Kelsey Renning , Julie A. Thompson , Ann Michelle Hartman , Anda Nindi Nyondo , Julie Mann , Lignet Chepuka , Chimwemwe Mula , Netsayi Gowero , Gina Wilson , Carolyn Ramwell , Brittney van de Water
{"title":"儿科危重症护理试点戒酒计划的效果：提高马拉维布兰太尔一批专业护士的信心和能力成果","authors":"Kelsey Renning , Julie A. Thompson , Ann Michelle Hartman , Anda Nindi Nyondo , Julie Mann , Lignet Chepuka , Chimwemwe Mula , Netsayi Gowero , Gina Wilson , Carolyn Ramwell , Brittney van de Water","doi":"10.1016/j.nedt.2024.106351","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Availability of high-level pediatric training for nurses in Malawi is limited. To address this gap, a novel pediatric critical care nurse preceptor program was developed and implemented by pediatric nurse specialists.</p></div><div><h3>Aim</h3><p>Evaluate the effectiveness of a pediatric critical care nurse preceptor program, via change in nurses' knowledge, skills, confidence, and precepting competence.</p></div><div><h3>Design</h3><p>A 12-month pediatric critical care nurse preceptor program with assessments at baseline, end of intensive (3 months), and end of program (6 months).</p></div><div><h3>Setting</h3><p>Blantyre, Malawi.</p></div><div><h3>Participants</h3><p>Nurses with two or more years of pediatric nursing experience (<em>N</em> = 20) nominated by unit managers.</p></div><div><h3>Methods</h3><p>Quantitative data were collected throughout program implementation. Assessments included: (1) multiple choice knowledge test, (2) Objective Structured Clinical Examinations in two areas (vital signs and airway, breathing, circulation, disability, exposure assessments; and blood gas and electrolyte analysis), (3) group simulations (cardiopulmonary resuscitation or respiratory distress), (4) Likert-scale clinical confidence survey, and (5) Likert-scale precepting competence survey. Data were analyzed using repeated measures ANOVA with pairwise comparisons. For Likert-scale surveys, median confidence scores were compared using a Friedman test with post hoc pairwise comparisons using Wilcoxon signed-rank tests.</p></div><div><h3>Results</h3><p>Participants demonstrated significant improvement in clinical knowledge (<em>p</em> < .001), vital signs and airway, breathing, circulation, disability, exposure assessment (<em>p</em> = .001), blood gas and electrolyte analysis (<em>p</em> = .001), CPR (<em>p</em> < .001) and respiratory distress (<em>p</em> < .001) simulations, clinical confidence (<em>p</em> = .002), and precepting competence (<em>p</em> = .041).</p></div><div><h3>Conclusion</h3><p>This pediatric critical care nurse preceptor program was effective in improving participants' confidence and competence (knowledge and skills) in pediatric critical care nursing and precepting. Results suggest the program's potential to address the shortage of highly trained pediatric critical care nurses in Malawi. This lays groundwork for refining and expanding preceptorship, ultimately improving pediatric critical care nursing education in resource-limited settings.</p></div>","PeriodicalId":54704,"journal":{"name":"Nurse Education Today","volume":"142 ","pages":"Article 106351"},"PeriodicalIF":3.6000,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effectiveness of a pediatric critical care pilot preceptor program: Improved confidence and competency outcomes among a cohort of professional nurses in Blantyre, Malawi\",\"authors\":\"Kelsey Renning , Julie A. Thompson , Ann Michelle Hartman , Anda Nindi Nyondo , Julie Mann , Lignet Chepuka , Chimwemwe Mula , Netsayi Gowero , Gina Wilson , Carolyn Ramwell , Brittney van de Water\",\"doi\":\"10.1016/j.nedt.2024.106351\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Availability of high-level pediatric training for nurses in Malawi is limited. To address this gap, a novel pediatric critical care nurse preceptor program was developed and implemented by pediatric nurse specialists.</p></div><div><h3>Aim</h3><p>Evaluate the effectiveness of a pediatric critical care nurse preceptor program, via change in nurses' knowledge, skills, confidence, and precepting competence.</p></div><div><h3>Design</h3><p>A 12-month pediatric critical care nurse preceptor program with assessments at baseline, end of intensive (3 months), and end of program (6 months).</p></div><div><h3>Setting</h3><p>Blantyre, Malawi.</p></div><div><h3>Participants</h3><p>Nurses with two or more years of pediatric nursing experience (<em>N</em> = 20) nominated by unit managers.</p></div><div><h3>Methods</h3><p>Quantitative data were collected throughout program implementation. Assessments included: (1) multiple choice knowledge test, (2) Objective Structured Clinical Examinations in two areas (vital signs and airway, breathing, circulation, disability, exposure assessments; and blood gas and electrolyte analysis), (3) group simulations (cardiopulmonary resuscitation or respiratory distress), (4) Likert-scale clinical confidence survey, and (5) Likert-scale precepting competence survey. Data were analyzed using repeated measures ANOVA with pairwise comparisons. For Likert-scale surveys, median confidence scores were compared using a Friedman test with post hoc pairwise comparisons using Wilcoxon signed-rank tests.