A Clinical Mentorship and Quality Improvement Program to Support Health Center Nurses Manage Type 2 Diabetes in Rural Rwanda
Introduction. The prevalence of diabetes mellitus is rapidly rising in SSA. Interventions are needed to support the decentralization of services to improve and expand access to care. We describe a clinical mentorship and quality improvement program that connected nurse mentors with nurse mentees to...
Saved in:
| Main Authors: | , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2017-01-01
|
| Series: | Journal of Diabetes Research |
| Online Access: | http://dx.doi.org/10.1155/2017/2657820 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832558459482013696 |
|---|---|
| author | Aphrodis Ndayisaba Emmanuel Harerimana Ryan Borg Ann C. Miller Catherine M. Kirk Katrina Hann Lisa R. Hirschhorn Anatole Manzi Gedeon Ngoga Symaque Dusabeyezu Cadet Mutumbira Tharcisse Mpunga Patient Ngamije Fulgence Nkikabahizi Joel Mubiligi Simon Pierre Niyonsenga Charlotte Bavuma Paul H. Park |
| author_facet | Aphrodis Ndayisaba Emmanuel Harerimana Ryan Borg Ann C. Miller Catherine M. Kirk Katrina Hann Lisa R. Hirschhorn Anatole Manzi Gedeon Ngoga Symaque Dusabeyezu Cadet Mutumbira Tharcisse Mpunga Patient Ngamije Fulgence Nkikabahizi Joel Mubiligi Simon Pierre Niyonsenga Charlotte Bavuma Paul H. Park |
| author_sort | Aphrodis Ndayisaba |
| collection | DOAJ |
| description | Introduction. The prevalence of diabetes mellitus is rapidly rising in SSA. Interventions are needed to support the decentralization of services to improve and expand access to care. We describe a clinical mentorship and quality improvement program that connected nurse mentors with nurse mentees to support the decentralization of type 2 diabetes care in rural Rwanda. Methods. This is a descriptive study. Routinely collected data from patients with type 2 diabetes cared for at rural health center NCD clinics between January 1, 2013 and December 31, 2015, were extracted from EMR system. Data collected as part of the clinical mentorship program were extracted from an electronic database. Summary statistics are reported. Results. The patient population reflects the rural settings, with low rates of traditional NCD risk factors: 5.6% of patients were current smokers, 11.0% were current consumers of alcohol, and 11.9% were obese. Of 263 observed nurse mentee-patient encounters, mentor and mentee agreed on diagnosis 94.4% of the time. Similarly, agreement levels were high for medication, laboratory exam, and follow-up plans, at 86.3%, 87.1%, and 92.4%, respectively. Conclusion. Nurses that receive mentorship can adhere to a type 2 diabetes treatment protocol in rural Rwanda primary health care settings. |
| format | Article |
| id | doaj-art-7f70c55f3ad64bbe8befc1d0b7c0dd14 |
| institution | Kabale University |
| issn | 2314-6745 2314-6753 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Research |
| spelling | doaj-art-7f70c55f3ad64bbe8befc1d0b7c0dd142025-02-03T01:32:18ZengWileyJournal of Diabetes Research2314-67452314-67532017-01-01201710.1155/2017/26578202657820A Clinical Mentorship and Quality Improvement Program to Support Health Center Nurses Manage Type 2 Diabetes in Rural RwandaAphrodis Ndayisaba0Emmanuel Harerimana1Ryan Borg2Ann C. Miller3Catherine M. Kirk4Katrina Hann5Lisa R. Hirschhorn6Anatole Manzi7Gedeon Ngoga8Symaque Dusabeyezu9Cadet Mutumbira10Tharcisse Mpunga11Patient Ngamije12Fulgence Nkikabahizi13Joel Mubiligi14Simon Pierre Niyonsenga15Charlotte Bavuma16Paul H. Park17Partners in Health/Inshuti Mu Buzima, Kigali, RwandaMinistry of Health, Kigali, RwandaPartners in Health/Inshuti Mu Buzima, Kigali, RwandaHarvard Medical School, Boston, MA, USAPartners in Health/Inshuti Mu Buzima, Kigali, RwandaPartners in Health, Freetown, Sierra LeoneNorthwestern University Feinberg School of