Improving Interprofessional Collaboration: Building Confidence Using A Novel HIV Curriculum For Healthcare Workers Across Sub-Saharan Africa

Michael J. A. Reid, Judy Khanyola, Rand Dadasovich, Miliard Derbew, Ian Couper, Edward T. Dassah, Maeve Forster, Onesmus Gachuno, Clara Haruzivishe, Abigail Kazembe, Shayanne Martin, Mmoloki Moltwantwa, Keneilwe Motlhatlhedi, Kien Alfred Mteta, Nisha Nadesan-Reddy, Fatima Suleman, Catherine Ngoma, Georgina N. Odaibo, Roy Mubuuke, Deborah von Zinkernagel, Elsie Kiguli-Malwadde, David Sears
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Abstract

The 21st century presents significant global health challenges that necessitate an integrated health workforce capable of delivering person-centered and integrated healthcare services. Interprofessional collaboration (IPC) plays a vital role in achieving integration and training an IPC-capable workforce in Sub-Saharan Africa (SSA) has become imperative. This study aimed to assess changes in IPC confidence among learners participating in a team-based, case-based HIV training program across diverse settings in SSA. Additionally, it sought to examine the impact of different course formats (in-person, synchronous virtual, or blended learning) on IPC confidence. Data from 20 institutions across 18 SSA countries were collected between May 1, 2021, and December 31, 2021. Logistic regression analysis was conducted to estimate associations between variables of interest and the gain in IPC confidence. The analysis included 3,842 learners; nurses comprised 37.9% (n=1,172) and physicians 26.7% (n=825). The majority of learners (67.2%, n=2,072) were pre-service learners, while 13.0% (n=401) had graduated within the past year. Factors significantly associated with increased IPC confidence included female gender, physician cadre, completion of graduate training over 12 months ago, and participation in virtual or in-person synchronous workshops (p<0.05). The insights gained from this analysis can inform future curriculum development to strengthen interprofessional healthcare delivery across SSA.
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改善跨专业合作:利用撒哈拉以南非洲地区卫生保健工作者的新型艾滋病毒课程建立信心
21世纪提出了重大的全球卫生挑战,需要一支能够提供以人为本的综合卫生保健服务的综合卫生队伍。跨专业合作(IPC)在实现一体化方面发挥着至关重要的作用,在撒哈拉以南非洲(SSA)培训具有跨专业合作能力的劳动力已成为当务之急。本研究旨在评估在SSA不同环境下参加以团队为基础、以病例为基础的艾滋病毒培训计划的学习者中IPC信心的变化。此外,它还试图检查不同课程形式(面对面、同步虚拟或混合学习)对IPC信心的影响。在2021年5月1日至2021年12月31日期间收集了来自18个SSA国家的20家机构的数据。进行逻辑回归分析以估计感兴趣的变量与IPC置信度增益之间的关联。该分析包括3842名学习者;护士占37.9% (n= 1172),医生占26.7% (n=825)。大多数学习者(67.2%,n= 2072)是职前学习者,而13.0% (n=401)在过去一年内毕业。与IPC信心增加显著相关的因素包括女性、医生干部、在12个月前完成研究生培训以及参加虚拟或面对面的同步研讨会(p < 0.05)。从该分析中获得的见解可以为未来的课程开发提供信息,以加强SSA的跨专业医疗保健服务。
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