Hagumimana Justin, Skelton Teresa, Pendergrast Jacob, Nizeyimana Francoise, Masaisa Florence, Kanyamuhunga Aimable, Gashaija Christopher, Chargé Sophie, Kapitany Casey, Morgan Mary, Meirovich Harley, Lin Yulia
Department of Anesthesia and Critical Care, University of Rwanda, Kigali, Rwanda.
Department of Anesthesiology, Pharmacology, and Therapeutics, BC Children's Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
Transfusion. 2023 Nov;63(11):2170-2178. doi: 10.1111/trf.17568. Epub 2023 Oct 21.
Safe blood transfusion is an increasing priority in global health equity. The Global Health 2030 commission lists access to a safe blood supply as essential for all surgical and nonoperative patients. The objective of this study was to determine if Transfusion Camp, when modified through a collaborative partnership between experts in Canada and Rwanda, results in improved knowledge and confidence among trainees in a resource-limited setting in sub-Saharan Africa.
This prospective study took place at The University Teaching Hospital of Kigali in Rwanda. Participants were postgraduate medical trainees from departments where blood transfusion is frequent. Participants watched five prerecorded lectures and then attended a 5-hour team-based learning seminar to consolidate learning. Pre- and post-data were analyzed on transfusion knowledge and trainee confidence. A Rasch analysis investigated the performance of individual questions in assessing respondent knowledge.
Of 31 trainees from surgery, anesthesia, internal medicine, and pediatrics invited to the course, 27 trainees attended the in-person team-based learning and 24 trainees completed the pre- and post-course analysis. Trainee knowledge assessment improved from (mean ± SD) 7.7/20 ± 1.95 to 10.4/20 ± 2.4 (p < .0001) and this knowledge was maintained by 12 trainees on a 3-month follow-up with a mean score of 9.3/20 ± 2.3. Trainees reported increased confidence in managing transfusion medicine-related patient issues.
This pilot study demonstrated that Transfusion Camp education content modified to the local context can result in increased knowledge and confidence in managing transfusion-related issues. These results will inform future planning of Transfusion Camp in resource-limited settings.
安全输血在全球卫生公平性方面日益受到重视。《全球卫生2030》委员会将确保安全血液供应列为所有手术和非手术患者的基本需求。本研究的目的是确定通过加拿大和卢旺达的专家合作对输血营进行改进后，是否能提高撒哈拉以南非洲资源有限地区学员的知识水平和信心。
这项前瞻性研究在卢旺达基加利大学教学医院进行。参与者是来自输血频繁科室的医学研究生学员。参与者观看了五个预先录制的讲座，然后参加了一个5小时的基于团队的学习研讨会以巩固所学知识。对输血知识和学员信心的课前和课后数据进行了分析。采用拉施分析来研究各个问题在评估受访者知识方面的表现。
在受邀参加该课程的31名来自外科、麻醉科、内科和儿科的学员中，27名学员参加了面对面的基于团队的学习，24名学员完成了课前和课后分析。学员的知识评估从（均值±标准差）7.7/20 ± 1.95提高到了10.4/20 ± 2.4（p <.0001），并且在3个月的随访中，12名学员保持了这一知识水平，平均得分为9.3/20 ± 2.3。学员们表示在处理与输血医学相关的患者问题时信心增强。
这项试点研究表明，根据当地情况修改后的输血营教育内容可以提高处理输血相关问题的知识水平和信心。这些结果将为资源有限地区未来输血营的规划提供参考。
