Normal Physiologic Birth Continuing Professional Development: From a National Health Priority to Expanded Capacity

Background: The Republic of Liberia has experienced many barriers to maintaining the quality of its healthcare workforce. The Resilient and Responsive Health Systems (RRHS) Initiative supported by the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) has responded to Liberian identified healt...

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Autores principales:	John K. Shakpeh, Mary W. Tiah, Cecelia C. Kpangbala-Flomo, Rita Florence Matte, Sodey C. Lake, Susan D. Altman, Tanya Tringali, Kerry Stalonas, Lloyd Goldsamt, Lily Zogbaum, Robin Toft Klar
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2021
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/542f933ff8534cabadf50628f461c195
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spelling	oai:doaj.org-article:542f933ff8534cabadf50628f461c1952021-11-08T08:04:51ZNormal Physiologic Birth Continuing Professional Development: From a National Health Priority to Expanded Capacity2214-999610.5334/aogh.3247https://doaj.org/article/542f933ff8534cabadf50628f461c1952021-10-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/3247https://doaj.org/toc/2214-9996Background: The Republic of Liberia has experienced many barriers to maintaining the quality of its healthcare workforce. The Resilient and Responsive Health Systems (RRHS) Initiative supported by the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) has responded to Liberian identified health priorities. Liberia’s maternal morbidity and mortality rates continue to rank among the highest in the world. Recent country regulations have put forth required continuing professional development (CPD) for all licensed healthcare workers for re-licensure. Methods: The Model for Improvement was the guiding framework for this CPD to improve midwifery and nursing competencies in assisting birthing women. Two novel activities were used in the CPD. We tested the formal CPD application and approval process as this is a recent regulatory body policy. We also included the use of simulation and its processes as a pedagogical method. Over a two-year period, we developed a two-day CPD module, using didactic training and clinical simulation, for Liberian midwives. We then piloted the module in Liberia, training a group of 21 participants, including midwives and nurses, including pre- and post-test surveys as well as observational evaluation of participant skills. Findings: There were no significant changes in knowledge acquisition noted in the post-test. Small tests of change were implemented during the program, supporting the stages of the Model of Improvement. Observation of skill acquisition was done; however, using a formal observation checklist, such as an Observed Structured Clinical Evaluation (OSCE), would add more robust findings. The CPD and follow-up activity highlighted the need for human and financial support to maintain the simulation kits and to create sustainability for future trainings. Videotaping the didactic and simulation two-day continuing professional development train-the-trainer workshop expands the sustainability beyond newly prepared trainers. Simultaneous with this CPD, the Liberian Board for Nursing and Midwifery (LBNM) worked with a partner to create a CPD portal. The CPD partners created modules from the videos and have uploaded these modules to the LBNM’s new CPD portal. Conclusions: Using a quality improvement model as a framework for developing and implementing CPDs provides a clear structure and supports the dynamic interactions in learning and clinical care. It is too soon to determine measurable health outcomes resulting from this project. Anecdotal feedback from clinicians and leaders was not directly related to the content of the CPD; however, it does demonstrate an increased awareness of examining changes in practice to support expanded health outcomes. Further research to examine methods and processes to determine the quality and safety outcomes of CPD trainings is necessary.John K. ShakpehMary W. TiahCecelia C. Kpangbala-FlomoRita Florence MatteSodey C. LakeSusan D. AltmanTanya TringaliKerry StalonasLloyd GoldsamtLily ZogbaumRobin Toft KlarUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 87, Iss 1 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 John K. Shakpeh Mary W. Tiah Cecelia C. Kpangbala-Flomo Rita Florence Matte Sodey C. Lake Susan D. Altman Tanya Tringali Kerry Stalonas Lloyd Goldsamt Lily Zogbaum Robin Toft Klar Normal Physiologic Birth Continuing Professional Development: From a National Health Priority to Expanded Capacity
description	Background: The Republic of Liberia has experienced many barriers to maintaining the quality of its healthcare workforce. The Resilient and Responsive Health Systems (RRHS) Initiative supported by the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) has responded to Liberian identified health priorities. Liberia’s maternal morbidity and mortality rates continue to rank among the highest in the world. Recent country regulations have put forth required continuing professional development (CPD) for all licensed healthcare workers for re-licensure. Methods: The Model for Improvement was the guiding framework for this CPD to improve midwifery and nursing competencies in assisting birthing women. Two novel activities were used in the CPD. We tested the formal CPD application and approval process as this is a recent regulatory body policy. We also included the use of simulation and its processes as a pedagogical method. Over a two-year period, we developed a two-day CPD module, using didactic training and clinical simulation, for Liberian midwives. We then piloted the module in Liberia, training a group of 21 participants, including midwives and nurses, including pre- and post-test surveys as well as observational evaluation of participant skills. Findings: There were no significant changes in knowledge acquisition noted in the post-test. Small tests of change were implemented during the program, supporting the stages of the Model of Improvement. Observation of skill acquisition was done; however, using a formal observation checklist, such as an Observed Structured Clinical Evaluation (OSCE), would add more robust findings. The CPD and follow-up activity highlighted the need for human and financial support to maintain the simulation kits and to create sustainability for future trainings. Videotaping the didactic and simulation two-day continuing professional development train-the-trainer workshop expands the sustainability beyond newly prepared trainers. Simultaneous with this CPD, the Liberian Board for Nursing and Midwifery (LBNM) worked with a partner to create a CPD portal. The CPD partners created modules from the videos and have uploaded these modules to the LBNM’s new CPD portal. Conclusions: Using a quality improvement model as a framework for developing and implementing CPDs provides a clear structure and supports the dynamic interactions in learning and clinical care. It is too soon to determine measurable health outcomes resulting from this project. Anecdotal feedback from clinicians and leaders was not directly related to the content of the CPD; however, it does demonstrate an increased awareness of examining changes in practice to support expanded health outcomes. Further research to examine methods and processes to determine the quality and safety outcomes of CPD trainings is necessary.
format	article
author	John K. Shakpeh Mary W. Tiah Cecelia C. Kpangbala-Flomo Rita Florence Matte Sodey C. Lake Susan D. Altman Tanya Tringali Kerry Stalonas Lloyd Goldsamt Lily Zogbaum Robin Toft Klar
author_facet	John K. Shakpeh Mary W. Tiah Cecelia C. Kpangbala-Flomo Rita Florence Matte Sodey C. Lake Susan D. Altman Tanya Tringali Kerry Stalonas Lloyd Goldsamt Lily Zogbaum Robin Toft Klar
author_sort	John K. Shakpeh
title	Normal Physiologic Birth Continuing Professional Development: From a National Health Priority to Expanded Capacity
title_short	Normal Physiologic Birth Continuing Professional Development: From a National Health Priority to Expanded Capacity
title_full	Normal Physiologic Birth Continuing Professional Development: From a National Health Priority to Expanded Capacity
title_fullStr	Normal Physiologic Birth Continuing Professional Development: From a National Health Priority to Expanded Capacity
title_full_unstemmed	Normal Physiologic Birth Continuing Professional Development: From a National Health Priority to Expanded Capacity
title_sort	normal physiologic birth continuing professional development: from a national health priority to expanded capacity
publisher	Ubiquity Press
publishDate	2021
url	https://doaj.org/article/542f933ff8534cabadf50628f461c195
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Normal Physiologic Birth Continuing Professional Development: From a National Health Priority to Expanded Capacity

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