A Qualitative Study Assessing Haitian Pediatric Nursing Educational Needs in Port-au-Prince, Haiti

Alice Ruscica Columbia University Medical Center Irving Medical Center, New York, New York;

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Jennifer Rogers Bernard Mevs Hospital, Port-au-Prince, Haiti;

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Stacey Stokes Children’s National Hospital, Washington, District of Columbia;
The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia

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ABSTRACT.

After Port-au-Prince’s 2010 earthquake, Hospital Bernard Mevs (HBM) developed a collaboration with international medical volunteers to provide clinical care and medical resources; that evolved to include medical education as local Haitian staffing developed. There has been limited coordination among volunteers and local providers about ways in which volunteers can best serve the hospital, and literature that addresses how to coordinate volunteer efforts to support the educational needs of the local nursing staff is scant. Our objectives were to complete an educational needs assessment of the most common diagnoses encountered, requested topics for education, and preferred learning modalities as reported by Haitian pediatric nurses, and categorize the strengths of HBM and barriers to care to understand more fully the context within which nurses function, and how education and international volunteers may be related. In October 2019, 10 HBM pediatric nurses participated in small-group interviews. Questions were based on an interview guide and responses were coded and analyzed for recurring themes. The most common diagnoses were sepsis, hydrocephalus, and hypoxic ischemic encephalopathy. Topics for review included chest tubes, ventilator management, and ventriculoperitoneal shunts. Preferred learning modalities were didactics and hands-on workshops. Strengths of the hospital were team dynamics and education provided by HBM and international volunteers, whereas the most common barrier to care was lack of clinical supplies. This information is useful to guide future educational interventions, and this model may inform other programs with a volunteer presence in resource-limited settings to promote collaboration and self-directed learning.

Author Notes

Address correspondence to Alice Ruscica, Columbia University Irving Medical Center, 3959 Broadway, New York, NY 10032. E-mail: amr2250@cumc.columbia.edu

Authors’ addresses: Alice Ruscica, Columbia University Medical Center Irving Medical Center, New York, NY, E-mail: amr2250@cumc.columbia.edu. Jennifer Rogers, Bernard Mevs Hospital, Port-au-Prince, Haiti, E-mail: jennierog1@gmail.com. Stacey Stokes, Children’s National Hospital, Washington, DC, and The George Washington University School of Medicine and Health Sciences, Washington, DC, E-mail: stacey.stokes@childrensnational.org.

  • 1.

    Jacobs LD , Judd TM , Bhutta ZA , 2016. Addressing the child and maternal mortality crisis in Haiti through a central referral hospital providing countrywide care. Perm J 20: 5970.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Koster MP , Williams JH , Gautier J , Alce R , Trappey BE , 2017. A sustained partnership between a Haitian children’s hospital and North American academic medical centers. Front Public Health 5: 122.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Bell M , n.d. Filling the Gap for Children. Available at: http://ucomm.miami.edu/archive/communications/haiti/filling-gap-for-children.html. Accessed August 28, 2022.

    • PubMed
    • Export Citation
  • 4.

    Bernstein HH , Rieber S , Stoltz RA , Shapiro DE , Connors KM , 2004. Assessing the learning needs of maternal and child health professionals to teach health promotion. Matern Child Health J 8: 8793.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Griscti O , Jacono J , 2006. Effectiveness of continuing education programmes in nursing: literature review. J Adv Nurs 55: 449456.

  • 6.

    Kristjanson LJ , Scanlan JM , 1989. Assessment of continuing nursing education needs: a literature review. J Contin Educ Nurs 20: 118123.

  • 7.

    Qudsi RA et al., 2018. A self-reported needs assessment survey of pediatric orthopaedic education in Haiti. J Surg Educ 75: 140146.

  • 8.

    Miller BM , Eichbaum Q , Brady DW , Moore DE , 2011. Aligning health sciences education with health needs in developing countries. Acad Med 86: e10.

  • 9.

    Glomb NW et al., 2018. Needs assessment for simulation training for prehospital providers in Botswana. Prehosp Disaster Med 33: 621626.

  • 10.

    Cook M et al., 2015. A consortium approach to surgical education in a developing country: educational needs assessment. JAMA Surg 150: 10741078.

  • 11.

    Kolars JC et al., 2012. Perspective: partnering for medical education in sub-Saharan Africa: seeking the evidence for effective collaborations. Acad Med 87: 216220.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Olapade-Olaopa EO , Baird S , Kiguli-Malwadde E , Kolars JC , 2014. Growing partnerships: leveraging the power of collaboration through the medical education partnership initiative. Acad Med 86: S19S23.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Talib ZM et al., 2015. Transforming health professions’ education through in-country collaboration: examining the consortia among African medical schools catalyzed by the Medical Education Partnership Initiative. Hum Resour Health 13: 1.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14.

    Barglowski K , 2018. Where, what and whom to study? Principles, guidelines and empirical examples of case selection and sampling in migration research. In: Zapata-Barrero R , Yalaz E (eds.). Qualitative Research in European Migration Studies. IMISCOE Research Series. Cham, Switzerland: Springer, 151168.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Sherard D , May S , Monteforte E , Hancock H , 2017. Provider Needs Assessment Framework and Tools. Baltimore, MD: Johns Hopkins University. Available at: https://sbccimplementationkits.org/provider-behavior-change/courses/provider-needs-assessment-framework-and-tools/. Accessed March 3, 2019.

    • PubMed
    • Export Citation
  • 16.

    Creswell JW , Poth CN , 2016. Qualitative Inquiry and Research Design: Choosing Among Five Approaches, 4th ed. Los Angeles, CA: Sage Publications.

  • 17.

    Curry RH , Hershman WY , Saizow RB , 1996. Learner-centered strategies in clerkship education. Am J Med 100: 589595.

  • 18.

    Gross Davis B , 2009. Tools for Teaching. San Francisco, CA: Wiley.

  • 19.

    Bluestone J , Johnson P , Fullerton J , Carr C , Alderman J , BonTempo J , 2013. Effective in-service training design and delivery: evidence from an integrative literature review. Hum Resour Health 11: 51.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 20.

    Burke MJ , Sarpy SA , Smith-Crowe K , Chan-Serafin S , Salvador RO , Islam G , 2006. Relative effectiveness of worker safety and health training methods. Am J Public Health 96: 315324.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 21.

    Slotnick HB , 1999. How doctors learn. Acad Med 74: 11061117.

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