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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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File | Description | Size | Format | |
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3726-Manuscript-27882-1-10-20220606.pdf | Fulltext Download | 594.72 kB | Adobe PDF | View/Open |
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