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Nurse Mentor Training Program to Improve Quality of Maternal and Newborn Care at Primary Health Centres: Process Evaluation

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Open Journal of Nursing 2016年第6期6卷 458-469页

作者： Maryann Washington Krishnamurthy Jayanna swarnarekha bhat Annamma Thomas Suman Rao Gayathiri Perumal Troy Cunningham Janet Bradley Lisa Avery Elisabeth Fischer Prem K. Mony St. John’s Research Institute St. John’s National Academy of Health Sciences (SJNAHS) Bangalore India Karnataka Health Promotion Trust Bangalore India Department of Community Health Sciences University of Manitoba Winnipeg Canada St. John’s Research Institute St. John’s National Academy of Health Sciences (SJNAHS) Bangalore India St. John’s Medical College Hospital SJNAHS Bangalore India St. John’s College of Nursing SJNAHS Bangalore India Intrahealth Chapel Hill USA

Quality of maternal and newborn care could be improved if health care providers’ knowledge and competencies as well as system level constraints are addressed. However, due to several barriers staff nurses who form the frontline of health care workforce have limited access to enhancing their clinical knowledge and competencies. To address this gap, a new cadre of nurse mentors (NMs) for the public health system were trained by specialists from a teaching hospital in a special 5-week training course. This included 54 hours of theory and 110 hours of practical in clinical obstetric and newborn care, apart from mentoring, quality improvement and health systems issues. The nurse mentors were assigned to support staff nurses in the primary health care centres (PHCs) in eight northern Karnataka districts. Each NM covered 6-8 PHCs monthly for 2 - 3 days and thus a total of 385 PHCs were reached. They received support in the field through supportive supervision visits done by the specialists who had trained them, as well as by refresher training and clinical postings to the district hospitals. This paper presents impact of the training program on change in immediate and long term knowledge and competency scores of nurse mentors. Their baseline knowledge scores changed from 44.3 ± 12.7 to 72.1 ± 13.8 immediately after the training in obstetric and from 18.2 ± 19.1 to 66.4 ± 14.9 in newborn (p p p > 0.05). Skills score soon after training increased from 62.2 ± 13.2 to 69.6 ± 12.5 in obstetric after a 1 year period and from 52.6 ± 9.3;63.5 ± 14.4 in newborn (p < 0.001) content areas respectively. These findings have implications for those interested in improving quality of maternal and child care through nurse-dependent health delivery systems.

关键词： Nurse Mentors Skilled Birth Attendance Training Program Basic Newborn Care Maternal Care Primary Health Centers Quality Improvement India

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