Paediatric resuscitation for nurses working in Ghana: an educational intervention

Brennan, Mark; Fitzpatrick, Jesse K.; McNulty, Sandra; Campo, Theresa M.; Welbeck, J; Barnes, Grace L.

doi:10.1111/j.1466-7657.2012.01033.x

Cited by 18 publications

(11 citation statements)

References 14 publications

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“…Multiple studies reported the importance of continuing nursing education to empower nurses to perform at high levels within their duties and take leadership roles both explicitly in training and implicitly through acquisition of skills and knowledge. Specifically, the discussion focused on the insufficiency of solely instilling knowledge or skills in nurses, but that it was necessary to also develop a sense of motivation and self-efficacy in performing tasks and implementing changes in their day-to-day work 42–44. For example, Brennan et al showed increased self-efficacy through self-reported measures in 41 nurses in conjunction with increased knowledge on intubation methods 44.…”

Section: Resultsmentioning

confidence: 99%

“…Specifically, the discussion focused on the insufficiency of solely instilling knowledge or skills in nurses, but that it was necessary to also develop a sense of motivation and self-efficacy in performing tasks and implementing changes in their day-to-day work 42–44. For example, Brennan et al showed increased self-efficacy through self-reported measures in 41 nurses in conjunction with increased knowledge on intubation methods 44. One study recognised the importance of empowerment especially when training for task shifting, which is defined as the delegation of tasks to less specialised health workers 45.…”

Section: Resultsmentioning

confidence: 99%

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Continued nursing education in low-income and middle-income countries: a narrative synthesis

et al. 2020

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IntroductionContinued nursing education and development can reduce mortality and morbidity of patients and can alleviate the shortage of healthcare workers by training of nurses for high-demand skill sets. We reviewed patterns of educational interventions and strategies in initiating behaviour change, improving patient outcomes or knowledge for nurses in low- and middle-income countries (LMICs).MethodsThe study searched the MEDLINE (PubMed), Embase, CINAHL, Google Scholar and Web of Science databases. The study included interventional studies on continued nursing education from 2007 to 2017. Of the 6216 publications retrieved, 98 articles were included and analysed by three independent reviewers.ResultsOf the 98 studies that met inclusion criteria, five were randomised controlled trials, two were qualitative in design and the remaining 91 were quasi-experimental, before-and-after studies. Of these studies, the median sample size of participants was 64, and the majority were conducted in Asia (53.1%). During the 10-year study period, 20.4% was conducted in 2015, the highest proportion, with a general increase in number of studies over time from 2007 to 2017. Main themes that arose from the review included train-the-trainer models, low-dose/high-frequency models, use of multiple media for training, and emphasis on nurse empowerment, strong international partnerships, and the integration of cultural context. Overall, the studies were limited in quality and lacked rigorous study design.ConclusionContinued nursing education in LMICs is essential and effective in improving nurses’ knowledge base, and thus patient outcomes and quality of care. Long-term, randomised studies are needed to understand how training strategies compare in impact on nurses and patients.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Continued nursing education in low-income and middle-income countries: a narrative synthesis

et al. 2020

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“…The GEHIP program trained midwives at the sub-district and village levels in neonatal resuscitation using a bag and mask to prevent birth asphyxia [ 20 – 24 ]. GEHIP implemented a policy of consistent partograph [ 25 – 27 ] use and clinical trainings to support this new policy, given identified challenges to proper use [ 25 , 28 , 29 ].…”

Section: Resultsmentioning

confidence: 99%

Tackling the hard problems: implementation experience and lessons learned in newborn health from the African Health Initiative

Magge

Chilengi

Jackson

et al. 2017

BMC Health Serv Res

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BackgroundThe Doris Duke Charitable Foundation’s African Health Initiative supported the implementation of Population Health Implementation and Training (PHIT) Partnership health system strengthening interventions in designated areas of five countries: Ghana, Mozambique, Rwanda, Tanzania, and Zambia. All PHIT programs included health system strengthening interventions with child health outcomes from the outset, but all increasingly recognized the need to increase focus to improve health and outcomes in the first month of life. This paper uses a case study approach to describe interventions implemented in newborn health, compare approaches, and identify lessons learned across the programs’ collective implementation experience.MethodsCase studies were built using quantitative and qualitative methods, applying the World Health Organization Health Systems Strengthening Framework, and maternal, newborn and child health continuum of care framework. We identified the following five primary themes in health systems strengthening intervention strategies used to target improvement in newborn health, which were incorporated by all PHIT projects with varying results: health service delivery at the community level (Tanzania), combining community and health facility level interventions (Zambia), participatory information feedback and clinical training (Ghana), performance review and enhancement (Mozambique), and integrated clinical and system-level improvement (Rwanda), and used individual case studies to illustrate each of these themes.ResultsTanzania and Zambia included significant community-based components, including mobilization and sensitization for increased uptake of essential services, while Ghana, Mozambique, and Rwanda focused more efforts on improving the quality of services delivered once a patient enters a health facility. All countries included aspects that improved communication across levels of the health system, whether through district-wide data sharing and peer learning networks in Mozambique and Rwanda, or improved referral processes and systems in Tanzania, Zambia, and Ghana.ConclusionKey lessons learned include the importance of focusing intervention components on addressing drivers of neonatal mortality across the maternal and newborn care continuum at all levels of the health system, matching efforts to improve service utilization with provision of high quality facility-based services, and the critical role of leadership to catalyze improvements in newborn health.

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“…Partnering for curricula adaptation will enable training faculty and maximize sustainability ( 52 ). An excellent example of a partnership encompassing international HIC guidelines with local adaptations is the ETAT course which has resulted in improved outcomes in LMICs ( 54 ). There remains the challenge of measuring the impact of these trainings in regard to sustained changes in care patterns and improved outcomes in LMIC ( 52 , 55 ).…”

Section: Trainingmentioning

confidence: 99%

Pediatric Critical Care in Resource Limited Settings—Lessening the Gap Through Ongoing Collaboration, Advancement in Research and Technological Innovations

et al. 2022

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Pediatric critical care has continued to advance since our last article, “Pediatric Critical Care in Resource-Limited Settings—Overview and Lessons Learned” was written just 3 years ago. In that article, we reviewed the history, current state, and gaps in level of care between low- and middle-income countries (LMICs) and high-income countries (HICs). In this article, we have highlighted recent advancements in pediatric critical care in LMICs in the areas of research, training and education, and technology. We acknowledge how the COVID-19 pandemic has contributed to increasing the speed of some developments. We discuss the advancements, some lessons learned, as well as the ongoing gaps that need to be addressed in the coming decade. Continued understanding of the importance of equitable sustainable partnerships in the bidirectional exchange of knowledge and collaboration in all advancement efforts (research, technology, etc.) remains essential to guide all of us to new frontiers in pediatric critical care.

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Paediatric resuscitation for nurses working in Ghana: an educational intervention

Abstract: Policy makers in Ghana need to consider implementing education programmes in paediatric resuscitation for nurses as part of a comprehensive strategy to improve emergency systems and address preventable and avoidable infant and child mortality.

Cited by 18 publications

References 14 publications

Continued nursing education in low-income and middle-income countries: a narrative synthesis

Continued nursing education in low-income and middle-income countries: a narrative synthesis

Tackling the hard problems: implementation experience and lessons learned in newborn health from the African Health Initiative

Pediatric Critical Care in Resource Limited Settings—Lessening the Gap Through Ongoing Collaboration, Advancement in Research and Technological Innovations

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