Novel educational adjuncts for the World Health Organization Basic Emergency Care Course: A prospective cohort study.
Education
Emergency care
Flipped classroom
Open access educational resources
Point-of-care
online
Journal
African journal of emergency medicine : Revue africaine de la medecine d'urgence
ISSN: 2211-4203
Titre abrégé: Afr J Emerg Med
Pays: Netherlands
ID NLM: 101572277
Informations de publication
Date de publication:
Mar 2020
Mar 2020
Historique:
received:
25
07
2019
revised:
22
11
2019
accepted:
24
11
2019
entrez:
13
3
2020
pubmed:
13
3
2020
medline:
13
3
2020
Statut:
ppublish
Résumé
The World Health Organization's (WHO) Basic Emergency Care Course (BEC) is a five day, in-person course covering basic assessment and life-saving interventions. We developed two novel adjuncts for the WHO BEC: a suite of clinical cases (BEC-Cases) to simulate patient care and a mobile phone application (BEC-App) for reference. The purpose was to determine whether the use of these educational adjuncts in a flipped classroom approach improves knowledge acquisition and retention among healthcare workers in a low-resource setting. We conducted a prospective, cohort study from October 2017 through February 2018 at two district hospitals in the Pwani Region of Tanzania. Descriptive statistics, Fisher's exact t-tests, and Wilcoxon ranked-sum tests were used to examine whether the use of these adjuncts resulted in improved learner knowledge. Participants were enrolled based on location into two arms; Arm 1 received the BEC course and Arm 2 received the BEC-Cases and BEC-App in addition to the BEC course. Both Arms were tested before and after the BEC course, as well as a 7-month follow-up exam. All participants were invited to focus groups on the course and adjuncts. A total of 24 participants were included, 12 (50%) of whom were followed to completion. Mean pre-test scores in Arm 1 (50%) were similar to Arm 2 (53%) (p=0.52). Both arms had improved test scores after the BEC Course Arm 1 (74%) and Arm 2 (87%), (p=0.03). At 7-month follow-up, though with significant participant loss to follow up, Arm 1 had a mean follow-up exam score of 66%, and Arm 2, 74%. Implementation of flipped classroom educational adjuncts for the WHO BEC course is feasible and may improve healthcare worker learning in low resource settings. Our focus- group feedback suggest that the course and adjuncts are user friendly and culturally appropriate.
Identifiants
pubmed: 32161709
doi: 10.1016/j.afjem.2019.11.003
pii: S2211-419X(19)30160-0
pmc: PMC7058880
doi:
Types de publication
Journal Article
Langues
eng
Pagination
30-34Informations de copyright
© 2020 African Federation for Emergency Medicine. Publishing services provided by Elsevier.
Déclaration de conflit d'intérêts
The authors declared no conflicts of interest.
Références
Ann Emerg Med. 2010 Aug;56(2):142-9
pubmed: 20138398
Med Teach. 2003 Mar;25(2):142-8
pubmed: 12745521
World J Surg. 2015 Sep;39(9):2161-7
pubmed: 25847225
Educ Health (Abingdon). 2006 Nov;19(3):385-7
pubmed: 17178522
Resuscitation. 2012 Dec;83(12):1484-90
pubmed: 22561463
Yearb Med Inform. 2011;6:33-8
pubmed: 21938322
J Telemed Telecare. 2013 Feb;19(2):120-5
pubmed: 23454821
Adv Med Educ Pract. 2016 May 05;7:271-9
pubmed: 27217807
Ann Emerg Med. 2014 Sep;64(3):277-285.e2
pubmed: 24875894
Acad Emerg Med. 2010 Jul;17(7):765-74
pubmed: 20653593
J Am Acad Dermatol. 2011 Feb;64(2):302-9
pubmed: 21094560
Telemed J E Health. 2012 Jan-Feb;18(1):11-3
pubmed: 22171597
Emerg Med Clin North Am. 2005 Feb;23(1):11-29
pubmed: 15663971
Bull World Health Organ. 2015 Jun 1;93(6):417-23
pubmed: 26240463
Int J Technol Knowl Soc. 2013;9(2):145-155
pubmed: 25126132
J Midwifery Womens Health. 2004 Jul-Aug;49(4):283-92
pubmed: 15236707
Bull World Health Organ. 2002;80(11):900-5
pubmed: 12481213
Ann Emerg Med. 2012 Jul;60(1):35-44.e3
pubmed: 22326860
Cureus. 2017 Oct 25;9(10):e1801
pubmed: 29282445
Crit Care Med. 2012 Jul;40(7):2050-8
pubmed: 22564958
J Emerg Med. 2016 Sep;51(3):284-291.e1
pubmed: 27381954
J Trauma. 2007 Oct;63(4):914-9
pubmed: 18090026
Bull World Health Organ. 2015 Aug 1;93(8):577-586G
pubmed: 26478615
J Trop Pediatr. 2013 Jun;59(3):180-6
pubmed: 23335632
Ann Am Thorac Soc. 2015 Apr;12(4):491-7
pubmed: 25751194
J Trop Pediatr. 2006 Oct;52(5):376-9
pubmed: 16782724
J Trauma. 2002 Jul;53(1):90-7
pubmed: 12131396
Resuscitation. 2012 Jul;83(7):869-73
pubmed: 22198423
Med Teach. 2008;30(2):159-63
pubmed: 18464140
West J Emerg Med. 2014 Aug;15(5):615-22
pubmed: 25157311
BMC Med Inform Decis Mak. 2010 Apr 16;10:22
pubmed: 20398366
J Trauma. 2003 Jun;54(6):1188-96
pubmed: 12813342
Health Hum Rights. 2010 Jun 15;12(1):137-52
pubmed: 20930260
PLoS Med. 2010 Mar 09;7(3):e1000242
pubmed: 20231869
Bull World Health Organ. 2007 Dec;85(12):930-4
pubmed: 18278252
Cochrane Database Syst Rev. 2015 Sep 04;(9):CD009106
pubmed: 26337958
Med Teach. 2008;30(2):175-9
pubmed: 18464143
Open J Obstet Gynecol. 2015 Nov;5(13):754-761
pubmed: 27239388