• Emerg Med Australas · Feb 2019

    Emergency care in Kiribati: A combined medical and nursing model for development.

    • Brady Tassicker, Tanebu Tong, Teitinana Ribanti, Angie Gittus, and Bronwen Griffiths.
    • Emergency Department, Northwest Regional Hospital, Burnie, Tasmania, Australia.
    • Emerg Med Australas. 2019 Feb 1; 31 (1): 105-111.

    ObjectivesTo summarise recent developments in emergency care in Kiribati, a developing Pacific Island nation. Multiple donor countries and agencies have partnered in this process. Changes in medical training, staffing models and planned infrastructure developments are all described, with a particular focus on a recent emergency nurse training programme.MethodsA bespoke nurse education course was developed by external clinical nurse specialists in collaboration with local administrators and clinicians, incorporating WHO Basic Emergency Care course. The nine-day course was delivered to 18 nurses, over a 3-week period to accommodate rostering requirements. Pre- and post-course assessment was undertaken.ResultsQuantitative assessment improved from 87.11 ± 7.46 (mean ± SD) to 94.89 ± 5.95 (t = 5.45, P < 0.001). Qualitative scenario-based assessment confirmed marked improvement.ConclusionsA multifaceted development strategy has proven essential for progression in emergency care. Nurse education is an essential component of this, and the existing model has potential for other similar nations.© 2018 Australasian College for Emergency Medicine.

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