van de Water Brittney, Renning Kelsey, Nyondo Anda, Sonnie Mustapha, Longacre Ashley H, Ewing Helen, Fullah Mary, Chepuka Lignet, Mann Julie
Seed Global Health, 20 Ashburton Place, 02108, Boston, MA, USA.
Boston College, Connell School of Nursing, Chestnut Hill, MA, USA.
BMC Nurs. 2024 May 31;23(1):365. doi: 10.1186/s12912-024-02036-2.
Expanding the quality and quantity of midwifery and nursing clinical preceptors is a critical need in many sub-Saharan educational settings to strengthen students' clinical learning outcomes, and ultimately to improve maternal and child mortality. Therefore, this study protocol was developed to establish a year-long, four step, precepting program to (1) improve partnership building and program development (2) provide an evidence-based course to expand competency and confidence in precepting students (3) select preceptors to become train the trainers and (4) secure accreditation for the program, ultimately to engage and support cohorts of preceptors and continue to monitor and evaluate the effectiveness of the program over five years.
Qualitative and quantitative approaches will be used including evaluation of preceptors, faculty and leadership involved with the program, as well as students taught by preceptors. Data will include validated self-assessment scales, objective structured clinical examinations (OSCEs), satisfaction surveys, and direct clinical observation, in-depth interviews and/or focus group discussions (preceptors); feedback forms (students); process mapping and organizational readiness for implementing change surveys (faculty and leadership). Median change in scores will be the primary outcome for quantitative data. Content analysis within a deductive framework to identify key implementation and adoption themes will be used for qualitative data analysis.
This study aims to assess the readiness and early effectiveness for implementing a preceptor program for midwifery and nursing in Sierra Leone and Malawi. Determining the effectiveness of this program will guide future adaptations in order to strengthen the program for sustainability and potential scale-up.
在撒哈拉以南的许多教育环境中，扩大助产士和护理临床带教老师的数量并提高其质量，对于加强学生的临床学习成果，最终降低孕产妇和儿童死亡率而言至关重要。因此，制定本研究方案是为了建立一个为期一年的四步带教计划，以（1）改善伙伴关系建设和项目开发；（2）提供一门循证课程，以提高带教学生的能力和信心；（3）挑选带教老师成为培训师培训员；（4）确保该项目获得认证，最终吸引并支持一批带教老师，并在五年内持续监测和评估该项目的有效性。
将采用定性和定量方法，包括对参与该项目的带教老师、教员和领导进行评估，以及对由带教老师授课的学生进行评估。数据将包括经过验证的自我评估量表、客观结构化临床考试（OSCE）、满意度调查、直接临床观察、深度访谈和/或焦点小组讨论（带教老师）；反馈表（学生）；流程映射以及实施变革调查的组织准备情况（教员和领导）。分数的中位数变化将作为定量数据的主要结果。定性数据分析将采用演绎框架内的内容分析，以确定关键的实施和采用主题。
本研究旨在评估在塞拉利昂和马拉维实施助产士和护理带教计划的准备情况和早期效果。确定该计划的有效性将为未来的调整提供指导，以便加强该计划以实现可持续性并可能扩大规模。
