Clinical mentorship to improve pediatric quality of care at the health centers in rural Rwanda: A qualitative study of perceptions and acceptability of health care workers

BMC Health Services Research

Volumn 14, Issue 1, 2014, Pages

  Manzi, Anatole ^a,b   Magge, Hema ^b,c,d   Hedt Gauthier, Bethany L ^a,b,e   Michaelis, Annie P ^b   Cyamatare, Felix R ^b   Nyirazinyoye, Laetitia ^a   Hirschhorn, Lisa R ^b,d,e   Ntaganira, Joseph ^a  

^a UNIVERSITY OF RWANDA   (Rwanda)

^b PARTNERS IN HEALTH   (United States)

^c BOSTON CHILDREN S HOSPITAL   (United States)

^d BRIGHAM AND WOMEN S HOSPITAL   (United States)

^e HARVARD MEDICAL SCHOOL   (United States)

Author keywords

Acceptability; Clinical mentorship; Health centers; IMCI; Pediatrics; Perceptions; Quality improvement; Rwanda

Indexed keywords

CHILD; HEALTH PERSONNEL ATTITUDE; HUMAN; INFORMATION PROCESSING; LEADERSHIP; PEDIATRICS; PRIMARY HEALTH CARE; QUALITATIVE RESEARCH; RURAL HEALTH CARE; RWANDA; STANDARDS; TEACHER; TOTAL QUALITY MANAGEMENT;

ATTITUDE OF HEALTH PERSONNEL; CHILD; FOCUS GROUPS; HUMANS; LEADERSHIP; MENTORS; PEDIATRICS; PRIMARY HEALTH CARE; QUALITATIVE RESEARCH; QUALITY IMPROVEMENT; RURAL HEALTH SERVICES; RWANDA;

EID: 84902702351     PISSN: None     EISSN: 14726963     Source Type: Journal    
DOI: 10.1186/1472-6963-14-275     Document Type: Article

References (46)

