Vahid Saidkhani, Masoumeh Albooghobeish, Zahra Rahimpour, Mohammad Hosein Haghighizadeh
The effect of scenario-based training versus video training on nurse anesthesia students' basic life support knowledge and skill of cardiopulmonary resuscitation: a quasi-experimental comparative study
BMC medical education
quest ensure quality healthcare provided citizens building healthcare worker capacity extending reach expert services zambias ministry health moh collaboration partners pepfar cdc hrsa began implement extension community healthcare outcomes echo telementoring program across country health workers 21st century hw21 project university teaching hospital hivaids project uthhap echo telementoring approach deemed pivotal helping improve human immunodeficiency virus hiv service delivery capacity health care workers study used mixed method retrospective program evaluation examine echo participants performance management hivaids patients 10 provinces zambia phenomenological design applied order elicit common experiences echo users focus group discussions using semistructured facilitation guides four provinces eastern lusaka southern western implementing echo telementoring approach provinces purposively selected study participants monthly frequency echo attendance ten 10 selected participants purposively selected based type cadre well facility type final sample consisted doctors nurses midwives clinical officers medical licentiates pharmacy laboratory personnel sessions audio recorded transcribed data collectors thematic content analysis approach adopted analyzing content interviews transcripts enhanced knowledge skills participants hivtb improved 4670 657 provinces 4770 671 participants reported echo improved clinical practice 1270 171 participants provinces reported presenterpresentation characteristics facilitated echo implementation participation 1570214 participants reported ownership program contributed echo implementation participation coordination another enabler accounted 1470 20 inclusiveness reported barrier 1670 228 participants 670 86 reported attitudes barrier 86 echo participation addition 3470 486 reported poor connectivity barrier echo implementation participation 870 115 participants reported lack ownership echo program barrier 2270 314 reported increased workload also barrier programs implementation consistent logical pathway model healthcare providers participation echo sessions onsite mentorship contributed improved knowledge hivtb among health care providers patient health outcomes addition barriers echo implementation intrinsic program self coordination presenter presentation characteristics barriers extrinsic program poor connectivity poor infrastructure health facilities negative attitudes towards echo improving intrinsic factors mitigating extrinsic factors may help improve echo outcomes scaleup plans