Jurnal Internasional vol.12 issue 2 2022
African Journal of Emergency Medicine
Pre-course online cases for the world health organization’s basic emergency care course in Uganda: A mixed methods analysis
Dublin Core
Title
Jurnal Internasional vol.12 issue 2 2022
African Journal of Emergency Medicine
Pre-course online cases for the world health organization’s basic emergency care course in Uganda: A mixed methods analysis
African Journal of Emergency Medicine
Pre-course online cases for the world health organization’s basic emergency care course in Uganda: A mixed methods analysis
Subject
Emergency
Blended learning
Low resource
Short courses
Blended learning
Low resource
Short courses
Description
Introduction: The Ministry of Health - Uganda implemented the World Health Organization’s Basic Emergency
Care course (BEC1) to improve formal emergency care training and address its high burden of acute illness and
injury. The BEC is an open-access, in-person, short course that provides comprehensive basic emergency training
in low-resource settings. A free, open-access series of pre-course online cases available as downloadable offline
files were developed to improve knowledge acquisition and retention. We evaluated BEC participants’ knowledge
and self-efficacy in emergency care provision with and without these cases and their perceptions of the cases.
Methods: Multiple Choice Questions (MCQs2) and Likert-scale surveys assessed 137 providers’ knowledge and
self-efficacy in emergency care provision, respectively, and focus group discussions explored 74 providers’ percep-
tions of the BEC course with cases in Kampala in this prospective, controlled study. Data was collected pre-BEC,
post-BEC and six-months post-BEC. We used liability analysis and Cronbach alpha coefficients to establish in-
tercorrelation between categorised Likert-scale items. We used mixed model analysis of variance to interpret
Likert-scale and MCQ data and thematic content analysis to explore focus group discussions.
Results: Participants gained and maintained significant increases in MCQ averages (15%) and Likert-scale scores
over time (p < 0.001). The intervention group scored significantly higher on the pre-test MCQ than controls (p =
0.004) and insignificantly higher at all other times (p > 0.05). Nurses experienced more significant initial gains
and long-term decays in MCQ and self-efficacy than doctors (p = 0.009, p < 0.05). Providers found the cases
most useful pre-BEC to preview course content but did not revisit them post-course. Technological difficulties
and internet costs limited case usage.
Conclusion: Basic emergency care courses for low-resource settings can increase frontline providers’ long-term
knowledge and self-efficacy in emergency care. Nurses experienced greater initial gains and long-term losses in
knowledge than doctors. Online adjuncts may enhance health professional education in low-to-middle income
countries.
Care course (BEC1) to improve formal emergency care training and address its high burden of acute illness and
injury. The BEC is an open-access, in-person, short course that provides comprehensive basic emergency training
in low-resource settings. A free, open-access series of pre-course online cases available as downloadable offline
files were developed to improve knowledge acquisition and retention. We evaluated BEC participants’ knowledge
and self-efficacy in emergency care provision with and without these cases and their perceptions of the cases.
Methods: Multiple Choice Questions (MCQs2) and Likert-scale surveys assessed 137 providers’ knowledge and
self-efficacy in emergency care provision, respectively, and focus group discussions explored 74 providers’ percep-
tions of the BEC course with cases in Kampala in this prospective, controlled study. Data was collected pre-BEC,
post-BEC and six-months post-BEC. We used liability analysis and Cronbach alpha coefficients to establish in-
tercorrelation between categorised Likert-scale items. We used mixed model analysis of variance to interpret
Likert-scale and MCQ data and thematic content analysis to explore focus group discussions.
Results: Participants gained and maintained significant increases in MCQ averages (15%) and Likert-scale scores
over time (p < 0.001). The intervention group scored significantly higher on the pre-test MCQ than controls (p =
0.004) and insignificantly higher at all other times (p > 0.05). Nurses experienced more significant initial gains
and long-term decays in MCQ and self-efficacy than doctors (p = 0.009, p < 0.05). Providers found the cases
most useful pre-BEC to preview course content but did not revisit them post-course. Technological difficulties
and internet costs limited case usage.
Conclusion: Basic emergency care courses for low-resource settings can increase frontline providers’ long-term
knowledge and self-efficacy in emergency care. Nurses experienced greater initial gains and long-term losses in
knowledge than doctors. Online adjuncts may enhance health professional education in low-to-middle income
countries.
Creator
Alexandra Friedman, Lee A. Wallis , Julia C. Bullick, Charmaine Cunningham, Joseph Kalanzi , Peter Kavuma , Martha Osiro , Steven Straub, Andrea G. Tenner
Source
https://doi.org/10.1016/j.afjem.2022.03.005
Date
24 March 2022
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Citation
Alexandra Friedman, Lee A. Wallis , Julia C. Bullick, Charmaine Cunningham, Joseph Kalanzi , Peter Kavuma , Martha Osiro , Steven Straub, Andrea G. Tenner, “Jurnal Internasional vol.12 issue 2 2022
African Journal of Emergency Medicine
Pre-course online cases for the world health organization’s basic emergency care course in Uganda: A mixed methods analysis,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1898.
African Journal of Emergency Medicine
Pre-course online cases for the world health organization’s basic emergency care course in Uganda: A mixed methods analysis,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1898.