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首页> 外文期刊>World Journal of Vaccines >Outcomes of the Expanded Programme on Immunization Pre-Service Training Initiatives in Kenya: A Mixed Methods Study
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Outcomes of the Expanded Programme on Immunization Pre-Service Training Initiatives in Kenya: A Mixed Methods Study

机译：肯尼亚扩大的免疫前职前培训计划的结果：混合方法研究

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Background: The Maternal and Child Survival Program of United States Agency for International Development conducted a study in 2017 to assess the outcome of an initiative to strengthen Expanded Programme on Immunization (EPI) pre-service training. The pre-service training initiative was undertaken by the Ministry of Health (MOH) with support from partners in 2012-2016. The overall objective of the study was to assess the adoption and effectiveness of the initiative in the competency (knowledge, skills and attitude) of graduate nurses. Methods: The study included a conveniently selected sample of 14 pre-service training institutions, 23 field practicum sites, and 29 health facilities in western Kenya, and used quantitative and qualitative methods of data collection. Results: All pre-service training institutions were found to have adapted the WHO EPI prototype curriculum. Overall, tutors followed training method in the classroom as suggested in the curriculum, except evaluation of students’ learning lacked tests or quizzes. Students had opportunities for hands-on practical experience in the field practicum sites. Graduate nurses were found to have acquired the skills for vaccinating children. However, some pre-service training institutions lacked functional skills labs for practical learning of students. In addition, students did not receive up-to-date information on EPI program, and lacked knowledge and skills on monitoring and documentation of EPI coverage during preservice training. Conclusions: It appears that the EPI pre-service training strengthening initiatives facilitated competency-based EPI training of nurses in Kenya. However, preservice training institutions still have scope for improvement in the skills lab, hand-washing practice, providing up-to-date information, and training students on coverage monitoring and documentation.
机译：背景：美国国际开发署母婴生存计划于2017年进行了一项研究，以评估加强免疫接种扩展（EPI）职前培训计划的成果。卫生部（MOH）在合作伙伴的支持下于2012-2016年开展了职前培训计划。该研究的总体目标是评估该计划在研究生护士的能力（知识，技能和态度）方面的采用和有效性。方法：该研究包括一个方便选择的样本，包括肯尼亚西部的14个职前培训机构，23个现场实习场所和29个医疗机构，并使用定量和定性的数据收集方法。结果：发现所有职前培训机构都适应了WHO EPI原型课程。总体而言，导师遵循课程中建议的课堂培训方法，但对学生的学习评估缺乏测试或测验。学生们有机会在实地实习现场实践实践经验。发现研究生护士已经掌握了为儿童接种疫苗的技能。但是，一些职前培训机构缺乏进行学生实际学习的功能技能实验室。此外，学生没有收到有关EPI计划的最新信息，并且在职前培训期间缺乏有关EPI覆盖率监控和记录的知识和技能。结论：加强EPI职前培训的举措似乎促进了肯尼亚护士基于能力的EPI培训。但是，职前培训机构仍需要在技能实验室，洗手实践，提供最新信息以及对学生进行覆盖率监测和记录方面进行培训的改进空间。

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