以社区为基础的初级卫生保健中风康复培训计划,南非。

IF 1.3 Q4 HEALTH CARE SCIENCES & SERVICES
Elsje Scheffler, Robert Mash
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引用次数: 2

摘要

背景:在南非农村地区,随着中风负担的增加和缺乏获得康复服务的机会,中风幸存者依靠未经训练的家庭照顾者获得支持和照顾。社区卫生工作者(CHWs)为这些家庭提供支持,但没有专门针对中风的培训。目的:描述在南非开普Winelands地区为chw制定的一项符合环境的卒中培训计划。方法:2014年9月至2015年12月,对当地基层卫生保健机构的26名卫生专业人员和保健员进行为期15个月的行动研究。这些小组参与了两个平行的合作探究(CI)小组。调查遵循计划、行动、观察和反思的循环步骤。在本文中,描述了计划步骤以及CI小组如何使用分析、设计、开发、实施、评估(ADDIE)教学设计模型的前三个步骤。结果:在分析步骤中确定了保健员的执业范围、学习需求、能力和特征,以及照顾者和脑卒中幸存者的需求。课程设计由16节课组成,每节课超过20小时。课程资源采用适当的技术、语言和教学方法开发。结论:该计划旨在使卫生保健员能够在家中支持家庭照顾者和中风幸存者,这是他们全面实践范围的一部分。实现和初步评估将在以后的文章中描述。贡献:该研究为卫生保健员制定了一个独特的培训计划,以支持资源受限的中等收入农村国家的护理人员和中风幸存者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

A stroke rehabilitation training program for community-based primary health care, South Africa.

A stroke rehabilitation training program for community-based primary health care, South Africa.

A stroke rehabilitation training program for community-based primary health care, South Africa.

Background: With an increasing burden of stroke and a lack of access to rehabilitation services in rural South African settings, stroke survivors rely on untrained family caregivers for support and care. Community health workers (CHWs) support these families but have no stroke-specific training.

Objectives: To describe the development of a contextually appropriate stroke training program for CHWs in the Cape Winelands District, South Africa.

Method: Twenty-six health professionals and CHWs from the local primary healthcare services participated in action research over a 15-month period from September 2014 to December 2015. The groups participated in two parallel cooperative inquiry (CI) groups. The inquiry followed the cyclical steps of planning, action, observation and reflection. In this article, the planning step and how the CI groups used the first three steps of the analyse, design, develop, implement, evaluate (ADDIE) instructional design model are described.

Results: The CHWs' scope of practice, learning needs, competencies and characteristics, as well as the needs of the caregivers and stroke survivors, were identified in the analysis step. The program design consisted of 16 sessions to be delivered over 20 h. Program resources were developed with appropriate technology, language and instructional methodology.

Conclusion: The program aims to equip CHWs to support family caregivers and stroke survivors in their homes as part of their generalist scope of practice. The implementation and initial evaluation will be described in a future article.

Contribution: The study developed a unique training program for CHWs to support caregivers and stroke survivors in a resource-constrained, rural, middle-income country setting.

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来源期刊
African Journal of Disability
African Journal of Disability HEALTH CARE SCIENCES & SERVICES-
CiteScore
2.10
自引率
5.90%
发文量
50
审稿时长
20 weeks
期刊介绍: The African Journal of Disability, the official journal of CRS, AfriNEAD and CEDRES, introduce and discuss issues and experiences relating to and supporting the act of better understanding the interfaces between disability, poverty and practices of exclusion and marginalisation. Its articles yield new insight into established human development practices, evaluate new educational techniques and disability research, examine current cultural and social discrimination, and bring serious critical analysis to bear on problems shared across the African continent. Emphasis is on all aspects of disability particularity in the developing African context. This includes, amongst others: -disability studies as an emerging field of public health enquiry -rehabilitation, including vocational and community-based rehabilitation -community development and medical issues related to disability and poverty -disability-related stigma and discrimination -inclusive education -legal, policy, human rights and advocacy issues related to disability -the role of arts and media in relation to disability -disability as part of global Sustainable Development Goals transformation agendas -disability and postcolonial issues -globalisation and cultural change in relation to disability -environmental and climate-related issues linked to disability -disability, diversity and intersections of identity -disability and the promotion of human development.
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