1. Improving service quality: experience from the Tanzania Family Health Project. Atherton F, Mbekem G, Nyalusi I, Int J Qual Health Care 1999 11 353 356 (Pubitemid 29395022)
2. Challenges in the care of the acutely ill. Bion JF, Heffner JE, Lancet 2004 363 970 977 (Pubitemid 38388333)
3. Human resources for health in southeast Asia: shortages, distributional challenges, and international trade in health services. Kanchanachitra C, Lindelow M, Johnston T, Hanvoravongchai P, Lorenzo FM, Huong NL, Wilopo SA, Dela Rosa JF, Lancet 2011 377 769 781
4. Information needs of health care workers in developing countries: a literature review with a focus on Africa. Pakenham-Walsh N, Bukachi F, Hum Resour Health 2009 7 30
5. How can we achieve and maintain high-quality performance of health workers in low-resource settings? Rowe AK, De Savigny D, Lanata CF, Victora CG, Lancet 2005 366 1026 1035 (Pubitemid 41323038)
6. Integrated Management of Childhood Illness (IMCI) in Bangladesh: Early findings from a cluster-randomised study. El AS, Blum LS, Emdadul Hoque DM, Chowdhury EK, Khan R, Black PRE, Victora PCG, Bryce J, Lancet 2004 364 1595 1602 (Pubitemid 39446383)
7. Improving antimicrobial use among health workers in first-level facilities: results from the multi-country evaluation of the Integrated Management of Childhood Illness strategy. Gouws E, Bryce J, Habicht J-P, Amaral J, Pariyo G, Schellenberg JA, Fontaine O, Bull World Health Organ 2004 82 509 515 (Pubitemid 38969444)
8. The multi-country evaluation of the integrated management of childhood illness strategy: lessons for the evaluation of public health interventions. Bryce J, Victora CG, Habicht J-PP, Vaughan JP, Black RE, Am J Public Health 2004 94 406 415 (Pubitemid 38269493)
9. National Institute of Statistics of Rwanda (NISR) [Rwanda] M of H (MOH) [Rwanda], ICF International, Factors Affecting Maternal Health Care Seeking Behavior in Rwanda: Rwanda Demographic and Health Survey, 2010 Calverton, Maryland, USA: NISR,MOH, ICF Int 2011
10. The rise and fall of supervision in a project designed to strengthen supervision of Integrated Management of Childhood Illness in Benin. Rowe AK, Onikpo F, Lama M, Deming MS, Health Policy Plan 2010 25 125 134
11. Programmatic pathways to child survival: results of a multi-country evaluation of Integrated Management of Childhood Illness. Bryce J, Victora CG, Habicht J-P, Black RE, Scherpbier RW, Health Policy Plan 2005 20 Suppl 1 5 i17
12. Do health systems delay the treatment of poor children? A qualitative study of child deaths in rural Tanzania. Samuelsen H, TersbÃ̧l BP, Mbuyita SS, BMC Health Serv Res 2013 13 67
13. Effects of policy options for human resources for healthâ̄: an analysis of systematic reviews. Chopra M, Munro S, Lavis JN, Vist G, Bennett S, Lancet 2008 371 668
14. Sounding board rapid expansion of the health workforce in response to the hiv epidemic. Samb BDP, Celletti F, Holloway J, Van DW, Cock KM D, Dybul M, N Engl J Med 2007 357 2510 2514 (Pubitemid 350272794)
15. Nurse mentorship to improve the quality of health care delivery in rural Rwanda. Anatole M, Magge H, Redditt V, Karamaga A, Niyonzima S, Drobac P, Mukherjee JS, Ntaganira J, Nyirazinyoye L, Hirschhorn LR, Nurs Outlook 2012 61 1 8
16. Evaluating a questionnaire to measure improvement initiatives in Swedish healthcare. Andersson A-C, Elg M, Perseius K-I, Idvall E, BMC Health Serv Res 2013 13 48
17. Understanding what works-and why-in quality improvement: the need for theory-driven evaluation. Walshe K, Int J Qual Health Care 2007 19 57 59
18. Evaluation of the effectiveness of an outreach clinical mentoring programme in support of paediatric HIV care scale-up in Botswana. Workneh G, Scherzer L, Kirk B, Draper HR, Anabwani G, AIDS Care 2013 25 11 19
19. WHO, WHO recommendations for clinical mentoring to support scale-up of HIV care, antiretroviral therapy and prevention in resource-constrained settings Geneva: WHO 2005 16 18
20. Service Packages for Health Facilities at Different levels of Service Delivery. Republic of Rwanda, MOH 28 138 Retrieved April 1, 2014, from http://www.moh.gov.rw/.
21. Comprehensive and integrated district health systems strengthening: the Rwanda Population Health Implementation and Training (PHIT) Partnership. Drobac PC, Basinga P, Condo J, Farmer PE, Finnegan KE, Hamon JK, Amoroso C, Hirschhorn LR, Kakoma JB, Lu C, Murangwa Y, Murray M, Ngabo F, Rich M, Thomson D, Binagwaho A, BMC Health Serv Res 2013 13 Suppl 2 5
