Renning Kelsey, van de Water Brittney, Brandstetter Shelley, Kasitomu Chisomo, Gowero Netsayi, Simbota Miriam, Majamanda Maureen
Pediatric Critical Care Nursing Educator, Seed Global Health, Boston, MA, USA.
Child Health Lecturer, Kamuzu University of Health Sciences, Blantyre, Malawi.
BMC Nurs. 2022 Jan 4;21(1):6. doi: 10.1186/s12912-021-00772-3.
Significant improvements in under-five mortality in Malawi have been demonstrated over the past thirty years; however, Malawian healthcare remains with gaps in availability and access to quality pediatric critical care nursing training and education. To improve expertise of pediatric critical care nurses in Malawi, Kamuzu University of Health Sciences (KUHeS), Queen Elizabeth Central Hospital (QECH), and Mercy James Center (MJC) entered a partnership with Seed Global Health, a US non-governmental organization. A needs assessment was conducted to understand the training needs of nurses currently working in pediatric critical care and in preparation for the development of a specialized Master's in Child Health pathway in Pediatric Critical Care (PCC) Nursing at KUHeS.
The needs assessment was completed using a survey questionnaire formatted using an ABCDE (Airway, Breathing, Circulation, Disability, and Exposure) framework. The questionnaire had Likert scale and yes/no questions. Data was manually entered into excel and was analyzed using descriptive statistics.
One hundred and fifty-three nurses at QECH and MJC responded to the survey. Most nurses were between the ages of 25 and 35 years (N = 98, 64%), female (N = 105, 69%), and held either a Bachelors (N = 72, 47%) or diploma (N = 70, 46%) in nursing. Nurses had high rates of confidence in certain skills: airway management (N = 120, 99%), breathing assessment & management (N = 153, 100%). However, nurses demonstrated little to no confidence in areas such as: mechanical ventilation (N = 68, 44%), ECG evaluation (N = 74, 48%), and arterial blood gas collection & interpretation (N = 49, 32%).
It is important to identify priority areas for training and skills development to address in the PCC master's within the child health pathway at KUHeS. Ideally this partnership will produce practice-ready PCC nurses and will establish a recognized PCC nursing workforce in Malawi.
过去三十年里，马拉维五岁以下儿童死亡率显著下降；然而，马拉维的医疗保健在优质儿科重症护理培训和教育的可及性方面仍存在差距。为提高马拉维儿科重症护理护士的专业水平，卡穆祖卫生科学大学（KUHeS）、伊丽莎白女王中央医院（QECH）和梅西·詹姆斯中心（MJC）与美国非政府组织种子全球健康建立了合作关系。开展了一项需求评估，以了解目前从事儿科重症护理工作的护士的培训需求，并为KUHeS制定儿科重症护理（PCC）专业儿童健康硕士课程做准备。
需求评估通过一份采用ABCDE（气道、呼吸、循环、残疾和暴露）框架的调查问卷完成。问卷包含李克特量表和是非题。数据手动录入Excel，并使用描述性统计进行分析。
QECH和MJC的153名护士对调查做出了回应。大多数护士年龄在25至35岁之间（N = 98，64%），为女性（N = 105，69%），拥有护理学学士学位（N = 72，47%）或文凭（N = 70，46%）。护士们对某些技能有较高的信心：气道管理（N = 120，99%）、呼吸评估与管理（N = 153，100%）。然而，护士们在以下领域表现出很少或没有信心：机械通气（N = 68，44%）、心电图评估（N = 74，48%）以及动脉血气采集与解读（N = 49，32%）。
确定在KUHeS儿童健康硕士课程的PCC中要解决的培训和技能发展优先领域很重要。理想情况下，这种合作关系将培养出符合实际工作需求的PCC护士，并在马拉维建立一支得到认可的PCC护理队伍。
