通过实施一项教育计划，改善尼加拉瓜的儿科神经护理和医疗保健分散化。实验前研究

IF 0.7 Q4 NURSING

Enfermeria Clinica Pub Date : 2025-01-01 DOI:10.1016/j.enfcli.2024.06.011

Jean Rémy Mongbet-Ayouné , Giancarlo Lucchetti , Bárbara Badanta

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摘要

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Mejorar la atención neuropediátrica y la descentralización de la atención médica en Nicaragua mediante la implementación de un programa educativo. Estudio preexperimental

Objective

To improve and decentralize neuropediatric healthcare in Nicaragua by implementing an education program.

Method

This study is carried out as an international cooperation proyecto between September 2018 and June 2019. It has a pre-experimental and before-after design (on a single group) of the implementation of an education program. A total of 19 pediatrics and 6 nurses participated in a training program, and neuropediatric healthcare services were decentralized from the National Children's Hospital in Managua (La Mascota) to 19 regional and departmental hospitals in Nicaragua.

Results

For the implementation of this education program, nine Indicadors were measured during the training process and at the end of the proyecto and different results were obtained. The neuropediatric care, that was totally centered in a single hospital, has suffered drastic changes, increasing the number of electroencephalographs and follow up of patients in the regional hospitals, while reducing external consultations and waiting time for consultations in the central hospital. Likewise, a neuropediatric network was established, training was provided, and brochures were developed, resulting in an improving satisfaction of families with the care provided for their children.

Conclusions

Our results revealed the real-life effectiveness of this education program in improving neuropediatric care in Nicaragua, supporting nonspecialized pediatricians and nurses for acting as decentralizing agents. The proposal reinforces universal access to basic health by focusing on different social determinants and may serve as a model to other low-income countries.

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来源期刊

Enfermeria Clinica NURSING-

CiteScore

2.00

自引率

0.00%

发文量

期刊介绍： Enfermería Clínica is a peer-reviewed scientific journal that is a useful and necessary tool for nursing professionals from the different areas of nursing (healthcare, administration, education and research) as well as for healthcare professionals involved in caring for persons, families and the community. It is the only Spanish nursing journal that mainly publishes original research. The aim of the Journal is to promote increased knowledge through the publication of original research and other studies that may help nursing professionals improve their daily practice. This objective is pursued throughout the different sections that comprise the Journal: Original Articles and Short Original Articles, Special Articles, Patient Care and Letters to the Editor. There is also an Evidence-Based Nursing section that includes comments about original articles of special interest written by experts.