22. I-TECH, Clinical mentoring toolkit: basics of clinical mentoring curriculum 2008 Retrieved December 06, 2011, from http://www.go2itech.org/HTML/ CM08/toolkit/training/index.html
23. A qualitative study of nursing student experiences of clinical practice. Sharif F, Masoumi S, BMC Nurs 2005 4 6
24. Hermeneutic analysis: a qualitative decision trail. Clarke JB, Int J Nurs Stud 1999 36 363 369
25. Interpretation/analysis methods in hermeneutic interpretive phenomenology. Crist JD, Tanner CA, Nurs Res 2003 52 202 205
26. Utilizing qualitative data analysis software: a review of Atlas.ti. Hwang S, Soc Sci Comput Rev 2007 26 519 527
27. An interpretative study of the clinical practice of critical care nurses. Walters AJ, Contemp Nurse 1994 3 21 25
28. Atlas. ti for qualitative data analysis. SMIT B, Perspect Educ 2002 20 65 76
29. Interpretive and hermeneutic research methods in the contextualistic analysis of verbal behavior. Dougher MJ, Hayes SCE, Hayes LJE, Reese HWE, Sarbin TRE, Var Sci Context Oxford: University Press, Hayes SC, Hayes LJ, Reese HW, Sarbin TR, 1993 211 221
30. Hermeneutics, human sciences and health: linking theory and practice. Smith JA, Int J Qual Stud Heal Wellbeing 2007 2 3 11
31. Capacity building of nurses providing neonatal care in Rio de Janeiro, Brazil: methods for the POINTS of care project to enhance nursing education and reduce adverse neonatal outcomes. Darlow B, Zin A, Beecroft G, Moreira ME, Gilbert CE, BMC Nurs 2012 11 3
32. Nurses' perceived knowledge, beliefs, skills, and needs regarding evidence-based practice: implications for accelerating the paradigm shift. Melnyk BM, Fineout-Overholt E, Fischbeck Feinstein N, Li H, Small L, Wilcox L, Kraus R, Worldviews Evid Based Nurs 2004 1 185 193
33. Perceptions within a mentorship program. Wolak E, McCann M, Queen S, Madigan C, Letvak S, Clin Nurse Spec 2009 23 61 67
34. The effect of mentoring on career satisfaction of registered nurses and intent to stay in the nursing profession. Mariani B, Nurs Res Pract 2012 2012 168278
35. Changing tides: improving outcomes through mentorship on all levels of nursing. Race TK, Skees J, Crit Care Nurs Q 2010 33 163 176
36. The Critical Role of Supervision in Retaining Staff in Obstetric Services: A Three Country Study. McAuliffe E, Daly M, Kamwendo F, Masanja H, Sidat M, De Pinho H, PLoS One 2013 8 58415
37. New graduate nurses' perceptions of mentoring: six-year programme evaluation. Beecroft PC, Santner S, Lacy ML, Kunzman L, Dorey F, J Adv Nurs 2006 55 736 747 (Pubitemid 44272780)
38. WHO, Report of IMCI, Health Facility Survey Limpopo, Mpumalanga, Northern Cape and Kwa Zulu Natal Geneva: WHO 2001
39. An evaluation of the quality of IMCI assessments among IMCI trained health workers in South Africa. Horwood C, Vermaak K, Rollins N, Haskins L, Nkosi P, Qazi S, PLoS One 2009 4 5937
40. Lin Y, Tavrow P, Assessing Health Worker Performance of IMCI in Kenya. Quality Assurance Project Case Study Maryland, USA: Publ U S Agency Int Dev by Qual Assur Proj Bethesda 2000 http://www.chs-urc.org/pdf/kenya.pdf access 12 06 2012
41. Transitioning into the nurse practitioner role through mentorship. Hill LA, Sawatzky J-A V, J Prof Nurs 2011 27 161 167
42. Health worker motivation in Africa: the role of non-financial incentives and human resource management tools. Mathauer I, Imhoff I, Hum Resour Health 2006 4 24
43. Health workforce attrition in the public sector in Kenya: a look at the reasons. Chankova S, Muchiri S, Kombe G, Hum Resour Health 2009 7 58
44. Victora CG, Adam T, Bryce J, Evans DB, Integrated Management of the Sick Child 2003 1177 1192 Retrieved December 10,2012 from http://www.ncbi.nlm.nih. gov/books/NBK11752/pdf/ch63.pdf
45. Experiences of training and implementation of integrated management of childhood illness (IMCI) in South Africa: a qualitative evaluation of the IMCI case management training course. Horwood C, Voce A, Vermaak K, Rollins N, Qazi S, BMC Pediatr 2009 9 62
46. Clinical mentoring: a sustainable strategy for scaling up HIV/AIDS clinical expertise in developing countries. Aggett S, Shantz K, Mair R, Charles M, J Int AIDS Soc 2008 11 Suppl 1 229