Columbia University Medical Center Irving Medical Center, New York, New York.
Bernard Mevs Hospital, Port-au-Prince, Haiti.
Am J Trop Med Hyg. 2022 Oct 3;107(5):1137-1141. doi: 10.4269/ajtmh.22-0299. Print 2022 Nov 14.
After Port-au-Prince's 2010 earthquake, Hospital Bernard Mevs (HBM) developed a collaboration with international medical volunteers to provide clinical care and medical resources; that evolved to include medical education as local Haitian staffing developed. There has been limited coordination among volunteers and local providers about ways in which volunteers can best serve the hospital, and literature that addresses how to coordinate volunteer efforts to support the educational needs of the local nursing staff is scant. Our objectives were to complete an educational needs assessment of the most common diagnoses encountered, requested topics for education, and preferred learning modalities as reported by Haitian pediatric nurses, and categorize the strengths of HBM and barriers to care to understand more fully the context within which nurses function, and how education and international volunteers may be related. In October 2019, 10 HBM pediatric nurses participated in small-group interviews. Questions were based on an interview guide and responses were coded and analyzed for recurring themes. The most common diagnoses were sepsis, hydrocephalus, and hypoxic ischemic encephalopathy. Topics for review included chest tubes, ventilator management, and ventriculoperitoneal shunts. Preferred learning modalities were didactics and hands-on workshops. Strengths of the hospital were team dynamics and education provided by HBM and international volunteers, whereas the most common barrier to care was lack of clinical supplies. This information is useful to guide future educational interventions, and this model may inform other programs with a volunteer presence in resource-limited settings to promote collaboration and self-directed learning.
2010 年太子港地震后,伯纳德·梅夫斯医院(HBM)与国际医疗志愿者合作,提供临床护理和医疗资源;随着当地海地工作人员的发展,合作逐渐扩展到医疗教育。志愿者和当地提供者之间在志愿者如何为医院提供最佳服务方面的协调有限,并且关于如何协调志愿者努力以支持当地护理人员教育需求的文献也很少。我们的目标是完成对最常见诊断的教育需求评估,了解海地儿科护士所要求的教育主题和首选学习方式,并对 HBM 的优势和护理障碍进行分类,以更全面地了解护士的工作环境以及教育和国际志愿者之间的关系。2019 年 10 月,10 名 HBM 儿科护士参加了小组访谈。问题基于访谈指南,对回答进行了编码和分析,以确定反复出现的主题。最常见的诊断是败血症、脑积水和缺氧缺血性脑病。需要复习的主题包括胸腔引流管、呼吸机管理和脑室-腹腔分流术。首选的学习方式是讲座和实践工作坊。医院的优势在于团队动态和 HBM 及国际志愿者提供的教育,而护理的最常见障碍是缺乏临床用品。这些信息有助于指导未来的教育干预措施,并且这种模式可以为其他在资源有限环境中有志愿者参与的项目提供信息,以促进合作和自我指导学习。