Tim Stephens1, A Pubudu De Silva2, Abi Beane3, John Welch4, Chathurani Sigera5, Sunil De Alwis6, Priyantha Athapattu7, Dilantha Dharmagunawardene8, Lalitha Peiris9, Somalatha Siriwardana10, Ashoka Abeynayaka11, Kosala Saroj Amarasena Jayasinghe12, Palitha G Mahipala13, Arjen Dondorp14, Rashan Haniffa15. 1. Critical Care Research Team, Royal London Hospital, London, United Kingdom; William Harvey Institute, Queen Mary University of London, London, United Kingdom. Electronic address: t.t.stephens@qmul.ac.uk. 2. National Intensive Care Surveillance, Ministry of Health, Colombo, Sri Lanka; Intensive Care National Audit and Research Centre, London, United Kingdom. Electronic address: pubudu@nicslk.com. 3. Adult Critical Care Unit, Royal London Hospital, London, United Kingdom. Electronic address: Abi.beane@bartshealth.nhs.uk. 4. Critical Care Department, University College Hospital, London, United Kingdom. Electronic address: John.Welch@uclpartners.com. 5. National Intensive Care Surveillance, Ministry of Health, Colombo, Sri Lanka. Electronic address: chaturani@nicslk.com. 6. Office of Deputy Director General (Education, Training and Research), Ministry of Health, Colombo, Sri Lanka. Electronic address: sdalwis@yahoo.com. 7. National Intensive Care Surveillance, Ministry of Health, Colombo, Sri Lanka; Office of Director Tertiary Care Health, Ministry of Health, Colombo, Sri Lanka. Electronic address: reathapattu@yahoo.co.in. 8. Office of Deputy Director General (Education, Training and Research), Ministry of Health, Colombo, Sri Lanka. Electronic address: dilanthadharma@yahoo.co.uk. 9. Post Basic College of Nursing, Ministry of Health, Colombo, Sri Lanka. Electronic address: lalitha_peiris8@yahoo.com. 10. Office of Deputy Director General (Education, Training and Research), Ministry of Health, Colombo, Sri Lanka. Electronic address: siriwardenasomalatha@gmail.com. 11. Post Basic College of Nursing, Ministry of Health, Colombo, Sri Lanka. Electronic address: ashokabey@yahoo.com. 12. Faculty of Medicine, University of Colombo, Colombo, Sri Lanka. Electronic address: sarojoffice@yahoo.com. 13. Office of Director General of Health Services, Ministry of Health, Colombo, Sri Lanka. Electronic address: dr.mahipala@gmail.com. 14. Mahidol Oxford Tropical Medicine Research Unit (MORU), Bangkok, Thailand. Electronic address: arjen@tropmedres.ac. 15. National Intensive Care Surveillance, Ministry of Health, Colombo, Sri Lanka; Faculty of Medicine, University of Colombo, Colombo, Sri Lanka; Mahidol Oxford Tropical Medicine Research Unit (MORU), Bangkok, Thailand. Electronic address: rashan@nicslk.com.
Abstract
OBJECTIVES: To deliver and evaluate a short critical care nurse training course whilst simultaneously building local training capacity. RESEARCH METHODOLOGY: A multi-modal short course for critical care nursing skills was delivered in seven training blocks, from 06/2013-11/2014. Each training block included a Train the Trainer programme. The project was evaluated using Kirkpatrick's Hierarchy of Learning. There was a graded hand over of responsibility for course delivery from overseas to local faculty between 2013 and 2014. SETTING: Sri Lanka. MAIN OUTCOME MEASURES: Participant learning assessed through pre/post course Multi-Choice Questionnaires. RESULTS: A total of 584 nurses and 29 faculty were trained. Participant feedback was consistently positive and each course demonstrated a significant increase (p≤0.0001) in MCQ scores. There was no significant difference MCQ scores (p=0.186) between overseas faculty led and local faculty led courses. CONCLUSIONS: In a relatively short period, training with good educational outcomes was delivered to nearly 25% of the critical care nursing population in Sri Lanka whilst simultaneously building a local faculty of trainers. Through use of a structured Train the Trainer programme, course outcomes were maintained following the handover of training responsibility to Sri Lankan faculty. The focus on local capacity building increases the possibility of long term course sustainability.
OBJECTIVES: To deliver and evaluate a short critical care nurse training course whilst simultaneously building local training capacity. RESEARCH METHODOLOGY: A multi-modal short course for critical care nursing skills was delivered in seven training blocks, from 06/2013-11/2014. Each training block included a Train the Trainer programme. The project was evaluated using Kirkpatrick's Hierarchy of Learning. There was a graded hand over of responsibility for course delivery from overseas to local faculty between 2013 and 2014. SETTING:Sri Lanka. MAIN OUTCOME MEASURES: Participant learning assessed through pre/post course Multi-Choice Questionnaires. RESULTS: A total of 584 nurses and 29 faculty were trained. Participant feedback was consistently positive and each course demonstrated a significant increase (p≤0.0001) in MCQ scores. There was no significant difference MCQ scores (p=0.186) between overseas faculty led and local faculty led courses. CONCLUSIONS: In a relatively short period, training with good educational outcomes was delivered to nearly 25% of the critical care nursing population in Sri Lanka whilst simultaneously building a local faculty of trainers. Through use of a structured Train the Trainer programme, course outcomes were maintained following the handover of training responsibility to Sri Lankan faculty. The focus on local capacity building increases the possibility of long term course sustainability.
Authors: Abi Beane; Ambepitiyawaduge Pubudu De Silva; Nirodha De Silva; Jayasingha A Sujeewa; R M Dhanapala Rathnayake; P Chathurani Sigera; Priyantha Lakmini Athapattu; Palitha G Mahipala; Aasiyah Rashan; Sithum Bandara Munasinghe; Kosala Saroj Amarasiri Jayasinghe; Arjen M Dondorp; Rashan Haniffa Journal: BMJ Open Date: 2018-04-27 Impact factor: 2.692
Authors: Ashley Bjorklund; Tina Slusher; Louise Tina Day; Mariya Mukhtar Yola; Clark Sleeth; Andrew Kiragu; Arianna Shirk; Kristina Krohn; Robert Opoka Journal: Front Pediatr Date: 2022-01-31 Impact factor: 3.418