TY - JOUR
T1 - Understanding implementation of maternal acute illness management education by measuring capability, opportunity and motivation
T2 - A mixed methods study in a low-income country
AU - Byrne-Davis, Lucie M T
AU - Byrne, G. J.
AU - Jackson, M J
AU - Abio, Anne
AU - McCarthy, Rose
AU - Slattery, Helen
AU - Yuill, Gordon
AU - Stevens, Alan
AU - Townsend, Jennifer
AU - Armitage, Christopher J
AU - Johnston, Marie
AU - Hart, Jo K
N1 - ACKNOWLEDGEMENTS
The authors thank all of the healthcare professionals who participated in this study. We also thank the staff of Gulu Regional Referral Hospital, St Mary’s Mission Hospital, Lacor and Faculty of Medicine, Gulu University for their facilitation of this study. We are grateful to UHSM Academy for their financial and organizational support of this work. We thank Greater Manchester Critical Care Skills Institute for
funding the open access publication cost and enabling staff to participate in the Gulu-Man Link
PY - 2016
Y1 - 2016
N2 - A major cause of maternal death in low-income countries is a lack of adequate healthcare. The dominant approach to improving care involves continuing professional development but little is known about their impact on practice. Less still is known about the determinants of practice change and barriers to implementation. This study investigated the implementation of an acute illness management course on Ugandan health professionals’ practice and determinants of practice change. Before and after training, 51 nurses, midwives, doctors and clinical officers completed tests of knowledge. Immediately post-course and 1-month later, participants completed questions assessing intention to change practice, practice and determinants of change. Post course, participants took part in focus groups. Post-course, participants reported that they were capable and were motivated to use their knowledge and skills in practice and a lower belief in opportunity to change practice. Behavioural intention was very high and behaviour 1 month later was statistically significantly lower. Three themes emerged: 1) systematic approach changing clinical practice, 2) inter-professional communication, and 3) barriers and facilitators to implementation. Educators should consider behaviour change determinants as important assessments of outcome because they provide crucial implementation of training into practice.
AB - A major cause of maternal death in low-income countries is a lack of adequate healthcare. The dominant approach to improving care involves continuing professional development but little is known about their impact on practice. Less still is known about the determinants of practice change and barriers to implementation. This study investigated the implementation of an acute illness management course on Ugandan health professionals’ practice and determinants of practice change. Before and after training, 51 nurses, midwives, doctors and clinical officers completed tests of knowledge. Immediately post-course and 1-month later, participants completed questions assessing intention to change practice, practice and determinants of change. Post course, participants took part in focus groups. Post-course, participants reported that they were capable and were motivated to use their knowledge and skills in practice and a lower belief in opportunity to change practice. Behavioural intention was very high and behaviour 1 month later was statistically significantly lower. Three themes emerged: 1) systematic approach changing clinical practice, 2) inter-professional communication, and 3) barriers and facilitators to implementation. Educators should consider behaviour change determinants as important assessments of outcome because they provide crucial implementation of training into practice.
U2 - 10.5430/jnep.v6n3p59
DO - 10.5430/jnep.v6n3p59
M3 - Article
VL - 6
SP - 59
EP - 70
JO - Journal of Nursing Education and Practice
JF - Journal of Nursing Education and Practice
SN - 1925-4040
IS - 3
ER -