A multimodal mentorship intervention to improve surgical quality in Tanzania’s Lake Zone: a convergent, mixed methods assessment (Record no. 19898)

MARC details
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control field OSt
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control field 20240305193744.0
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Source Phone: +255 28 298 3384
Source Fax: +255 28 298 3386
Source Email: vc@bugando.ac.tz
Source Website: www.bugando.ac.tz
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Language of cataloging English
Transcribing agency DLC
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Language code of text/sound track or separate title English
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Personal name Shehnaz Alidina
9 (RLIN) 46547
222 ## - KEY TITLE
Key title Multimodal mentorship intervention Surgical provider capacity Surgical quality Tanzania Safe Surgery 2020 Workforce
245 ## - TITLE STATEMENT
Title A multimodal mentorship intervention to improve surgical quality in Tanzania’s Lake Zone: a convergent, mixed methods assessment
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Place of publication, distribution, etc. Mwanza, Tanzania:
Name of publisher, distributor, etc. BioMed Central &
-- Catholic University of Health and Allied Sciences [CUHAS – Bugando]
Date of publication, distribution, etc. 23 September 2021
300 ## - PHYSICAL DESCRIPTION
Extent Pages 1-14
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Series statement Alidina, S., Tibyehabwa, L., Alreja, S.S. et al. A multimodal mentorship intervention to improve surgical quality in Tanzania’s Lake Zone: a convergent, mixed methods assessment. Hum Resour Health 19, 115 (2021). https://doi.org/10.1186/s12960-021-00652-6
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Summary, etc. Abstract: <br/><br/>Background: Safe, high-quality surgical care in many African countries is a critical need. Challenges include availability of surgical providers, improving quality of care, and building workforce capacity. Despite growing evidence that mentoring is effective in African healthcare settings, less is known about its role in surgery. We examined a multimodal approach to mentorship as part of a safe surgery intervention (Safe Surgery 2020) to improve surgical quality. Our goal was to distill lessons for policy makers, intervention designers, and practitioners on key elements of a successful surgical mentorship program.<br/><br/>Methods: We used a convergent, mixed-methods design to examine the experiences of mentees, mentors, and facility leaders with mentorship at 10 health facilities in Tanzania’s Lake Zone. A multidisciplinary team of mentors worked with surgical providers over 17 months using in-person mentorship, telementoring, and WhatsApp. We conducted surveys, in-depth interviews, and focus groups to capture data in four categories: (1) satisfaction with mentorship; (2) perceived impact; (3) elements of a successful mentoring program; and (4) challenges to implementing mentorship. We analyzed quantitative data using frequency analysis and qualitative data using the constant comparison method. Recurrent and unifying concepts were identified through merging the qualitative and quantitative data.<br/><br/>Results: Overall, 96% of mentees experienced the intervention as positive, 88% were satisfied, and 100% supported continuing the intervention in the future. Mentees, mentors, and facility leaders perceived improvements in surgical practice, the surgical ecosystem, and in reducing postsurgical infections. Several themes related to the intervention’s success emerged: (1) the intervention’s design, including its multimodality, side-by-side mentorship, and standardization of practices; (2) the mentee–mentor relationship, including a friendly, safe, non-hierarchical, team relationship, as well as mentors’ understanding of the local context; and (3) mentorship characteristics, including non-judgmental feedback, experience, and accessibility. Challenges included resistance to change, shortage of providers, mentorship dose, and logistics.<br/><br/>Conclusions: Our study suggests a multimodal mentorship approach is promising in building the capacity of surgical providers. By distilling the experiences of the mentees, mentors, and facility leaders, our lessons provide a foundation for future efforts to establish effective surgical mentorship programs that build provider capacity and ultimately improve surgical quality.
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9 (RLIN) 46548
9 (RLIN) 46549
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9 (RLIN) 46551
9 (RLIN) 46552
9 (RLIN) 46553
9 (RLIN) 46554
9 (RLIN) 46555
9 (RLIN) 46556
9 (RLIN) 46557
9 (RLIN) 22809
9 (RLIN) 22729
9 (RLIN) 46558
9 (RLIN) 46559
9 (RLIN) 46560
9 (RLIN) 44796
9 (RLIN) 46561
9 (RLIN) 46562
9 (RLIN) 46563
9 (RLIN) 46564
9 (RLIN) 46565
9 (RLIN) 46566
9 (RLIN) 46567
9 (RLIN) 46568
9 (RLIN) 46569
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://doi.org/10.1186/s12960-021-00652-6">https://doi.org/10.1186/s12960-021-00652-6</a>
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Source of classification or shelving scheme ddc
Koha item type RESEARCH ARTICLES
Holdings
Withdrawn status Lost status Source of classification or shelving scheme Damaged status Not for loan Collection Home library Current library Shelving location Date acquired Total checkouts Barcode Date last seen Copy number Price effective from Koha item type
            MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO   12/02/2022   RA1106 12/02/2022 RA1106 12/02/2022 RESEARCH ARTICLES
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