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Trainers' perception of the learning environment and student competency: A qualitative investigation of midwifery and anesthesia training programs in Ethiopia

Journal Article
(Published May, 2017)
Kibwana, S. (Author),
Haws, R. (Author),
Kols, A. (Author),
Ayalew, F. (Author),
Kim, Y.M. (Author),
van Roosmalen, J. (Author),
Stekelenburg, J. (Author)
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This study used in-depth interviews to explore perceptions of Ethiopian trainers (instructors, clinical lab assistants and preceptors) towards adequacy of students' learning experience and implications for achieving mastery of core competencies. Interviews with 96 trainers at 9 public universities and 17 regional health science colleges across Ethiopia were conducted to elicit their opinions about available resources, program curriculum suitability, and competence of graduating students. Using Dedoose, data were thematically analyzed using grounded theory. Perceptions of anesthesia and midwifery programs were similar. Common challenges included unpreparedness and poor motivation of students, shortages of skills lab space and equipment, difficulties ensuring students' exposure to sufficient and varied enough cases to develop competence, and lack of coordination between academic training institutions and clinical attachment sites. Additional logistical barriers included lack of student transport to clinical sites. Informants recommended improved recruitment strategies, curriculum adjustments, increased time in skills labs, and better communication across academic and clinical sites. An adequate learning environment ensures that graduating midwives and anesthetists are competent to provide quality services. Minimizing the human resource, infrastructural and logistical gaps identified in this study requires continued, targeted investment in health systems strengthening.

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Citation: 
Kibwana S, Haws R, Kols A, Ayalew F, Kim YM, van Roosmalen J, et al. Trainers' perception of the learning environment and student competency: A qualitative investigation of midwifery and anesthesia training programs in Ethiopia. Nurse Educ Today. 2017;55:5-10.