Quality improvement training for burn care in low-and middle-income countries: A pilot course for nurses

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Quality improvement training for burn care in low-and middle-income countries: A pilot course for nurses


JournalBurns
Article typeJournal research article – Clinical research
Publication date – Apr – 2021
Authors – Maria Holden, Edna Ogada, Caitlin Hebron, Patricia Price, Tom Potokar
KeywordsEthiopia, low-middle income countries, Malawi, Nursing development, quality improvement, Service improvement
Open access – Yes
SpecialityEmergency surgery, Plastic surgery
World region Eastern Africa
Country: Ethiopia, Malawi
Language – English
Submitted to the One Surgery Index on April 26, 2021 at 5:51 am
Abstract:

Background
There is an urgent need to empower practitioners to undertake quality improvement (QI) projects in burn services in low-middle income countries (LMICs). We piloted a course aimed to equip nurses working in these environments with the knowledge and skills to undertake such projects.

Methods
Eight nurses from five burns services across Malawi and Ethiopia took part in this pilot course, which was evaluated using a range of methods, including interviews and focus group discussions.

Results
Course evaluations reported that interactive activities were successful in supporting participants to devise QI projects. Appropriate online platforms were integral to creating a community of practice and maintaining engagement. Facilitators to a successful QI project were active individuals, supportive leadership, collaboration, effective knowledge sharing and demonstrable advantages of any proposed change. Barriers included: staff attitudes, poor leadership, negative culture towards training, resource limitations, staff rotation and poor access to information to guide practice.

Conclusions
The course demonstrated that by bringing nurses together, through interactive teaching and online forums, a supportive community of practice can be created. Future work will include investigating ways to scale up access to the course so staff can be supported to initiate and lead quality improvement in LMIC burn services.

OSI Number – 21036

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