Agwu Juliana Chizo, Muze Kandi Catherine, Mbogo Joyce, Ameyaw Emmanuel, Cohen Debra, Lindholm-Olinder Anna, Gelder Carole, de Beaufort Carine, Ogle Graham D
Department of Paediatrics, Wye Valley NHS Trust, Hereford, UK.
Department of Paediatrics, Muhimbili National Hospital, Dar es Salaam, Tanzania.
Horm Res Paediatr. 2025 Jun 21:1-9. doi: 10.1159/000546936.
Care of children with diabetes is best delivered by a specialist multidisciplinary team of paediatric endocrinologists, diabetes nurse educators, dietitians, and psychologists. The Allied Healthcare Paediatric Diabetes Educator Course for Africa (ADECA) is the first specialised paediatric diabetes educator training programme for nurses working in sub-Saharan Africa. The aim of the paper was to describe the course structure and evaluation findings of the first ADECA programme.
The ADECA course is a hybrid 1-year course, organised in six phases, including online modules, in-person modules, and work-based assessments. Fifteen nurses from seven sub-Saharan African countries were selected to undertake the first course. The course was evaluated using the Kirkpatrick model, which rates the results of training courses against four levels of criteria: reaction, learning, behaviour, and results.
All nurses successfully completed the course. Overall, 100% strongly agreed that the "in-person" modules were beneficial and enjoyable, compared to 87.5% of nurses for the online modules. Eighteen months following completion, the nurses are contributing to care of children and young people with diabetes and taking a lead in training other healthcare professionals. Seventy-three percent have joined national committees, with 27% actively involved in developing national guidelines and influencing policy. Forty percent have presented at either national or international scientific conferences.
The ADECA course has successfully created a pool of competent paediatric diabetes nurse educators who can support children and their families as well as train other healthcare personnel in diabetes care and become future faculty members. This bespoke course can be adapted for use in other low-income countries.
糖尿病患儿的护理最好由儿科内分泌学家、糖尿病护士教育工作者、营养师和心理学家组成的专业多学科团队提供。非洲联合医疗保健儿科糖尿病教育者课程（ADECA）是首个针对撒哈拉以南非洲地区护士的专业儿科糖尿病教育者培训项目。本文旨在描述首个ADECA项目的课程结构和评估结果。
ADECA课程是一个为期1年的混合课程，分为六个阶段，包括在线模块、面授模块和基于工作的评估。从撒哈拉以南非洲的七个国家挑选了15名护士参加首期课程。该课程采用柯克帕特里克模型进行评估，该模型根据四个标准级别对培训课程的结果进行评分：反应、学习、行为和结果。
所有护士均成功完成课程。总体而言，100%的护士强烈同意面授模块有益且有趣，而在线模块的这一比例为87.5%。课程结束18个月后，这些护士为糖尿病儿童和青少年的护理做出了贡献，并在培训其他医疗专业人员方面发挥了带头作用。73%的护士加入了国家委员会，27%的护士积极参与制定国家指南和影响政策。40%的护士在国内或国际科学会议上发表过演讲。
ADECA课程成功打造了一批有能力的儿科糖尿病护士教育者，他们能够为儿童及其家庭提供支持，培训其他医疗人员进行糖尿病护理，并成为未来的教员。这一量身定制的课程可适用于其他低收入国家。
