Hekim Dışı Acil Sağlık Hizmetleri Çalışanlarına Verilen Acil Obstetrik Bakım Eğitiminin Etkinliğinin Değerlendirilmesi: Ön Test Son Test Araştırma

Year 2021, , 75 - 82, 18.04.2021

Yeter Şener , Evrim Bayraktar

https://doi.org/10.38108/ouhcd.800632

Cited By: 1

Abstract

Amaç: Bu araştırma hekim dışı acil sağlık hizmetleri çalışanlarına verilen Acil Obstetrik Bakım (AOB) eğitiminin etkinliğinin değerlendirilmesi amacıyla yapıldı.
Yöntem: Ön test son test yarı deneysel desende gerçekleştirildi. Araştırmanın örneklemini 30 hekim dışı acil sağlık hizmetleri çalışanı oluşturdu. Verilerin değerlendirilmesinde McNemar testi kullanıldı.
Bulgular: Hekim dışı acil sağlık hizmetleri çalışanlarının eğitim öncesine göre eğitim sonrasında AOB bilgi sorularını doğru cevaplama oranlarında istatistiksel olarak anlamlı düzeyde artış olduğu saptandı (p<0.05).
Sonuç: Hekim dışı acil sağlık hizmetleri çalışanlarının anne ve bebek ölümlerinin azaltılması amacıyla AOB konusunda bilgi düzeylerini güncellemeye yönelik hizmet içi eğitimlerle desteklenmeleri önerilir.

Keywords

Acil obstetrik bakım, sağlık çalışanları, eğitim

Evaluation of the Effectiveness of Emergency Obstetric Care Training Given to Non-Physician Emergency Health Care Personnel: Pre-Test Post-Test Study

Abstract

Objective: The purpose of this study was to evaluate the effectiveness of Emergency Obstetric Care (EOC) training given to non-physician emergency healthcare personnel.
Methods: The pre-tests post-tests were carried out in a semi-experimental pattern. The study sample consisted of 30 non-physician emergency healthcare workers. McNemar test was used in evaluating the data.
Results: It has been found out that there was a statistically meaningful increase in the rates of correct answers to EOC knowledge questions by non-physician emergency healthcare personnel following the training, in comparison with prior to the training.
Conclusion: Supporting non-physician emergency healthcare personnel with on the job training courses is recommended to update their level of knowledge on EOC in order to reduce mother and infant deaths (p<0.05).

