Improve the Competencies of Health Workers through Training and Resources for Continuing Education

 

Problem: 
AlKarak Public Hospital (KPH) is a government health facility in AlKarak Governorate, and serves as educational hospital and referral point for the region population, and it serves more than 240,000 people. As of December 2011, the hospital employs  more  than 600 health workers and supporting staff. This facility  encountered a challenge of in ability to deliver a high quality services to the clients. This still very complicated problem and not easy to tackle. The facility with low resources had trouble in identifying the reasons for the deterioration in the services. That way, the facility had trouble identifying the causes for this challenge. However, I had understood that this is multifaceted challenge. Then I identified that our facility services mainly depend on the health workers, whom they need continuous development through training and in service education. 
 
Intervention: 

I started the innovation of the training unit and developed it into a department connected with the hospital director directly 2007. This included making a new arrangement of the library with a database and filing system. I asked for some resources that help to make the department ready to start the mission of continuous education for all nurses in the hospital.

I put down the action plan for my department and evaluated resources present and those needed and the plan was put in action. I asked equipment for the activities as computer, printer, photocopying machine, papers and stationery.  The first actual step in preparing the training plan was a questionnaire distributed to all categories of personnel working in the hospital, surveying their expectation and types of training courses needed from this department.

Waiting for the feedback from the personnel, I prepared a booklet including an introduction to the vision and mission of the new department in addition to the strategy of work that will be followed. This was distributed to the heads of all departments. The feedback was analyzed and the training courses were prepared. I contacted staff members at the faculty of Nursing and Faculty of medicine in addition to specialists in health management in the ministry of health to be the trainers in the different workshops. The place was organized in order to  fit for the courses with audiovisual facilities .  The announcement of each training course was sent to all departments including the topics and the participants who are involved in every workshop. I struggled a lot so that the attendee would receive certificates of attending the workshops  or training courses including contents and amount of hours , and succeeded in doing this and certificates were accredited from the ministry of health. A post workshop questionnaire was prepared to evaluate the satisfaction of the attendees to improve our work in the following workshops.

Every workshop conducted at the department needed a lot of work till the day of the course. Even the preparation of the tea and coffee breaks was my responsibility. The department is working with the same regulations and every year we update the workshops and courses according to the need assessment performed according to different department’s feedback.

I had a personal experience in attending a workshop of 18 days in Bangkok, Thailand during September 2009. The workshop was related to the continuous education and I benefited from it , although I had a hard time as I left my small family (husband and young children) because I was insisting to improve my work and by returning home I applied what I had in the workshop in my own department.

In brief the main activities which I implemented

  • Developing of training and educational department
  • Annual Training plan established and run since 5 years now
  • Training of health workers on the national standards. Training on policies and procedures. Training on national quality and safety goals.
  • Training of the staff on collecting data on patient and family friendly hospital
  • Implementation and evaluation of the hospital health workers annual training plan
Results: 

Measures used to prove progress:

  • By external surveyor and reviewers evaluation through Health Care Accreditation Council (HCAC) and Ministry of Health Assurance department Audit
  • Observation by using checklist to measure quality of care after workshop
  • Comments from trainee’s peers and supervisors

My achievement is:

  • All the health workers have access to continuous educational unit  in the hospital where they can discuss their training needs and they can attend training
  • Training of almost 80% of AlKarak Hospital health Workers in different topics according to annual training plan  
  • Achieving national quality and safety goals 2010 & 2011
  • Patient and family friendly hospital in 2009

 

Lessons: 

Patient is our concern & focus care. My effort is toward enhancing quality of care in my institution with out error to reach the highest level of patient’s safety and satisfaction by implementing all standard, policy & procedure related to patient care. Providing in service education in KPH in Jordan has a wide range of challenges, and efforts to solve one problem can help you identify another underlying problem. In KPH, our efforts to improve in service education of health workers highlighted another problem where the quality of the services is not always assured. This also linked with concerns about patient safety. Patient safety and quality measures was not a priority, however, the development of in service education within the hospital highlights the importance of joining programs for accrediting the services and not getting stuck with generic tools of quality control by the MoH.

 

Report Author(s): 
Nawal Mansour Abu-Samhadanh
Organization(s): 
USAID
ASSIST publication: 
no
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