Avrith Nita, Suh Young, Sunderwirth Ramona, Suleman Shahzmah, Akrabi Ally Munir
Mount Sinai Morningside Hospital, New York, New York, USA.
Bugando Medical Center, Mwanza, Tanzania.
Afr J Emerg Med. 2023 Dec;13(4):274-280. doi: 10.1016/j.afjem.2023.09.004. Epub 2023 Sep 27.
The Basic Emergency Care (BEC) course is an open-access training designed for frontline providers in low resource settings which focuses on recognizing and managing emergent conditions. This study describes the implementation of the BEC course for nurses at Bugando Medical Center (BMC) in Mwanza, Tanzania in March 2020 as part of an educational initiative to improve nurses' knowledge and confidence in providing emergency care.
This is a 2-week educational intervention with pre-post measurements. 12 nurses (cohort 1) received BEC training from in-country facilitators over the course of 4 days. A training-of-trainers (ToT) course followed immediately and the 5 newly trained facilitators then taught the BEC course to 12 additional nurses (cohort 2). Pre- and post-BEC knowledge was assessed with a standardized 25-question multiple choice (MCQ) exam; confidence levels were evaluated using a 4-point Likert scale survey; and qualitative feedback obtained was examined by thematic analysis.
24 participants completed the BEC course, 5 of which completed a ToT to become BEC facilitators. For the combined group, knowledge assessment scores improved significantly from 63.8% to 85.2% with a mean difference of 21.5% (t= 9.3, p<0.0001). Similar improvements were seen when cohort 1 and cohort 2 were analyzed separately. Analysis comparing the results across different demographic groups demonstrated a significant improvement in post-course score for each group. Confidence levels increased significantly across all domains. Main qualitative feedback themes were: quality of teaching; method of teaching; applicability of training to daily nursing practice; more time allotment; and the need to expand the course to other healthcare providers and to rural sites.
Implementation of the BEC course at BMC led to an improvement in nursing emergency care knowledge and self-confidence. The course was well received and the ToT model was successful, giving the nurses the ability to train additional local nurses.
基础急救护理（BEC）课程是一项面向资源匮乏地区一线医护人员的开放式培训，重点在于识别和处理紧急情况。本研究描述了2020年3月在坦桑尼亚姆万扎的布甘多医疗中心（BMC）为护士实施BEC课程的情况，这是一项教育倡议的一部分，旨在提高护士在提供急救护理方面的知识和信心。
这是一项为期两周的教育干预，进行前后测量。12名护士（第1组）在4天内接受了国内培训师的BEC培训。紧接着开展了培训师培训（ToT）课程，5名新培训的培训师随后又向另外12名护士（第2组）教授了BEC课程。通过标准化的25道多项选择题（MCQ）考试评估BEC课程前后的知识水平；使用4点李克特量表调查评估信心水平；并通过主题分析检查获得的定性反馈。
24名参与者完成了BEC课程，其中5人完成了培训师培训成为BEC培训师。对于合并后的组，知识评估得分从63.8%显著提高到85.2%，平均差异为21.5%（t = 9.3，p < 0.0001）。分别分析第1组和第2组时也观察到了类似的改善。比较不同人口统计学组结果的分析表明，每组课程后的分数都有显著提高。所有领域的信心水平均显著提高。主要的定性反馈主题包括：教学质量；教学方法；培训对日常护理实践的适用性；更多的时间分配；以及将课程扩展到其他医疗保健提供者和农村地区的需求。
在BMC实施BEC课程提高了护士的急救护理知识和自信心。该课程受到好评，培训师培训模式取得成功，使护士有能力培训更多当地护士。
