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KENYA REGISTERED PERIOPERATIVE NURSING �HIGHER DIPLOMA –PROGRAM EVALUATION��FREDRICK WAMBU����

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Background

  • Trained Perioperative nurses 30- 40% of surgical work force
  • Trained specialist perioperative nurses-Safe surgical services
  • Comprehensive need-based planning of Perioperative nursing education and training
  • Expand Perioperative nurse training based on population health needs and system capacity
  • Standardized curricula and enhanced quality of training programs
  • Recognition of specialist Perioperative nurses

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Nairobi Hospital-KRPON Program Background

  • Inception - 2005-2008 then restarted 2018 to date(9 cohorts)
  • Students admitted to the course -95
  • Completion rate - 94(99%)
  • NCK registration exam pass rate- 100%
  • Funding model: 60% Self and 40%Employer sponsored
  • Program organization: Initially full time 52 weeks (I year)
  • Currently – 78 weeks (18 months) blended part- time program since 2023 April

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Objective of the Evaluation

  • Evaluate the effectiveness of a Higher diploma in Perioperative nursing program at the Nairobi Hospital based on Kirkpatrick's model

Benefits

  • Provide information on planning and program implementation
  • Clarity of expectations for decision makers and end users
  • Satisfaction and program improvement
  • Balance between input and outputs
  • Identify Opportunities and threats

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Kirkpatrick's Model

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Methodology

Design :Descriptive Cross-sectional.

Model :Kirkpatrick model(3 levels reaction, learning and behavior )

Study site :Nairobi hospital College of health sciences

Sampling :Purposive sampling (29 participants)

Data collection method Anonymous online survey-

Tool :Questionnaire with both closed and open ended questions

Ethics considerations : Approved formative and summative class evaluations

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Results –Demographics

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Characteristics

n

Percentage (%)

Gender

Female

21

72.4

​

Males

8

27.6

Age

Mean

25.8 yrs.

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Nursing Qualification

KRN

7

24.1

​

KRCHN

20

68.9

​

BSCN

2

7

Working in the OR

Yes

24

82.7

​

No

5

17.3

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Level 1-Reaction

Training Experience

Characteristics

n

Percentage (%)

Enjoyed the training

Yes

26

89.7

​

No

3

10.3

Relevance of the training

Relevant

29

100

​

Not relevant

0

​

Level of effort required to succeed in training

Minimal

7

24.2

​

Maximal

22

75.8

Perceived potential for application of learning –(pre-course)

Applicable

29

100

​

Not Applicable

0

​

​

​

n=29

n=100

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Level 2-Learning

Achievement of course objectives

Characteristics

n

Percentage

Current Knowledge in Peri-op Nursing

Excellent

23

79.3

​

Good

6

20.7

​

Poor

0

​

Course contribution to my knowledge

Large extent

20

68.9

​

Moderate extent

7

21.1

​

Small extent

2

7

​

​

​

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n=29 n=100

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Level 3 –Behavior

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Characteristics

n

Percentage (%)

I have used the knowledge from the course

Large extent

21

72.4

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Moderate extent

5

17.2

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Small extent

3

10.4

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​

​

​

Knowledge and clinical experience will be valuable to my work

Large extent

​

20

68.9

​

Moderate extent

7

24.1

​

Small extent

2

7

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Discussion

  • Insufficient interest in perioperative nursing specialty training
  • Program evaluation models
  • Redesign Perioperative Nurse training
  • Align perioperative training to market needs
  • Perioperative nursing faculty shortages
  • Clinical sites
  • Clinical preceptors
  • Financing Perioperative nurse education

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11/8/2023