Stuart-Shor Eileen M, Cunningham Elizabeth, Foradori Laura, Hutchinson Elizabeth, Makwero Martha, Smith Jill, Kasozi Jane, Johnston Esther M, Khaki Aliasgar, Vandervort Elisa, Moshi Fabiola, Kerry Vanessa B
Seed Global Health, Boston, MA, United States.
Department of Anesthesia and Critical Care, Beth Israel Deaconess Medical Center, Boston, MA, United States.
Front Public Health. 2017 Jul 24;5:174. doi: 10.3389/fpubh.2017.00174. eCollection 2017.
The World Health Organization estimates a global deficit of about 12.9 million skilled health professionals (midwives, nurses, and physicians) by 2035. These shortages limit the ability of countries, particularly resource-constrained countries, to deliver basic health care, to respond to emerging and more complex needs, and to teach, graduate, and retain their future health professionals-a vicious cycle that is perpetuated and has profound implications for health security. The Global Health Service Partnership (GHSP) is a unique collaboration between the Peace Corps, President's Emergency Plan for AIDS Relief, Seed and host-country institutions, which aims to strengthen the breadth and quality of medical and nursing education and care delivery in places with dire shortages of health professionals. Nurse and physician educators are seconded to host institutions to serve as visiting faculty alongside their local colleagues. They serve for 1 year with many staying longer. Educational and clinical best practices are shared, emphasis is placed on integration of theory and practice across the academic-clinical domains and the teaching and learning environment is expanded to include implementation science and dissemination of locally tailored and sustainable practice innovations. In the first 3 years (2013-2016) GHSP placed 97 nurse and physician educators in three countries (Malawi, Tanzania, and Uganda). These educators have taught 454 courses and workshops to 8,321 trainees, faculty members, and practicing health professionals across the curriculum and in myriad specialties. Mixed-methods evaluation included key stakeholder interviews with host institution faculty and students who indicate that the addition of GHSP enhanced clinical teaching (quality and breadth) resulting in improved clinical skills, confidence, and ability to connect theory to practice and critical thinking. The outputs and outcomes from four exemplars which focus on the translation of evidence to practice through implementation science are included. Findings from the first 3 years of GHSP suggest that an innovative, locally tailored and culturally appropriate multi-country academic-clinical partnership program that addresses national health priorities is feasible and generated new knowledge and best practices relevant to capacity building for nursing and medical education. This in turn has implications for improving the health of populations who suffer a disproportionate burden of global disease.
世界卫生组织估计，到2035年全球将短缺约1290万名技术熟练的卫生专业人员（助产士、护士和医生）。这些短缺限制了各国，特别是资源有限国家提供基本医疗服务、应对新出现和更复杂需求以及培养、使未来卫生专业人员毕业并留住他们的能力——这是一个不断延续的恶性循环，对卫生安全有着深远影响。全球卫生服务伙伴关系（GHSP）是和平队、总统艾滋病紧急救援计划、种子组织和东道国机构之间的独特合作，旨在加强卫生专业人员严重短缺地区的医学和护理教育以及医疗服务的广度和质量。护士和医生教育工作者被借调到东道机构，与当地同事一起担任客座教员。他们服务1年，许多人会待更长时间。分享教育和临床最佳实践，强调跨学术 - 临床领域的理论与实践整合，并扩大教学和学习环境，以纳入实施科学以及传播本地定制和可持续的实践创新。在最初的3年（2013 - 2016年）里，GHSP在三个国家（马拉维、坦桑尼亚和乌干达）安置了97名护士和医生教育工作者。这些教育工作者在整个课程和众多专业领域为8321名学员、教员和执业卫生专业人员讲授了454门课程和举办了工作坊。混合方法评估包括对东道机构教员和学生进行的关键利益相关者访谈，他们表示GHSP的加入增强了临床教学（质量和广度），从而提高了临床技能、信心以及将理论与实践和批判性思维相联系的能力。其中还包括四个通过实施科学将证据转化为实践的范例的产出和成果。GHSP最初3年的研究结果表明，一个创新的、本地定制且符合文化背景的多国学术 - 临床伙伴关系项目，能够解决国家卫生优先事项，是可行的，并产生了与护理和医学教育能力建设相关的新知识和最佳实践。这反过来对改善全球疾病负担过重人群的健康状况具有重要意义。
