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Munyaneza E, Rugwizangoga B, Rusingiza E, Niyibizi JB, Kanyandekwe SR, Byiringiro JC, Masaisa F. Continuing Professional Development Program in Health Facilities in Rwanda: A Qualitative Study on the Perceptions of Health Professionals. ADVANCES IN MEDICAL EDUCATION AND PRACTICE 2024; 15:527-542. [PMID: 38860026 PMCID: PMC11164211 DOI: 10.2147/amep.s456190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/22/2023] [Accepted: 06/01/2024] [Indexed: 06/12/2024]
Abstract
Background Continuous professional development (CPD) is an important pillar in healthcare service delivery. Health professionals at all levels and disciplines must continuously update their knowledge and skills to cope with increasing professional demands in the context of a continuously changing spectrum of diseases. This study aimed to assess the CPD programs available in healthcare facilities (HFs) in Rwanda. Methodology Semi-structured interviews were conducted using purposive sampling. Accordingly, the respondents belonged to different categories of health professionals, namely nurses, midwives, laboratory technicians, pharmacists, general practitioners, and specialist doctors. Thirty-five participants from district, provincial, and national referral hospitals were interviewed between September and October 2020. A thematic analysis was conducted using Atlas ti.7.5.18, and the main findings for each theme were reported as a narrative summary. Results The CPD program was reported to be available, but not for all HPs and HFs, because of either limited access to online CPD programs or limited HF leaders. Where available, CPD programs have sometimes been reported to be irrelevant to health professionals and patients' needs. Furthermore, the planning and implementation of current CPD programs seldom involves beneficiaries. Some HFs do not integrate CPD programs into their daily activities, and current CPD programs do not accommodate mentorship programs. The ideal CPD program should be designed around HPs and service needs and delivered through a user-friendly platform. The motivators for HPs to engage in CPD activities include learning new things that help them improve their healthcare services and license renewal. Conclusion This study provides an overview of the status and perceptions of the CPD program in HFs in Rwanda and provides HPs' insights on the improvements in designing a standardized and harmonized CPD program in Rwanda.
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Affiliation(s)
- Emmanuel Munyaneza
- Clinical Education and Research Division, University Teaching Hospital of Kigali, Kigali, Rwanda
| | - Belson Rugwizangoga
- Clinical Education and Research Division, University Teaching Hospital of Kigali, Kigali, Rwanda
- School of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
| | - Emmanuel Rusingiza
- Clinical Education and Research Division, University Teaching Hospital of Kigali, Kigali, Rwanda
- School of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
| | | | | | - Jean Claude Byiringiro
- Clinical Education and Research Division, University Teaching Hospital of Kigali, Kigali, Rwanda
- School of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
| | - Florence Masaisa
- Clinical Education and Research Division, University Teaching Hospital of Kigali, Kigali, Rwanda
- School of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
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Kushida O, Iida A, Arai Y, Koyama T, Tanaka K, Morooka A, Isobe S, Okamoto R, Yoshita K. Individual Learning Needs of Japanese Public Health Dietitians by Years of Experience in Health Promotion. Healthcare (Basel) 2023; 11:1765. [PMID: 37372883 DOI: 10.3390/healthcare11121765] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2023] [Revised: 06/09/2023] [Accepted: 06/14/2023] [Indexed: 06/29/2023] Open
Abstract
Lifelong education for dietitians in Japan is based mainly on competencies according to years of experience. Because learning content differs depending on the desired position and specialty, training programs that reflect the individual learning needs of public health dietitians are needed. This study aimed to assess the individual learning needs of public health dietitians via years of experience in health promotion. In 2021, an online survey of public health dietitians involved in health promotion in prefectures, designated cities, and other municipalities throughout Japan was conducted. Years of experience in health promotion were categorized as early (<10 years), mid-career (10-19 years), and leadership (≥20 years) periods. To ascertain individual learning needs, the survey asked about respondents' desired final position, career path, and skills they felt they needed to improve in the future. Of the 1649 public health dietitians analyzed, all administrative categories preferred to work as public health generalists in mid-career or leadership periods rather than in the early period. In municipalities, more public health dietitians across all experience categories selected "professional competence", such as knowledge in specialized areas and nutritional guidance techniques. It was suggested that public health dietitians in the mid-career and leadership periods have individual learning needs, in both nutrition specialists and public health generalists.
