Evaluation of Trauma and Critical Care Training Courses on the Knowledge and Confidence of Participants in Kenya and Zambia

Macleod, Jana; Okech, Moses; Labib, Mohammed; Aphivantrakul, Paul; Lupasha, Emanual; Nthele, Mzaza

doi:10.1007/s00268-010-0810-z

Cited by 34 publications

(28 citation statements)

References 24 publications

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“…Lack of research training was a hurdle echoed by interview subjects. Now widespread in undergraduate and postgraduate medical training, research training is essential to build research capacity in low-and middle-income countries [3,22], with even short-term clinical training programs having success in building capacity in resource-poor settings [12,24,43]. Short-term courses, such as the IGOT research symposium, could have numerous benefits, including the development of mentoring relationships and collaborations, a frequently discussed driver of orthopaedic research and an important aspect of international research partnerships to address the infectious disease threat [15,25,26].…”

Section: Discussionmentioning

confidence: 99%

What Factors Influence the Production of Orthopaedic Research in East Africa? A Qualitative Analysis of Interviews

Elliott

Sonshine

Akhavan

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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Background Research addressing the burden of musculoskeletal disease in low-and middle-income countries does not reflect the magnitude of the epidemic in these countries as only 9% of the world's biomedical resources are devoted to addressing problems that affect the health of 90% of the world's population. Little is known regarding the barriers to and drivers of orthopaedic surgery research in such resource-poor settings, the knowledge of which would help direct specific interventions for increasing research capacity and help surgeons from high-income countries support the efforts of our colleagues in low-and middle-income countries. Purpose We sought to identify through surveying academic orthopaedic surgeons in East Africa: (1) barriers impeding research, (2) factors that support or drive research, and (3) factors that were identified by some surgeons as barriers and others as drivers (what we term barrier-driver overlap) as they considered the production of clinical research in resource-poor environments. Materials Semistructured interviews were conducted with 21 orthopaedic surgeon faculty members at four academic medical centers in Ethiopia, Kenya, Tanzania, and Uganda. Qualitative content analysis of the interviews was conducted using methods based in grounded theory. Grounded theory begins with qualitative data, such as interview transcripts, and analyzes the data for repeated ideas or concepts which then are coded and grouped into categories which allow for identification of subjects or problems that may not have been apparent previously to the interviewer. Results We identified and quantified 19 barriers to and 21 drivers of orthopaedic surgery research (mentioned n = 1688 and n = 1729, respectively). Resource, research process, and institutional domains were identified to This study was supported by private donations to the Institute for Global Orthopaedics and Traumatology (IGOT, San Francisco, CA, USA). No authors received payment or in-kind benefit for this study, nor are any authors members of a company that provided funding to IGOT. Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article. categorize the barriers (n = 7, n = 5, n = 7, respectively) and drivers (n = 7, n = 8, n = 6, respectively). Resource barriers (46%) were discussed more often by interview subjects compared with the research process (26%) and institutional barriers (28%). Drivers of research discussed at least once were proportionally similar across the three domains. Some themes such as research ethics boards, technology, and literature access occurred with similar frequency as barriers to and drivers of orthopaedic surgery research. Conclusions The barriers we identified most often among East African academic orthopaedic faculty members focused on resources to accomplish research, followed by institutional barriers, and method or process ba...

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Section: Discussionmentioning

confidence: 99%

What Factors Influence the Production of Orthopaedic Research in East Africa? A Qualitative Analysis of Interviews

Elliott

Sonshine

Akhavan

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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“…2 A recent Trauma and Critical Care Training Course conducted in Kenya and Zambia yielded very positive feedback from course participants who reported increased confidence in essential surgical procedures. 11 Such training in basic surgical procedures and life-saving surgical techniques with an emphasis on hands-on training was reported as highly valued by the physicians who work in district hospitals.…”

Section: Discussionmentioning

confidence: 98%

Teaching Emergency and Essential Surgical Care in Sierra Leone: A Model for Low Income Countries

Leow

Groen

Kamara

et al. 2011

Journal of Surgical Education

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“…In Kenya and Zambia, practitioners who took a trauma and critical care course (Acute Trauma Care) felt significantly more confident in their ability to take care of critically ill trauma patients after completion of the course compared to prior to the course [19]. Additionally, systems changes such as a triage system implemented by nurses that takes into account injury severity have been shown to decrease wait times for critically ill patients in South Africa [20].…”

Section: Discussionmentioning

confidence: 99%

Non-fatal injuries among pediatric patients seeking care in an urban Ghanaian emergency department

et al. 2012

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BackgroundAccording to the World Health Organization (WHO), injuries represent the largest cause of death among people ages 140 –and contribute to a large burden of disease worldwide. The aims of this study were to characterize the prevalence and relative mechanism of injury among children seeking emergency care and describe the demographics at time of presentation among these children to inform further research in Ghana and sub-Saharan Africa.MethodsA prospective cross-sectional survey of pediatric patients (n = 176) was conducted between 13 July 2009 and 30 July 2009 in the Accident and Emergency Center at Komfo Anoche Teaching Hospital (KATH) in Kumasi, Ghana. Participants were asked questions regarding demographics, insurance status, overall health, and chief complaint.ResultsOf the 176 patients surveyed, 66% (n = 116) presented for injuries. The mean age was 4.7 years (range 1.5 months to 17 years), and 68% (n = 120) were male. Of those presenting with injury, 43% (n = 50) had road traffic injuries (RTI). Of the RTIs, 58% (n = 29) were due to being an occupant in a car crash, 26% (n = 13) were pedestrian injuries, and 14% (n = 7) were from motorcycles. There was no significant difference in demographics, health status or indicators of socioeconomic status between injured and non-injured patients.ConclusionsAmong pediatric patients presenting for acute care at KATH during the study time frame, the majority (n = 116, 66%) presented for injuries. To date, there are no studies that characterize pediatric patients that present for acute care in Ghana. Identifying injury patterns and collecting epidemiologic data are important to guide future research and educational initiatives for Emergency Medicine.

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Evaluation of Trauma and Critical Care Training Courses on the Knowledge and Confidence of Participants in Kenya and Zambia

Cited by 34 publications

References 24 publications

What Factors Influence the Production of Orthopaedic Research in East Africa? A Qualitative Analysis of Interviews

What Factors Influence the Production of Orthopaedic Research in East Africa? A Qualitative Analysis of Interviews

Teaching Emergency and Essential Surgical Care in Sierra Leone: A Model for Low Income Countries

Non-fatal injuries among pediatric patients seeking care in an urban Ghanaian emergency department

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