1
|
Ylimäki S, Oikarinen A, Kääriäinen M, Pölkki T, Mikkonen K, Holopainen A, Kaakinen P, Kanste O, Meriläinen M, Jansson M, Immonen K, Tuomikoski AM. Advanced practice nurses' evidence-based healthcare competence and associated factors: A systematic review. J Clin Nurs 2024; 33:2069-2083. [PMID: 38413769 DOI: 10.1111/jocn.17075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2023] [Revised: 12/21/2023] [Accepted: 02/05/2024] [Indexed: 02/29/2024]
Abstract
BACKGROUND Evidence-based healthcare (EBHC) enables consistent and effective healthcare that prioritises patient safety. The competencies of advanced practice nurses (APNs) are essential for implementing EBHC because their professional duties include promoting EBHC. AIM To identify, critically appraise, and synthesise the best available evidence concerning the EBHC competence of APNs and associated factors. DESIGN A systematic review. DATA SOURCES CINAHL, PubMed, Scopus, Medic, ProQuest, and MedNar. METHODS Databases were searched for studies (until 19 September 2023) that examined the EBHC competence and associated factors of APNs were included. Quantitative studies published in English, Swedish and Finnish were included. We followed the JBI methodology for systematic review and performed a narrative synthesis. RESULTS The review included 12 quantitative studies, using 15 different instruments, and involved 3163 participants. The quality of the studies was fair. The APNs' EBHC competence areas were categorised into five segments according to the JBI EBHC model. The strongest areas of competencies were in global health as a goal, transferring and implementing evidence, while the weakest were generating and synthesising evidence. Evidence on factors influencing APNs' EBHC competencies was contradictory, but higher levels of education and the presence of an organisational research council may be positively associated with APNs' EBHC competencies. CONCLUSION The development of EBHC competencies for APNs should prioritise evidence generation and synthesis. Elevating the education level of APNs and establishing a Research Council within the organisation can potentially enhance the EBHC competence of APNs. IMPLICATIONS FOR THE PROFESSION We should consider weaknesses in EBHC competence when developing education and practical exercises for APNs. This approach will promote the development of APNs' EBHC competence and EBHC implementation in nursing practice. REGISTRATION, AND REPORTING CHECKLIST The review was registered in PROSPERO (CRD42021226578), and reporting followed the PRISMA checklist. PATIENT/PUBLIC CONTRIBUTION None.
Collapse
Affiliation(s)
- Saija Ylimäki
- Research Unit of Health Sciences and Technology, Faculty of Medicine, University of Oulu, Oulu, Finland
- Wellbeing Services County of North Ostrobothnia, Oulaskangas Hospital, Oulainen, Finland
| | - Anne Oikarinen
- Research Unit of Health Sciences and Technology, Faculty of Medicine, University of Oulu, Oulu, Finland
- Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland
| | - Maria Kääriäinen
- Research Unit of Health Sciences and Technology, Faculty of Medicine, University of Oulu, Oulu, Finland
- Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland
- The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Centre of Excellence, Helsinki, Finland
- Wellbeing Services County of North Ostrobothnia, Oulu University Hospital, Oulu, Finland
| | - Tarja Pölkki
- Research Unit of Health Sciences and Technology, Faculty of Medicine, University of Oulu, Oulu, Finland
- Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland
- The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Centre of Excellence, Helsinki, Finland
| | - Kristina Mikkonen
- Research Unit of Health Sciences and Technology, Faculty of Medicine, University of Oulu, Oulu, Finland
| | - Arja Holopainen
- The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Centre of Excellence, Helsinki, Finland
- Nursing Research Foundation, Helsinki, Finland
- WHO Collaborating Centre for Nursing, Helsinki, Finland
| | - Pirjo Kaakinen
- Research Unit of Health Sciences and Technology, Faculty of Medicine, University of Oulu, Oulu, Finland
| | - Outi Kanste
- Research Unit of Health Sciences and Technology, Faculty of Medicine, University of Oulu, Oulu, Finland
| | - Merja Meriläinen
- Research Unit of Health Sciences and Technology, Faculty of Medicine, University of Oulu, Oulu, Finland
- Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland
- Wellbeing Services County of North Ostrobothnia, Oulu University Hospital, Oulu, Finland
| | - Miia Jansson
- Research Unit of Health Sciences and Technology, Faculty of Medicine, University of Oulu, Oulu, Finland
| | - Kati Immonen
- Research Unit of Health Sciences and Technology, Faculty of Medicine, University of Oulu, Oulu, Finland
- 2M-IT Oy, Turku, Finland
| | - Anna-Maria Tuomikoski
- Research Unit of Health Sciences and Technology, Faculty of Medicine, University of Oulu, Oulu, Finland
- Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland
- The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Centre of Excellence, Helsinki, Finland
- Wellbeing Services County of North Ostrobothnia, Oulu University Hospital, Oulu, Finland
| |
Collapse
|
2
|
Kipinä P, Oikarinen A, Mikkonen K, Kääriäinen M, Tuomikoski AM, Merilainen M, Karsikas E, Rantala A, Jounila-Ilola P, Koivunen K, Jarva E. Competence of healthcare professionals in stroke care pathways: a cross-sectional study. JOURNAL OF VASCULAR NURSING 2024; 42:115-122. [PMID: 38823971 DOI: 10.1016/j.jvn.2024.02.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2023] [Revised: 02/07/2024] [Accepted: 02/19/2024] [Indexed: 06/03/2024]
Abstract
