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在孟加拉国发展手部治疗技能:澳大利亚志愿者的经验。

Developing hand therapy skills in Bangladesh: experiences of Australian volunteers.

机构信息

Monash University, McMahon's Rd Frankston, Victoria 3199, Australia; Occupational Therapy, The Alfred, Commercial Rd, Melbourne, Victoria 3004, Australia.

Monash University, McMahon's Rd Frankston, Victoria 3199, Australia.

出版信息

J Hand Ther. 2014 Jan-Mar;27(1):30-7. doi: 10.1016/j.jht.2013.09.006. Epub 2013 Oct 1.

DOI:10.1016/j.jht.2013.09.006
PMID:24290873
Abstract

INTRODUCTION

Bangladesh is a developing country whose health system is highly dependent on project funding from foreign countries. Interplast Australia & New Zealand have supported volunteer hand therapists to provide training to local staff in the management of hand injuries and burns since 2006.

OBJECTIVES

We aimed to explore and describe the volunteers' own experience and provide recommendations for future therapy capacity building projects in developing countries.

METHODS

This qualitative study involved nine volunteer therapists, who attended a focus group to discuss their experiences, including the key milestones, challenges, and progress achieved. The two authors analyzed transcripts independently and emergent themes were discussed and identified by consensus.

RESULTS

Overall the experience was extremely positive and rewarding for volunteers. Key learnings and challenges encountered in this project were cultural differences in learning styles, the need to adapt our approach to 2 facilitate sustainable local solutions, attrition of skilled local staff, and concerns regarding volunteer health and safety. Recommendations for similar projects include allowing adequate time for in-country scoping and planning, coordination and pooling of resources, and the use of strategies that encourage the shift to confident local ownership of ongoing learning and skill development.

CONCLUSION

Volunteering in a health capacity building program in developing countries can be a challenging but immensely rewarding experience. Programs designed to meet the health demands in developing countries should emphasize adequate training of professionals in the use of transferable, sustainable and cost effective techniques. Time spent in the scoping and planning phase is crucial, as is coordination of efforts and pooling of resources.

LEVEL OF EVIDENCE

2C.

摘要

简介

孟加拉国是一个发展中国家,其卫生系统高度依赖外国项目资金。自 2006 年以来,澳大利亚和新西兰的 Interplast 组织一直支持志愿手治疗师为当地工作人员提供手部损伤和烧伤管理方面的培训。

目的

我们旨在探讨和描述志愿者的自身经验,并为发展中国家未来的治疗能力建设项目提供建议。

方法

这项定性研究涉及 9 名志愿治疗师,他们参加了一个焦点小组讨论,讨论他们的经验,包括关键里程碑、挑战和取得的进展。两位作者独立分析转录本,并通过共识讨论和确定出现的主题。

结果

总的来说,志愿者的经验非常积极和有益。该项目中遇到的关键学习和挑战包括学习风格的文化差异、需要调整我们的方法以促进可持续的当地解决方案、熟练的当地员工流失,以及对志愿者健康和安全的关注。类似项目的建议包括为国内范围界定和规划、协调和资源共享提供足够的时间,并使用鼓励向有信心的当地拥有持续学习和技能发展转变的策略。

结论

在发展中国家的卫生能力建设计划中志愿服务可能是具有挑战性但非常有益的经历。旨在满足发展中国家卫生需求的计划应强调专业人员充分培训,以使用可转让、可持续和具有成本效益的技术。在范围界定和规划阶段投入的时间至关重要,协调努力和资源共享也是如此。

证据水平

2C。

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