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Effect of an educational programme on critical care nurses' competence at two tertiary hospitals in Malawi
Authors:Rodwell Gundo  Beatrice Gundo  Ellen Chirwa  Annette Dickinson  Gael Janine Mearns
Affiliation:1. Auckland University of Technology, School of Clinical Sciences, Auckland 1142. New Zealand;2. Kamuzu Central Hospital, Lilongwe. Malawi;3. Kamuzu University of Health Sciences, Blantyre, Malawi
Abstract:BackgroundCritical care specialty deals with the complex needs of critically ill patients. Nurses who provide critical care are expected to possess the appropriate knowledge and skills required for the care of critically ill patients. The aim of this study was to assess the effect of an educational programme on the competence of critical care nurses at two tertiary hospitals in Lilongwe and Blantyre, Malawi.MethodsA quantitative pre- and post-test design was applied. The training programme was delivered to nurses (n = 41) who worked in intensive care and adult high dependency units at two tertiary hospitals. The effect of the training was assessed through participants'' self-assessment of competence on the Intensive and Critical Care Nursing Competence Scale and a list of 10 additional competencies before and after the training.ResultsThe participants'' scores on the Intensive and Critical Care Nursing Competence Scale before the training, M = 608.2, SD = 59.6 increased significantly after the training, M = 684.7, SD = 29.7, p <.0001 (two-tailed). Similarly, there was a significant increase in the participants'' scores on the additional competencies after the training, p <.0001 (two-tailed).ConclusionThe programme could be used for upskilling nurses in critical care settings in Malawi and other developing countries with a similar context.
Keywords:Critical Care Nursing   Needs Assessment   Malawi   Developing Countries   Intensive Care Units
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