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Affiliation(s)
- Osamu Kushida
- School of Food and Nutritional Sciences, University of Shizuoka, Shizuoka 422-8526, Shizuoka, Japan
| | - Ayaka Iida
- Faculty of Health and Social Services, Kanagawa University of Human Services, Yokosuka 238-8522, Kanagawa, Japan
| | - Yusuke Arai
- Department of Nutrition, Chiba Prefectural University of Health Sciences, Chiba 261-0014, Chiba, Japan
| | - Tatsuya Koyama
- Faculty of Human Life Sciences, Mimasaka University, Tsuyama 708-8511, Okayama, Japan
| | - Kazumi Tanaka
- Faculty of Health and Social Services, Kanagawa University of Human Services, Yokosuka 238-8522, Kanagawa, Japan
| | - Ayumi Morooka
- Planning Division, Hyogo Prefecture, Kobe 650-8567, Hyogo, Japan
| | - Sumie Isobe
- Minami-Uonuma Health Center, Niigata Prefecture, Minamiuonuma 949-6680, Niigata, Japan
| | - Rie Okamoto
- Faculty of Health Sciences, Kanazawa University, Kanazawa 920-1192, Ishikawa, Japan
| | - Katsushi Yoshita
- Graduate School of Human Life and Ecology, Osaka Metropolitan University, Osaka 558-8585, Osaka, Japan
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Fitzsimons D, Carson MA, Hansen TB, Neubeck L, Tanash MI, Hill L. The varied role, scope of practice, and education of cardiovascular nurses in ESC-affiliated countries: an ACNAP survey. Eur J Cardiovasc Nurs 2021; 20:572-579. [PMID: 33975357 DOI: 10.1093/eurjcn/zvab027] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/25/2020] [Revised: 08/05/2020] [Accepted: 03/18/2021] [Indexed: 11/12/2022]
Abstract
AIMS Cardiovascular disease burden is increasing globally, pressuring nursing staff to deliver high-quality care across a diverse range of treatment areas. As such, an evaluation of the educational preparation of nurses is needed. To determine the current role, scope of practice, education level, and needs of cardiovascular nurses working across the European Society of Cardiology (ESC)-affiliated countries. METHODS AND RESULTS A short survey was distributed in paper (EuroHeartCare 2018) or electronic format to nurses delivering cardiovascular care. A total of 876 cardiovascular nurses from 26 ESC-affiliated countries completed the survey. Most respondents (79%), were educated to at least bachelor level, with 46% having a masters or doctorate, and were highly motivated to continue their educational development. Despite this, a large number (44.3%) of respondents believed they were not fully prepared for their job. The main areas where further education was requested included acute care in cardiovascular disease (CVD) and CVD risk factor management. Face-to-face courses/training were the most requested delivery mode, followed by E-learning-which appears to be underutilized in this population. Awareness of the existing curricula for cardiovascular nurse education was minimal, and therefore these resources require further promotion and implementation. CONCLUSIONS This international sample of cardiovascular nurses was generally educated to degree level and motivated to improve their cardiovascular knowledge. Many believed they were underprepared for their role, highlighting the need for increased investment in education. This should be focused on specific needs and delivered using a face-to-face, E-learning, or blended-learning format. Furthermore, increased signposting of existing resources is required.
