Eduardo Kattan1,2,3, Rodrigue Takoudjou4, Karen Venegas5, Julio Brousse6, Alejandro Delfino2,3, R López Barreda7,8. 1. Departamento de Medicina Intensiva, Pontificia Universidad Católica de Chile, Santiago, Chile. 2. División de Anestesiología, Pontificia Universidad Católica de Chile, Santiago, Chile. 3. Centro de Educación Médica, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile. 4. Complexe Hospitalier-Universitaire Le Bon Samaritain, N'Djamena, Chad. 5. Departamento de Anestesiología y Reanimación, Hospital Clínico y Facultad de Medicina, Universidad de Chile, Santiago, Chile. 6. Departamento de Anestesiología, Hospital Base de Osorno, Osorno, Chile. 7. División de Anestesiología, Pontificia Universidad Católica de Chile, Santiago, Chile. ralopez@uc.cl. 8. Centro de Bioética, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile. ralopez@uc.cl.
Abstract
PURPOSE: Safe perioperative care remains a large public healthcare problem in low- and middle-income countries. Anesthesia care provided by trained professionals is one of the essential determinants to address this situation. This article reports the design and implementation of a focused anesthesia educational program for nurses in Chad. METHOD: This program consisted of four full-time courses of one month each, taught in a local hospital. The program included supervised practice in the operating room and post-anesthesia recovery room, skills lab simulation training, high fidelity crisis simulation, theoretical classes, integration sessions, evaluations, and structured feedback sessions. RESULTS: Seven male nurses, aged 28-40 yr, were accepted and successfully completed the program. The median [interquartile range] students' global satisfaction with the program was high (86 [85-93]%). Cognitive and skills assessment improved significantly after the program. Students subsequently worked in city and district hospitals performing essential and emergency surgical interventions. CONCLUSIONS: This is a novel south-south academic cooperation program for nurses in Chad. The program evaluation indicated a high level of satisfaction, effective cognitive and skills learning, and changes in clinical behaviour. Addressing the lack of adequate provision of anesthesia care is a task still to be faced, and this program depicts a bridge alternative until formal educational programs are implemented in the country.
PURPOSE: Safe perioperative care remains a large public healthcare problem in low- and middle-income countries. Anesthesia care provided by trained professionals is one of the essential determinants to address this situation. This article reports the design and implementation of a focused anesthesia educational program for nurses in Chad. METHOD: This program consisted of four full-time courses of one month each, taught in a local hospital. The program included supervised practice in the operating room and post-anesthesia recovery room, skills lab simulation training, high fidelity crisis simulation, theoretical classes, integration sessions, evaluations, and structured feedback sessions. RESULTS: Seven male nurses, aged 28-40 yr, were accepted and successfully completed the program. The median [interquartile range] students' global satisfaction with the program was high (86 [85-93]%). Cognitive and skills assessment improved significantly after the program. Students subsequently worked in city and district hospitals performing essential and emergency surgical interventions. CONCLUSIONS: This is a novel south-south academic cooperation program for nurses in Chad. The program evaluation indicated a high level of satisfaction, effective cognitive and skills learning, and changes in clinical behaviour. Addressing the lack of adequate provision of anesthesia care is a task still to be faced, and this program depicts a bridge alternative until formal educational programs are implemented in the country.
Authors: Soha Sobhy; Javier Zamora; Kuhan Dharmarajah; David Arroyo-Manzano; Matthew Wilson; Ramesan Navaratnarajah; Arri Coomarasamy; Khalid S Khan; Shakila Thangaratinam Journal: Lancet Glob Health Date: 2016-05 Impact factor: 26.763
Authors: John G Meara; Andrew J M Leather; Lars Hagander; Blake C Alkire; Nivaldo Alonso; Emmanuel A Ameh; Stephen W Bickler; Lesong Conteh; Anna J Dare; Justine Davies; Eunice Dérivois Mérisier; Shenaaz El-Halabi; Paul E Farmer; Atul Gawande; Rowan Gillies; Sarah L M Greenberg; Caris E Grimes; Russell L Gruen; Edna Adan Ismail; Thaim Buya Kamara; Chris Lavy; Ganbold Lundeg; Nyengo C Mkandawire; Nakul P Raykar; Johanna N Riesel; Edgar Rodas; John Rose; Nobhojit Roy; Mark G Shrime; Richard Sullivan; Stéphane Verguet; David Watters; Thomas G Weiser; Iain H Wilson; Gavin Yamey; Winnie Yip Journal: Lancet Date: 2015-04-26 Impact factor: 79.321