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Renning K, van de Water B, Brandstetter S, Kasitomu C, Gowero N, Simbota M, Majamanda M. Training needs assessment for practicing pediatric critical care nurses in Malawi to inform the development of a specialized master's education pathway: a cohort study. BMC Nurs 2022; 21:6. [PMID: 34983499 PMCID: PMC8724585 DOI: 10.1186/s12912-021-00772-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2021] [Accepted: 11/19/2021] [Indexed: 11/29/2022] Open
Abstract
Background Significant improvements in under-five mortality in Malawi have been demonstrated over the past thirty years; however, Malawian healthcare remains with gaps in availability and access to quality pediatric critical care nursing training and education. To improve expertise of pediatric critical care nurses in Malawi, Kamuzu University of Health Sciences (KUHeS), Queen Elizabeth Central Hospital (QECH), and Mercy James Center (MJC) entered a partnership with Seed Global Health, a US non-governmental organization. A needs assessment was conducted to understand the training needs of nurses currently working in pediatric critical care and in preparation for the development of a specialized Master’s in Child Health pathway in Pediatric Critical Care (PCC) Nursing at KUHeS. Methods The needs assessment was completed using a survey questionnaire formatted using an ABCDE (Airway, Breathing, Circulation, Disability, and Exposure) framework. The questionnaire had Likert scale and yes/no questions. Data was manually entered into excel and was analyzed using descriptive statistics. Results One hundred and fifty-three nurses at QECH and MJC responded to the survey. Most nurses were between the ages of 25 and 35 years (N = 98, 64%), female (N = 105, 69%), and held either a Bachelors (N = 72, 47%) or diploma (N = 70, 46%) in nursing. Nurses had high rates of confidence in certain skills: airway management (N = 120, 99%), breathing assessment & management (N = 153, 100%). However, nurses demonstrated little to no confidence in areas such as: mechanical ventilation (N = 68, 44%), ECG evaluation (N = 74, 48%), and arterial blood gas collection & interpretation (N = 49, 32%). Conclusion It is important to identify priority areas for training and skills development to address in the PCC master’s within the child health pathway at KUHeS. Ideally this partnership will produce practice-ready PCC nurses and will establish a recognized PCC nursing workforce in Malawi.
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Affiliation(s)
- Kelsey Renning
- Pediatric Critical Care Nursing Educator, Seed Global Health, Boston, MA, USA. .,Child Health Lecturer, Kamuzu University of Health Sciences, Blantyre, Malawi.
| | | | | | | | - Netsayi Gowero
- Child Health Lecturer, Kamuzu University of Health Sciences, Blantyre, Malawi
| | - Miriam Simbota
- Child Health Lecturer, Kamuzu University of Health Sciences, Blantyre, Malawi
| | - Maureen Majamanda
- Child Health Lecturer, Kamuzu University of Health Sciences, Blantyre, Malawi.,Consortium for Advanced Research Training in Africa (CARTA), Nairobi, Kenya
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Davies KM, Coombes ID, Keogh S, Whitfield KM. Medication administration evaluation tool design: An expert panel review. Collegian 2019. [DOI: 10.1016/j.colegn.2018.05.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Yaghoubifard S, Rashidian A, Kebriaeezadeh A, Sheidaei A, Varmaghani M, Hashemi-Meshkini A, Zekri HS. Developing a patient satisfaction questionnaire for services provided in Iranian community pharmacies. J Res Pharm Pract 2016; 5:106-15. [PMID: 27162804 PMCID: PMC4843579 DOI: 10.4103/2279-042x.179572] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Objective: To develop a valid and reliable instrument in the Persian language for evaluating patient satisfaction with services provided in community pharmacies. Methods: We selected a valid and reliable instrument from the literature and translated it to the Persian language. Some new items were added to the first draft based on the special characteristics of the Iranian health system. Then, the feasibility of utilizing the new instrument was assessed. In the third step, we conducted a formal content validity study to calculate content validity indices. Having completed the content validity study, the factorial structure of new instruments was determined by implementing a factorial analysis. Finally, the reliability of the instrument was assessed by assessment of Cronbach's alpha coefficient and test-retest reliability. Findings: The developed instrument demonstrated suitable validity and reliability. The final instrument showed desirable content validity, with inter-rater agreement of 94% and 97% for relevance and clarity, respectively. Scale content validity indices for relevance and clarity were calculated as 96% and 92%, respectively, and comprehensiveness was calculated as 100%. Factor analysis resulted in seven factors with a cumulative variance of 62.14%. In internal consistency reliability, Cronbach's alpha for the whole instrument was 0.912. About test-retest reliability, six items showed almost perfect agreement, 18 items showed substantial agreement, and three items showed moderate agreement. Therefore, test-retest reliability assessment too demonstrated appropriate results. Conclusion: The instrument demonstrated excellent validity and reliability for application in Iran. This instrument is useful for evaluating patient satisfaction with services provided in community pharmacies in the Persian-speaking communities.