Keywords

Emergency obstetric care, healthcare personnel, education

References

• Ameh CA, Mdegela M, White S, Van den Broek N. (2019). The effectiveness of training in emergency obstetric care: A systematic literature review. Health Policy and Planning, 34(4), 257–270. DOI: 10.1093/heapol/czz028.
• Ameh C, Adegoke A, Hofman J, Ismail FM, Ahmed FM, Van den Broek N. (2012). The impact of emergency obstetric care training in Somaliland, Somalia. International Journal of Gynecology & Obstetrics, 117(3), 283-287. DOI: 10.1016/j.ijgo.2012.01.015.
• Ameh CA, Kerr R, Madaj B, Mdegela M, Kana T, Jones S ve ark. (2016). Knowledge and skills of healthcare providers in Sub-Saharan Africa and Asia before and after competency-based training in emergency obstetric and early newborn care. PLoS One, 11(12), e0167270. https://doi.org/10.1371/journal.pone.0167270.
• Ameh CA, Van den Broek N. (2015). Making it happen: Training health-care providers in emergency obstetric and newborn care. Best Practice & Research Clinical Obstetrics & Gynaecology, 29(8), 1077–1091. DOI: 10.1016/j.bpobgyn.2015.03.019.
• Okonofua F, Ntoimo LFC, Ogu R, Galadanci H, Gana M, Adetoye D ve ark. (2019). Assessing the knowledge and skills on emergency obstetric care among health providers: Implications for health systems strengthening in Nigeria. PLoS One, 14(4), e0213719. DOI: 10.1371/journal.pone.0213719.
• Coutin AS. (2015). Essential Obstetric and Newborn Care: Practical Guide for Midwives, Doctors with Obstetrics Training and Health Care Personnel who Deal with Obstetric Emergencies. Médecins Sans Frontières, p. 17-243. ISBN 2-906498-98-X.
• Devine S, Taylor G. (2018). Every child alive: The urgent need to end newborn deaths. United Nations Children’s Fund (UNICEF), 1-22.
• Green M, Rider C, Ratcliff D, Woodring BC. (2015). Developing a systematic approach to obstetric emergencies. Journal of Obstetric, Gynecologic & Neonatal Nursing, 44(5), 677–682. DOI: 10.1111/1552-6909.12729.
• Itote Wanjugu E, Fleming LC, Mallinson RK, Gaffney KF, Jacobsen KH. (2019). Knowledge of intrapartum care among obstetric care providers in rural Kenya, International Health, 11(4), 258–264. DOI:10.1093/inthealth/ihy078.
• Mirkuzie AH, Sisay MM, Reta AT, Bedane MM. (2014). Current evidence on basic emergency obstetric and newborn care services in Addis Ababa, Ethiopia; A cross sectional study. BMC Pregnancy and Childbirth, 14, 354. DOI: 10.1186/1471-2393-14-354.
• Moran NF, Naidoo M, Moodley J. (2015). Reducing maternal mortality on a countrywide scale: The role of emergency obstetric training. Best Practice & Research Clinical Obstetrics & Gynaecology, 29(8), 1102-1118. DOI: 10.1016/j.bpobgyn.2015.08.002.
• Partamin, Kim YM, Mungia J, Faqir M, Ansari N, Evans C. (2012). Patterns in training, knowledge, and performance of skilled birth attendants providing emergency obstetric and newborn care in Afghanistan. International Journal of Gynecology & Obstetrics, 119(2), 125-129. DOI: 10.1016/j.ijgo.2012.05.030.
• Puri R, Rulisa S, Joharifard S, Wilkinson J, Kyamanywa P, Thielman N. (2012). Knowledge, attitudes, and practices in safe motherhood care among obstetric providers in Bugesera, Rwanda. International Journal of Gynaecology and Obstetrics, 116(2), 124-127. DOI: 10.1016/j.ijgo.2011.09.025.
• TC. Sağlık Bakanlığı Ana Çocuk Sağlığı ve Aile Planlaması Genel Müdürlüğü. (2009). Acil Obstetrik Bakım Yönetim Rehberi, Ankara, Damla Matbaacılık, s. 7-61.
• TC. Sağlık Bakanlığı Ana Çocuk Sağlığı ve Aile Planlaması Genel Müdürlüğü. (2007). Türkiye Üreme Sağlığı Programı No: 3-A. Acil Obstetrik Bakım Klinisyen Eğitimi Katılımcı Rehberi, Ankara, s. 3-130. ISBN 978-975-590-211-1.
• TÜİK (2020). Sürdürülebilir Kalkınma Göstergeleri, 2010-2018, Sayı: 33847, Erişim tarihi:06.07.2020, https://tuikweb.tuik.gov.tr/PreHaberBultenleri.do?id=33847
• Van den Broek N. (2014). Life Saving Skills Manual: Essential Obstetric and Newborn Care. Royal College of Obstetricians and Gynaecologists. 1st edition, ISBN-10: 1904752284, ISBN-13: 9781904752288.
• Van Lonkhuijzen L, Dijkman A, Van Roosmalen J, Zeeman G, Scherpbier A. (2010). A systematic review of the effectiveness of training in emergency obstetric care in low-resource environments. An International Journal of Obstetrics and Gynaecology, 117(7), 777-787. DOI: 10.1111/j.1471-0528.2010.02561.x.
• World Health Organization (2015). Health in 2015: From MDGs to SDGs. Geneva: World Health Organization. Erişim tarihi: 15. 05. 2020, http://www.who.int/gho/publica tions/mdgs-sdgs/en/.
• World Health Organization (2016). Standards for improving quality of maternal and newborn care in health facilities. Geneva: World Health Organization.
• World Health Organization (2018). Maternal Mortality Key Facts. Erişim tarihi: 15.05.2020, https://www.who.int/ en/news-room/fact-sheets/detail/maternal-mortality