卢旺达产科和新生儿护理跨专业合作指导计划的益处：一项定性描述性案例研究
Benefits of a Mentorship Program on Interprofessional Collaboration in Obstetric and Neonatal Care in Rwanda: A Qualitative Descriptive Case Study.
作者信息
Yamuragiye Assumpta, Ndayisenga Jean Pierre, Nkurunziza Aimable, Bazirete Olive, Uwimana Marie Chantal
机构信息
School of Health Sciences, University of Rwanda, Kigali, Rwanda.
School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
出版信息
Rwanda J Med Health Sci. 2023 Mar 28;6(1):71-83. doi: 10.4314/rjmhs.v6i1.9. eCollection 2023 Mar.
BACKGROUND
Interprofessional collaboration (IPC) contributes to optimum patient outcomes. The Training, Support, Access Model for Maternal, New Born, and Child Health (TSAM - MNCH), a project initiated as an innovative model for Rwanda, has provided a mentorship program to improve the quality of emergency obstetric and neonatal care (EmONC) including IPC. However, no research has been conducted to understand the impact of that mentorship on IPC practice.
STUDY OBJECTIVE
To identify the impact of the TSAM mentorship on IPC practice in Rwanda from the perspective of hospital managers where TSAM mentorship was implemented and healthcare professionals (HCPs) participated in the mentoring program.
METHODS
A qualitative descriptive case study was conducted in five district hospitals in the Northern Province of Rwanda. Interviews were conducted with hospital directors and twenty-five HCPs mentees. Data were recorded, transcribed verbatim, and analyzed to identify emergent themes.
RESULTS AND DISCUSSIONS
Four themes emerged: a) experience with IPC and TSAM mentorship; b) benefits of TSAM mentorship on IPC, c) challenges with mentoring programs, and 4) suggestions to improve TSAM mentorship.
CONCLUSION
The findings indicated an increase in self-confidence and awareness of responsibilities, which contributed to the improved working relationship among the team involved in EmONC.
背景
跨专业协作（IPC）有助于实现最佳的患者治疗效果。孕产妇、新生儿和儿童健康培训、支持与接入模式（TSAM - MNCH）作为卢旺达的一种创新模式启动的项目，提供了一个指导计划，以提高包括IPC在内的急诊产科和新生儿护理（EmONC）质量。然而，尚未开展研究以了解该指导对IPC实践的影响。
研究目的
从实施TSAM指导且医疗保健专业人员（HCPs）参与指导计划的医院管理人员的角度，确定TSAM指导对卢旺达IPC实践的影响。
方法
在卢旺达北部省的五家地区医院开展了一项定性描述性案例研究。对医院院长和25名HCPs学员进行了访谈。记录数据，逐字转录，并进行分析以确定新出现的主题。
结果与讨论
出现了四个主题：a）IPC和TSAM指导的经验；b）TSAM指导对IPC的益处；c）指导计划面临的挑战；d）改进TSAM指导的建议。
结论
研究结果表明自信心和责任意识有所增强，这有助于改善参与EmONC的团队之间的工作关系。
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