‘I am the nurse who does io!’: impact of a ‘training of trainers’ paediatric resuscitation training programme in malawi

Aims To determine the impact of a single ‘training of trainers’ ETAT (Emergency triage, assessment and treatment) paediatric resuscitation training programme on clinical practice of participating healthcare workers in Malawi. Methods Training was based on the WHO ETAT programme. Participants, senior...

Full description

Saved in:
Bibliographic Details
Published in:Archives of disease in childhood 2011-04, Vol.96 (Suppl 1), p.A75-A75
Main Authors: Pollock, L, Jefferis, O, Dube, Q, Kadewa, R
Format: Article
Language:English
Subjects:
Health care
Health services
Hospitals
Interviews
Medical personnel
Structured Interviews
Training
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-b1996-f83fdac23d3f165d920330006284b1925f546291d04dea197ecb656d0c7e1d623
cites
container_end_page A75
container_issue Suppl 1
container_start_page A75
container_title Archives of disease in childhood
container_volume 96
creator Pollock, L
Jefferis, O
Dube, Q
Kadewa, R
description Aims To determine the impact of a single ‘training of trainers’ ETAT (Emergency triage, assessment and treatment) paediatric resuscitation training programme on clinical practice of participating healthcare workers in Malawi. Methods Training was based on the WHO ETAT programme. Participants, senior healthcare workers working directly with children, completed a 4-day course including local ETAT implementation planning workshop. Impact on participant knowledge was assessed by pre and post-course test scores. Clinical practice impact was based on structured interview and retrospective case reporting at 6 months. Service impact was assessed after 6 months by site visits and hospital reports. Results 79 participants (47 nursing staff, 27 clinical officers, 3 medical assistants, 2 doctors) from 25 hospitals in 18 Malawian healthcare districts were trained. Pre and post-course knowledge tests (n=79) showed improvement in both individual and overall scores (overall mean score pre: 10.27 post: 12.48 p=
doi_str_mv 10.1136/adc.2011.212563.175
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_1828807066</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>4214608611</sourcerecordid><originalsourceid>FETCH-LOGICAL-b1996-f83fdac23d3f165d920330006284b1925f546291d04dea197ecb656d0c7e1d623</originalsourceid><addsrcrecordid>eNqNkElOwzAUhi0EEqVwAjZGrBM8JI7DDhVKK1XAgmFpubHTujQDdqLCih4DrteT4BLUNSs_Wd__hg-AU4xCjCm7kCoLCcI4JJjEjIY4ifdAD0eMBwRF0T7oIYRokHLOD8GRcwuEMOGc9sDnZv01hrKAzVzDsrVOw9W8gqrSDprqbLP-voSmqGXWwCqHEnq8sdKUppxtP35rbZ3nYC21MrKxJoNWu9ZlppGNqUq4C9S2mllZFBqaEhZyKVfmGBzkcun0yd_bB0_Dm8fBKJjc344HV5NgitOUBTmnuZIZoYrmmMUqJYhSfxMjPPIEifM4YiTFCkVKS5wmOpuymCmUJRorRmgfnHd9_Q5vrXaNWFStLf1IgblXgRLEmKdoR2W2cs7qXNTWFNJ-CIzE1rTwpsXWtOhMC2_ap4IuZVyj33cRaV8FS2gSi7vngRg9sGh4_RKLoefDjp8Wi38N-AG3FpJy</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1828807066</pqid></control><display><type>article</type><title>‘I am the nurse who does io!’: impact of a ‘training of trainers’ paediatric resuscitation training programme in malawi</title><source>Education Collection (Proquest) (PQ_SDU_P3)</source><source>Social Science Premium Collection (Proquest) (PQ_SDU_P3)</source><creator>Pollock, L ; Jefferis, O ; Dube, Q ; Kadewa, R</creator><creatorcontrib>Pollock, L ; Jefferis, O ; Dube, Q ; Kadewa, R</creatorcontrib><description>Aims To determine the impact of a single ‘training of trainers’ ETAT (Emergency triage, assessment and treatment) paediatric resuscitation training programme on clinical practice of participating healthcare workers in Malawi. Methods Training was based on the WHO ETAT programme. Participants, senior healthcare workers working directly with children, completed a 4-day course including local ETAT implementation planning workshop. Impact on participant knowledge was assessed by pre and post-course test scores. Clinical practice impact was based on structured interview and retrospective case reporting at 6 months. Service impact was assessed after 6 months by site visits and hospital reports. Results 79 participants (47 nursing staff, 27 clinical officers, 3 medical assistants, 2 doctors) from 25 hospitals in 18 Malawian healthcare districts were trained. Pre and post-course knowledge tests (n=79) showed improvement in both individual and overall scores (overall mean score pre: 10.27 post: 12.48 p=&lt;0.001). At 6 month follow-up 17 hospitals were visited and 20 made progress reports. Contact was lost with 5 hospitals. Around 25% of participants had left paediatric or health services. 