AIMS To describe healthcare professionals' self-assessed competence in stroke care pathways based on their self-evaluation and identify the factors associated with competence. DESIGN A cross-sectional, descriptive explorative study design was used. METHODS The data were collected during May and September 2021 through a survey sent to healthcare professionals (N=1200, n=215) working in neurological care. Competence in stroke care pathways was measured using the RN-STROKE, PT-STROKE and OT-STROKE instruments defined by four-factor model. The instruments' validity and reliability were confirmed through exploratory factor analysis and Cronbach's alpha. K-means clustering, one-way ANOVA, Chi Square, Mann Whitney U and Kruskal-Wallis were used to analyze the data. The results were reported as frequencies, percentages, mean and standard deviation. The results were reported according to STROBE guidelines. RESULTS Four main areas of healthcare professionals' competence in stroke care pathways were identified: (1) counseling and interaction competence (2) competence to use evidence-based information, (3) self-management and development competence, and (4) multiprofessional and collaboration competence. The study then identified three competence profiles of healthcare professionals working in the stroke care pathway. Professionals in Profile A evaluated their competence at the highest level, those in Profile B at the average level, and those in Profile C at the lowest level. Healthcare professionals' occupation and participation in their organisation's expert network were found to be associated with competence profiles. CONCLUSION The overall competence of healthcare professionals in the stroke care pathway was rated as good, but competence to use evidence-based information in clinical practice, in particular, should be improved. Organisations should, therefore, increase education and training in this area and provide adequate resources to enable the use of evidence-based information in clinical work. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE The study identifies three profiles relating to healthcare professionals' competence in the stroke care pathway, which can be used to create continuous education and ensure better patient care according to participants' profiles. REPORTING METHOD The study was reported using the STROBE Statement checklist. PATIENT OR PUBLIC CONTRIBUTION No patient or public contribution.
Collapse
Affiliation(s)
- Piia Kipinä
- Research Unit of Health Sciences and Technology, Faculty of Medicine, Medical Research Center Oulu, Oulu University Hospital and University of Oulu, University of Oulu, Oulu, Finland
| | - Anne Oikarinen
- Research Unit of Health Sciences and Technology, Faculty of Medicine, Medical Research Center Oulu, Oulu University Hospital and University of Oulu, University of Oulu, Oulu, Finland.
| | - Kristina Mikkonen
- Research Unit of Health Science and Technology, Faculty of Medicine, Finland Medical Research Center Oulu, Oulu University Hospital and University of Oulu, University of Oulu, Oulu, Finland
| | - Maria Kääriäinen
- Research Unit of Health Science and Technology, Faculty of Medicine, Finland Medical Research Center Oulu, Oulu University Hospital and University of Oulu, University of Oulu, Oulu, Finland
| | - Anna-Maria Tuomikoski
- The Wellbeing Services County of North Ostrobothnia, Oulu University Hospital, Finland
| | - Merja Merilainen
- Wellbeing Services County of North Ostrobothnia Finland, Oulu University Hospital, Finland
| | - Eevi Karsikas
- Research Unit of Health Sciences and Technology, Faculty of Medicine, Medical Research Center Oulu, Oulu University Hospital and University of Oulu, University of Oulu, Oulu, Finland; The Wellbeing Services County of North Ostrobothnia, Oulu University Hospital, Finland
| | - Arja Rantala
- Oulu University of Applied Sciences, Oulu, Finland
| | | | | | - Erika Jarva
- Research Unit of Health Sciences and Technology, Faculty of Medicine, Medical Research Center Oulu, Oulu University Hospital and University of Oulu, University of Oulu, Oulu, Finland
| |
Collapse
|
3
|
Garti I, Gray M, Bromley A, Tan JYB. Pre-eclampsia training needs of midwives in a Ghanaian tertiary hospital: A cross-sectional study. Nurse Educ Pract 2024; 75:103872. [PMID: 38244337 DOI: 10.1016/j.nepr.2024.103872] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2023] [Revised: 11/26/2023] [Accepted: 12/11/2023] [Indexed: 01/22/2024]
Abstract
AIM This study aimed to assess the specific clinical and non-clinical training needs of midwives and determine their preferred approach to enhancing performance. BACKGROUND Pre-eclampsia remains one of the leading causes of maternal deaths in low and middle-income countries. Pre-eclampsia-related deaths may be due to reduced midwifery knowledge and inadequate management. Therefore, a training needs assessment is vital in identifying gaps in practice, especially, in poorly resourced settings for maximal use of training resources. DESIGN A hospital-based cross-sectional study. SETTING The largest tertiary hospital in Ghana. METHODS An online version of the validated WHO Hennessy-Hicks Training Needs Analysis questionnaire was used to assess midwives' training needs on the management of pre-eclampsia. The tool has good psychometric properties and was used to assess 1) midwives' confidence in performing tasks, 2) the importance of the task to their role and 3) their preferred performance improvement approach. Data analysis adhered to the guidelines specified in the Hennessy-Hicks Training Needs Analysis Questionnaire and the priority training requirements of the midwives were assessed through descriptive statistics and a series of independent t-tests. RESULTS Among the 250 midwives who responded, most possessed 1-5 years of experience (74.7 %). All 28 tasks were viewed by midwives as essential responsibilities in pre-eclampsia management. Midwives had the greatest need for training in research/audit and clinical skills domains respectively (p < 0.001, 95 % confidence interval: 1.08-1.47, Cohen's-D = 1.27; and p < 0.001, 95 % confidence interval: 0.69-1.06, Cohen's-D = 0.87). The foremost primary training necessity, as recognised by midwives, was undertaking health promotion activities, including antenatal health education (MD= 0.43, 95 % confidence interval: 0.29-0.57). Training courses were identified as the preferred approach to address training needs and improve overall proficiency. CONCLUSION Midwives in Ghana require comprehensive training covering research and clinical-based competencies to improve pre-eclampsia management. Considering the pivotal role of Ghanaian midwives in safeguarding maternal well-being, there is a compelling need to enhance the calibre of midwifery services. These findings can guide stakeholders in countries with comparable healthcare contexts in creating effective, resource-efficient training programs that avoid counterproductivity, ultimately supporting national initiatives to enhance pre-eclampsia management and the quality of care.