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Affiliation(s)
- Donna Fitzsimons
- School of Nursing and Midwifery, Queen's University Belfast, 97 Lisburn Road, Belfast BT9 7BL, UK
| | - Matthew A Carson
- School of Nursing and Midwifery, Queen's University Belfast, 97 Lisburn Road, Belfast BT9 7BL, UK
| | - Tina B Hansen
- Department of Cardiology, Zealand University Hospital, Alleen 15, 4180 Sorø, Roskilde, Denmark.,Department of Regional Health Research, University of Southern Denmark, J.B. Winsløws Vej 19, Odense, Denmark
| | - Lis Neubeck
- School of Health and Social Care, Edinburgh Napier University, Sighthill Campus, Sighthill Court, Edinburgh EH11 4BN, UK
| | - Mu'ath I Tanash
- Department of Adult Health Nursing, The Hashemite University, Zarqa, Jordan
| | - Loreena Hill
- School of Nursing and Midwifery, Queen's University Belfast, 97 Lisburn Road, Belfast BT9 7BL, UK
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Lehmann R, Seitz A, Meyburg J, Hoppe B, Hoffmann GF, Tönshoff B, Huwendiek S. Pediatric in-hospital emergencies: real life experiences, previous training and the need for training among physicians and nurses. BMC Res Notes 2019; 12:19. [PMID: 30642392 PMCID: PMC6332611 DOI: 10.1186/s13104-019-4051-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2018] [Accepted: 01/08/2019] [Indexed: 11/25/2022] Open
Abstract
Objective Pediatric emergencies challenge professional teams by demanding substantial cognitive effort, skills and effective teamwork. Educational designs for team trainings must be aligned to the needs of participants in order to increase effectiveness. To assess these needs, a survey among physicians and nurses of a tertiary pediatric center in Germany was conducted, focusing on previous experience, previous training in emergency care, and individual training needs. Results Fifty-three physicians and 75 nurses participated. Most frequently experienced emergencies were respiratory failure, resuscitation, seizure, shock/sepsis and arrhythmia. Resuscitations were perceived as being particularly precarious. Team collaboration and communication were major issues arising from previous emergency situations, but perceptions differed between physicians and nurses. Regarding previous training, physicians were accustomed to self-directed learning, whereas nurses usually attended practical courses. Both physicians and nurses rated themselves as having moderate levels of knowledge and skills for pediatric emergencies, though residents reported the significantly lowest preparedness. Both professions reported a high need for training of basic procedures and emergency algorithms, physicians even more than nurses.
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Affiliation(s)
- Ronny Lehmann
- Department of Pediatrics I, Center for Pediatrics and Adolescent Medicine, Im Neuenheimer Feld 430, 69120, Heidelberg, Germany.
| | - Anke Seitz
- Department of Pediatrics I, Center for Pediatrics and Adolescent Medicine, Im Neuenheimer Feld 430, 69120, Heidelberg, Germany
| | - Jochen Meyburg
- Department of Pediatrics I, Center for Pediatrics and Adolescent Medicine, Im Neuenheimer Feld 430, 69120, Heidelberg, Germany
| | - Bettina Hoppe
- Department of Pediatrics I, Center for Pediatrics and Adolescent Medicine, Im Neuenheimer Feld 430, 69120, Heidelberg, Germany
| | - Georg Friedrich Hoffmann
- Department of Pediatrics I, Center for Pediatrics and Adolescent Medicine, Im Neuenheimer Feld 430, 69120, Heidelberg, Germany
| | - Burkhard Tönshoff
- Department of Pediatrics I, Center for Pediatrics and Adolescent Medicine, Im Neuenheimer Feld 430, 69120, Heidelberg, Germany
| | - Sören Huwendiek
- Department for Assessment and Evaluation, Institute for Medical Education, Mittelstrasse 43, 3012, Bern, Switzerland
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The value of a learning needs analysis to establish educational priorities in a new clinical workforce. Nurse Educ Pract 2017; 29:82-88. [PMID: 29220645 DOI: 10.1016/j.nepr.2017.11.016] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2016] [Revised: 11/15/2017] [Accepted: 11/23/2017] [Indexed: 11/20/2022]
Abstract
A learning needs analysis was undertaken in a newly formed workforce. The goal of the learning needs analysis was to establish both the skill set and educational needs in the nursing workforce prior to moving to a new purpose built facility. The results would then enable nurse educators to develop, plan and deliver appropriate educational strategies. Staff (73%) completed an online survey; the results were collated and analysed. The results of the learning needs analysis suggested an experienced workforce that had great capacity to care for children across a wide spectrum of acute clinical needs. Interestingly the results of the learning needs analysis conflicted with the clinical reality. To investigate possible reasons for this difference we conducted a focus group session with nurse educators. The focus group findings highlighted the significance of change and how that impacted on the clinical capacity of experienced staff. We concluded that the results of the learning needs analysis were representative however they needed careful interpretation in the context of substantial change.