6 month post-course knowledge test (n=32) showed retained improvement compared to pre-course scores (mean 6 month score: 11.81, p=0.001). 26 participants completed a structured interview at 6 months. All attributed positive changes in clinical practice to the course. 41 specific case histories of children's lives saved attributed to skills not used prior to the course were reported. ‘Life-saving’ skills included intra-osseous access (30 cases), bag-valve mask ventilation (7 cases) and anti-convulsant protocols (4 cases). 20 hospitals reported impact on service. 3 hospitals had introduced triage, 14 made improvements to existing triage systems. 8 hospitals had established a specific clinical area for resuscitation of children. 11 hospitals had obtained funding for participants to train colleagues: a further 272 healthcare workers had been trained in triage skills. Conclusions Logistical difficulties, resource limitation and high staff turnover were barriers to both local implementation of ETAT and assessment at follow-up. Training programmes and ‘real-life’ implementation need to be continuously supported to sustain improvement. Despite this there was evidence of knowledge gained and retained, and most importantly of positive impact on outcome for individual children. True impact may be underestimated.</description><identifier>ISSN: 0003-9888</identifier><identifier>EISSN: 1468-2044</identifier><identifier>DOI: 10.1136/adc.2011.212563.175</identifier><identifier>CODEN: ADCHAK</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</publisher><subject>Health care ; Health services ; Hospitals ; Interviews ; Medical personnel ; Structured Interviews ; Training</subject><ispartof>Archives of disease in childhood, 2011-04, Vol.96 (Suppl 1), p.A75-A75</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><rights>Copyright: 2011 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b1996-f83fdac23d3f165d920330006284b1925f546291d04dea197ecb656d0c7e1d623</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1828807066/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1828807066?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>315,781,785,21380,21396,27926,27927,33613,33879,43735,43882,74223,74399</link.rule.ids></links><search><creatorcontrib>Pollock, L</creatorcontrib><creatorcontrib>Jefferis, O</creatorcontrib><creatorcontrib>Dube, Q</creatorcontrib><creatorcontrib>Kadewa, R</creatorcontrib><title>‘I am the nurse who does io!’: impact of a ‘training of trainers’ paediatric resuscitation training programme in malawi</title><title>Archives of disease in childhood</title><addtitle>Arch Dis Child</addtitle><description>Aims To determine the impact of a single ‘training of trainers’ ETAT (Emergency triage, assessment and treatment) paediatric resuscitation training programme on clinical practice of participating healthcare workers in Malawi. Methods Training was based on the WHO ETAT programme. Participants, senior healthcare workers working directly with children, completed a 4-day course including local ETAT implementation planning workshop. Impact on participant knowledge was assessed by pre and post-course test scores. Clinical practice impact was based on structured interview and retrospective case reporting at 6 months. Service impact was assessed after 6 months by site visits and hospital reports. Results 79 participants (47 nursing staff, 27 clinical officers, 3 medical assistants, 2 doctors) from 25 hospitals in 18 Malawian healthcare districts were trained. Pre and post-course knowledge tests (n=79) showed improvement in both individual and overall scores (overall mean score pre: 10.27 post: 12.48 p=&lt;0.001). At 6 month follow-up 17 hospitals were visited and 20 made progress reports. Contact was lost with 5 hospitals. Around 25% of participants had left paediatric or health services. 6 month post-course knowledge test (n=32) showed retained improvement compared to pre-course scores (mean 6 month score: 11.81, p=0.001). 