Collapse
Affiliation(s)
- Isabella Garti
- College of Nursing and Midwifery, Charles Darwin University, Darwin, Australia.
| | - Michelle Gray
- School of Nursing and Midwifery, Edith Cowan University, Joondalup, Australia
| | - Angela Bromley
- College of Nursing and Midwifery, Charles Darwin University, Darwin, Australia
| | - Jing-Yu Benjamin Tan
- College of Nursing and Midwifery, Charles Darwin University, Darwin, Australia; School of Nursing and Midwifery, University of Southern Queensland, Ipswich Campus, Ipswich QLD 4305 Australia
| |
Collapse
|
4
|
Bascombe F, Siefried KJ, Clifford B, Child S, Loos R, Sgouras H, Stevens L, Wilson H, Ezard N. Methamphetamine and emerging drugs of concern: A training needs analysis of Australian alcohol and other drug helplines. Drug Alcohol Rev 2023; 42:1744-1753. [PMID: 37452757 DOI: 10.1111/dar.13719] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2022] [Revised: 04/25/2023] [Accepted: 06/26/2023] [Indexed: 07/18/2023]
Abstract
INTRODUCTION Fielding greater than 100,000 calls annually, telephone helplines are an important point of entry to alcohol and other drug (AOD) support and services in Australia. Methamphetamine and emerging drugs can present a particular challenge for this workforce. We sought to identify training needs for these services, so that appropriate targeted resources can be developed. METHODS We distributed an anonymous, online, cross-sectional survey to helpline staff from New South Wales, Queensland, South Australia, Victoria and Western Australia. Based on the WHO Hennessy-Hicks training needs analysis tool, participants were asked: to rate on a 7-point likert scale the importance of a topic to their practice and how well they perform in relation to the topic; open-ended questions specifying their own self-perceived training needs; and demographic data. RESULTS Of 50 participants, 29 completed the full survey (median age 49 [IQR 30-57.5]; median time working in AOD sector 6 years [IQR 1-20]). The results identified a need for: practical community-informed population relevant information for culturally and linguistically diverse populations and Aboriginal and Torres Strait Islander peoples for calls relating to methamphetamine and emerging drugs of concern; training and resources with a particular focus on families and friends of people who use methamphetamine and emerging drugs; and readily accessible up-to-date information on new and emerging drugs and treatment of related disorders. DISCUSSION AND CONCLUSIONS This training needs analysis provides a structured approach to supporting the first-line AOD counsellors to provide up-to-date and accurate information to assist Australians seeking information, support and advice.
Collapse
Affiliation(s)
- Florence Bascombe
- The National Centre for Clinical Research on Emerging Drugs, Sydney, Australia
- St Vincent's Hospital Alcohol and Drug Service, Sydney, Australia
- The National Drug and Alcohol Research Centre, UNSW Sydney, Sydney, Australia
| | - Krista J Siefried
- The National Centre for Clinical Research on Emerging Drugs, Sydney, Australia
- St Vincent's Hospital Alcohol and Drug Service, Sydney, Australia
- The National Drug and Alcohol Research Centre, UNSW Sydney, Sydney, Australia
| | - Brendan Clifford
- The National Centre for Clinical Research on Emerging Drugs, Sydney, Australia
- St Vincent's Hospital Alcohol and Drug Service, Sydney, Australia
- The National Drug and Alcohol Research Centre, UNSW Sydney, Sydney, Australia
| | - Stacey Child
- Alcohol and Drug Support Service, Mental Health Commission, Perth, Australia
| | - Rick Loos
- Telephone and Online Services, Turning Point, Eastern Health, Melbourne, Australia
| | - Hazel Sgouras
- St Vincent's Hospital Alcohol and Drug Service, Sydney, Australia
| | - Lynn Stevens
- Alcohol and Drug Information Service, Drug and Alcohol Service SA, Adelaide, Australia
| | - Hollie Wilson
- Adis 24/7 Alcohol and Drug Support, Queensland Health, Brisbane, Australia
| | - Nadine Ezard
- The National Centre for Clinical Research on Emerging Drugs, Sydney, Australia
- St Vincent's Hospital Alcohol and Drug Service, Sydney, Australia
- The National Drug and Alcohol Research Centre, UNSW Sydney, Sydney, Australia
| |
Collapse
|
5
|
Aucoin M, Newton G, Leach M, Cooley K. Co-Design of an Evidence-Based Practice Continuing Education Course for Canadian Naturopathic Doctors. JOURNAL OF INTEGRATIVE AND COMPLEMENTARY MEDICINE 2023; 29:592-601. [PMID: 37093154 DOI: 10.1089/jicm.2022.0730] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/25/2023]
Abstract
Objectives: Evidence-based practice (EBP) is a clinical decision-making process combining the best available scientific evidence with clinician expertise and patient preference. While EBP has been associated with a range of benefits, it is recognized that EBP is used suboptimally by a range of health professionals, including naturopathic doctors (NDs). Canadian NDs have expressed a high level of interest in opportunities to improve their EBP skills; however, barriers exist, including those that apply broadly to health professionals, and those that are unique to the naturopathic profession. The objective of the present project was to co-design an EBP continuing education (CE) course tailored to the needs and preferences of Canadian NDs. Design: These needs were solicited through the use of focus groups. Groups were stratified based on participants' use of evidence at baseline. The focus groups asked NDs about their definition of EBP, and their interest in an EBP course, including preferred content, and method of delivery. The focus group discussions were transcribed, and thematic analysis was completed. Subjects: Twenty-two Canadian NDs participated. Results: Participants reported a high level of understanding of EBP, a high level of interest in participating in an EBP course and provided actionable recommendations about course content and delivery. Some of the themes that emerged were consistent across the groups while others differed by stratification. Conclusions: The findings of this project will inform the development and evaluation of a future CE course.
