Departamento de Medicina Intensiva, Pontificia Universidad Católica de Chile, Santiago, Chile.
División de Anestesiología, Pontificia Universidad Católica de Chile, Santiago, Chile.
Can J Anaesth. 2019 Jul;66(7):828-835. doi: 10.1007/s12630-019-01341-8. Epub 2019 Mar 7.
Safe perioperative care remains a large public healthcare problem in low- and middle-income countries. Anesthesia care provided by trained professionals is one of the essential determinants to address this situation. This article reports the design and implementation of a focused anesthesia educational program for nurses in Chad.
This program consisted of four full-time courses of one month each, taught in a local hospital. The program included supervised practice in the operating room and post-anesthesia recovery room, skills lab simulation training, high fidelity crisis simulation, theoretical classes, integration sessions, evaluations, and structured feedback sessions.
Seven male nurses, aged 28-40 yr, were accepted and successfully completed the program. The median [interquartile range] students' global satisfaction with the program was high (86 [85-93]%). Cognitive and skills assessment improved significantly after the program. Students subsequently worked in city and district hospitals performing essential and emergency surgical interventions.
This is a novel south-south academic cooperation program for nurses in Chad. The program evaluation indicated a high level of satisfaction, effective cognitive and skills learning, and changes in clinical behaviour. Addressing the lack of adequate provision of anesthesia care is a task still to be faced, and this program depicts a bridge alternative until formal educational programs are implemented in the country.
安全的围手术期护理仍然是中低收入国家的一个重大公共卫生问题。由经过培训的专业人员提供的麻醉护理是解决这一问题的重要决定因素之一。本文报告了乍得为护士设计和实施的集中麻醉教育计划。
该计划包括四个为期一个月的全职课程，在当地医院授课。该计划包括在手术室和麻醉后恢复室进行监督实践、技能实验室模拟培训、高保真危机模拟、理论课、整合课程、评估和结构化反馈课程。
七名年龄在 28-40 岁的男护士被录取并成功完成了该计划。学生对该计划的总体满意度中位数（四分位距）较高（86（85-93）%）。认知和技能评估在计划后显著提高。学生随后在市和区医院进行基本和紧急手术干预。
这是乍得为护士提供的一项新的南南学术合作计划。该计划的评估表明，满意度高、认知和技能学习有效，以及临床行为发生变化。解决麻醉护理供应不足的问题仍然是一项有待解决的任务，该计划描绘了在该国实施正式教育计划之前的替代桥梁。
