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Open Access Evaluating the output of transformational patient-centred nurse training in Ethiopia

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BACKGROUND: To strengthen efforts in prevention, proper care and control of tuberculosis (TB) in Ethiopia, the Ethiopian Nurses Association (ENA) trained nurses in the use of patient-centred transformational training methods developed by the International Council of Nurses (ICN).

OBJECTIVES: To evaluate the impact of the training course on patient outcomes, changes in practice and the numbers of additional people trained following the training.

METHODS: During the TB project period, 115 nurses were trained in the care, prevention and management of TB and multidrug-resistant TB (TB/MDR-TB). The effect of this training was evaluated by telephone, during annual review meetings from 2010 to 2012 and at on-site assessment visits conducted from December 2012 to February 2013. These visits were conducted in 11 health facilities (7 hospitals and 4 health centres), where trained nurses and managers were interviewed using a checklist.

RESULTS: A total of 14 nurses were interviewed. All of them made a schedule and offered training on TB/MDR-TB for health care providers, clients and/or communities. Practical changes and improvements in patient outcomes were observed in the health facilities where nurses had been trained.

DISCUSSION: Results showed that the transformational patient-centred training methods used led to ongoing training provision and practical improvements. In addition, it was found that addressing health care providers and the community at large through awareness-raising by trained nurses has the potential to bring about behavioural change likely to reduce the risk of transmission. Using a variety of methods was found to be a cost-effective and realistic way of evaluating the effect of training.
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Keywords: education; evaluation; impact; nurse

Document Type: Research Article

Affiliations: 1: Ethiopian Nurses Association, Addis Ababa, Ethiopia 2: St Peter's Hospital, Addis Ababa, Ethiopia 3: International Council of Nurses, Geneva, Switzerland

Publication date: 01 October 2013

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  • The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.

    Certain IJTLD articles are selected for translation into French, Spanish, Chinese or Russian. They are available on the Union website

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