26 participants completed a structured interview at 6 months. All attributed positive changes in clinical practice to the course. 41 specific case histories of children's lives saved attributed to skills not used prior to the course were reported. ‘Life-saving’ skills included intra-osseous access (30 cases), bag-valve mask ventilation (7 cases) and anti-convulsant protocols (4 cases). 20 hospitals reported impact on service. 3 hospitals had introduced triage, 14 made improvements to existing triage systems. 8 hospitals had established a specific clinical area for resuscitation of children. 11 hospitals had obtained funding for participants to train colleagues: a further 272 healthcare workers had been trained in triage skills. Conclusions Logistical difficulties, resource limitation and high staff turnover were barriers to both local implementation of ETAT and assessment at follow-up. Training programmes and ‘real-life’ implementation need to be continuously supported to sustain improvement. Despite this there was evidence of knowledge gained and retained, and most importantly of positive impact on outcome for individual children. True impact may be underestimated.</description><subject>Health care</subject><subject>Health services</subject><subject>Hospitals</subject><subject>Interviews</subject><subject>Medical personnel</subject><subject>Structured Interviews</subject><subject>Training</subject><issn>0003-9888</issn><issn>1468-2044</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>ALSLI</sourceid><sourceid>CJNVE</sourceid><sourceid>M0P</sourceid><recordid>eNqNkElOwzAUhi0EEqVwAjZGrBM8JI7DDhVKK1XAgmFpubHTujQDdqLCih4DrteT4BLUNSs_Wd__hg-AU4xCjCm7kCoLCcI4JJjEjIY4ifdAD0eMBwRF0T7oIYRokHLOD8GRcwuEMOGc9sDnZv01hrKAzVzDsrVOw9W8gqrSDprqbLP-voSmqGXWwCqHEnq8sdKUppxtP35rbZ3nYC21MrKxJoNWu9ZlppGNqUq4C9S2mllZFBqaEhZyKVfmGBzkcun0yd_bB0_Dm8fBKJjc344HV5NgitOUBTmnuZIZoYrmmMUqJYhSfxMjPPIEifM4YiTFCkVKS5wmOpuymCmUJRorRmgfnHd9_Q5vrXaNWFStLf1IgblXgRLEmKdoR2W2cs7qXNTWFNJ-CIzE1rTwpsXWtOhMC2_ap4IuZVyj33cRaV8FS2gSi7vngRg9sGh4_RKLoefDjp8Wi38N-AG3FpJy</recordid><startdate>201104</startdate><enddate>201104</enddate><creator>Pollock, L</creator><creator>Jefferis, O</creator><creator>Dube, Q</creator><creator>Kadewa, R</creator><general>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88B</scope><scope>88E</scope><scope>88I</scope><scope>8A4</scope><scope>8AF</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>LK8</scope><scope>M0P</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope></search><sort><creationdate>201104</creationdate><title>‘I am the nurse who does io!’: impact of a ‘training of trainers’ paediatric resuscitation training programme in malawi</title><author>Pollock, L ; Jefferis, O ; Dube, Q ; Kadewa, R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b1996-f83fdac23d3f165d920330006284b1925f546291d04dea197ecb656d0c7e1d623</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Health care</topic><topic>Health services</topic><topic>Hospitals</topic><topic>Interviews</topic><topic>Medical personnel</topic><topic>Structured Interviews</topic><topic>Training</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pollock, L</creatorcontrib><creatorcontrib>Jefferis, O</creatorcontrib><creatorcontrib>Dube, Q</creatorcontrib><creatorcontrib>Kadewa, R</creatorcontrib><collection>Istex</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection【Remote access available】</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Education Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>Education Periodicals</collection><collection>STEM Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Social Science Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Education Collection (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Biological Sciences</collection><collection>Education Database</collection><collection>Consumer Health Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Education</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><jtitle>Archives of disease in childhood</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pollock, L</au><au>Jefferis, O</au><au>Dube, Q</au><au>Kadewa, R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>‘I am the nurse who does io!’: impact of a ‘training of trainers’ paediatric resuscitation training programme in malawi</atitle><jtitle>Archives