Collapse
Affiliation(s)
- Monique Aucoin
- Canadian College of Naturopathic Medicine, Toronto, Canada
- University of Guelph, Guelph, Canada
| | | | | | - Kieran Cooley
- Canadian College of Naturopathic Medicine, Toronto, Canada
- Southern Cross University, Lismore, Australia
- University of Technology Sydney, Ultimo, Australia
- Pacific College of Health and Science, Chicago, IL, USA
| |
Collapse
|
6
|
Raatz M, Marshall J, Ward EC, Dickinson C, Frederiksen N, Reilly C, Fernando S. Understanding Training Needs in Pediatric Feeding for Allied Health Professionals: An Australian Perspective. AMERICAN JOURNAL OF SPEECH-LANGUAGE PATHOLOGY 2023; 32:452-468. [PMID: 36692930 DOI: 10.1044/2022_ajslp-22-00232] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
PURPOSE Clinician experience and confidence can negatively impact pediatric feeding service availability, but limited research has investigated what training allied health professionals (AHPs) need to increase these factors. This study developed and distributed a survey investigating Australian AHPs' self-reported confidence and anxiousness, training needs, factors impacting training access, and training preferences. METHOD This study was conducted over two phases. Phase 1 involved development and refinement of the survey, and Phase 2 involved distribution to Australian AHPs. Questions pertained to general demographics, feeding experience, feeding confidence and skills perception, and training needs. The questions were composed of multiple-choice, Likert scale, and short-response options. RESULTS Overall, 198 complete responses were received. Participants reported significantly lower confidence and higher anxiousness working with infants compared to older children (p < .01). Increased frequency of service provision predicted higher self-reported confidence and lower anxiousness (p < .01). Practical training opportunities including case discussion, videos, and clinical feedback were preferred. Access facilitators were online, on-demand training; however, respondents reported preferring hands-on training opportunities. Common barriers included cost, time, competing professional development priorities, and distance/travel. CONCLUSIONS Findings have highlighted that recency and frequency of practice impact self-reported confidence and anxiousness, and that AHPs self-report lowest confidence and highest anxiety working with infants compared to older age groups. Overall, the findings highlight the need for flexible, practical, and remotely accessible training opportunities, as well as the need for access to regular clinical supervision and a pediatric feeding caseload.
Collapse
Affiliation(s)
- Madeline Raatz
- Queensland Children's Hospital, Children's Health Queensland, Brisbane, Australia
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia
| | - Jeanne Marshall
- Queensland Children's Hospital, Children's Health Queensland, Brisbane, Australia
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia
| | - Elizabeth C Ward
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia
- Centre for Functioning and Health Research (CFAHR), Metro South Hospital and Health Service, Brisbane, Queensland, Australia
| | - Corrine Dickinson
- Queensland Children's Hospital, Children's Health Queensland, Brisbane, Australia
| | - Nadine Frederiksen
- Queensland Children's Hospital, Children's Health Queensland, Brisbane, Australia
| | - Claire Reilly
- Queensland Children's Hospital, Children's Health Queensland, Brisbane, Australia
| | - Shenali Fernando
- Queensland Children's Hospital, Children's Health Queensland, Brisbane, Australia
| |
Collapse
|
7
|
Kordom A, Daniels F, Chipps J. Training needs of professional nurses in primary health care in the Cape Metropole, South Africa. Afr J Prim Health Care Fam Med 2022. [DOI: 10.4102/phcfm.v14i1.3741] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
|
8
|
Simulation Training Needs of Nurses for Nursing High-Risk Premature Infants: A Cross-Sectional Study. Healthcare (Basel) 2022; 10:healthcare10112197. [DOI: 10.3390/healthcare10112197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Revised: 10/25/2022] [Accepted: 10/26/2022] [Indexed: 11/06/2022] Open
Abstract
Opportunities fomr clinical training in the newborn nursery and neonatal intensive care units (NICU) are becoming insufficient and limited to observation-oriented training. Premature infants admitted to the NICU require specialized and highly sophisticated care. Therefore, this descriptive cross-sectional study aimed to understand nurses’ educational needs for establishing a high-risk premature infant nursing simulation training program. It used a descriptive cross-sectional design. We conducted a survey involving 99 newborn nursery and NICU nurses; data were analyzed using descriptive statistics, a paired t-test, an Importance-Performance Analysis (IPA), a Borich needs analysis, and the locus for focus to confirm educational priorities. The scores indicating the importance of nursing high-risk premature infants were higher than those of performance. Results indicated that the highest educational need was in the “treatment and procedure” domain. After deriving the priority of educational needs using the Borich needs analysis and the locus for focus, “maintenance of various tubes” showed the highest priority. By identifying the training priorities for high-risk premature infants nursing using various analytical frameworks, an extended reality simulation program met nurses’ high-risk premature infant nursing educational needs. Training for high-risk premature infants treatment and procedures—maintaining various tubes—is highly demanded by nurses and should be prioritized.
