ABSTRACT
BACKGROUND: This study aimed to develop and validate an assessment instrument for students engaging with an algorithm-based simulation scenario addressing emergency measures for high-risk newborns with apnea in a neonatal intensive care unit. METHOD: The study was conducted in two phases of development and evaluation of the algorithm-corresponding instrument. One hundred sixty-nine senior nursing students from two universities in South Korea were evaluated using the developed instrument. RESULTS: The developed and validated instrument consisted of three dimensions (assessment points, nursing skills, and communication) measured through 13 items. The exploratory factor analysis revealed three factors of the instrument, and the confirmatory factor analysis demonstrated a better model fit for a three-factor instrument model than for other models. CONCLUSION: The developed algorithm-corresponding assessment instrument is suitable for assessing the clinical decision-making ability of nursing students in a simulation scenario. [J Nurs Educ. 2020;59(11):617-626.].
Subject(s)
Algorithms , Nursing Assessment , Simulation Training , Students, Nursing , Apnea/diagnosis , Apnea/therapy , Factor Analysis, Statistical , Humans , Infant, Newborn , Nursing Assessment/methods , Nursing Assessment/standards , Republic of Korea , Simulation Training/standardsABSTRACT
AIM: To develop a comprehensive, hands-on assessment tool for assessing health in children under five in underserved regions. DESIGN: Methodological study design and usability testing were used. SAMPLE: Eight nurses working at two health posts and 261 children under five living in the migrant villages participated in the study. MEASUREMENT: The developed tool was evaluated using 10 items of a questionnaire based on the honeycomb model of Morville (2004). Community nurses administered the questionnaire then followed with a focus group interview after completing a child health exam using the developed tool. Data were collected during July 2017. RESULTS: The Hands-on Assessment Tool for Child Health is composed of developmental screening, identification of risk factors and clinical signs, growth measurement, diagnostic tests and interpretation of each subdomain, and final impressions. Management strategies include parent education, resource networking, referral to a paediatrician, and follow-up plans. Usability testing revealed high scores on the facets "valuable," "useful," "desirable," and "findable." CONCLUSIONS: Considering the demand for hands-on tools in underserved regions, the developed tool can provide nurses with resources for competent management of child assessment, interpretation, and nurses' intervention strategies, fortified with clinical judgement processes.
Subject(s)
Child Health , Medically Underserved Area , Child , Child, Preschool , Female , Focus Groups , Humans , Kyrgyzstan , Male , Referral and Consultation , Risk Factors , Rural Population , Surveys and QuestionnairesABSTRACT
Despite over 10 years of support from government health programs and health organizations, children in migrant villages in Kyrgyzstan remain a public concern owing to high incidence rates of preventable diseases such as anemia. An effective community health promotion program is needed but there is a lack of knowledge of community barriers and health factors affecting children's health in these migrant villages. The purpose of this study was to conduct a community health needs assessment to develop strategies for a child health promotion program in these migrant villages. This study conducted using a mixed method that included literature review, reginal statistics, focus group and key person interviews, and a community survey. The analysis method was descriptive statistics for the questionnaires, and content analysis for the interviews. Results showed the following priorities for child health promotion: strengthening health care provider capacity, overcoming resource shortages, managing child health and preventable diseases, improving public hygiene, promoting a healthy lifestyle, and empowering school health. The strategies were identified: capacity building of health workers, increasing community participation and raising child health awareness, and supporting child health promotion services. These findings will help guide the implementation of a child health promotion program.
Subject(s)
Child Health Services/organization & administration , Community Health Services/organization & administration , Health Promotion/organization & administration , Transients and Migrants , Anemia/epidemiology , Capacity Building/organization & administration , Child , Child Nutrition Disorders/epidemiology , Child, Preschool , Delivery of Health Care/organization & administration , Environment , Health Behavior , Health Priorities/organization & administration , Health Status , Humans , Infant , Infant, Newborn , Kyrgyzstan , Needs Assessment , Personal Satisfaction , Public Health , Socioeconomic FactorsABSTRACT
PURPOSE: Children in migrant villages in Kyrgyzstan have a high incidence of anemia and need effective health promotion programs. The purpose of this study was to evaluate a pilot study of a health promotion project for infants and toddlers based on community participation. METHODS: This was a retrospective study conducted to evaluate the effectiveness of the project. The project was carried out by nurses at a public health center, community health workers, and local residents in a migrant village. After the operational system of the project was established, health assessments, child-care education, provision of vouchers for iron supplements, and activities to improve residents' awareness were conducted during 6 months among 100 children, of whom 85 were finally analyzed. RESULTS: In international health projects, close cooperation of the project team with community residents and health workers is important. Access to the community-based program was feasible in the socially and economically poor migrant village, and improvements were shown in children's anemia and awareness of health care. CONCLUSION: By focusing on the effective aspects of this preliminary project, plans to utilize community health workers and promotion strategies can be added to the main project to improve health promotion among children in this area.
