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“沉睡的大象”:赞比亚重症监护护士的导师作用。

The 'sleeping elephant': The role of mentorship of critical care nurses in Zambia.

机构信息

Faculty of Health, Education & Life Sciences, Birmingham City University, UK.

Lusaka College of Nursing, Lusaka, Zambia.

出版信息

Int Nurs Rev. 2021 Dec;68(4):543-550. doi: 10.1111/inr.12717. Epub 2021 Sep 29.

Abstract

AIM

To develop and evaluate a Zambian context-specific mentorship model that supports registered nurses completing emergency, trauma and critical care programmes in Zambia.

BACKGROUND

In Zambia, emergency and trauma and critical care nursing are relatively new specialties, with education and training programmes less than a decade old. A train the trainer mentorship programme was developed and delivered at two colleges of nursing. Ethics approval was gained in both Zambia and the UK.

SOURCES OF EVIDENCE

Documentary data analysis and focus groups were used. Focus groups included stakeholders and nurses in practice who had completed the train the trainer programme and were using the mentorship model.

DISCUSSION

The critical review of the literature revealed there was a paucity of evidence on the role of mentors in critical care. However, national documentation identified that most post basic education programmes are at Diploma Level with limited content that focuses on bedside teaching, mentorship and assessment content.

CONCLUSION

Feedback from representatives attending the stakeholder workshops and focus groups which included participants who had completed the training programme enabled the mentorship model and workshop to be developed and evaluated.

IMPLICATIONS FOR NURSING PRACTICE

Nurses are the backbone of healthcare systems in Africa and the world. Mentorship and assessment in practice enables nurses to develop the competence and skills to lead practice, support peers and junior colleagues.

IMPLICATIONS FOR NURSING POLICY

This paper has identified the need for a context-specific formalised mentorship model to support specialist practice and this project has provided the foundations for mentorship of emergency, trauma and critical care nurses in Zambia.

摘要

目的

开发和评估一种适合赞比亚国情的导师制模式,以支持赞比亚注册护士完成急诊、创伤和重症监护项目。

背景

在赞比亚,急诊、创伤和重症监护护理是相对较新的专业,教育和培训项目不到十年。在两所护理学院开发并实施了一项培训师导师制计划。在赞比亚和英国都获得了伦理批准。

证据来源

使用了文献数据分析和焦点小组。焦点小组包括利益相关者和实践中的护士,他们已经完成了培训师计划并正在使用导师制模式。

讨论

对文献的批判性回顾表明,在重症监护中导师的作用方面证据不足。然而,国家文件指出,大多数基础后教育课程都处于文凭水平,课程内容有限,重点是床边教学、指导和评估内容。

结论

参加利益相关者研讨会和焦点小组的代表的反馈,包括已经完成培训计划的参与者,使导师制模式和研讨会得以开发和评估。

对护理实践的意义

护士是非洲和世界医疗保健系统的支柱。实践中的指导和评估使护士能够发展领导实践、支持同行和初级同事的能力和技能。

对护理政策的影响

本文确定了需要一种适合特定背景的正式导师制模式来支持专业实践,该项目为赞比亚急诊、创伤和重症监护护士的导师制提供了基础。

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