</p></div><div><h3>Results</h3><p>Participants demonstrated significant improvement in clinical knowledge (<em>p</em> < .001), vital signs and airway, breathing, circulation, disability, exposure assessment (<em>p</em> = .001), blood gas and electrolyte analysis (<em>p</em> = .001), CPR (<em>p</em> < .001) and respiratory distress (<em>p</em> < .001) simulations, clinical confidence (<em>p</em> = .002), and precepting competence (<em>p</em> = .041).</p></div><div><h3>Conclusion</h3><p>This pediatric critical care nurse preceptor program was effective in improving participants' confidence and competence (knowledge and skills) in pediatric critical care nursing and precepting. Results suggest the program's potential to address the shortage of highly trained pediatric critical care nurses in Malawi. This lays groundwork for refining and expanding preceptorship, ultimately improving pediatric critical care nursing education in resource-limited settings.</p></div>\",\"PeriodicalId\":54704,\"journal\":{\"name\":\"Nurse Education Today\",\"volume\":\"142 \",\"pages\":\"Article 106351\"},\"PeriodicalIF\":3.6000,\"publicationDate\":\"2024-08-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Nurse Education Today\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0260691724002612\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"EDUCATION, SCIENTIFIC DISCIPLINES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nurse Education Today","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0260691724002612","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"EDUCATION, SCIENTIFIC DISCIPLINES","Score":null,"Total":0}
Effectiveness of a pediatric critical care pilot preceptor program: Improved confidence and competency outcomes among a cohort of professional nurses in Blantyre, Malawi
Background
Availability of high-level pediatric training for nurses in Malawi is limited. To address this gap, a novel pediatric critical care nurse preceptor program was developed and implemented by pediatric nurse specialists.
Aim
Evaluate the effectiveness of a pediatric critical care nurse preceptor program, via change in nurses' knowledge, skills, confidence, and precepting competence.
Design
A 12-month pediatric critical care nurse preceptor program with assessments at baseline, end of intensive (3 months), and end of program (6 months).
Setting
Blantyre, Malawi.
Participants
Nurses with two or more years of pediatric nursing experience (N = 20) nominated by unit managers.
Methods
Quantitative data were collected throughout program implementation. Assessments included: (1) multiple choice knowledge test, (2) Objective Structured Clinical Examinations in two areas (vital signs and airway, breathing, circulation, disability, exposure assessments; and blood gas and electrolyte analysis), (3) group simulations (cardiopulmonary resuscitation or respiratory distress), (4) Likert-scale clinical confidence survey, and (5) Likert-scale precepting competence survey. Data were analyzed using repeated measures ANOVA with pairwise comparisons. For Likert-scale surveys, median confidence scores were compared using a Friedman test with post hoc pairwise comparisons using Wilcoxon signed-rank tests.
Results
Participants demonstrated significant improvement in clinical knowledge (p < .001), vital signs and airway, breathing, circulation, disability, exposure assessment (p = .001), blood gas and electrolyte analysis (p = .001), CPR (p < .001) and respiratory distress (p < .001) simulations, clinical confidence (p = .002), and precepting competence (p = .041).
Conclusion
This pediatric critical care nurse preceptor program was effective in improving participants' confidence and competence (knowledge and skills) in pediatric critical care nursing and precepting. Results suggest the program's potential to address the shortage of highly trained pediatric critical care nurses in Malawi. This lays groundwork for refining and expanding preceptorship, ultimately improving pediatric critical care nursing education in resource-limited settings.
期刊介绍：
Nurse Education Today is the leading international journal providing a forum for the publication of high quality original research, review and debate in the discussion of nursing, midwifery and interprofessional health care education, publishing papers which contribute to the advancement of educational theory and pedagogy that support the evidence-based practice for educationalists worldwide. The journal stimulates and values critical scholarly debate on issues that have strategic relevance for leaders of health care education.
The journal publishes the highest quality scholarly contributions reflecting the diversity of people, health and education systems worldwide, by publishing research that employs rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of education and systems globally. The journal will publish papers that show depth, rigour, originality and high standards of presentation, in particular, work that is original, analytical and constructively critical of both previous work and current initiatives.
Authors are invited to submit original research, systematic and scholarly reviews, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing and related health care education, and which will meet and develop the journal''s high academic and ethical standards.
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