绘制塞拉利昂助产士学生临床实习过程图:确定促进因素和障碍。

IF 2.6 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Annals of Global Health Pub Date : 2024-07-08 eCollection Date: 2024-01-01 DOI:10.5334/aogh.4441
Julie Mann, Elizabeth Lemor, Frances Fornah, Patricia Juana-Kamara, Mary Augusta Fullah, Mustapha Sonnie, Brittney van de Water
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引用次数: 0

摘要

背景:改善助产士教育对提高塞拉利昂母婴健康水平至关重要。助产教育的一个重要优先事项是加强临床教学和学生在临床环境中的实践经验。目标:确定助产士学生临床实习中的促进因素和挑战,并强调加强临床助产士教育系统的领域以及戒律者的作用。研究方法我们与塞拉利昂的两所助产士学校共同开展了一项参与式流程摸底调查,以详细了解实习助产士和助产士教师在安排学生到临床环境中进行助产士轮转时所采取的步骤。调查结果:42 名参与者来自塞拉利昂博城和马克尼地区。参与者包括马克尼和博城助产士学校的助产士教师、两家地区政府医院的临床助产士、两家附属社区卫生中心的临床助产士以及地区卫生管理小组的助产士。在这一过程中,出现了三个反复出现的主题。首先,总是有一些准备或教授学生的内容。其次,在临床实习之前、期间和之后,学校、临床实习点和学生之间都需要协调行政工作。第三,学校与临床实习基地/实习生之间的沟通与合作,可以通过共识和标准化加以改进。另外,学生在临床实习前、实习中和实习后的各项活动也不一致,而且机会有限,对临床实习经验所有组成部分的评估系统也很混乱。结论这项研究让我们深入了解了助产士学生的临床实习过程,并强调了需要标准化的促进因素和一些需要解决的可修改的障碍。塞拉利昂和撒哈拉以南非洲的许多其他类似国家正试图通过教育和培养戒律员来加强学生的临床教育,因此,绘制过程图可以成为一种有用的工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Process Mapping Midwifery Students' Clinical Placement in Sierra Leone: Identifying Facilitators and Barriers.

Background: Improving midwifery education is critical to improving maternal and infant health outcomes in Sierra Leone. A significant priority within midwifery education is to strengthen the clinical teaching and students' hands-on experience in the clinical setting. Objectives: To identify facilitators and challenges within midwifery students' clinical placements and to highlight areas to strengthen the clinical midwifery education system as well as the role of preceptors. Methods: We conducted a participatory process mapping with two schools of midwifery in Sierra Leone to detail steps taken by practicing midwives and midwifery faculty when students are placed in clinical settings for midwifery rotations. Findings: There were 42 participants from the Bo and Makeni regions of Sierra Leone. Participants included midwifery faculty from the Schools of Midwifery in Makeni and Bo, clinical midwives from two regional government hospitals, clinical midwives from two affiliated community health centers, and midwives from the District Health Management Teams. Three recurring themes emerged in the process. First, there was always some element of preparing or teaching the student. Second, there were administrative tasks to coordinate between the schools, clinical sites, and students, before, during, and after clinical placements. And third, there were elements of communication and collaboration between schools and clinical sites/preceptors that could be improved through shared understanding and standardization. Additional themes were inconsistencies across activities before, during, and after students' clinical placement and limited opportunities and confusion around systems of evaluating all components of the clinical placement experience. Conclusions: This study provides insight into the process of midwifery students' clinical placement and highlights facilitators to be standardized and some modifiable barriers to be addressed. As Sierra Leone and many other similar countries in sub-Saharan Africa attempt to strengthen students' clinical education through educating and developing preceptors, processing mapping can be a useful tool.

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来源期刊
Annals of Global Health
Annals of Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
5.30
自引率
3.40%
发文量
95
审稿时长
11 weeks
期刊介绍: ANNALS OF GLOBAL HEALTH is a peer-reviewed, open access journal focused on global health. The journal’s mission is to advance and disseminate knowledge of global health. Its goals are improve the health and well-being of all people, advance health equity and promote wise stewardship of the earth’s environment. The journal is published by the Boston College Global Public Health Program. It was founded in 1934 by the Icahn School of Medicine at Mount Sinai as the Mount Sinai Journal of Medicine. It is a partner journal of the Consortium of Universities for Global Health.
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