因子的克朗巴哈系数得分在0.8644至0.7068之间。
结论
结果表明，修改后的工具在印度尼西亚护理和助产领域的使用仍然有效且可靠。
Zotero 插件