School of Nursing, Fudan University, 305 Fenglin Road, Shanghai, 200032, People's Republic of China.
School of Nursing, Nanjing University of Chinese Medicine, Nanjing, China.
BMC Health Serv Res. 2019 Aug 27;19(1):602. doi: 10.1186/s12913-019-4402-9.
Primary health care (PHC) is usually the initial point of contact for individuals seeking to access health care and providers of PHC play a crucial role in the healthcare model. However, few studies have assessed the knowledge, ability, and skills (capacity) of PHC providers in delivering care. This study aimed to identify the capacity of PHC providers in countries of the Southeast and East Asian Nursing Education and Research Network (SEANERN).
A multi-national cross-sectional survey was performed among SEANERN countries. A 1-5 Likert scale was used to measure eight components of knowledge, ability, and skill of PHC providers. Descriptive statistics were employed, and radar charts were used to depict the levels of the three dimensions (knowledge, skill and ability) and eight components.
Totally, 606 valid questionnaires from PHC providers were returned from seven countries of SEANERN (China, Myanmar, Indonesia, Thailand, Vietnam, Cambodia, and Malaysia), with a responsive rate of 97.6% (606/621). For the three dimensions the ranges of total mean scores were distributed as follows: knowledge dimension: 2.783.11; skill dimension: 2.663.16; ability dimension: 2.67~3.06. Furthermore, radar charts revealed that the transition of PHC provider's knowledge into skill and from skill into ability decreased gradually. Their competencies in four areas, including safe water and sanitation, nutritional promotion, endemic diseases prevention, and essential provision of drugs, were especially low.
The general capacity perceived by PHC providers themselves seems relatively low and imbalanced. To address the problem, SEANERN, through the collaboration of the members, can facilitate the appropriate education and training of PHC providers by developing feasible, practical and culturally appropriate training plans.
初级卫生保健（PHC）通常是个人寻求获得医疗保健的初始接触点，PHC 提供者在医疗保健模式中发挥着至关重要的作用。然而，很少有研究评估 PHC 提供者提供护理的知识、能力和技能（能力）。本研究旨在确定东南亚和东亚护理教育与研究网络（SEANERN）国家的 PHC 提供者的能力。
在 SEANERN 国家进行了一项多国家横断面调查。采用 1-5 级李克特量表衡量 PHC 提供者的知识、能力和技能的八个组成部分。采用描述性统计，并用雷达图描绘三个维度（知识、技能和能力）和八个组成部分的水平。
共从 SEANERN 的七个国家（中国、缅甸、印度尼西亚、泰国、越南、柬埔寨和马来西亚）收到了来自 606 名 PHC 提供者的 606 份有效问卷，响应率为 97.6%（606/621）。对于三个维度，总平均分数的范围分布如下：知识维度：2.783.11；技能维度：2.663.16；能力维度：2.67~3.06。此外，雷达图显示，PHC 提供者的知识向技能的转变以及从技能向能力的转变逐渐减少。他们在安全用水和卫生、营养促进、地方病预防和基本药物供应等四个领域的能力尤其低。
PHC 提供者自身感知的一般能力似乎相对较低且不平衡。为了解决这个问题，SEANERN 通过成员之间的合作，可以通过制定可行、实用和文化上适当的培训计划，促进 PHC 提供者的适当教育和培训。