Collapse
|
9
|
Figueiredo LDFD, Silva NCD, Prado MLD. Primary care nurses' learning styles in the light of David Kolb. Rev Bras Enferm 2022; 75:e20210986. [PMID: 36102474 DOI: 10.1590/0034-7167-2021-0986] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2022] [Accepted: 04/11/2022] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVES to identify primary care nurses' learning styles in the light of David Kolb's Experiential Learning Theory. METHODS a descriptive and exploratory qualitative study. A semi-structured interview script was used for data collection and content analysis for data processing. RESULTS primary care nurses showed different learning styles: diverging, which combines active experimentation and reflective observation; assimilating, which combines reflective observation and abstract conceptualization; converging, which associates abstract conceptualization and concrete experience; and accommodating, which unites concrete experience and active experimentation. FINAL CONSIDERATIONS learning through experience requires that knowledge be understood and transformed. Nurses learn in different ways, as they have different learning styles. Therefore, recognizing nurses' learning styles is important to foster ongoing professional development and ensure safe nursing care.
Collapse
|
10
|
Mitchell S, Jaccard E, Schmitz FM, von Känel E, Collombet P, Cornuz J, Waeber G, Guessous I, Guttormsen S. Investigating acceptability of a training programme in precision medicine for frontline healthcare professionals: a mixed methods study. BMC MEDICAL EDUCATION 2022; 22:556. [PMID: 35850770 PMCID: PMC9294840 DOI: 10.1186/s12909-022-03613-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/19/2021] [Accepted: 06/29/2022] [Indexed: 06/15/2023]
Abstract
BACKGROUND Precision Medicine offers tailored prevention, diagnosis, treatment and management to patients that considers genomics, lifestyle and environmental factors. If implementation of Precision Medicine is to advance, effective, focused upskilling of frontline healthcare professionals through quality continuing professional development is needed. This study reports on an evidence-based approach to needs assessment to investigate the current level of knowledge of Precision Medicine, acceptable content for training, the perceived potential of a more precision approach to patient care and motivation to participate in a training programme among pharmacists, advanced practice nurses and general practitioners. Investigating perceived needs can avoid a top-down approach and support a design that is fit for purpose to targeted professions. METHODS This study reports on 2 focus groups (n = 12) delivered in French and German with equal professional participation of the targeted professions. The research objectives were investigated in two phases. During the first phase, a literature review and expert consultations were conducted to develop a definition of PM, patient cases and content for training. In a second phase, these investigations were further explored using focus groups to investigate acceptable learning objectives, the potential of PM to relevant professions and motivation of participants. Quantitative investigations using rating scales and visual analogues were incorporated. The focus groups were audio recorded, transcribed by intelligent verbatim and translated to English. NVivo was used for data analysis and interpretation following a hybrid approach using the Framework Method and thematic analysis. The analytical framework, Implementation Science, was applied to organise and present research data. RESULTS Precision Medicine is considered a new topic area, largely unfamiliar to frontline healthcare professionals.. There was acceptance of a more precision approach to care among all participants with perceived positive implications for patients. Valuable insight was gathered on acceptable content and form for training. All participants expressed concerns on readiness within their professions which included an insufficient system infrastructure, a lack of time to attend needed training, a lack of clarity for use in practice and the time needed to build a support network. CONCLUSIONS A precision approach to patient care is on the horizon for health care professionals not only in hospital settings but also at the community level. Our results conclude that an adaptable and flexible training programme in PM is timely, contextually relevant and conducive to the needs of targeted health professions for successful implementation. A training programme in PM will require support across sectors and stakeholders, supporting insurance models, educated patients and integrated care supported by innovative technology. Implementation Science outcomes are a useful strategy towards design of an effective training programme that can have measurable impact in practice.
Collapse
Affiliation(s)
- Sharon Mitchell
- Institute of Medical Education (IML), University of Bern, 3201, Bern, Switzerland.
| | - Evrim Jaccard
- Department of Medicine, University Hospital CHUV, Lausanne, 1011, CH, Switzerland
| | | | - Elianne von Känel
- Institute of Psychology, University of Bern, Fabrikstrasse 8, Bern, 3012, CH, Switzerland
| | - Prune Collombet
- Primary Care Medicine, Faculty of Medicine, Geneva University Hospital (HUG), Geneva, 1205, CH, Switzerland
| | - Jacques Cornuz
- Faculty of Biology and Medicine, Unisanté, University of Lausanne, Lausanne, 1011, CH, Switzerland
| | - Gérard Waeber
- Department of Medicine, University Hospital CHUV, Lausanne, 1011, CH, Switzerland
| | - Idris Guessous
- Primary Care Medicine, Faculty of Medicine, Geneva University Hospital (HUG), Geneva, 1205, CH, Switzerland
| | - Sissel Guttormsen
- Institute of Medical Education (IML), University of Bern, 3201, Bern, Switzerland
| |
Collapse
|
11
|
Benefits of business conference participation for Australian SME managers: a case study of a belt and road initiative conference. INDUSTRIAL AND COMMERCIAL TRAINING 2022. [DOI: 10.1108/ict-07-2020-0090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose
This study aims to explore the benefits of participation in a topic-relevant business conference as a learning and professional development apparatus for senior managers of small- and medium-sized enterprises (SMEs). It analyzes the experiences of 12 Australian SME senior managers who participated in a Belt and Road Initiative (BRI) business conference in Hong Kong.
