The Influence of Organisational Culture on Knowledge Sharing in Selected Municipalities in Limpopo, South Africa

Dikotla, Maoka Andries; Ledwaba, L. J.

doi:10.25159/2663-659x/11471

Cited by 1 publication

(1 citation statement)

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“…This reduces the loss of knowledge in rural areas due to staff movements and increases the likelihood that knowledge is passed on amongst hospital staff. However, knowledge transfer between staff cannot be taken for granted and must be advocated for in Sub-Saharan African medical settings [ 35 , 36 ]. Strategies must be developed for a so-called ‘train-the-trainer’ model or other approaches.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of an ultrasound basic cancer training program through on-site training and virtual case discussions in rural Tanzania: a proof-of-concept study

Weimer,

Kuhn,

Ludwig

et al. 2024

ecancer Journal

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Introduction Cancer rates are rising in low- and middle-income countries. While point-of-care ultrasound is now available globally and could serve to mitigate against this rise, its use in diagnosing cancers is inconsistent in lower-resourced healthcare contexts. This proof-of-concept study investigates the feasibility of an ultrasound training concept in a low-resource setting. It evaluates whether this educational concept led to improved knowledge and application of ultrasound diagnostics, cancer screening and staging and patient care. Material and methods The curriculum was developed through expert exchange and is based on the World Health Organisation’s Manual of Diagnostic Ultrasound. It consisted of two didactic components: an on-site training phase across 5 days for a total of 24 hours, and a digital follow-up phase involving the meeting of a bi-weekly tumor board online. The learning objectives of the on-site training were normal imaging and recognition of common pathologies of the abdominal organs, vessels, lymph nodes, female breasts and lungs. The virtual tumour boards met to discuss cases and ultrasound findings, thus aiding continuing professional development after the training sessions had concluded. The face-to-face course component was accompanied by tests given before and after training as well as an evaluation sheet (Likert-scale with 1 = ‘completely/very good’ and 7 ‘not at all/very poor’). Results Of 20 participants from a rural hospital in Tanzania, a total of 16 were included in the analysis (clinical officers n = 6; medical officers n = 10). A significant increase in knowledge ( p < 0.01) was measured both in the subjective self-assessment and in the theoretical competence tests. In multivariate linear regression, the status ‘medical officers yes’ ( β = 5.4; p = 0.04) had a significant influence on theory test results at T2. During the 24 virtual tumour board meetings, 28 cases were discussed and a continuous improvement in image acquisition quality was observed. Conclusion The ultrasound education concept comes with a sustainable increase in clinical competence and improved oncological ultrasound screening locally. There is potential for the transfer of the concept to other locations, which can be explored in the future.

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Section: Discussionmentioning

confidence: 99%