Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-25521
Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: A mixed-methods study on evaluating an updated, francophone version of ETAT+ training in Madagascar
Authors: Galatsch, M
Lang, H-J
Noa, C
Raveloharimino, H
Robinson, A
Rabesandratana, N
Magera, L I
Weigel, R
Köcher-Andrianarimanana, D
et. al: No
DOI: 10.7196/SAJCC.2022.v38i2.535
10.21256/zhaw-25521
Published in: Southern African Journal of Critical Care
Volume(Issue): 38
Issue: 2
Page(s): 64
Pages to: 70
Issue Date: 2022
Publisher / Ed. Institution: Health and Medical Publishing Group
ISSN: 1562-8264
2078-676X
Language: English
Subjects: Madagascar; Emergency triage assessment and treatment; Training; Essential emergency and critical care
Subject (DDC): 616: Internal medicine and diseases
Abstract: Background: Madagascar needs major efforts to achieve the UN Sustainable Development Goals, despite the considerable reduction of child mortality during past years. In this context, implementation of emergency triage assessment and treatment (ETAT) plays an important role. In recent years, ETAT training activities rarely took place in Madagascar. To strengthen ETAT in Madagascar, a pilot training course was conducted in December 2019 at the University Hospital Mahajanga. Objective: This study aims to evaluate if the ETAT+ pilot training content matches clinical needs in Madagascar and whether participants achieved their learning objectives. Methods: In this cross-sectional mixed-methods study, a 41-item questionnaire was used at the end of the ETAT+ training to evaluate their learning experience from the 12 participants (paediatricians, physicians, nurses and midwives). Six weeks after the training, guided interviews were conducted among five participants to describe how training content could be transferred into clinical practice in five health facilities. Results: Results suggest that this pilot project designed to contribute to the re-establishment of ETAT in Madagascar meets participants’ needs and is adapted to clinical realities in terms of transmitted knowledge, skills and competencies. However, results also show that considerable multidisciplinary efforts are needed to advance ETAT+ implementation in Madagascar. Conclusions: Implementation processes of ETAT training programmes need re-evaluation to assure their validity to contribute to quality of care improvements efficiently. Further operational research is required to evaluate sustainable, innovative implementation strategies adapted to contexts in Madagascar.
URI: https://digitalcollection.zhaw.ch/handle/11475/25521
Fulltext version: Published version
License (according to publishing contract): CC BY-NC 4.0: Attribution - Non commercial 4.0 International
Departement: School of Health Sciences
Organisational Unit: Institute of Nursing (IPF)
Appears in collections:Publikationen Gesundheit

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Galatsch, M., Lang, H.-J., Noa, C., Raveloharimino, H., Robinson, A., Rabesandratana, N., Magera, L. I., Weigel, R., & Köcher-Andrianarimanana, D. (2022). A mixed-methods study on evaluating an updated, francophone version of ETAT+ training in Madagascar. Southern African Journal of Critical Care, 38(2), 64–70. https://doi.org/10.7196/SAJCC.2022.v38i2.535
Galatsch, M. et al. (2022) ‘A mixed-methods study on evaluating an updated, francophone version of ETAT+ training in Madagascar’, Southern African Journal of Critical Care, 38(2), pp. 64–70. Available at: https://doi.org/10.7196/SAJCC.2022.v38i2.535.
M. Galatsch et al., “A mixed-methods study on evaluating an updated, francophone version of ETAT+ training in Madagascar,” Southern African Journal of Critical Care, vol. 38, no. 2, pp. 64–70, 2022, doi: 10.7196/SAJCC.2022.v38i2.535.
GALATSCH, M, H-J LANG, C NOA, H RAVELOHARIMINO, A ROBINSON, N RABESANDRATANA, L I MAGERA, R WEIGEL und D KÖCHER-ANDRIANARIMANANA, 2022. A mixed-methods study on evaluating an updated, francophone version of ETAT+ training in Madagascar. Southern African Journal of Critical Care. 2022. Bd. 38, Nr. 2, S. 64–70. DOI 10.7196/SAJCC.2022.v38i2.535
Galatsch, M, H-J Lang, C Noa, H Raveloharimino, A Robinson, N Rabesandratana, L I Magera, R Weigel, and D Köcher-Andrianarimanana. 2022. “A Mixed-Methods Study on Evaluating an Updated, Francophone Version of ETAT+ Training in Madagascar.” Southern African Journal of Critical Care 38 (2): 64–70. https://doi.org/10.7196/SAJCC.2022.v38i2.535.
Galatsch, M., et al. “A Mixed-Methods Study on Evaluating an Updated, Francophone Version of ETAT+ Training in Madagascar.” Southern African Journal of Critical Care, vol. 38, no. 2, 2022, pp. 64–70, https://doi.org/10.7196/SAJCC.2022.v38i2.535.


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