尼日利亚医疗卫生专业人员肿瘤培训需求评估。
Oncology Training Needs Assessment Among Health Care Professionals in Nigeria.
机构信息
Department of Nursing, Faculty of Clinical Sciences, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Department of Health Promotion and Education, Faculty of Public Health, African Regional Health Education Center, College of Medicine, University of Ibadan, Ibadan, Nigeria.
出版信息
JCO Glob Oncol. 2022 May;8:e2200017. doi: 10.1200/GO.22.00017.
PURPOSE
This study investigated the status of training and preparedness for oncology practice and research and degree of interprofessional collaboration among health care professionals in the six geopolitical regions of Nigeria.
METHODS
A convergent parallel mixed methods design was used. Three hundred seventeen respondents completed a three-part, online questionnaire. Self-rated competencies in oncology research (26 items), oncology practice (16 items), and interprofessional collaboration (nine items) were assessed with a one- to five-point Likert scale. Six key informant and 24 in-depth interviews were conducted. Descriptive statistics, analysis of variance, and pairwise -test were used to analyze the quantitative data, whereas thematic analysis was used for the qualitative data.
RESULTS
Respondents were mostly female (65.6%) with a mean age of 40.5 ± 8.3 years. Respondents include 178 nurses (56.2%), 93 medical doctors (29.3%), and 46 pharmacists (14.5%). Self-assessed competencies in oncology practice differed significantly across the three groups of health care professionals ( = 4.789, = .009). However, there was no significant difference across professions for competency in oncology research ( = 1.256, = .286) and interprofessional collaboration ( = 1.120, = .327). The majority of respondents (267, 82.4%) felt that educational opportunities in oncology-associated research in the country are inadequate and that this has implications for practice. Key training gaps reported include poor preparedness in data analysis and bioinformatics (138, 43.5%), writing clinical trials (119, 37.5%), and writing grant/research proposals (105, 33.1%). Challenges contributing to gaps in cancer research include few trained oncology specialists, low funding for research, and inadequate interprofessional collaboration.
CONCLUSION
This study highlights gaps in oncology training and practice and an urgent need for interventions to enhance interprofessional training to improve quality of cancer care in Nigeria. These would accelerate progress toward strengthening the health care system and reducing global disparities in cancer outcomes.
目的
本研究调查了尼日利亚六个地缘政治区域的医疗保健专业人员在肿瘤学实践和研究方面的培训和准备情况以及专业间协作的程度。
方法
采用汇聚平行混合方法设计。317 名受访者完成了一份三部分的在线问卷。使用 1 到 5 分的李克特量表评估肿瘤学研究（26 项）、肿瘤学实践（16 项）和专业间协作（9 项）的自我评估能力。进行了 6 次关键知情人访谈和 24 次深入访谈。使用描述性统计、方差分析和配对检验分析定量数据，而主题分析则用于定性数据。
结果
受访者主要为女性（65.6%），平均年龄为 40.5 ± 8.3 岁。受访者包括 178 名护士（56.2%）、93 名医生（29.3%）和 46 名药剂师（14.5%）。肿瘤学实践方面的自我评估能力在三组医疗保健专业人员之间存在显著差异（F = 4.789，P =.009）。然而，在肿瘤学研究（F = 1.256，P =.286）和专业间协作（F = 1.120，P =.327）方面，不同专业之间没有显著差异。大多数受访者（267 人，82.4%）认为该国肿瘤学相关研究的教育机会不足，这对实践有影响。报告的主要培训差距包括数据分析和生物信息学方面的准备不足（138 人，43.5%）、临床试验写作（119 人，37.5%）和研究提案写作（105 人，33.1%）。导致癌症研究差距的挑战包括肿瘤学专家培训不足、研究资金不足以及专业间协作不足。
结论
本研究强调了肿瘤学培训和实践方面的差距，迫切需要采取干预措施，加强专业间培训，以提高尼日利亚的癌症护理质量。这将加速加强卫生保健系统和减少全球癌症结果差异的进展。
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