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684 Adapting Emergency Triage, Assessment and Treatment Plus (ETAT+) intensive training to a hospital based modular format in Nepal
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684 Adapting Emergency Triage, Assessment and Treatment Plus (ETAT+) intensive training to a hospital based modular format in Nepal
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Journal Article
684 Adapting Emergency Triage, Assessment and Treatment Plus (ETAT+) intensive training to a hospital based modular format in Nepal
2023
Overview
ObjectivesNepal Neonatal and Emergency Paediatric Care Programme (NNEPCP) is a pilot quality improvement programme in Madhesh Pradesh, Nepal under RCPCH Global Links.A core aspect is to establish a sustainable on-site modular version of the 3-day ETAT+ intensive course in 12 government hospitals with ownership from Nepali speaking educators ‘hospital champions’ working within each hospital.We aimed to collect honest feedback; both positive and negative, from the Nepali educators and make amendments based on this to improve delivery.MethodsDeveloped an online feedback questionnaire on google documents comprised of 3 open-ended questions:What is going well with ETAT+ modular teaching in your hospital?What is NOT going well with ETAT+ modular teaching in your hospital?What suggestions do you have to improve the delivery of ETAT+ modular course?To maximise feedback, answers were free text, without word limit and anonymised.The questionnaire was sent to 24 participants (the hospital champions) by 3 modes: email, WhatsApp and a QR code displayed at face-to-face meetings, for maximum coverage. Two reminders were sent, and 3 months given to respond.Qualitative thematic analysis of the free text answers was performed.Results16 responses: 66% of participants.Graph 2 demonstrates the core themes of ‘What is not going well’:Following classification of the questionnaire findings and informal discussions between NNEPCP mentors and champions, several changes were implemented:Class time was reduced from 3 hours to 1–1.5 hours thus increasing the number of modules from 8 to 12.Individualised teaching schedules per hospital with set date, time and assigned class attendees were created.Senior management (Medical Superintendent) formally requested staff attendance.Multi-modal course resource sharing; PDFs via email, hard copies of the ETAT+ candidate handbook (5 per hospital) and USBs containing course resources distributed. Additionally, an App is in development, this will significantly help resource sharing.Abstract 684 Figure 1[Image Omitted. See PDF.]ConclusionOver the first 9 months of the NNEPCP, 8 out of the 12 government hospitals have completed a full modular ETAT+ course with notable increase in class frequency and attendance since the above changes.Nepali educators’ feedback is invaluable in ensuring this teaching programme is sustainable in Nepal. ETAT+ is an internationally recognised course whose overall structure can be transferred but this piece of work has demonstrated the importance in both involving local educators and adapting to different environments.
Publisher
BMJ Publishing Group LTD
Subject
