卢旺达产科和新生儿护理跨专业合作指导计划的好处:定性描述性案例研究

A. Yamuragiye, J. P. Ndayisenga, A. Nkurunziza, Olive Bazirete, M. Uwimana
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引用次数: 0

摘要

跨专业合作(IPC)有助于获得最佳的患者治疗结果。产妇、新生儿和儿童保健培训、支助和获取模式(TSAM - MNCH)是卢旺达作为创新模式发起的一个项目,它提供了一个指导方案,以提高产科急诊和新生儿护理(EmONC)的质量,包括IPC。然而,目前还没有研究来了解这种指导对IPC实践的影响。研究目的从实施TSAM指导和医疗保健专业人员(HCPs)参与指导计划的医院管理人员的角度,确定TSAM指导对卢旺达IPC实践的影响。方法在卢旺达北部省的五家区级医院进行定性描述性案例研究。与医院院长和25名医护人员学员进行了访谈。数据被记录下来,逐字转录,并进行分析,以确定出现的主题结果和讨论出现了四个主题:a) IPC和TSAM指导的经验;b)师徒关系对IPC的益处,c)师徒关系面临的挑战,以及4)改进师徒关系的建议。结论研究结果表明,参与EmONC的团队成员的自信心和责任意识有所增强,这有助于改善团队之间的工作关系。卢旺达医学与健康科学,2023;6(1):71-83
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Benefits of a Mentorship Program on Interprofessional Collaboration in Obstetric and Neonatal Care in Rwanda: A Qualitative Descriptive Case Study
BackgroundInterprofessional collaboration (IPC) contributes to optimum patient outcomes. The Training, Support, Access Model for Maternal, New Born, and Child Health (TSAM – MNCH), a project initiated as an innovative model for Rwanda, has provided a mentorship program to improve the quality of emergency obstetric and neonatal care (EmONC )including IPC. However, no research has been conducted to understand the impact of that mentorship on IPC practice.Study objectiveTo identify the impact of the TSAM mentorship on IPC practice in Rwanda from the perspective of hospital managers where TSAM mentorship was implemented and healthcare professionals (HCPs) participated in the mentoring program.MethodsA qualitative descriptive case study was conducted in five district hospitals in the Northern Province of Rwanda. Interviews were conducted with hospital directors and twenty-five HCPs mentees. Data were recorded, transcribed verbatim, and analyzed to identify emergent themesResults and discussionsFour themes emerged: a) experience with IPC and TSAM mentorship; b) benefits of TSAM mentorship on IPC, c) challenges with mentoring programs, and 4) suggestions to improve TSAM mentorshipConclusionThe findings indicated an increase in self-confidence and awareness of responsibilities, which contributed to the improved working relationship among the team involved in EmONC.Rwanda J Med Health Sci 2023;6(1):71-83
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