在乌干达西南部地区转诊医院卒中护理管理模拟教育的障碍和促进因素:一项定性研究。

IF 1.7 Q2 EDUCATION, SCIENTIFIC DISCIPLINES
Advances in Medical Education and Practice Pub Date : 2025-08-04 eCollection Date: 2025-01-01 DOI:10.2147/AMEP.S535086
Josephine Nambi Najjuma, Francis Bajunirwe, Scovia Nalugo Mbalinda, Frank Ssedyabane, Gerald Mwebembezi, Shirley Moore, Mark Kaddumukasa, Esther C Atukunda
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引用次数: 0

摘要

基于模拟的教育(SBE)提高了卫生专业人员的技能和知识。脑卒中护理需要快速决策,提高临床能力水平和跨学科合作。SBE提高了这些能力,但是遇到了实现上的挑战。本研究的目的是探讨乌干达一家转诊医院护士卒中护理实施SBE的障碍和促进因素。方法:从2024年3月至7月,在姆巴拉拉地区转诊医院和姆巴拉拉科技大学采用焦点小组讨论(fgd)和关键信息提供者访谈(KIIs)进行描述性定性研究。fgd是在护理学生中进行的。kii的参与者包括有目的地选择的护士、护士教育者和其他参与中风护理和床边教学的卫生保健提供者。该研究在实施研究综合框架(CFIR)的指导下,使用演绎主题分析来确定基于模拟的卒中教育(SBSE)的障碍和促进因素。结果:我们进行了4例fgd和12例kii。FGDs参与者的平均年龄为24岁,kii其他参与者的平均年龄为36岁。实施SBSE的障碍包括模拟方法的预期高成本、将经验教训转化为实际医院环境的预期高成本、对改变既定常规的抵制。高病人护士比例和缺乏针对中风的结构化培训也是障碍。促进因素包括对模拟方法的强有力的机构管理支持,模拟中心的培训设施的可用性,以及事先接触模拟方法。结论:SBSE有强有力的行政支持。然而,为了成功实施,需要解决资源限制问题,解决预期的变革阻力,并在医疗保健机构内培养持续学习和改进的文化。未来的干预措施应战略性地解决已确定的障碍,同时利用促进者可以在资源有限的情况下提高SBSE卒中护理的成功率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Barriers and Facilitators of Simulation-Based Education in Stroke Nursing Management at a Regional Referral Hospital in Southwestern Uganda: A Qualitative Study.

Introduction: Simulation-based education (SBE) improves skills and knowledge among health professionals. Stroke nursing necessitates swift decision-making, elevated levels of clinical competence, and interdisciplinary collaboration. SBE improves these competencies but encounters implementation challenges. The objective of this study was to explore the barriers and facilitators of SBE implementation for stroke care for nurses at a referral hospital in Uganda.

Methods: From March to July 2024, a descriptive qualitative study was carried out at Mbarara Regional Referral Hospital and Mbarara University of Science and Technology using focus group discussions (FGDs), and key-informant interviews (KIIs). The FGDs were carried out with nursing students. The KIIs participants included purposively selected nurses, nurse educators, and other health care providers involved in stroke care and bedside teaching. The study was guided by the Consolidated Framework for Implementation Research (CFIR) and used deductive thematic analysis to identify barriers and facilitators for simulation-based stroke education (SBSE).

Results: We conducted 4 FGDs, and 12 KIIs. The FGDs participants' mean age was 24 years and 36 years for other participants in KIIs. The barriers to SBSE included anticipated high cost for simulation methods, the anticipated high costs to translate lessons learned to real hospital setting, resistance to change from established routines. The high patient-to-nurse ratios and lack of stroke-specific structured training are also barriers. The facilitators included strong institutional administrative support for simulation methodology, availability of training facilities at the simulation center, and prior exposure to simulation methodologies.

Conclusion: Strong administrative support exists for SBSE. However, for successful implementation, there is a need to address the resource limitations, address anticipated resistance to change, and foster a culture of continuous learning and improvement within healthcare institutions. Future interventions should strategically address identified barriers while leveraging facilitators can enhance the success of SBSE stroke nursing care in resource-limited settings.

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来源期刊
Advances in Medical Education and Practice
Advances in Medical Education and Practice EDUCATION, SCIENTIFIC DISCIPLINES-
CiteScore
3.10
自引率
10.00%
发文量
189
审稿时长
16 weeks
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