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提高跨专业协作能力:利用针对撒哈拉以南非洲地区医护人员的新型 HIV 课程建立信心。

Improving interprofessional collaboration: building confidence using a novel HIV curriculum for healthcare workers across sub-Saharan africa.

机构信息

Center for Nursing and Midwifery, University of Global Health Equity, Kigali, Rwanda.

School of Medicine, University of California San Francisco, San Francisco, USA.

出版信息

J Interprof Care. 2024 Sep-Oct;38(5):963-969. doi: 10.1080/13561820.2024.2375639. Epub 2024 Aug 2.

DOI:10.1080/13561820.2024.2375639
PMID:39092781
Abstract

The 21st century presents significant global health challenges that necessitate an integrated health workforce capable of delivering person-centered and integrated healthcare services. Interprofessional collaboration (IPC) plays a vital role in achieving integration and training an IPC-capable workforce in sub-Saharan Africa (SSA) has become imperative. This study aims to assess changes in IPC confidence among learners participating in a team-based, case-based HIV training programme across diverse settings in SSA. Additionally, it sought to examine the impact of different course formats (in-person, synchronous virtual, or blended learning) on IPC confidence. Data from 20 institutions across 18 SSA countries were collected between May 1 and December 31, 2021. Logistic regression analysis was conducted to estimate associations between variables of interest and the increases in IPC confidence. The analysis included 3,842 learners; nurses comprised 37.9% ( = 1,172) and physicians 26.7% ( = 825). The majority of learners (67.2%,  = 2,072) were pre-service learners, while 13.0% ( = 401) had graduated within the past year. Factors significantly associated with increased IPC confidence included female gender, physician cadre, completion of graduate training over 12 months ago, and participation in virtual or in-person synchronous workshops ( < .05). The insights from this analysis can inform future curriculum development to strengthen interprofessional healthcare delivery across SSA.

摘要

21 世纪带来了重大的全球健康挑战,这需要一支能够提供以患者为中心和综合医疗服务的综合卫生人力队伍。跨专业合作(IPC)在实现整合方面发挥着至关重要的作用,在撒哈拉以南非洲(SSA)培训具备 IPC 能力的劳动力已变得势在必行。本研究旨在评估在 SSA 不同环境中参与基于团队、基于案例的艾滋病毒培训计划的学习者的 IPC 信心变化。此外,它还试图研究不同课程格式(面对面、同步虚拟或混合学习)对 IPC 信心的影响。2021 年 5 月 1 日至 12 月 31 日期间,在 18 个 SSA 国家的 20 个机构收集了数据。逻辑回归分析用于估计感兴趣变量与 IPC 信心增加之间的关联。分析包括 3842 名学习者;护士占 37.9%(n=1172),医生占 26.7%(n=825)。大多数学习者(67.2%,n=2072)是职前学习者,而 13.0%(n=401)在过去一年毕业。与 IPC 信心增加显著相关的因素包括女性性别、医生干部、完成超过 12 个月的研究生培训以及参加虚拟或面对面同步研讨会(<0.05)。这项分析的结果可以为未来的课程发展提供信息,以加强整个 SSA 的跨专业医疗服务。

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