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Rabbetts L. Peer mentoring supports the learning needs of nurses providing palliative care in a rural acute care setting. Int J Palliat Nurs 2017. [PMID: 28648135 DOI: 10.12968/ijpn.2017.23.6.280] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
BACKGROUND A specific set of assessment scales can underpin the management of distressing symptoms of patients requiring palliative care. A research assistant supported nurses working in a rural hospital setting during the introduction of these scales. AIM A secondary analysis was conducted to further explore the qualitative data of a previously reported mixed-method study. In particular, the experiences of nurses working alongside a research assistant in the facilitation of using a new assessment form. METHOD Purposeful sampling was employed: participating nurses were invited to attend one of three focus group meetings. FINDINGS Data analysis revealed three main themes: a contact person, coach/mentor and extra help initiatives. Three to four subthemes corresponded with each main theme. CONCLUSION Findings suggest nurses benefit from having someone to assist in learning about new documentation. Nurses respond positively to mentorship and practical guidance when integrating a new assessment form into routine evidence-based practice.
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Affiliation(s)
- Lyn Rabbetts
- Nursing Lecturer, University of South Australia, Australia
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Mahdizadeh AH, Taheri Z. Educational Needs Assessment of Nurses Working In Hospitals of Tehran University. J Nurs Educ 2016. [DOI: 10.21859/jne-05031] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Valois P, Blouin P, Ouellet C, Renaud JS, Bélanger D, Gosselin P. The Health Impacts of Climate Change: A Continuing Medical Education Needs Assessment Framework. THE JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 2016; 36:218-225. [PMID: 27583999 DOI: 10.1097/ceh.0000000000000084] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
INTRODUCTION As the health consequences of climate change (CC) will likely become more manifest in the future, family physicians have to be knowledgeable about these impacts and the ways in which they can affect their patients. The main aim of this study was to propose a competency framework and questionnaire used to conduct a needs analysis to identify and prioritize family physicians' real educational needs regarding the health impacts of CC. METHODS A mixed method combining a qualitative interview and a quantitative online questionnaire was used (n = 24 physicians). The interview assessed key beliefs related to participating in an online continuing medical education (eCME) activity on the health impacts of climate change, and the perception of the key factors or conditions required to ensure the family physicians' satisfaction with this eCME activity. The questionnaire assessed the current and desired levels of competency on five general training themes: general knowledge about CC; heat-related illnesses; CC, extreme weather events and modification of vector-borne and zoonotic diseases; CC, extreme weather events and modification of water-borne diseases; and mental health impacts of natural disasters. RESULTS Results revealed the need for improved medical education on climate change and health. Results also add to the literature by showing that a 3-hour eCME activity covering these topics would be useful and would allow family physicians to use this knowledge in their daily practice, notably through prevention and counseling. DISCUSSION Introducing a CME needs assessment framework and a generic instrument that reflects family physicians' needs regarding the health impacts of CC has the added advantage of standardizing the assessment procedure.
