“WhatsApp是最好的！”基于whatsapp的HIV微学习对南非偏远诊所医护人员的可接受性和可行性：一项实用、混合方法、集群随机试验

IF 3.3 3区医学 Q1 NURSING

Nurse Education in Practice Pub Date : 2025-05-15 DOI:10.1016/j.nepr.2025.104407

Briony Sue Chisholm , Melissa Laura Wallace , Marc Blockman , Catherine Orrell

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引用次数: 0

摘要

目的确定基于whatsapp的HIV微学习对医护人员的可用性。本文报告了可接受性和可行性。背景：艾滋病毒指南定期更新，因此持续培训至关重要。距离、基础设施、人力和财政资源限制是南非培训面临的挑战。需要创新的、可获得的、可扩展的和可持续的培训。该国拥有100% %的移动电话普及率；93 % WhatsApp使用。设计一项实用、混合方法、平行组群随机试验，在50个诊所进行，干预组和对照组在不同时间接受培训。方法对233名护士和206名社区卫生工作者进行调查。在WhatsApp群组中进行了基于案例的短期课程。通过分析在线问卷、WhatsApp互动、焦点小组和文件夹审查，对知识的吸收、可行性、可及性、变化和患者护理进行了衡量。焦点小组抽样具有目的性和便利性。对21名护士和42名社区卫生工作者进行了12个焦点小组和1次访谈。定性资料采用模板分析法进行分析。结果总体情绪是积极的，98 %的参与者表示，如果全年每周举行一次培训，他们会参加。三个主题描述了情绪：(1)“WhatsApp群是最好的”——培训既有效又有趣；轻松愉快的；有培训师参与的现场小组学习受到赞赏；需要进一步的训练；(2)挑战-基于基础设施/技术；语言障碍/术语;和信息疲劳；(3)认可、欣赏和授权。参加者表示满意，98.6% %的护士及95.2% %的保健员认为培训有用。结论基于whatsapp的医护人员微学习是可行的，且效果良好。未来的研究应该探索大规模应用。

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“WhatsApp is best!” Acceptability and feasibility of WhatsApp-based HIV microlearning for healthcare workers in remote South African clinics: A pragmatic, mixed-methods, cluster-randomised trial

Aim

To determine the usability of WhatsApp-based HIV microlearning for healthcare workers. This paper reports acceptability and feasibility.

Background

HIV guidelines are regularly updated making ongoing training essential. Distance, infrastructure, human and financial resource constraints are challenges to training in South Africa. Innovative, accessible, scalable and sustainable training is needed. The country has 100 % mobile phone penetration; 93 % WhatsApp use.

Design

A pragmatic, mixed-methods, parallel-group cluster-randomised trial, conducted in 50 clinics, with intervention and control groups receiving training at different times.

Methods

233 nurses and 206 community health workers participated. Short case-based lessons were held in WhatsApp groups. Uptake, feasibility, accessibility, changes in knowledge and patient care were measured with analysis of online questionnaires, WhatsApp interactions, focus groups and folder reviews. Focus group sampling was purposive and convenience. Twelve focus groups and one interview were held, with 21 nurses and 42 community health workers. Qualitative data were analysed using template analysis.

Results

Overall sentiment was positive, with 98 % of participants saying they would participate if the training were held weekly throughout the year. Three themes described sentiment: (1) ‘WhatsApp group is best’ – training was effective and interesting; easy and enjoyable; live group learning, with trainer access was appreciated; and further training was wanted; (2) Challenges – infrastructural/technology-based; language barriers/jargon; and message fatigue; (3) Recognition, appreciation and empowerment. Participants expressed satisfaction, with 98.6 % of nurses and 95.2 % of CHWs finding the training useful.

Conclusions

WhatsApp-based microlearning for healthcare workers is feasible and well-received. Future research should explore application at scale.

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来源期刊

Nurse Education in Practice NURSING-

CiteScore

5.40

自引率

9.40%

发文量

180

审稿时长

51 days

期刊介绍： Nurse Education in Practice enables lecturers and practitioners to both share and disseminate evidence that demonstrates the actual practice of education as it is experienced in the realities of their respective work environments. It is supportive of new authors and will be at the forefront in publishing individual and collaborative papers that demonstrate the link between education and practice.