Medicine, Chicago, IL, USAPartners in Health, Boston, MA, USAPartners in Health/Inshuti Mu Buzima, Kigali, RwandaPartners in Health/Inshuti Mu Buzima, Kigali, RwandaMinistry of Health, Kigali, RwandaMinistry of Health, Kigali, RwandaMinistry of Health, Kigali, RwandaMinistry of Health, Kigali, RwandaPartners in Health/Inshuti Mu Buzima, Kigali, RwandaMinistry of Health, Kigali, RwandaMinistry of Health, Kigali, RwandaPartners in Health/Inshuti Mu Buzima, Kigali, RwandaIntroduction. The prevalence of diabetes mellitus is rapidly rising in SSA. Interventions are needed to support the decentralization of services to improve and expand access to care. We describe a clinical mentorship and quality improvement program that connected nurse mentors with nurse mentees to support the decentralization of type 2 diabetes care in rural Rwanda. Methods. This is a descriptive study. Routinely collected data from patients with type 2 diabetes cared for at rural health center NCD clinics between January 1, 2013 and December 31, 2015, were extracted from EMR system. Data collected as part of the clinical mentorship program were extracted from an electronic database. Summary statistics are reported. Results. The patient population reflects the rural settings, with low rates of traditional NCD risk factors: 5.6% of patients were current smokers, 11.0% were current consumers of alcohol, and 11.9% were obese. Of 263 observed nurse mentee-patient encounters, mentor and mentee agreed on diagnosis 94.4% of the time. Similarly, agreement levels were high for medication, laboratory exam, and follow-up plans, at 86.3%, 87.1%, and 92.4%, respectively. Conclusion. Nurses that receive mentorship can adhere to a type 2 diabetes treatment protocol in rural Rwanda primary health care settings.http://dx.doi.org/10.1155/2017/2657820 |
| spellingShingle | Aphrodis Ndayisaba Emmanuel Harerimana Ryan Borg Ann C. Miller Catherine M. Kirk Katrina Hann Lisa R. Hirschhorn Anatole Manzi Gedeon Ngoga Symaque Dusabeyezu Cadet Mutumbira Tharcisse Mpunga Patient Ngamije Fulgence Nkikabahizi Joel Mubiligi Simon Pierre Niyonsenga Charlotte Bavuma Paul H. Park A Clinical Mentorship and Quality Improvement Program to Support Health Center Nurses Manage Type 2 Diabetes in Rural Rwanda Journal of Diabetes Research |
| title | A Clinical Mentorship and Quality Improvement Program to Support Health Center Nurses Manage Type 2 Diabetes in Rural Rwanda |
| title_full | A Clinical Mentorship and Quality Improvement Program to Support Health Center Nurses Manage Type 2 Diabetes in Rural Rwanda |
| title_fullStr | A Clinical Mentorship and Quality Improvement Program to Support Health Center Nurses Manage Type 2 Diabetes in Rural Rwanda |
| title_full_unstemmed | A Clinical Mentorship and Quality Improvement Program to Support Health Center Nurses Manage Type 2 Diabetes in Rural Rwanda |
| title_short | A Clinical Mentorship and Quality Improvement Program to Support Health Center Nurses Manage Type 2 Diabetes in Rural Rwanda |
| title_sort | clinical mentorship and quality improvement program to support health center nurses manage type 2 diabetes in rural rwanda |
| url | http://dx.doi.org/10.1155/2017/2657820 |
| work_keys_str_mv | AT aphrodisndayisaba aclinicalmentorshipandqualityimprovementprogramtosupporthealthcenternursesmanagetype2diabetesinruralrwanda AT emmanuelharerimana aclinicalmentorshipandqualityimprovementprogramtosupporthealthcenternursesmanagetype2diabetesinruralrwanda AT ryanborg aclinicalmentorshipandqualityimprovementprogramtosupporthealthcenternursesmanagetype2diabetesinruralrwanda AT anncmiller aclinicalmentorshipandqualityimprovementprogramtosupporthealthcenternursesmanagetype2diabetesinruralrwanda AT catherinemkirk aclinicalmentorshipandqualityimprovementprogramtosupporthealthcenternursesmanagetype2diabetesinruralrwanda AT