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Affiliation(s)
- Saeed Yaghoubifard
- Department of Pharmacoeconomics and Pharmaceutical Administration, Pharmaceutical Administration and Pharmacoeconomics Research Center (PAPRC), Tehran University of Medical Sciences, Tehran, Iran
| | - Arash Rashidian
- Department of Pharmacoeconomics and Pharmaceutical Administration, Pharmaceutical Administration and Pharmacoeconomics Research Center (PAPRC), Tehran University of Medical Sciences, Tehran, Iran; Department of Health Management and Economics, Tehran, Iran; Knowledge Utilization Research Centre, Tehran University of Medical Sciences, Tehran, Iran
| | - Abbas Kebriaeezadeh
- Department of Pharmacoeconomics and Pharmaceutical Administration, Pharmaceutical Administration and Pharmacoeconomics Research Center (PAPRC), Tehran University of Medical Sciences, Tehran, Iran
| | - Ali Sheidaei
- Department of Biostatistics, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mehdi Varmaghani
- Department of Pharmacoeconomics and Pharmaceutical Administration, Pharmaceutical Administration and Pharmacoeconomics Research Center (PAPRC), Tehran University of Medical Sciences, Tehran, Iran
| | - Amir Hashemi-Meshkini
- Department of Pharmacoeconomics and Pharmaceutical Administration, Pharmaceutical Administration and Pharmacoeconomics Research Center (PAPRC), Tehran University of Medical Sciences, Tehran, Iran
| | - Hedieh-Sadat Zekri
- Department of Economics, Allameh-Tabatabaiee University of Human Sciences, Tehran, Iran
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Peirce D, Brown J, Corkish V, Lane M, Wilson S. Instrument validation process: a case study using the Paediatric Pain Knowledge and Attitudes Questionnaire. J Clin Nurs 2016; 25:1566-75. [DOI: 10.1111/jocn.13130] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/16/2015] [Indexed: 11/26/2022]
Affiliation(s)
- Deborah Peirce
- Princess Margaret Hospital for Children; Child and Adolescent Health Service; Subiaco WA Australia
- School of Nursing; Midwifery and Paramedicine; Curtin University; Bentley WA Australia
| | - Janie Brown
- School of Nursing; Midwifery and Paramedicine; Curtin University; Bentley WA Australia
| | - Victoria Corkish
- Princess Margaret Hospital for Children; Child and Adolescent Health Service; Subiaco WA Australia
| | - Marguerite Lane
- Princess Margaret Hospital for Children; Child and Adolescent Health Service; Subiaco WA Australia
| | - Sally Wilson
- Princess Margaret Hospital for Children; Child and Adolescent Health Service; Subiaco WA Australia
- School of Nursing; Midwifery and Paramedicine; Curtin University; Bentley WA Australia
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Yaghoubifard S, Rashidian A, Kebriaeezadeh A, Majdzadeh R, Hosseini SA, Akbari Sari A, Salamzadeh J. Developing a conceptual framework and a tool for measuring access to, and use of, medicines at household level (HH-ATM tool). Public Health 2015; 129:444-52. [PMID: 25769347 DOI: 10.1016/j.puhe.2015.01.026] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2013] [Revised: 10/20/2014] [Accepted: 01/23/2015] [Indexed: 11/18/2022]
Abstract
OBJECTIVE To develop a valid and reliable tool to evaluate access to, and use of, medicines at household level (HH-ATM tool). STUDY DESIGN The Behavioral Model of Health Services Use was adapted and used as the conceptual framework for developing the HH-ATM tool. Questionnaires were designed (individual and household) based on the conceptual framework and existing tools, including items that captured the characteristics of predisposing, enabling and need factors; health care behaviours; outcomes and impacts. METHODS Face validity, content validity and test-retest reliability were assessed using inter-rater agreement, item and scale content