SIMULATION AS A TEACHING METHOD FOR NURSING EDUCATION IN HEALTHCARE-ASSOCIATED INFECTION PREVENTION AND CONTROL IN ASIAN COUNTRIES: A QUALITATIVE STUDY

BACKGROUND: Applying simulation for nursing education, especially in healthcare-associated infection prevention and control (HAI-PC) in developing countries has limited evidence. The study was conducted to explore educators’ perceptions of simulation as a teaching method for nursing education in HAI-PC in two Vietnamese and two Cambodian universities. METHODS: An exploratory qualitative design was applied. A focus group of 37 educators from four universities was conducted for data collection. Inductive and deductive qualitative content analysis was applied in analysing the data. RESULTS: The core category was constructed to reflect educators’ perception of scenario-based simulation (SBS) as a teaching method for nursing education in HAI prevention and control. This main category included three subcategories: (i) enhancing nursing competence; (ii) preparing students for simulation; and [1] promoting simulation pedagogy competence. CONCLUSIONS: The findings identified the importance and benefits of applying simulation as a teaching method in nursing education. Additionally, it emphasized the necessity of enhancing knowledge associated with HAIs and providing additional training on simulation for educators to improve the quality of conducting simulations

EXPERIENCES OF THE NURSING STUDENT IN LEARNING HAI PREVENTION AND CONTROL IN ASIAN COUNTRIES THROUGH THE USE OF SCENARIO-BASED SIMULATION: AN EXPLORATIVE QUALITATIVE STUDY

BACKGROUND: Healthcare-associated infections (HAIs) have posed a major threat to both patients and to the safety healthcare personnel worldwide. According to the World Health Organization, 10% of hospitalized patients are affected by HAIs worldwide. OBJECTIVE: The objective of this study was to explore the experiences of nursing students in learning HAIs prevention and control by the application of the scenario-based simulation pedagogy now in use in two Vietnamese and two Cambodian universities. METHODS: A qualitative study was conducted among 160 nursing students from 2 Cambodian universities and 2 Vietnamese universities, and by using the purposive-sampling method. The data were collected through a focus group discussion and analyzed by the Graneheim and Lundman method (Graneheim & Lundman, 2004). RESULTS: Two themes and six categories were generated. 1) First theme: factors for enhancing student learning on the prevention and control of HAIs by use of scenario-based simulation; and 2) Second theme: factors hindering students learning on HAI prevention and control by use of scenario-based simulation. CONCLUSION: The findings showed that SBS is an effective learning method for nursing students that can be applied to enhance the quality of nursing education in the Asian countries as SBS not only improves the clinical skills, but also the soft skills of nursing students. However, the effective outcomes and impacts can only be achieved in the context with the appropriate learning materials and equipment, simulation facilities and the instructors with pedagogical skills

The technological trajectory of Integrated Pest Management for rice in Cambodia

For the past two decades, while the efficacy of Integrated Pest Management (IPM) has been successfully demonstrated in Cambodia, its dissemination and sustained adoption among farmers have not met similar success. This study moves away from simplistic analyses about constraints in extension methods for IPM. Instead, we take a broader look into technological systems and the trajectory for pest management, which affected the spread and uptake of IPM in the country. Through a review of the wider context in policies and programs, and a survey of farmers from five provinces in Cambodia (N = 400), we examined the connections between options for pest management at the farmer level and conditions in the technological system. Using the Cambodian case study, we show that the technological system predisposes to pesticide use and as such hinders a trajectory of IPM. Systemic conditions, including interrelated agronomic practices, ecological conditions in farming communities, governance mechanisms, structures around the spread of knowledge and the industry around the technological options, have created mutual socio-technical dependencies. Although programs targeted change through knowledge of IPM, much of the systemic conditions sustain the trajectory of pesticide reliance. Hence, promoting an innovation environment that is supportive of IPM requires extension beyond knowledge dissemination, addressing these varied elements of the technological system.</p

How do stakeholder interactions in Cambodian rice farming villages contribute to a pesticide lock-in?

This paper addresses the conditions and mechanisms that sustain pesticide use by Cambodian rice farmers and constrain a transition to more sustainable pest control practices. We analyzed data from a survey of individual farmers (N = 320), focus group discussions with farmer groups, and interviews with input sellers, rat hunters and local extension agents.Our findings show that farmers mix different types (e.g. herbicides and insecticides) and brands of pesticides in one application. Other chemicals, in particular ‘growth activators’ are often added to these mixes. The interaction patterns and financial arrangements among farmers, pesticide sellers, and laborers promote or sustain these practices. Increasing returns to information and recursive social interaction at the community level thus create a lock-in situation for pesticide use.These findings have direct implications on targeting interventions, which are often aimed at providing knowledge to government extension agents and farmers. Our results suggest that farmers’ knowledge on pest management is not the only driver for their decisions and practices. A broader scope of intervention in communication and feedback loops between stakeholders directly interacting with farmers can help to diversify the suite of recommendations while providing a balance in the information that reaches farmers. Changes in these social arrangements and informal rules may be required to affect positive changes in rice pest management