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Malawi 两所三级医院的教育项目对重症监护护士能力的影响。

Effect of an educational programme on critical care nurses' competence at two tertiary hospitals in Malawi.

机构信息

Auckland University of Technology, School of Clinical Sciences, Auckland 1142. New Zealand.

Kamuzu University of Health Sciences, Blantyre, Malawi.

出版信息

Malawi Med J. 2021 Dec;33(4):236-241. doi: 10.4314/mmj.v33i4.3.

Abstract

BACKGROUND

Critical care specialty deals with the complex needs of critically ill patients. Nurses who provide critical care are expected to possess the appropriate knowledge and skills required for the care of critically ill patients. The aim of this study was to assess the effect of an educational programme on the competence of critical care nurses at two tertiary hospitals in Lilongwe and Blantyre, Malawi.

METHODS

A quantitative pre- and post-test design was applied. The training programme was delivered to nurses (n = 41) who worked in intensive care and adult high dependency units at two tertiary hospitals. The effect of the training was assessed through participants' self-assessment of competence on the Intensive and Critical Care Nursing Competence Scale and a list of 10 additional competencies before and after the training.

RESULTS

The participants' scores on the Intensive and Critical Care Nursing Competence Scale before the training, M = 608.2, SD = 59.6 increased significantly after the training, M = 684.7, SD = 29.7, p <.0001 (two-tailed). Similarly, there was a significant increase in the participants' scores on the additional competencies after the training, p <.0001 (two-tailed).

CONCLUSION

The programme could be used for upskilling nurses in critical care settings in Malawi and other developing countries with a similar context.

摘要

背景

重症监护专业涉及危重症患者的复杂需求。提供重症监护的护士需要具备照顾危重症患者所需的适当知识和技能。本研究旨在评估在马拉维利隆圭和布兰太尔的两家三级医院开展教育计划对重症监护护士能力的影响。

方法

采用定量的前后测试设计。培训计划针对在两家三级医院的重症监护室和成人高依赖病房工作的护士(n = 41)实施。通过参与者在培训前后对重症监护和关键护理能力量表和 10 项附加能力清单的自我评估,评估培训的效果。

结果

培训前,参与者在重症监护和关键护理能力量表上的得分,M = 608.2,SD = 59.6,培训后显著提高,M = 684.7,SD = 29.7,p <.0001(双侧)。同样,培训后参与者在附加能力方面的得分也显著提高,p <.0001(双侧)。

结论

该方案可用于在马拉维和其他具有类似背景的发展中国家的重症监护环境中提升护士的技能。

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Obstetric admissions and outcomes in an intensive care unit in Malawi.马拉维重症监护病房的产科住院和结局。
Int J Obstet Anesth. 2019 Aug;39:99-104. doi: 10.1016/j.ijoa.2019.03.004. Epub 2019 Mar 28.

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