validity indices, comprehensiveness indices, and intra-class correlation, kappa and weighted-kappa coefficients. RESULTS The household and individual questionnaires demonstrated appropriate validity and reliability. The content validity of household questionnaire was favourable, with inter-rater agreement of 86% and 91% for relevance and clarity, respectively. Scale content validity indices for relevance and clarity were 89% and 91%, respectively, and comprehensiveness was scored at 100%. These indices were also favourable for the individual questionnaire, all scoring 94% or higher. CONCLUSION The questionnaires showed excellent validity and reliability for use in Iran. The HH-ATM tool can be implemented to evaluate access to, and use of, medicines in Farsi-speaking communities, and may be useful in other communities if adapted appropriately.
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Affiliation(s)
- S Yaghoubifard
- Department of Pharmacoeconomics and Pharmaceutical Management, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran
| | - A Rashidian
- Department of Pharmacoeconomics and Pharmaceutical Management, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran; Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran; Knowledge Utilization Research Centre, Tehran University of Medical Sciences, Tehran, Iran.
| | - A Kebriaeezadeh
- Department of Pharmacoeconomics and Pharmaceutical Management, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran
| | - R Majdzadeh
- Knowledge Utilization Research Centre, Tehran University of Medical Sciences, Tehran, Iran; Department of Biostatistics and Epidemiology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - S A Hosseini
- Department of Pharmacoeconomics and Pharmaceutical Management, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran
| | - A Akbari Sari
- Department of Pharmacoeconomics and Pharmaceutical Management, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran; Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran; Knowledge Utilization Research Centre, Tehran University of Medical Sciences, Tehran, Iran
| | - J Salamzadeh
- Department of Clinical Pharmacy, School of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Long DA, Mitchell ML, Young J, Rickard CM. Assessing core outcomes in graduates: psychometric evaluation of the Paediatric Intensive Care Unit-Nursing Knowledge and Skills Test. J Adv Nurs 2014; 70:698-708. [DOI: 10.1111/jan.12241] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/03/2013] [Indexed: 11/27/2022]
Affiliation(s)
- Debbie A. Long
- Paediatric Intensive Care Unit; Royal Children's Hospital; Herston Brisbane Australia
- NHMRC Centre for Research Excellence in Nursing (NCREN); Centre for Health Practice Innovation; Griffith Health Institute; Griffith University; Nathan Brisbane Australia
| | - Marion L. Mitchell
- NHMRC Centre for Research Excellence in Nursing (NCREN); Centre for Health Practice Innovation; Griffith Health Institute; Griffith University; Nathan Brisbane Australia
- Intensive Care Unit; Princess Alexandra Hospital; Woolloongabba Brisbane Australia
| | - Jeanine Young
- School of Nursing and Midwifery; University of the Sunshine Coast; Sippy Downs Queensland Australia
- Centre for Health Practice Innovation; Griffith Health Institute; Griffith University; Nathan Brisbane Australia
| | - Claire M. Rickard
- NHMRC Centre for Research Excellence in Nursing (NCREN); Centre for Health Practice Innovation; Griffith Health Institute; Griffith University; Nathan Brisbane Australia
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Ullman AJ, Long DA, Rickard CM. Prevention of central venous catheter infections: a survey of paediatric ICU nurses' knowledge and practice. NURSE EDUCATION TODAY 2014; 34:202-207. [PMID: 24070818 DOI: 10.1016/j.nedt.2013.09.002] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/12/2012] [Revised: 08/17/2013] [Accepted: 09/01/2013] [Indexed: 06/02/2023]