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Affiliation(s)
- Pierre Valois
- Dr. Valois: Faculté des sciences de l'éducation, Université Laval, Québec, Canada. Mr. Blouin: Faculté des sciences de l'éducation, Université Laval, Québec, Canada. Ms. Ouellet: Faculté des sciences de l'éducation, Université Laval, Québec, Canada. Dr. Renaud: Faculté de médecine, Université Laval, Québec, Canada. Dr. Bélanger: Centre de recherche du Centre hospitalier universitaire de Québec, Québec, Canada, and Institut national de la recherche scientifique-Centre eau, terre et environnement, Québec, Canada. Dr. Gosselin: Faculté de médecine, Université Laval, Québec, Canada, and Direction de la santé environnementale et de la toxicologie, Institut national de la santé publique, Québec, Canada
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A prospective cohort study examining the preferred learning styles of acute care registered nurses. Nurse Educ Pract 2013; 14:170-5. [PMID: 24075793 DOI: 10.1016/j.nepr.2013.08.019] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2013] [Revised: 08/27/2013] [Accepted: 08/29/2013] [Indexed: 11/20/2022]
Abstract
OBJECTIVES This paper reports on the preferred learning styles of Registered Nurses practicing in acute care environments and relationships between gender, age, post-graduate experience and the identified preferred learning styles. METHODS A prospective cohort study design was used. Participants completed a demographic questionnaire and the Felder-Silverman Index of Learning Styles (ILS) questionnaire to determine preferred learning styles. RESULTS Most of the Registered Nurse participants were balanced across the Active-Reflective (n = 77, 54%), and Sequential-Global (n = 96, 68%) scales. Across the other scales, sensing (n = 97, 68%) and visual (n = 76, 53%) were the most common preferred learning style. There were only a small proportion who had a preferred learning style of reflective (n = 21, 15%), intuitive (n = 5, 4%), verbal (n = 11, 8%) or global learning (n = 15, 11%). Results indicated that gender, age and years since undergraduate education were not related to the identified preferred learning styles. CONCLUSIONS The identification of Registered Nurses' learning style provides information that nurse educators and others can use to make informed choices about modification, development and strengthening of professional hospital-based educational programs. The use of the Index of Learning Styles questionnaire and its ability to identify 'balanced' learning style preferences may potentially yield additional preferred learning style information for other health-related disciplines.
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Long D, Young J, Rickard CM, Mitchell ML. Measuring paediatric intensive care nursing knowledge in Australia and New Zealand: how the Basic Knowledge Assessment Tool for pediatric critical care nurses (PEDS-BKAT4) performs. Aust Crit Care 2012; 26:36-42. [PMID: 22520939 DOI: 10.1016/j.aucc.2012.02.004] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2011] [Revised: 01/13/2012] [Accepted: 02/07/2012] [Indexed: 10/28/2022] Open
Abstract
Validated professional knowledge measures are limited in paediatric intensive care unit (PICU) nursing. The Basic Knowledge Assessment Tool for Pediatric Critical Care Nurses (PEDS-BKAT4) measures knowledge, however content and practice differences exist between various PICUs. The study aim was to evaluate the PEDS-BKAT4 in the Australian and New Zealand setting. A panel of 10 experts examined item and scale content validity. Items were evaluated for 31 evidence-based item writing flaws and for cognitive level, by a 4-person expert panel. Thirty-six PICU nurses completed the PEDS-BKAT4, with reliability and item analysis conducted. Mean item content validity was 0.70, and 43% of items had content validity less than 0.8. Overall (Scale) content validity was 0.71. Thirty-five percent of items were classified as flawed. Thirty-five percent of items were written at the 'knowledge' level, and 58% at 'understanding'. The mean PEDS-BKAT4 score was 60.8 (SD=9.6), KR-20 reliability 0.81. The mean item difficulty was 0.62, and the mean discrimination index was 0.23. The PEDS-BKAT4 was not a reliable and valid measure of basic PICU nursing knowledge in Australian and New Zealand. Further research into the types of knowledge and skills required of PICU nurses in this setting are needed to inform the development of a future tool.
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Affiliation(s)
- Debbie Long
- Paediatric Intensive Care Unit, Royal Children's Hospital, Herston Road, Herston, Brisbane, Queensland 4029, Australia.
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Dunbar B, Sink P, Alsobrook D, Bailey B, Lonczak T, Starnes R. Ethical perspectives of sustaining residents' autonomy: a cultural transformation best practice. Nurs Adm Q 2011; 35:126-133. [PMID: 21403486 DOI: 10.1097/naq.0b013e31820fbd80] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Baby boomers are demanding changes in care delivery models that reflect patient autonomy, individuality, and dignity. To meet this challenge, the Veterans Administration has adopted a cultural transformation model of patient-centered care. Veterans Administration nursing homes are now community living centers; the staff's mission is to deliver patient-centered care in a homelike environment. How the challenge was met and how the ethics committee helps to sustain the changes, are discussed in this article.
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Affiliation(s)
- Berthenya Dunbar
- Haley's Cove Community Living Center, James A Haley Veterans Hospital, Tampa, Florida 33612, USA.
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