Design/methodology/approach
Data were collected through pre- and post-conference attendance interviews. Kirkpatrick and Kirkpatrick’s (2005) four levels framework was used to analyze the effectiveness of business conferences on the participants at four different levels of the framework: reaction, learning, behavior and results.
Findings
This study finds that the business conference has shown effectiveness for the participants at the reaction (Level 1), learning (Level 2) and behavior (Level 3), indicating that participation in a topic-relevant business conference is useful for the learning and professional development of SME managers. However, only a moderate level of results (Level 4) was identified from attending the BRI conference, which implies that the content and quality of the business conference may influence the achievement of expected results.
Originality/value
This paper contributes a new understanding of the benefits of topic-relevant business conference participation as a learning and professional development apparatus for SME senior managers.
Collapse
|
12
|
Figueiredo LDFD, Silva NCD, Prado MLD. Estilos de aprendizagem de enfermeiros que atuam na atenção primária à luz de David Kolb. Rev Bras Enferm 2022. [DOI: 10.1590/0034-7167-2021-0986pt] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
RESUMO Objetivos: identificar o estilo de aprendizagem dos enfermeiros de atenção primária à luz da Teoria da Aprendizagem Experiencial de David Kolb. Métodos: estudo qualitativo descritivo e exploratório. Utilizou-se um roteiro de entrevista semiestruturado para a coleta dos dados, e a análise de conteúdo, para o tratamento dos dados. Resultados: enfermeiras que atuam na atenção primária apresentaram diferentes estilos de aprendizagem: divergente, que combina experiência ativa e observação reflexiva; assimilador, que combina observação reflexiva e conceitualização abstrata; convergente, que associa conceitualização abstrata e experiência concreta; e acomodador, que une a experiência concreta e a experiência ativa. Considerações Finais: aprender pela experiência requer que o conhecimento seja compreendido e transformado. Enfermeiras aprendem de modos diferentes, pois apresentam diferentes estilos de aprendizagem. Portanto, reconhecer os estilos de aprendizagem dos enfermeiros é importante para fomentar o desenvolvimento profissional contínuo e garantir um cuidado de enfermagem seguro.
Collapse
|
13
|
Sarwar S, Vijayan V. Pakistan’s experience with risk assessment training and implementation of concepts from the 4th edition of the WHO laboratory biosafety manual. JOURNAL OF BIOSAFETY AND BIOSECURITY 2021. [DOI: 10.1016/j.jobb.2021.09.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
|
14
|
Han JW, Kang JS, Park JH. Educational Needs of Nurses for Respiratory Communicable Infectious Disease Care: A Cross-Sectional Descriptive Study. Healthcare (Basel) 2021; 9:healthcare9081043. [PMID: 34442179 PMCID: PMC8393325 DOI: 10.3390/healthcare9081043] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2021] [Revised: 08/08/2021] [Accepted: 08/09/2021] [Indexed: 11/16/2022] Open
Abstract
Clinical nurses have training needs related to the strategies for infection spread prevention. This study aimed to investigate the levels of importance of and performance in the various areas of care for communicable respiratory infections among clinical nurses and to determine the priority of educational needs. Hospitals in which a baseline survey could be conducted were considered, and nurses working in six hospitals that were designated as COVID-19 care centers in Korea were enrolled. The training needs for the care of patients with communicable respiratory infections were analyzed using Borich’s needs equation, and the locus for focus model. Among participants with prior COVID-19 patient care experience, according to Borich’s equation, the need score was the highest for “initial response to communicable respiratory infection”, followed by “management of aerosol-generating procedures in patients with communicable respiratory infection” and “reporting of patients with communicable respiratory infection and death of patient”. An item rated highly in both Borich’s equation and the locus for focus model among the participants with prior experience was “initial response to communicable respiratory infection”. Among participants without prior relevant experience, according to Borich’s equation, the need score was highest for “management of aerosol-generating procedures in patients with a communicable respiratory infection”, followed by “initial response to communicable respiratory infection” and “reporting of patients with communicable respiratory infection and death of patient”. None of the items were rated high in both Borich’s equation and the locus for focus model among participants without relevant prior experience.