katrinahann aclinicalmentorshipandqualityimprovementprogramtosupporthealthcenternursesmanagetype2diabetesinruralrwanda AT lisarhirschhorn aclinicalmentorshipandqualityimprovementprogramtosupporthealthcenternursesmanagetype2diabetesinruralrwanda AT anatolemanzi aclinicalmentorshipandqualityimprovementprogramtosupporthealthcenternursesmanagetype2diabetesinruralrwanda AT gedeonngoga aclinicalmentorshipandqualityimprovementprogramtosupporthealthcenternursesmanagetype2diabetesinruralrwanda AT symaquedusabeyezu aclinicalmentorshipandqualityimprovementprogramtosupporthealthcenternursesmanagetype2diabetesinruralrwanda AT cadetmutumbira aclinicalmentorshipandqualityimprovementprogramtosupporthealthcenternursesmanagetype2diabetesinruralrwanda AT tharcissempunga aclinicalmentorshipandqualityimprovementprogramtosupporthealthcenternursesmanagetype2diabetesinruralrwanda AT patientngamije aclinicalmentorshipandqualityimprovementprogramtosupporthealthcenternursesmanagetype2diabetesinruralrwanda AT fulgencenkikabahizi aclinicalmentorshipandqualityimprovementprogramtosupporthealthcenternursesmanagetype2diabetesinruralrwanda AT joelmubiligi aclinicalmentorshipandqualityimprovementprogramtosupporthealthcenternursesmanagetype2diabetesinruralrwanda AT simonpierreniyonsenga aclinicalmentorshipandqualityimprovementprogramtosupporthealthcenternursesmanagetype2diabetesinruralrwanda AT charlottebavuma aclinicalmentorshipandqualityimprovementprogramtosupporthealthcenternursesmanagetype2diabetesinruralrwanda AT paulhpark aclinicalmentorshipandqualityimprovementprogramtosupporthealthcenternursesmanagetype2diabetesinruralrwanda AT aphrodisndayisaba clinicalmentorshipandqualityimprovementprogramtosupporthealthcenternursesmanagetype2diabetesinruralrwanda AT emmanuelharerimana clinicalmentorshipandqualityimprovementprogramtosupporthealthcenternursesmanagetype2diabetesinruralrwanda AT ryanborg clinicalmentorshipandqualityimprovementprogramtosupporthealthcenternursesmanagetype2diabetesinruralrwanda AT anncmiller clinicalmentorshipandqualityimprovementprogramtosupporthealthcenternursesmanagetype2diabetesinruralrwanda AT catherinemkirk clinicalmentorshipandqualityimprovementprogramtosupporthealthcenternursesmanagetype2diabetesinruralrwanda AT katrinahann clinicalmentorshipandqualityimprovementprogramtosupporthealthcenternursesmanagetype2diabetesinruralrwanda AT lisarhirschhorn clinicalmentorshipandqualityimprovementprogramtosupporthealthcenternursesmanagetype2diabetesinruralrwanda AT anatolemanzi clinicalmentorshipandqualityimprovementprogramtosupporthealthcenternursesmanagetype2diabetesinruralrwanda AT gedeonngoga clinicalmentorshipandqualityimprovementprogramtosupporthealthcenternursesmanagetype2diabetesinruralrwanda AT symaquedusabeyezu clinicalmentorshipandqualityimprovementprogramtosupporthealthcenternursesmanagetype2diabetesinruralrwanda AT cadetmutumbira clinicalmentorshipandqualityimprovementprogramtosupporthealthcenternursesmanagetype2diabetesinruralrwanda AT tharcissempunga clinicalmentorshipandqualityimprovementprogramtosupporthealthcenternursesmanagetype2diabetesinruralrwanda AT patientngamije clinicalmentorshipandqualityimprovementprogramtosupporthealthcenternursesmanagetype2diabetesinruralrwanda AT fulgencenkikabahizi clinicalmentorshipandqualityimprovementprogramtosupporthealthcenternursesmanagetype2diabetesinruralrwanda AT joelmubiligi clinicalmentorshipandqualityimprovementprogramtosupporthealthcenternursesmanagetype2diabetesinruralrwanda AT simonpierreniyonsenga clinicalmentorshipandqualityimprovementprogramtosupporthealthcenternursesmanagetype2diabetesinruralrwanda AT charlottebavuma clinicalmentorshipandqualityimprovementprogramtosupporthealthcenternursesmanagetype2diabetesinruralrwanda AT paulhpark clinicalmentorshipandqualityimprovementprogramtosupporthealthcenternursesmanagetype2diabetesinruralrwanda |