在刚果民主共和国测试经翻译和文化调整的以人为本的孕产妇和新生儿医疗保健培训计划的可行性:过程评估

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Ewa Carlsson Lalloo , Frida Temple , Marie Berg , Urban Berg , Alumeti Munyali Désiré , Aline Mulunda , Malin Bogren
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引用次数: 0

摘要

目标由于刚果民主共和国(DRC)的孕产妇和新生儿死亡率和发病率很高,因此确保孕产妇和新生儿医疗保健的质量具有挑战性。以人为本的护理方法对优质护理至关重要。哥德堡大学开发了一种以人为本的护理(PCC)模式。为支持该模式的实施,哥德堡大学制定了一项名为 "相互会议 "的培训计划。本研究旨在测试在刚果(金)的孕产妇和新生儿医疗保健环境中,针对医疗保健提供者的这一 PCC 培训计划的翻译和文化适应版本的可行性。方法将 PCC 计划翻译成法语,并在与刚果(金)东部的 31 名孕产妇和新生儿医疗保健提供者举办的研讨会上进行测试。通过焦点小组访谈和个别访谈对该计划的可行性进行了评估。访谈记录采用过程评估框架中的关键要素进行演绎分析,这些要素包括忠实度、剂量、覆盖面、适应性、可接受性和应用性。结果法文 PCC 课程超出了参与者的预期,并被认为适用于教学和临床环境,但建议根据具体情况进行一些修改。其教学结构(包括参与式反思方法)被认为具有创新性和启发性,让学员感到舒适,并使他们能够以人为本地对待彼此。这项研究表明,在新环境中根据具体情况调整复杂的干预措施非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Testing the feasibility of a translated and culturally adapted person-centred training programme in maternal and newborn healthcare in Democratic Republic of Congo: A process evaluation

Objective

Ensuring quality of maternal and newborn healthcare is challenging in the Democratic Republic of Congo (DRC) as the maternal and newborn mortality and morbidity rate is high. Essential for quality care is a person-centred approach. One model of person-centred care (PCC) has been developed at Gothenburg University. To support its implementation a training programme, “Mutual Meetings”, has been developed. This study aims to test the feasibility of a translated and culturally adapted version of this PCC training programme for healthcare providers in the maternal and newborn healthcare context of DRC.

Methods

The PCC programme was translated into French and tested in a workshop with 31 maternal and newborn healthcare providers in eastern DRC. The feasibility of the programme was evaluated through focus group interviews and individual interviews. The interview transcripts were analysed deductively using key components in a process evaluation framework including fidelity, dose, reach, adaptation, acceptability, and application.

Results

The French PCC programme exceeded the participants’ expectations and was found being applicable in both teaching and clinical setting with some suggested contextual modifications. Its pedagogic structure including a participatory reflective approach, was perceived innovative and inspirational, mediated a sense of comfort, and enabled the participants to use a person-centred approach towards each other.

Conclusion

The results show that the French on-site version of the PCC training programme was valid in terms of feasibility and how it was received by the participants. The study demonstrates the importance of contextual adaptation of complex interventions in new settings.

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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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