Joshi Rajnish, Pakhare Abhijit, Kumar Sanjeev, Khadanga Sagar, Joshi Ankur
Department of Medicine, All India Institute of Medical Sciences , Bhopal , India.
Department of Community and Family Medicine, All India Institute of Medical Sciences , Bhopal , India.
Educ Prim Care. 2019 Jul;30(4):230-236. doi: 10.1080/14739879.2019.1619097. Epub 2019 Jun 3.
India has witnessed a major shift in morbidity to non-communicable diseases (NCDs) in the last few decades. The service delivery for these long-term conditions has been physician-centred up till now. There is a recent move towards shared care, and nurses are being engaged in the delivery of NCD care. This study was performed in the context of a composite training initiative involving nurses and doctors. Our aim was to compare the performance of nurses with doctors to determine which skills need to be emphasised in future educational programmes. Baseline and end-training knowledge assessments were available from training records. In 2014, of a total of 387 participants from one state in India, 153 were followed up to assess long-term retention of knowledge in various NCD training domains. We found that despite a lower baseline, nurses had a similar attrition in knowledge after training compared to doctors. Results of our study emphasised that nurses can be trained for the primary care needs of NCDs and that both nurses and doctors have retraining needs.
在过去几十年里，印度的发病情况已出现向非传染性疾病的重大转变。到目前为止，针对这些长期病症的服务提供一直是以医生为中心的。最近出现了向共享护理模式的转变，护士也开始参与非传染性疾病护理的提供。本研究是在一项涉及护士和医生的综合培训倡议背景下开展的。我们的目的是比较护士与医生的表现，以确定在未来的教育项目中需要着重强调哪些技能。培训记录中有基线和培训结束时的知识评估。2014年，在印度一个邦的387名参与者中，有153人接受了随访，以评估在各种非传染性疾病培训领域知识的长期留存情况。我们发现，尽管护士的基线较低，但与医生相比，他们在培训后的知识损耗情况相似。我们的研究结果强调，护士可以针对非传染性疾病的初级护理需求接受培训，而且护士和医生都有再培训的需求。
