ArticlePloS one2016
Correlates of Performance of Healthcare Workers in Emergency, Triage, Assessment and Treatment plus Admission Care (ETAT+) Course in Rwanda: Context Matters.
Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 27 citations in OpenAlex.
- Evaluation of Adaptive Feedback in a Smartphone-Based Game on Health Care Providers' Learning Gain: Randomized Controlled Trial.Journal of medical Internet research · 2020Trial
- Implementing adaptive e-learning for newborn care in Tanzania: an observational study of provider engagement and knowledge gains.BMJ open · 2024Observational
- A qualitative assessment of stakeholder perspectives on barriers and facilitators to emergency care delays in Northern Tanzania through the Three Delays.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2023Article
- Teaching Trauma in Resource-Limited Settings: A Scoping Review of Pediatric Trauma Courses.World journal of surgery · 2022Article
- Strengthening emergency care knowledge and skills in Uganda and Tanzania with the WHO-ICRC Basic Emergency Care Course.Emergency medicine journal : EMJ · 2021Article
- Training and evaluating simulation debriefers in low-resource settings: lessons learned from Bihar, India.BMC medical education · 2020Article
- Evaluation of Adaptive Feedback in a Smartphone-Based Serious Game on Health Care Providers' Knowledge Gain in Neonatal Emergency Care: Protocol for a Randomized Controlled Trial.JMIR research protocols · 2019Article
- Triage live lecture versus triage video podcast in pre-hospital students' education.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2019Article
- Effects of scaling up various community-level interventions on child mortality in Burundi, Kenya, Rwanda, Uganda and Tanzania: a modeling study.Global health research and policy · 2019Article
- Effect of a community health worker mHealth monitoring system on uptake of maternal and newborn health services in Rwanda.Global health research and policy · 2019Article
- Continuing Professional Development in Maternal Health Care: Barriers to Applying New Knowledge and Skills in the Hospitals of Rwanda.Maternal and child health journal · 2018Article
- High rate of inappropriate blood transfusions in the management of children with severe anemia in Ugandan hospitals.BMC health services research · 2018Article
- Teaching the Principles of Pediatric Critical Care to Non-Intensivists in Resource Limited Settings: Challenges and Opportunities.Frontiers in pediatrics · 2018Article
- Implementing the Emergency Triage, Assessment and Treatment plus admission care (ETAT+) clinical practice guidelines to improve quality of hospital care in Rwandan district hospitals: healthcare workers' perspectives on relevance and challenges.BMC health services research · 2017Article
- Pediatric emergency care capacity in a low-resource setting: An assessment of district hospitals in Rwanda.PloS one · 2017Article
- Enhancing emergency care in low-income countries using mobile technology-based training tools.Archives of disease in childhood · 2016Article
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Emergency, Triage, Assessment and Treatment plus Admission care (ETAT+) course, a comprehensive advanced pediatric life support course, was introduced in Rwanda in 2010 to facilitate the achievement of the fourth Millennium Development Goal. The impact of the course on improving healthcare workers (HCWs) knowledge and practical skills related to providing emergency care to severely ill newborns and children in Rwanda has not been studied.
objectiveTo evaluate the impact of the ETAT+ course on HCWs knowledge and practical skills, and to identify factors associated with greater improvement in knowledge and skills.
methodsWe used a one group, pre-post test study using data collected during ETAT+ course implementation from 2010 to 2013. The paired t-test was used to assess the effect of ETAT+ course on knowledge improvement in participating HCWs. Mixed effects linear and logistic regression models were fitted to explore factors associated with HCWs performance in ETAT+ course knowledge and practical skills assessments, while accounting for clustering of HCWs in hospitals.
results374 HCWs were included in the analysis. On average, knowledge scores improved by 22.8/100 (95% confidence interval (CI) 20.5, 25.1). In adjusted models, bilingual (French & English) participants had a greater improvement in knowledge 7.3 (95% CI 4.3, 10.2) and higher odds of passing the practical skills assessment (adjusted odds ratio (aOR) = 2.60; 95% CI 1.25, 5.40) than those who were solely proficient in French. Participants who attended a course outside of their health facility had higher odds of passing the skills assessment (aOR = 2.11; 95% CI 1.01, 4.44) than those who attended one within their health facility.
conclusionsThe current study shows a positive impact of ETAT+ course on improving participants' knowledge and skills related to managing emergency pediatric and neonatal care conditions. The findings regarding key factors influencing ETAT+ course outcomes demonstrate the importance of considering key contextual factors (e.g., language barriers) that might affect HCWs performance in this type of continuous medical education.
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