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首页> 外文期刊>BMC Medical Education >Building health system capacity to improve maternal and newborn care: a pilot leadership program for frontline staff at a tertiary hospital in Ghana
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Building health system capacity to improve maternal and newborn care: a pilot leadership program for frontline staff at a tertiary hospital in Ghana

机译：建设卫生系统以改善孕产妇和新生儿护理的能力：加纳一家三级医院一线工作人员的试点领导方案

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Frontline healthcare workers are critical to meeting the maternal, newborn and child health Sustainable Development Goals in low- and middle-income countries. The World Health Organization has identified leadership development as integral to achieving successful health outcomes, but few programs exist for frontline healthcare workers in low-resource settings. An 18-month pilot leadership development program was designed and implemented at Greater Accra Regional Hospital, a tertiary care facility in Ghana. A multi-modal training approach was utilized to include individual coaching, participatory discussions, role plays, and didactic sessions on leadership styles, emotional intelligence, communication, accountability and compassionate care. A cross-section of 140 staff from 8 distinct hospital wards and 19 ranks were involved in various components of the leadership program from January 2014 to June 2015. At baseline, the primary leadership challenges and goals of the staff included: interpersonal communication, institutional logistics, compliance, efficiency and staff attitudes. Thirteen participants developed a total of 17 leadership projects to apply their training, many of which focused on improving challenges in organizational culture and systems through bettering leadership skills and interpersonal communication. The staff highly valued the program and found it beneficial to their work. Self-selected individual leadership projects mirrored areas of concern found in the needs assessment, indicating that the program was successful in achieving its goals. The on-site nature of the program was cost-effective and led to maximum staff participation despite clinical responsibilities. A longstanding relationship between the design team and the local hospital staff allowed for an exploration of approaches, many of which were new to the local context. Further research is needed on adapting the program to other settings in Ghana and integrating it into broader systems strengthening interventions. This pilot program was well received and warrants further adaptation and scale up.
机译：一线医护人员对于实现中低收入国家的孕产妇，新生儿和儿童健康可持续发展目标至关重要。世界卫生组织已将领导力发展确定为取得成功的健康成果所不可或缺的，但针对资源匮乏地区的一线医护人员而言，几乎没有计划。在加纳的三级医疗机构大阿克拉地区医院设计并实施了一个为期18个月的飞行员领导力发展计划。采用了一种多模式的培训方法，包括关于领导风格，情绪智力，沟通，问责制和同情关怀的个人指导，参与式讨论，角色扮演和教学会议。 2014年1月至2015年6月，来自8个不同医院病房和19个职级的140名员工参与了领导力计划的各个组成部分。在基线时，员工的主要领导力挑战和目标包括：人际沟通，机构后勤，合规性，效率和员工态度。共有13名参与者制定了17个领导力项目来应用他们的培训，其中许多重点是通过改善领导力技能和人际交流来改善组织文化和系统中的挑战。员工高度评价该计划，并发现该计划对其工作有益。自选的个人领导项目反映了需求评估中发现的关注领域，表明该计划成功实现了目标。该计划的现场性质具有成本效益，尽管有临床责任，但仍可最大限度地提高工作人员的参与度。设计团队与当地医院工作人员之间的长期合作关系使人们可以探索各种方法，其中许多方法对于当地情况来说是新的。需要使该计划适应加纳其他地区的进一步研究，并将其整合到更广泛的系统中以加强干预。该试点计划受到好评，需要进一步调整和扩大规模。

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