Please use this identifier to cite or link to this item: https://hdl.handle.net/20.500.14356/1026
Title: Clinical Competency Retention after Mid-Level Practicum Training and It’s Associated Factors among Health Workers of Nepal
Authors: Bhusal, Madhab Raj
Pakhrin, Jonu Tamang
Chitrakar, Deepa
Pradhan, Amita
Tamang, Suresh
Citation: BhusalM. R., Tamang PakhrinJ., ChitrakarD., PradhanA., & TamangS. (2022). Clinical Competency Retention after Mid-Level Practicum Training and It’s Associated Factors among Health Workers of Nepal . Journal of Nepal Health Research Council, 20(01), 147-153. https://doi.org/10.33314/jnhrc.v20i01.3726
Issue Date: 2022
Publisher: Nepal Health Research Council
Article Type: Original Article
Keywords: Competency retention
knowledge
MLP
skill
Series/Report no.: Jan-March, 2022;3726
Abstract: Abstract Background: Mid-level health workers are deployed in a large proportion with the expectation of similar patient outcomes as with physicians. Mid-level practitioners are Health Assistants and Auxiliary Health Workers who provide clinical care at remote locations. National Health Training Center has been providing 60 days in-service Mid-level Practicum training since 2009 AD for the mid-level practitioners with the aim to enhance quality of patient care in Nepal. Methods: An observational study conducted using retrospective data from onsite follow-up assessment of 180 Mid-level Practitioner from 18 districts of Nepal between July 2015 to June 2019. The retention of competency onsite follow-up was calculated as percentage of assessment score at the end of Mid-level Practicum training. Percentage retention of competency and association of retention with factors were analyzed using independent t-test. Results: Majority of participants were male (85.6%), and working in a Health Post (84.4%). Average clinical competency retention in each domain at their work place was 68.79% in knowledge, 73.80% in patient encounter skill, 82.84% in clinical decision-making skill and 87.58% in clinical procedure skill. Higher age groups, longer years of experience and participants from Terai region found to be associated with lower retention of knowledge. A better enabling environment and higher case load retained higher patient encounter skill. Conclusions: The competency retention among Mid-level Practicum trained mid-level health workers was found to be higher. Factors found associated with competency retention were age, geographic region, years of experience, case load and enabling environment. Keywords: Competency retention; knowledge; MLP; skill.
Description: Original Article
URI: http://103.69.126.140:8080/handle/20.500.14356/1026
ISSN: Print ISSN: 1727-5482; Online ISSN: 1999-6217
Appears in Collections:Vol. 20 No. 01 (2022): Issue 54 Jan-March, 2022

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