马拉维一家三级医院的自主电子学习————定性评价和吸取的教训。

GMS Zeitschrift fur Medizinische Ausbildung Pub Date : 2015-02-11 eCollection Date: 2015-01-01 DOI:10.3205/zma000949
Sandra Barteit, Philip Hoepffner, Sören Huwendiek, Angela Karamagi, Charles Munthali, Antje Theurer, Florian Neuhann
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引用次数: 8

摘要

背景:马拉维严重缺乏卫生工作者。尽管采取了解决这一问题的举措,但保健人员仍然严重短缺。这种缺乏对初级医务人员的教育和培训提出了挑战,特别是在他们作为医生独立工作之前的最后和关键培训年的医疗实习生。项目描述:我们在马拉维Kamuzu中心医院(KCH)的医学部引进了一个电子学习平台。在计算机辅助教学的支持下,我们的目标是提高医疗培训和教育的质量,以及获得最新医疗材料的机会,特别是对实习生而言。方法:2012年3月至4月,我们对电子学习平台的相关性和适宜性进行了定性评价。通过面对面访谈、指导小组讨论和基于检查表的观察日志收集数据。采用内容分析对评价数据进行记录和编码,通过有目的抽样选择受访者。结果:在这种情况下,电子学习在技术上是可行的。用户认为电子学习平台是相关和适当的。与会者对可持续性、可及性和技术基础设施以及马拉维合作伙伴的有限参与和责任表示关切。对电子学习的兴趣很高,但潜在用户对电子学习平台的认识和了解程度较低。评价结果表明,需要进一步适应当地需求,以增加使用率和可达性。结论:访谈结果和我们的项目经验表明,在给定的环境下,电子学习需要当地利益相关者的承诺、充足的技术基础设施、责任的识别和分配,以及对当地需求的具体适应。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Self-directed e-learning at a tertiary hospital in Malawi--a qualitative evaluation and lessons learnt.

Self-directed e-learning at a tertiary hospital in Malawi--a qualitative evaluation and lessons learnt.

Self-directed e-learning at a tertiary hospital in Malawi--a qualitative evaluation and lessons learnt.

Self-directed e-learning at a tertiary hospital in Malawi--a qualitative evaluation and lessons learnt.

Background: Malawi faces a severe lack of health workers. Despite initiatives to address this problem, a critical shortage of health care staff remains. This lack challenges the education and training of junior medical staff, especially medical interns in their final and crucial training year before they independently work as medical doctors.

Project description: We have introduced an e-learning platform in the medical department of the Kamuzu Central Hospital (KCH) in Malawi. With the support of computer-assisted instruction, we aimed to improve the quality of medical training and education, as well as access to current medical materials, in particular for interns.

Method: From March to April 2012, we conducted a qualitative evaluation to assess relevance and appropriateness of the e-learning platform. Data was collected via face-to-face interviews, a guided group discussion and a checklist based observation log. Evaluation data was recorded and coded using content analysis, interviewees were chosen via purposive sampling.

Results: E-learning proved to be technically feasible in this setting. Users considered the e-learning platform to be relevant and appropriate. Concerns were raised about sustainability, accessibility and technical infrastructure, as well as limited involvement and responsibilities of Malawian partners. Interest in e-learning was high, yet, awareness of and knowledge about the e-learning platform among potential users was low. Evaluation results indicated that further adaptions to local needs are necessary to increase usage and accessibility.

Conclusions: Interview results and our project experiences showed that, in the given setting, e-learning requires commitment from local stakeholders, adequate technical infrastructure, identification and assignation of responsibilities, as well as specific adaption to local needs.

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