Preparing the health workforce in Ethiopia: A Cross-sectional study of competence of anesthesia graduating students
| Autor: | Damtew Woldemariam, Adrienne Kols, Mihereteab Teshome, Sharon Kibwana, Leulayehu Akalu, Samuel Mengistu, Young Mi Kim, Awoke Misganaw, Jelle Stekelenburg, Jos van Roosmalen |
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| Přispěvatelé: | Athena Institute, Public Health Research (PHR) |
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Program evaluation Educational measurement Attitude of Health Personnel Objective structured clinical examination Decision Making education Practicum Education Interviews as Topic Basic skills Young Adult Student competency 03 medical and health sciences 0302 clinical medicine Humans Medicine Anesthesia Higher education 030212 general & internal medicine Sex Distribution Education Nursing Graduate Simulation Training Competence (human resources) Nurse Anesthetists Medical education 030504 nursing business.industry Education Nursing Baccalaureate General Medicine Nurse anesthetist Quality Improvement Cross-Sectional Studies Structured interview Linear Models Female Clinical Competence Educational Measurement Ethiopia 0305 other medical science business SDG 4 - Quality Education business.employer Program Evaluation |
| Zdroj: | Education for Health: Change in Learning and Practice, 29(1), 3-9. Medknow Publications Kibwana, S, Woldemariam, D, Misganaw, A, Teshome, M, Akalu, L, Kols, A, Kim, Y M, Mengistu, S, van Roosmalen, J & Stekelenburg, J 2016, ' Preparing the health workforce in Ethiopia : A cross-sectional study of competence of anesthesia graduating students ', Education for Health: Change in Learning and Practice, vol. 29, no. 1, pp. 3-9 . https://doi.org/10.4103/1357-6283.178931 Education for Health, 29(1), 3-9. WOLTERS KLUWER MEDKNOW PUBLICATIONS |
| ISSN: | 1357-6283 |
| Popis: | BACKGROUND: Efforts to address shortages of health workers in low-resource settings have focused on rapidly increasing the number of higher education programs for health workers. This study examines selected competencies achieved by graduating Bachelor of Science and nurse anesthetist students in Ethiopia, a country facing a critical shortage of anesthesia professionals.METHODS: The study, conducted in June and July 2013, assessed skills and knowledge of 122 students graduating from anesthetist training programs at six public universities and colleges in Ethiopia; these students comprise 80% of graduates from these institutions in the 2013 academic year. Data was collected from direct observations of student performance, using an objective structured clinical examination approach, and from structured interviews regarding the adequacy of the learning environment.RESULTS: Student performance varied, with mean percentage scores highest for spinal anesthesia (80%), neonatal resuscitation (74%), endotracheal intubation (73%), and laryngeal mask airway insertion check (71%). Average scores were lowest for routine anesthesia machine check (37%) and preoperative screening assessment (48%). Male graduates outscored female graduates (63.2% versus 56.9%, P = 0.014), and university graduates outscored regional health science college graduates (64.5% versus 55.5%, P = 0.023). Multivariate linear regression found that competence was associated with being male and attending a university training program. Less than 10% of the students believed that skills labs had adequate staff and resources, and only 57.4% had performed at least 200 endotracheal intubations at clinical practicum sites, as required by national standards.DISCUSSION: Ethiopia has successfully expanded higher education for anesthetists, but a focus on quality of training and assessment of learners is required to ensure that graduates have mastered basic skills and are able to offer safe services. |
| Databáze: | OpenAIRE |
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