Collapse
Affiliation(s)
- Jeong-Won Han
- College of Nursing Science, Kyung Hee University, 26 Kyunghee-daero, Dongdaemun-gu, Seoul 02447, Korea;
| | - Ji-Soon Kang
- Department of Nursing, Hansei University, 30 Hansei-ro, Gunpo-si 43742, Korea;
| | - Jun-Hee Park
- Department of Nursing, Dongnam Health University, 50 Cheoncheon-ro 74 gil, Jangan-gu, Suwon-si 16328, Korea
- Correspondence:
| |
Collapse
|
15
|
Markaki A, Malhotra S, Billings R, Theus L. Training needs assessment: tool utilization and global impact. BMC MEDICAL EDUCATION 2021; 21:310. [PMID: 34059018 PMCID: PMC8167940 DOI: 10.1186/s12909-021-02748-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/21/2021] [Accepted: 05/17/2021] [Indexed: 06/12/2023]
Abstract
BACKGROUND Global demand for standardized assessment of training needs and evaluation of professional continuing education programs across the healthcare workforce has led to various instrumentation efforts. The Hennessy-Hicks Training Needs Analysis (TNA) questionnaire is one of the most widely used validated tools. Endorsed by the World Health Organization, the tool informs the creation of tailored training to meet professional development needs. The purpose of this project was to describe TNA tool utilization across the globe and critically appraise the evidence of its impact in continuous professional development across disciplines and settings. METHODS A systematic integrative literature review of the state of the evidence across PubMed, Scopus, CINAHL, and Google Scholar databases was carried out. Full-text, peer reviewed articles and published dissertations/theses in English language that utilized the original, adapted or translated version of the TNA tool were included. Selected articles were appraised for type and level of evidence. RESULTS A total of 33 articles were synthesized using an inductive thematic approach, which revealed three overarching themes: individual, team/interprofessional, and organizational level training needs. Included articles represented 18 countries, with more than two thirds involving high-income countries, and one third middle-income countries. Four studies (12.1%) used the original English version instrument, 23 (69.7%) adapted the original version, and 6 (18.2%) translated and culturally adapted the tool. Twenty-three studies targeted needs at the individual level and utilized TNA to determine job roles and responsibilities. Thirteen articles represented the team/interprofessional theme, applying the TNA tool to compare training needs and perceptions among professional groups. Last, three articles used the tool to monitor the quality of care across an institution or healthcare system, demonstrating the organizational training needs theme. CONCLUSIONS Overall evidence shows that the TNA survey is widely used as a clinical practice and educational quality improvement tool across continents. Translation, cultural adaptation, and psychometric testing within a variety of settings, populations, and countries consistently reveals training gaps and outcomes of targeted continuous professional development. Furthermore, it facilitates prioritization and allocation of limited educational resources based on the identified training needs. The TNA tool effectively addresses the "know-do" gap in global human resources for health by translating knowledge into action.
Collapse
Affiliation(s)
- Adelais Markaki
- PAHO/WHO Collaborating Center for International Nursing, Birmingham, AL USA
- School of Nursing, University of Alabama at Birmingham, 1701 University Boulevard, Birmingham, AL 35294 USA
| | | | - Rebecca Billings
- School of Nursing, University of Alabama at Birmingham, 1701 University Boulevard, Birmingham, AL 35294 USA
| | - Lisa Theus
- PAHO/WHO Collaborating Center for International Nursing, Birmingham, AL USA
- School of Nursing, University of Alabama at Birmingham, 1701 University Boulevard, Birmingham, AL 35294 USA
| |
Collapse
|
16
|
Tsai LY, Liou CF, Huang LH, Huang CY. Correlation Between Needs Satisfaction and Behavioral Intentions of Sexual Health Care. J Contin Educ Nurs 2020; 51:457-464. [PMID: 32976614 DOI: 10.3928/00220124-20200914-07] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2020] [Accepted: 05/04/2020] [Indexed: 11/20/2022]
Abstract
BACKGROUND This study aimed to evaluate correlations between female nurses' needs satisfaction and behavioral intentions for providing sexual health care and to assess moderating effects of learning needs on that correlation. METHOD A total of 300 female RNs were enrolled. Two validated instruments were used to collect information on participants' learning needs, needs satisfaction, and behavioral intentions for providing sexual health care. RESULTS Adjusted multivariable regression analysis revealed significant moderating effects of medium and low learning needs on correlations between needs satisfaction and behavioral intentions (medium learning needs: β = 0.282, 95% CI = 0.075, 0.490; p = .008; low learning needs: β = 0.293, 95% CI = 0.033, 0.553; p = .027), while no moderating effect was observed in those with high learning needs. CONCLUSION Needs satisfaction was significantly correlated with behavioral intentions of sexual health care in medium and low learning needs groups. [J Contin Educ Nurs. 2020;51(10):457-464.].
Collapse
|
17
|
Purnell M. Findings from a training needs analysis survey to support health professionals across the research lifecycle. Health Info Libr J 2020; 37:118-127. [PMID: 32250041 DOI: 10.1111/hir.12303] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2019] [Accepted: 02/25/2020] [Indexed: 11/28/2022]
Abstract
BACKGROUND Undertaking a training needs analysis (TNA) in a health library context can be a useful tool for gathering evidence that supports service redesign. This article focuses on the findings of a TNA survey undertaken at a health library in northern Australia. OBJECTIVES The aim of this study was to discover the information and training needs of health department staff who work across six hospitals and numerous rural and remote clinics, with a focus on research project support. METHODS An online survey was undertaken in August 2018 to gather data from departmental staff. RESULTS There were 131 responses to the survey. Results indicated that a number of staff are either currently involved with or are intending to undertake a research project in the next year. The majority felt their searching skills were average or above average, but there are still those who struggle. Advanced Search Strategies was the most requested workshop to add to the current training programme and both in-person and virtual delivery are desirable. CONCLUSION The results of this survey have been used to implement a number of changes to the library's educational services and the library's website has been updated.