of disease in childhood</jtitle><addtitle>Arch Dis Child</addtitle><date>2011-04</date><risdate>2011</risdate><volume>96</volume><issue>Suppl 1</issue><spage>A75</spage><epage>A75</epage><pages>A75-A75</pages><issn>0003-9888</issn><eissn>1468-2044</eissn><coden>ADCHAK</coden><abstract>Aims To determine the impact of a single ‘training of trainers’ ETAT (Emergency triage, assessment and treatment) paediatric resuscitation training programme on clinical practice of participating healthcare workers in Malawi. Methods Training was based on the WHO ETAT programme. Participants, senior healthcare workers working directly with children, completed a 4-day course including local ETAT implementation planning workshop. Impact on participant knowledge was assessed by pre and post-course test scores. Clinical practice impact was based on structured interview and retrospective case reporting at 6 months. Service impact was assessed after 6 months by site visits and hospital reports. Results 79 participants (47 nursing staff, 27 clinical officers, 3 medical assistants, 2 doctors) from 25 hospitals in 18 Malawian healthcare districts were trained. Pre and post-course knowledge tests (n=79) showed improvement in both individual and overall scores (overall mean score pre: 10.27 post: 12.48 p=&lt;0.001). At 6 month follow-up 17 hospitals were visited and 20 made progress reports. Contact was lost with 5 hospitals. Around 25% of participants had left paediatric or health services. 6 month post-course knowledge test (n=32) showed retained improvement compared to pre-course scores (mean 6 month score: 11.81, p=0.001). 26 participants completed a structured interview at 6 months. All attributed positive changes in clinical practice to the course. 41 specific case histories of children's lives saved attributed to skills not used prior to the course were reported. ‘Life-saving’ skills included intra-osseous access (30 cases), bag-valve mask ventilation (7 cases) and anti-convulsant protocols (4 cases). 20 hospitals reported impact on service. 3 hospitals had introduced triage, 14 made improvements to existing triage systems. 8 hospitals had established a specific clinical area for resuscitation of children. 11 hospitals had obtained funding for participants to train colleagues: a further 272 healthcare workers had been trained in triage skills. Conclusions Logistical difficulties, resource limitation and high staff turnover were barriers to both local implementation of ETAT and assessment at follow-up. Training programmes and ‘real-life’ implementation need to be continuously supported to sustain improvement. Despite this there was evidence of knowledge gained and retained, and most importantly of positive impact on outcome for individual children. True impact may be underestimated.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</pub><doi>10.1136/adc.2011.212563.175</doi></addata></record>
fulltext fulltext
identifier ISSN: 0003-9888
ispartof Archives of disease in childhood, 2011-04, Vol.96 (Suppl 1), p.A75-A75
issn 0003-9888
1468-2044
language eng
recordid cdi_proquest_journals_1828807066
source Education Collection (Proquest) (PQ_SDU_P3); Social Science Premium Collection (Proquest) (PQ_SDU_P3)
subjects Health care
Health services
Hospitals
Interviews
Medical personnel
Structured Interviews
Training
title ‘I am the nurse who does io!’: impact of a ‘training of trainers’ paediatric resuscitation training programme in malawi
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-18T09%3A47%3A07IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=%E2%80%98I%20am%20the%20nurse%20who%20does%20io!%E2%80%99:%20impact%20of%20a%20%E2%80%98training%20of%20trainers%E2%80%99%20paediatric%20resuscitation%20training%20programme%20in%20malawi&rft.jtitle=Archives%20of%20disease%20in%20childhood&rft.au=Pollock,%20L&rft.date=2011-04&rft.volume=96&rft.issue=Suppl%201&rft.spage=A75&rft.epage=A75&rft.pages=A75-A75&rft.issn=0003-9888&rft.eissn=1468-2044&rft.coden=ADCHAK&rft_id=info:doi/10.1136/adc.2011.212563.175&rft_dat=%3Cproquest_cross%3E4214608611%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-b1996-f83fdac23d3f165d920330006284b1925f546291d04dea197ecb656d0c7e1d623%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1828807066&rft_id=info:pmid/&rfr_iscdi=true