It’s Time to Move Beyond Traditional Health Care Worker Training Approaches

Bluestone, Julia; Ricca, Jim; Traicoff, Denise; Tchoualeu, Dieula Delissaint

doi:10.9745/ghsp-d-21-00553

Cited by 3 publications

(3 citation statements)

References 7 publications

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“…7 Recent literature in quality improvement suggests a more effective strategy would be systems-level interventions to clarify job descriptions and improve supervision practices rather than relying on training alone. 25,26 This study contributes to the relatively understudied area of how systems change affects community demand and vice versa. 28 The greater part of the work required to close the 2YL coverage gap remains in the domain of implementation.…”

Section: Discussionmentioning

confidence: 99%

Community Barriers, Enablers, and Normative Embedding of Second Year of Life Vaccination in Ghana: A Qualitative Study

Wolff¹,

Aborigo

Dalaba

et al. 2023

Glob Health Sci Pract

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Section: Discussionmentioning

confidence: 99%

Community Barriers, Enablers, and Normative Embedding of Second Year of Life Vaccination in Ghana: A Qualitative Study

Wolff¹,

Aborigo

Dalaba

et al. 2023

Glob Health Sci Pract

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“…Employee voice, engagement and involvement: The literature consistently suggests that employees should be more involved in developing best practices, training, education, and home support workforce development initiatives (85)(86)(87)(88)(89). Research advocates a tailored approach, where employee involvement is routinely included yet undertaken flexibly to suit local needs and requirements (90,91).…”

Section: Theme 1: Data-driven Decision-making On the Future Workforcementioning

confidence: 99%

Exploring a career pathway for home support workers in Ireland: a systematic scoping review of the international evidence

Morrow,

Kelly,

Killeen

et al. 2024

Front. Health Serv.

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BackgroundIn prosperous nations like Ireland, home support workers (HSWs) play an increasingly vital role in providing person-centred care to ageing populations. However, challenges such as workforce shortages, role ambiguity, low pay, and limited career advancement, hinder workforce development and career building.MethodA scoping review using key terms for “HSWs” and “career pathways” was conducted following the Joanna Briggs Institute Methodology, examining electronic databases (Web of Science, PubMed, MEDLINE, EMBASE, CINAHL, PscyINFO, Social Care Online, Social Sciences Citation Index). Inclusion criteria were applied, and a thematic analysis followed and inductive-deductive approach.ResultsThe review encompassed 261 relevant articles from different countries. Four key themes were identified: (1) Data-driven decision-making on the future workforce, (2) Attracting and developing a competent and motivated home support workforce, (3) Enhancing working lives and retention at every stage of career pathways, and (4) Crafting career pathways to improve quality and impact.DiscussionLeadership, collaboration, and data-driven decision-making across policy, research and practice are pivotal for expanding and enhancing home support. Emphasising a shift towards preventative self-management models, supported by digitally skilled and regulated HSWs, could enhance independence and quality of care. Clear career structures, professional development, and inclusive organisational environments are essential to attract, retain, and empower a competent and motivated workforce, fostering quality and impact.ConclusionThis scoping review provides foundational evidence to establish career pathways for HSWs, identifying key areas for development such as data collection, care model transformation, career progression structures, and systems for safety and quality improvement.

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“…Restrictions during the COVID-19 pandemic disrupted traditional trainings but also opened the door to new approaches, including digital learning. The "new normal" for training approaches, following the COVID-19 pandemic, increasingly includes use of remote technologies 6 . As digital technologies are introduced into clinical training, corresponding means of assessing clinical competencies must be developed.…”

Section: Introductionmentioning

confidence: 99%

Use of Objective Structured Clinical Examination (OSCE) in a hybrid digital / in-person training for hormonal IUD in Nigeria: findings and applications of the approach

Nwokoma,

Anyasi,

Archie

et al. 2023

Gates Open Res

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Background: The hormonal intrauterine device, a long-acting reversible contraceptive method, is being introduced to pilot sites in the private and public sector in Nigeria by the Nigerian Federal Ministry of Health since 2019. To inform training of health care providers, a study was conducted on a hybrid digital and in-person training which utilized Objective Structured Clinical Examination (OSCE) to assess competency of provider trainees. This study represents one of few documented experiences using OSCE to assess the effectiveness of a digital training. Methods: From September – October 2021, in Enugu, Kano and Oyo states of Nigeria, 62 health care providers from public and private sector health facilities were trained in hormonal IUD service provision using a hybrid digital / in-person training approach. Providers, who were skilled in provision of copper IUD, underwent a didactic component using digital modules, followed by an in-person practicum, and finally supervised service provision in the provider trainee’s workplace. Skills were assessed using OSCE during the one-day practicum. Results: Use of the OSCE to assess skills provided valuable information to study team. The performance of provider trainees was high (average 94% correct completion of steps in the OSCE). Conclusions: OSCE was used as a research methodology as part of this pilot study; to date, OSCE has not been integrated into the training approach to be scaled up by FMOH. Uniformly high performance of provider trainees was seen on the OSCE, unsurprising since provider trainees were experienced in providing copper IUD. If and when training is rolled out to providers inexperienced with copper IUD, OSCE may have a more important role to assess skills before service provision. The role of OSCE in design of hybrid digital / in-person training approaches should be further explored in rollout of hormonal IUD and other contraceptive technologies.

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It’s Time to Move Beyond Traditional Health Care Worker Training Approaches

Abstract: Isn't it time that the global community move beyond traditional training and supportive supervision models to improve health care worker capacity?

Cited by 3 publications

References 7 publications

Community Barriers, Enablers, and Normative Embedding of Second Year of Life Vaccination in Ghana: A Qualitative Study

Community Barriers, Enablers, and Normative Embedding of Second Year of Life Vaccination in Ghana: A Qualitative Study

Exploring a career pathway for home support workers in Ireland: a systematic scoping review of the international evidence

Use of Objective Structured Clinical Examination (OSCE) in a hybrid digital / in-person training for hormonal IUD in Nigeria: findings and applications of the approach

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