在低收入和中等收入国家通过能力建设培训教员卫生倡议实现和维持变革:一项系统审查。

IF 1.6 4区 教育学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES
Bobbi Snowden, Shaon Lahiri, Rebecca Dutton, Lindsay Morton
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引用次数: 3

摘要

导言:鉴于预期的卫生挑战、预计的全球卫生人力不足以及克服资源限制的稳定需求,迫切需要有效和高效的培训方法来建设能力。虽然培训教员(T3)不是一种新方法,但人们对利用它来发展和维持能力非常感兴趣,特别是在低收入和中等收入国家。本系统综述旨在更好地了解通过T3方法在多个国家和各级实现和维持变革的因素。方法:对6个学术、同行评审的灰色文献数据库进行文献检索。从研究方法、设计、特征以及与实现和维持变化的可能性最大化相关的隐性或显性因素中提取数据。全球卫生领域T3干预措施的现有概念框架指导了专题分析。该框架包括与能力建设T3计划相关的五个因素:人才、资源、协调、实施以及培育和发展。结果:22项研究符合纳入标准。第三阶段培训涵盖所有地理区域,但干预措施在撒哈拉以南非洲最为普遍(46%)。几乎所有的研究(68%)都定量地考察了个人层面(95%)的变化,但也有一些研究探讨了组织(77%)和机构(23%)层面的变化。执行和培育/发展是实现和维持变革的两个最突出的因素。最大的障碍涉及资源和上下文,这是数据确定的另一个主题。讨论:首次系统综述探讨了通过与健康相关的T3干预措施影响变化的前因,其发现和建议可以为培训和能力建设投资提供信息,改进现有的T3举措,并指导未来方法的规划。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Achieving and Sustaining Change Through Capacity Building Train-the-Trainer Health Initiatives in Low- and Middle-Income Countries: A Systematic Review.

Introduction: Given the anticipated health challenges, forecasted deficiencies in the global health workforce, and steady demands to work through resource constraints, effective and efficient training approaches to build capacity are direly needed. Although train-the-trainer (T3) is not a new approach, there has been considerable interest in using it to develop and sustain capacity, particularly in low- and middle-income countries. This systematic review aimed to better understand the factors to achieve and sustain change across multiple countries and levels through T3 approaches.

Methods: A literature search was conducted of six scholarly, peer-reviewed, and gray literature databases. Data were extracted for the study method, design, characteristics, and implicit or explicit factors related to maximizing the likelihood of achieving and sustaining change. An existing conceptual framework for T3 interventions in global health guided the thematic analysis. The framework consisted of five factors pertinent to capacity building T3 initiatives: Talent, Resources, Alignment, Implementation, and Nurture and Development.

Results: Twenty-two studies met the inclusion criteria. The T3 training spanned all geographical regions, but interventions were most prevalent in sub-Saharan Africa (46%). Nearly all studies (68%) quantitatively examined change at the individual level (95%), but some studies also explored change at the organizational (77%) and institutional (23%) levels. Implementation and Nurture/Development were the two most salient factors in achieving and sustaining change. The greatest hindrances involved Resources and Context , an additional theme that the data identified.

Discussion: The findings and recommendations from this first systematic review exploring antecedents influencing change through health-related T3 interventions can inform training and capacity-building investments, improve existing T3 initiatives, and steer planning for future approaches.

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来源期刊
CiteScore
3.00
自引率
16.70%
发文量
85
审稿时长
>12 weeks
期刊介绍: The Journal of Continuing Education is a quarterly journal publishing articles relevant to theory, practice, and policy development for continuing education in the health sciences. The journal presents original research and essays on subjects involving the lifelong learning of professionals, with a focus on continuous quality improvement, competency assessment, and knowledge translation. It provides thoughtful advice to those who develop, conduct, and evaluate continuing education programs.
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