Al Huti Salama, Al Kiyumi Maisa H, Jaju Sanjay, Al Saadoon Muna
College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, OMN.
Family Medicine and Public Health, Sultan Qaboos University Hospital, University Medical City, Muscat, OMN.
Cureus. 2024 Sep 17;16(9):e69620. doi: 10.7759/cureus.69620. eCollection 2024 Sep.
Objectives The study aims to assess interns' perceptions of Integrated Management of Childhood Illness (IMCI) pre-service education at Sultan Qaboos University (SQU). Specifically, it evaluates how IMCI training during phases 2 and 3 influences interns' clinical practice readiness and knowledge acquisition. The findings will inform evidence-based enhancements to IMCI training programs, ensuring they meet interns' educational needs and optimize clinical skills acquisition. Methods This cross-sectional study was conducted at the College of Medicine and Health Sciences (CoMHS) at SQU, Muscat, over a two-month period (September 20, 2023, to November 30, 2023). The questionnaire evaluated interns' sociodemographic factors, perceptions regarding pre-service IMCI training, and IMCI knowledge. IBM SPSS Statistics for Windows, Version 24 (Released 2016; IBM Corp., Armonk, New York) was used to analyze Likert scale responses for frequencies and proportions. Results Out of 103 invited interns, 75 participated in the study, resulting in a response rate of 72.8%. Interns who attended three or more IMCI lectures, tutorials, and practical sessions demonstrated a more advanced understanding of IMCI principles compared to those attending fewer sessions. Overall, 63 (84.0%) interns agreed on the effectiveness of IMCI training, 57 (76.0%) interns acknowledged skill enhancement, and 69 (92.0%) interns perceived its practicality for illness assessment. However, only 60.0% (n=45) felt confident in managing sick children. The knowledge assessment revealed varied understanding of IMCI objectives (82.7%, n=62) and components (61.3% (n=46) to 64.0% (n=48)). Clinical case evaluation showed mixed recognition of clinical features and danger signs of childhood illnesses, while awareness of disease preventability through immunization was generally high, except for tuberculosis (74.7%, n=56) and rotavirus (40.0%, n=30). Conclusion Interns exhibit positive attitudes towards IMCI principles, demonstrating a strong grasp of related concepts through effective case-based question responses. These results highlight the effectiveness of IMCI training in improving interns' understanding of pediatric healthcare principles, with potential implications for enhancing clinical practice and patient care. Future investigations should explore the impact of IMCI training on interns' clinical practice and patient outcomes.
目的 本研究旨在评估苏丹卡布斯大学（SQU）实习生对儿童疾病综合管理（IMCI）岗前教育的看法。具体而言，它评估了第2阶段和第3阶段的IMCI培训如何影响实习生的临床实践准备情况和知识获取。研究结果将为基于证据的IMCI培训计划改进提供参考，确保这些计划满足实习生的教育需求并优化临床技能的获取。方法 这项横断面研究于2023年9月20日至2023年11月30日在马斯喀特SQU的医学与健康科学学院（CoMHS）进行，为期两个月。该问卷评估了实习生的社会人口统计学因素、对岗前IMCI培训的看法以及IMCI知识。使用IBM SPSS Statistics for Windows，版本24（2016年发布；IBM公司，纽约州阿蒙克）分析李克特量表的频率和比例响应。结果 在103名受邀实习生中，75名参与了研究，回复率为72.8%。与参加课程较少的实习生相比，参加三场或更多场IMCI讲座、辅导课和实践课的实习生对IMCI原则有更深入的理解。总体而言，63名（84.0%）实习生认可IMCI培训的有效性，57名（76.0%）实习生承认技能有所提高，69名（92.0%）实习生认为其对疾病评估具有实用性。然而，只有60.0%（n = 45）的人对管理患病儿童有信心。知识评估显示，对IMCI目标（82.7%，n = 62）和组成部分（61.3%（n = 46）至64.0%（n = 48））的理解各不相同。临床病例评估显示，对儿童疾病的临床特征和危险信号的识别参差不齐，而通过免疫接种预防疾病的意识普遍较高，但结核病（74.7%，n = 56）和轮状病毒（40.0%，n = 30）除外。结论 实习生对IMCI原则表现出积极态度，通过有效的基于案例的问题回答对相关概念有很强的理解。这些结果凸显了IMCI培训在提高实习生对儿科医疗保健原则理解方面的有效性，对加强临床实践和患者护理具有潜在意义。未来的调查应探讨IMCI培训对实习生临床实践和患者结局的影响。
