[Evaluation of professional development of Cambodian male nurses specializing in anesthesia and intensive care, trained through humanitarian care programs].
OBJECTIVE
To assess the working conditions of Cambodian male nurses specialised in anaesthesia and intensive care (NSAIs), degree of satisfaction, whether training was suited to the Cambodian needs and practical application of training.


METHODS
Prospective survey.


METHODS
Two training years including 30 NSAIs.


METHODS
External assessors evaluated working conditions, practice of anaesthesia, analysed logbooks and theatre reports, organised semi-directive interviews and examinations using clinical cases.


RESULTS
Out of the 30 NSAIs, 28 had an appointment, mainly in anaesthesia (80% of their activity) and three-quarters of them felt that their skills were appreciated by their superiors. Seventeen had some form of responsibility in the management of a department. For the administration of an anaesthetic, 13 NSAIs of the second year had achieved an acceptable level of performance and resolved effectively 85% of the submitted cases. Twenty-two NSAIs reported difficulty in applying techniques learned during their training to real working conditions. The causes were poor equipment, poor organisation and poor relations with the hierarchy. The latter cause decreased the capacity to take appropriate decisions, which was the most common error made by the second year NSAIs. Finally, as their wages remained unchanged, 19 out of the 28 NSAIs were obliged to look for an additional source of income.


CONCLUSIONS
This survey shows the medium-term effectiveness of an NSAI training programme basing on teaching and public health principles and organised in the humanitarian aid sector.
Pinosa
C
C
Département de pédagogie des sciences de la santé, université SMBH Léonard-de-Vinci, Bobigny, France.
Gagnayre
R
R
D002160:Cambodia; D002608:Charities; D003422:Critical Care; D004506:Education, Nursing; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D009719:Nurse Anesthetists / Q000193:education*; D009727:Nurses, Male; D013041:Specialties, Nursing; D014146:Training Support