Pilot study of quality of care training and knowledge in Sub-Saharan African medical schools

Bowser, Diana; Abbas, Yasmin; Odunleye, Temitope; Broughton, Edward; Bossert, Thomas

doi:10.5116/ijme.595b.b38c

Cited by 6 publications

(5 citation statements)

References 13 publications

(13 reference statements)

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“…The present study suggests that each university and its affiliated training hospital may have different infection prevention and control curricular content. Different curricula mean different teaching approaches and different clinical experience, which may effect students' perceptions (Bowser et al, 2017). Furthermore, the BSN programs of the 6 universities have varying amount of time for clinical experience of the students.…”

Section: Discussionmentioning

confidence: 99%

Assessment of nursing students perceptions of their training hospital's infection prevention climate: A multi-university study in Saudi Arabia

Tumala

Almazan

Alabdulaziz

et al. 2019

Nurse Education Today

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A B S T R A C TBackground: The risk of acquiring and spreading infection must be minimized in nursing students because they are exposed to healthcare-associated infections during clinical training. To achieve this goal, students should be knowledgeable and competent in infection control practice before proceeding to their training hospitals. Objectives: This study assessed the nursing students' perception of the infection prevention climate in training hospitals in Saudi Arabia. It also examined the predictors of the students' perceptions. Design: A quantitative, cross-sectional design was used. Methods: This investigation was part of a large study conducted in six Saudi universities. A total of 829 Saudi nursing students were included in this study. Data were collected using the Leading Culture of Quality in Infection Prevention scale and analyzed using descriptive and inferential statistics. Ethical approval was obtained from the King Saud University, and permission was given by the administration of each participating university. Results: The overall perception of nursing students indicated a modest infection prevention climate. Prioritization of quality and improvement orientation was rated as the highest dimensions, whereas psychological safety and supportive environment were the lowest. The nursing students in University F had the poorest perceptions among the six universities. The predictors of nursing student perception of their training hospitals' infection prevention climates were the university where they studied, their age, and participation in infection prevention seminars. Conclusions: This article describes nursing students' perception of the infection prevention climate of their training hospitals in Saudi Arabia. Results may provide a unique theoretical underpinning on the perception and factors that effect an infection prevention climate. Thereby, previous knowledge and literature may be expanded. Results can be used as a guide in establishing clinical policies in efforts toward improving the infection prevention climate.

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Section: Discussionmentioning

confidence: 99%

Assessment of nursing students perceptions of their training hospital's infection prevention climate: A multi-university study in Saudi Arabia

Tumala

Almazan

Alabdulaziz

et al. 2019

Nurse Education Today

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“…Initial development of the questionnaire included literature review for general survey development, themes of the survey and eight previously used questions for measurement of attitudes toward refugees. 7 - 16 , 20 , 21 Two content-area experts assessed the questionnaire for content validity, relevance, and comprehensiveness. The questions were evaluated by Ugandan English speakers to assess for clarity and any need for back-translation.…”

Section: Methodsmentioning

confidence: 99%

“…Many host countries have significantly different healthcare infrastructure and medical education from resettlement countries. 16 - 17 In SSA, both attitudes and educational needs may be different from those in the resettlement countries. To our knowledge, only one study in the field of trauma-informed care by McDonald and colleagues has reported on provider perspectives in host countries.…”

Section: Introductionmentioning

confidence: 99%

Assessment of attitudes and targeted educational needs for refugee care providers in a Ugandan hospital

et al. 2018

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ObjectivesTo evaluate medical trainees’ attitudes toward refugee patients in a refugee host country, and to identify educational needs. MethodsA 54-question cross-sectional questionnaire was administered to a convenience sample of 81 post-graduate medical trainees at Mbarara Regional Referral Hospital, Uganda, in 2016. Descriptive statistics on medical trainees’ attitudes and educational needs regarding care for refugees were calculated. One-way ANOVA was used to assess relationships between an attitude scale and respondent characteristics. Reliability and validity of the survey items and attitude scale were assessed using Cronbach’s alpha, item-to-scale correlation, and factor analysis. ResultsThe mean score on the attitude scale of 2.8 (SD=1.7) indicated positive attitudes toward refugees. All respondents had contact with refugees, and 89% (n=72) reported a need for further training. Many specifically indicated the need for training in use of translators, support personnel, and behavioral health. Cronbach’s alpha values of greater than 0.7 indicated good internal consistency. Item-to-scale correlation and factor analysis validate the use of an attitude scale. ANOVA showed no significant difference between mean attitude scores in gender (F(1,77)=0.11, p=0.7367), country of origin (F(1.78) =0.53, p=0.8723), or year of study (F(4,74) =0.31, p=0.8273). ConclusionsMedical trainees in Uganda report positive attitudes toward refugees and a need for additional education in refugee care in multiple specific areas. This study piloted the use of an attitude scale for refugee healthcare providers with promising validity and reliability. Use of these questions could inform curriculum development in refugee host countries.

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“…Students face issues of inadequate housing, transportation, and classroom space . Furthermore, existing programmes often do not emphasise the importance of quality of care in their curricula .…”

Section: Introductionmentioning

confidence: 99%

Clinical performance among recent graduates in nine low‐ and middle‐income countries

Lewis

Roder‐DeWan

Malata

et al. 2019

Tropical Med Int Health

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SummaryObjectivesRecent studies have identified large and systematic deficits in clinical care in low‐income countries that are likely to limit health gains. This has focused attention on effectiveness of pre‐service education. One approach to assessing this is observation of clinical performance among recent graduates providing care. However, no studies have assessed performance in a standard manner across countries. We analysed clinical performance among recently graduated providers in nine low‐ or middle‐income countries.MethodsService Provision Assessments from Haiti, Kenya, Malawi, Namibia, Nepal, Rwanda, Senegal, Tanzania, and Uganda were used. We constructed a Good Medical Practice Index that assesses completion of essential clinical actions using direct observations of care (range 0–1), calculated index scores by country and clinical cadre, and assessed the role of facility and clinical characteristics using regression analysis.ResultsOur sample consisted of 2223 clinicians with at least one observation of care. The Good Medical Practice score for the sample was 0.50 (SD = 0.20). Nurses and midwives had the highest score at 0.57 (SD = 0.20), followed by associate clinicians at 0.43 (SD = 0.18), and physicians at 0.42 (SD = 0.16). The average national performance varied from 0.63 (SD = 0.18) in Uganda to 0.39 (SD = 0.17) in Nepal, persisting after adjustment for facility and clinician characteristics.ConclusionsThese results show substantial gaps in clinical performance among recently graduated clinicians, raising concerns about models of clinical education. Competency‐based education should be considered to improve quality of care in LMICs. Observations of care offer important insight into the quality of clinical education.

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Pilot study of quality of care training and knowledge in Sub-Saharan African medical schools

Cited by 6 publications

References 13 publications

Assessment of nursing students perceptions of their training hospital's infection prevention climate: A multi-university study in Saudi Arabia

Assessment of nursing students perceptions of their training hospital's infection prevention climate: A multi-university study in Saudi Arabia

Assessment of attitudes and targeted educational needs for refugee care providers in a Ugandan hospital

Clinical performance among recent graduates in nine low‐ and middle‐income countries

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