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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
nursing
The Practical Approach to Lung Health in South Africa (PALSA) intervention: Respiratory guideline implementation for nurse trainers
International Nursing Review, Volume 53, No. 4, Year 2006
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Description
Aim: This paper describes the design, facilitation and preliminary assessment of a 1-week cascade training programme for nurse trainers in preparation for implementation of the Practical Approach to Lung Health in South Africa (PALSA) intervention, tested within the context of a pragmatic cluster randomized controlled trial in the Free State province. PALSA combines evidence-based syndromic guidelines on the management of respiratory disease in adults with group educational outreach to nurse practitioners. Background: Evidence-based strategies to facilitate the implementation of primary care guidelines in low- to middle-income countries are limited. In South Africa, where the burden of respiratory diseases is high and growing, documentation and evaluation of training programmes in chronic conditions for health professionals is limited. Method: The PALSA training design aimed for coherence between the content of the guidelines and the facilitation process that underpins adult learning. Content facilitation involved the use of key management principles (key messages) highlighted in nurse-centred guidelines manual and supplemented by illustrated material and reminders. Process facilitation entailed reflective and experiential learning, role-playing and non-judgemental feedback. Discussion and results: Preliminary feedback showed an increase in trainers' self-awareness and self-confidence. Process and content facilitators agreed that the integrated training approach was balanced. All participants found that the training was motivational, minimally prescriptive, highly nurse-centred and offered personal growth. Conclusion: In addition to tailored guideline recommendations, training programmes should consider individual learning styles and adult learning processes. © 2006 The Author.
Authors & Co-Authors
Bheekie, Angeni
South Africa, Bellville
University of the Western Cape
Buskens, Ineke
South Africa, Cape Town
Research for the Future
Allen, S.
South Africa, Tygerberg
South African Medical Research Council
English, René Glynnis
South Africa, Cape Town
University of Cape Town Lung Institute
Mayers, Pat M.
South Africa, Cape Town
University of Cape Town
Fairall, Lara R.
South Africa, Cape Town
University of Cape Town Lung Institute
Majara, Bosielo P.
South Africa, Bloemfontein
University of the Free State
Bateman, E. D.
South Africa, Observatory
Groote Schuur Hospital
Zwarenstein, Merrick F.
Canada, Toronto
University of Toronto
Bachmann, Max Oscar
United Kingdom, Norwich
University of East Anglia
Statistics
Citations: 10
Authors: 10
Affiliations: 9
Identifiers
Doi:
10.1111/j.1466-7657.2006.00520.x
ISSN:
00208132
e-ISSN:
14667657
Research Areas
Health System And Policy
Study Design
Randomised Control Trial
Study Approach
Quantitative
Study Locations
South Africa