Collapse
Affiliation(s)
- Margaret Purnell
- Library Services, Northern Territory Department of Health, Darwin, NT, Australia
| |
Collapse
|
18
|
Bramanis C. Enhancing the care of children and young people with mental health issues. Nurs Child Young People 2019; 31:28-31. [PMID: 31696689 DOI: 10.7748/ncyp.2019.e1216] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/10/2019] [Indexed: 11/09/2022]
Abstract
Early intervention in children and young people with mental health issues is important to ensure that these issues do not persist into adulthood. However, while children and young people with mental health issues have traditionally been cared for in specialist facilities to ensure their safety, a lack of inpatient beds means that these patients are being admitted to children's wards in general hospitals. Children's nurses require education and training in mental health to provide optimal care for these children and young people. This article explains how the development of evidence-based clinical practice guidelines for children and young people with mental health issues could increase patient safety. Similarly, postgraduate mental health education and training for children's nurses could support enhanced care. The article also discusses how the Nursing and Midwifery Council's revised proficiency standards will require nursing students and registered nurses to enhance their knowledge of caring for people with mental health issues.
Collapse
Affiliation(s)
- Charlotte Bramanis
- College of Nursing, Midwifery and Healthcare, University of West London, Brentford, England
| |
Collapse
|
19
|
Bae KS, Roh YS. Training needs analysis of Korean nurses' neurological assessment competency. Nurs Health Sci 2019; 22:99-107. [PMID: 31609541 DOI: 10.1111/nhs.12654] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2019] [Revised: 08/23/2019] [Accepted: 08/30/2019] [Indexed: 11/29/2022]
Abstract
Despite the importance of neurological assessment, there is a lack of research directed at nurses' competency in performing these assessments. We aimed to identify nurses' competency levels in performing neurological assessments and prioritize their related training needs using importance-performance analysis. This survey research was conducted and reported based on the enhancing the quality and transparency of health research (EQUATOR) guidelines. A total of 213 nurses participated in a descriptive, cross-sectional survey study. Exploratory factor analysis identified seven factors that together accounted for 70.34% of the variance: cerebral function, signs and symptoms, pathologic reflexes, motor strength, assessment of an unconscious patient, reporting and documentation, and neurological assessment scales. [Correction added on 10 February 2020, after first online publication: the value of the variance has been corrected from '7.34%' to '70.34%' in the preceding sentence.] There were significant gaps between importance and performance for all seven factors. The importance-performance matrix identified the neurological assessment scales factor as a high priority for continuing education. Emergency department nurses reported lower neurological assessment competency when compared with ward and intensive care unit nurses. The analysis of training needs is beneficial for developing programs to enhance neurological assessment competency. Training in neurological assessment scales is a priority for nurses, and they prefer simulation- and practicum-based methods.
Collapse
Affiliation(s)
- Ki Sook Bae
- Department of Nursing, Graduate School, Chung-Ang University, Seoul, Korea
| | - Young Sook Roh
- Red Cross College of Nursing, Chung-Ang University, Seoul, Korea
| |
Collapse
|
20
|
Meng M, Peter D, Mattner F, Igel C, Kugler C. Development and psychometric pilot-testing of a questionnaire for the evaluation of satisfaction with continuing education in infection control nurses. Nurse Educ Pract 2018; 31:77-82. [PMID: 29800763 DOI: 10.1016/j.nepr.2018.05.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2017] [Revised: 04/29/2018] [Accepted: 05/15/2018] [Indexed: 11/17/2022]
Abstract
Satisfaction with continuing education can be defined as positive attitudes towards educational programs, which has potential to strengthen learning outcomes. A multi-dimensional construct may enhance continuing education program evaluation processes. The objective is to describe the development and psychometric testing of the 'affective - behavioral - cognitive - satisfaction questionnaire' (ABC-SAT) for assessing participants' satisfaction with a continuing education program for nurses in infection control. The multi-staged development of a satisfaction questionnaire comprised of three subscales. The pilot tool was administered to a nationwide sample of 126 infection control nurses to assess satisfaction after participating in a continuing education program. Satisfaction scores were calculated and psychometric testing was performed to determine reliability, using Cronbach's alpha, face validity, objectivity, and economy. A principle component analysis using varimax rotation and Kaiser normalization was performed. The analysis led to a three-factor solution of the questionnaire with 11 items, explaining 61.4% of the variance. Internal consistency of three scales using Cronbach's alpha was 0.83, 0.60, and 0.66, respectively. Selectivity coefficients varied between 0.39 and 0.70. Participants needed approximately three minutes to complete the questionnaire. Initial findings refer to a satisfying scale structure and internal consistency of the 3-dimensional ABC-SAT questionnaire. Further research is required to confirm the questionnaires' psychometric properties.
Collapse
Affiliation(s)
- Michael Meng
- University of Freiburg, Faculty of Medicine, Institute of Nursing Science, Freiburg, Germany; Witten/Herdecke University, Faculty of Health, Department of Nursing Science (Doctoral Student), Germany.
| | - Daniel Peter
- City of Cologne Hospitals, Institute of Hygiene, Germany
| | - Frauke Mattner
- City of Cologne Hospitals, Institute of Hygiene, Germany
| | - Christoph Igel
- German Research Center for Artificial Intelligence, Educational Technology Lab, Berlin, Germany
| | - Christiane Kugler
- University of Freiburg, Faculty of Medicine, Institute of Nursing Science, Freiburg, Germany.
| |
Collapse
|