An evaluation of obstetric ultrasound education program in Nepal using the RE-AIM framework
| Autor: | Woong Han Kim, Jongho Heo, Sugy Choi, Joong Shin Park, Ji-Eun Kim, Prabin Raj Shakya, S R Tamrakar |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Program evaluation
Nepali Health Personnel Global education lcsh:Medicine Qualitative property Ultrasonography Prenatal 030218 nuclear medicine & medical imaging Education 03 medical and health sciences LMIC 0302 clinical medicine Nepal Pregnancy Physicians Health care Medicine Humans Learning 030212 general & internal medicine Obstetric ultrasound Accreditation Medical education lcsh:LC8-6691 lcsh:Special aspects of education business.industry lcsh:R General Medicine Infant mortality language.human_language RE-AIM language Female Thematic analysis business Research Article |
| Zdroj: | BMC Medical Education, Vol 21, Iss 1, Pp 1-13 (2021) BMC Medical Education |
| ISSN: | 1472-6920 |
| Popis: | Background Nepal has a high prevalence of congenital anomaly contributing to high infant mortality. Ultrasound, an important tool to detect congenital anomalies and manage maternity-related risk factors, is not properly used in Nepal because Nepali doctors have limited opportunities for learning ultrasound techniques. Hence, we developed and implemented an ultrasound education program from 2016 to 2018. The objective of this study is to evaluate the education program using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework. Methods We conducted a mixed-method study to evaluate each component of RE-AIM. The team collected quantitative data from administrative records, tests, surveys, and an online follow-up survey. Qualitative data were collected from individual in-depth interviews at least a year after the program. The proportions, means, and t-tests were used for quantitative data, and thematic coding for qualitative data. Results A total of 228 healthcare workers representing 27.3% of the districts of Nepal were reached from 2016 to 2018. The program improved participants’ knowledge (29.3, 8.7, and 23.8 increases out of 100, each year, pn=85) and self-confidence (0.6, 0.3, 1.3 increases out of 4.0, pn=111). The participants were highly satisfied with the program (4.2, 4.1, and 4.0 out of 5.0, n=162). Among the respondents of the online follow-up survey (n=28), 60.7% had used ultrasound in their daily practice after the education program, and a medical institution established an ultrasound training center. The absence of clear accreditation and practical guidelines in ultrasound use were presented as barriers for adoption and maintenance. Conclusion The program was successful in improving participant’s knowledge and self-confidence in ultrasound techniques and showed great potential for the adoption and maintenance of the techniques in their practice. Continuous implementation of the program and institutional policy changes to facilitate ultrasound use may increase the ultrasound use and improve ultrasound service quality in Nepal. |
| Databáze: | OpenAIRE |
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