Abstract
BACKGROUND Central venous catheters are important in the management of paediatric intensive care unit patients, but can have serious complications which worsen the patients' health, prolong hospital stays and increase the cost of care. Evidence-based recommendations for preventing catheter-related bloodstream infections are available, but it is unknown how widely these are known or practiced in the paediatric intensive care environment. OBJECTIVES To assess nursing knowledge of evidence based guidelines to prevent catheter-related bloodstream infections; the extent to which Australia and New Zealand paediatric intensive cares have adopted prevention practices; and to identify the factors that encouraged their adoption and improve nursing knowledge. DESIGN Cross-sectional surveys using convenience sampling. SETTINGS Tertiary level paediatric intensive care units in Australia and New Zealand. PARTICIPANTS Paediatric intensive care nursing staff and nurse managers. METHODS Between 2010 and 2011, the 'Paediatric Intensive Care Nurses' Knowledge of Evidence-Based Catheter-Related Bloodstream Infection Prevention Questionnaire' was distributed to paediatric intensive care nursing staff and the 'Catheter-Related Bloodstream Infection Prevention Practices Survey' was distributed to nurse managers to measure knowledge, practices and culture. RESULTS The questionnaires were completed by 253 paediatric intensive care nurses (response rate: 34%). The mean total knowledge score was 5.5 (SD=1.4) out of a possible ten, with significant variation of total scores between paediatric intensive care sites (p=0.01). Other demographic characteristics were not significantly associated with variation in total knowledge scores. All nursing managers from Australian and New Zealand paediatric intensive care units participated in the survey (n=8; response rate: 100%). Wide practice variation was reported, with inconsistent adherence to recommendations. Safety culture was not significantly associated with mean knowledge scores per site. CONCLUSIONS This study has identified that there is variation in the infection prevention approach and nurses' knowledge about catheter-related bloodstream infection prevention. The presence of an improved safety culture, years of paediatric intensive care experience and higher qualifications did not influence the nurses' uptake of recommendations, therefore further factors need to be explored in order to improve understanding and implementation of best practice.
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Affiliation(s)
- Amanda J Ullman
- NH&MRC Centre of Research Excellence in Nursing Interventions for Hospitalised Patients, Centre for Health Practice Innovation Griffith Health Institute, Griffith University, Nathan, QLD, Australia; Paediatric Intensive Care Unit, Royal Children's Hospital, Herston, QLD, Australia.
| | - Debbie A Long
- NH&MRC Centre of Research Excellence in Nursing Interventions for Hospitalised Patients, Centre for Health Practice Innovation Griffith Health Institute, Griffith University, Nathan, QLD, Australia; Paediatric Intensive Care Unit, Royal Children's Hospital, Herston, QLD, Australia
| | - Claire M Rickard
- NH&MRC Centre of Research Excellence in Nursing Interventions for Hospitalised Patients, Centre for Health Practice Innovation Griffith Health Institute, Griffith University, Nathan, QLD, Australia; Research and Development Unit, Centre for Clinical Nursing, Royal Brisbane and Women's Hospital, Herston, QLD, Australia; Princess Alexandra Hospital, Woolloongabba, QLD, Australia
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