Pedersen Gloria A, Shrestha Pragya, Akellot Josephine, Sepulveda Alejandra, Luitel Nagendra P, Kasujja Rosco, Contreras Carmen, Galea Jerome T, Moran Leydi, Neupane Vibha, Rimal Damodar, Schafer Alison, Kohrt Brandon A
Center for Global Mental Health Equity, Department of Psychiatry and Behavioral Health, George Washington University, Washington, DC, USA.
Program Department, Transcultural Psychosocial Organization (TPO) Nepal, Kathmandu, Nepal.
Glob Ment Health (Camb). 2023 Aug 14;10:e55. doi: 10.1017/gmh.2023.43. eCollection 2023.
Health systems globally demand more competent workers but lack competency-based training programs to reach their goals. This study evaluates the effectiveness of a competency-based curriculum (EQUIP-FHS) for trainers and supervisors to teach foundational helping knowledge, attitudes and skills, guided by the WHO/UNICEF EQUIP platform, to improve the competency of in-service and pre-service workers from various health and other service sectors. A mixed-methods, uncontrolled before-and-after trial was conducted in Nepal, Peru, and Uganda from 2020 to 2021. Trainees' ( = 150) competency data were collected during 13 FHS trainings. Paired -tests assessed pre- to post-change in ENACT competency measures (e.g., harmful, helpful). Qualitative data was analyzed using thematic analysis. EQUIP-FHS trainings, on average, were 20 h in duration. Harmful behaviors significantly decreased, and helpful behaviors significantly increased, across and within sites from pre-to post-training. Qualitatively, trainees and trainers promoted the training and highlighted difficult competencies and areas for scaling the training. A brief competency-based curriculum on foundational helping delivered through pre-service or in-service training can reduce the risk that healthcare workers and other service providers display harmful behaviors. We recommend governmental and nongovernmental organizations implement competency-based approaches to enhance the quality of their existing workforce programming and be one step closer to achieving the goal of quality healthcare around the globe.
全球卫生系统需要更多有能力的工作人员，但缺乏基于能力的培训计划来实现其目标。本研究评估了一种基于能力的课程（EQUIP-FHS）对培训师和监督员的有效性，该课程在世卫组织/联合国儿童基金会EQUIP平台的指导下，教授基础帮助知识、态度和技能，以提高来自不同卫生和其他服务部门的在职和职前工作人员的能力。2020年至2021年在尼泊尔、秘鲁和乌干达进行了一项混合方法、无对照的前后试验。在13次FHS培训期间收集了学员（n = 150）的能力数据。配对t检验评估了ENACT能力指标（如有害、有益）从培训前到培训后的变化。使用主题分析对定性数据进行了分析。EQUIP-FHS培训平均时长为20小时。从培训前到培训后，各地点及地点内部的有害行为显著减少，有益行为显著增加。从定性角度来看，学员和培训师对培训表示认可，并强调了困难的能力以及培训推广的领域。通过职前或在职培训提供的关于基础帮助的简短的基于能力的课程可以降低医护人员和其他服务提供者表现出有害行为的风险。我们建议政府和非政府组织采用基于能力的方法来提高其现有劳动力规划的质量，并朝着实现全球优质医疗保健的目标迈进一步。
