title: Capacity building for critical care training delivery: Development and evaluation of the Network for Improving Critical care Skills Training (NICST) programme in Sri Lanka.
abstract: OBJECTIVE
  To deliver and evaluate a short critical care nurse training course whilst simultaneously building local training capacity.
  
  
  METHODS
  A multi-modal short course for critical care nursing skills was delivered in seven training blocks, from 06/2013-11/2014. Each training block included a Train the Trainer programme. The project was evaluated using Kirkpatrick's Hierarchy of Learning. There was a graded hand over of responsibility for course delivery from overseas to local faculty between 2013 and 2014.
  
  
  METHODS
  Sri Lanka.
  
  
  METHODS
  Participant learning assessed through pre/post course Multi-Choice Questionnaires.
  
  
  RESULTS
  A total of 584 nurses and 29 faculty were trained. Participant feedback was consistently positive and each course demonstrated a significant increase (p≤0.0001) in MCQ scores. There was no significant difference MCQ scores (p=0.186) between overseas faculty led and local faculty led courses.
  
  
  CONCLUSIONS
  In a relatively short period, training with good educational outcomes was delivered to nearly 25% of the critical care nursing population in Sri Lanka whilst simultaneously building a local faculty of trainers. Through use of a structured Train the Trainer programme, course outcomes were maintained following the handover of training responsibility to Sri Lankan faculty. The focus on local capacity building increases the possibility of long term course sustainability.
authors.affiliation: Critical Care Research Team, Royal London Hospital, London, United Kingdom; William Harvey Institute, Queen Mary University of London, London, United Kingdom. Electronic address: t.t.stephens@qmul.ac.uk.
authors.forename: Tim
authors.initials: T
authors.lastname: Stephens
authors.affiliation: National Intensive Care Surveillance, Ministry of Health, Colombo, Sri Lanka; Intensive Care National Audit and Research Centre, London, United Kingdom. Electronic address: pubudu@nicslk.com.
authors.forename: A Pubudu
authors.initials: AP
authors.lastname: De Silva
authors.affiliation: Adult Critical Care Unit, Royal London Hospital, London, United Kingdom. Electronic address: Abi.beane@bartshealth.nhs.uk.
authors.forename: Abi
authors.initials: A
authors.lastname: Beane
authors.affiliation: Critical Care Department, University College Hospital, London, United Kingdom. Electronic address: John.Welch@uclpartners.com.
authors.forename: John
authors.initials: J
authors.lastname: Welch
authors.affiliation: National Intensive Care Surveillance, Ministry of Health, Colombo, Sri Lanka. Electronic address: chaturani@nicslk.com.
authors.forename: Chathurani
authors.initials: C
authors.lastname: Sigera
authors.affiliation: Office of Deputy Director General (Education, Training and Research), Ministry of Health, Colombo, Sri Lanka. Electronic address: sdalwis@yahoo.com.
authors.forename: Sunil
authors.initials: S
authors.lastname: De Alwis
authors.affiliation: National Intensive Care Surveillance, Ministry of Health, Colombo, Sri Lanka; Office of Director Tertiary Care Health, Ministry of Health, Colombo, Sri Lanka. Electronic address: reathapattu@yahoo.co.in.
authors.forename: Priyantha
authors.initials: P
authors.lastname: Athapattu
authors.affiliation: Office of Deputy Director General (Education, Training and Research), Ministry of Health, Colombo, Sri Lanka. Electronic address: dilanthadharma@yahoo.co.uk.
authors.forename: Dilantha
authors.initials: D
authors.lastname: Dharmagunawardene
authors.affiliation: Post Basic College of Nursing, Ministry of Health, Colombo, Sri Lanka. Electronic address: lalitha_peiris8@yahoo.com.
authors.forename: Lalitha
authors.initials: L
authors.lastname: Peiris
authors.affiliation: Office of Deputy Director General (Education, Training and Research), Ministry of Health, Colombo, Sri Lanka. Electronic address: siriwardenasomalatha@gmail.com.
authors.forename: Somalatha
authors.initials: S
authors.lastname: Siriwardana
authors.affiliation: Post Basic College of Nursing, Ministry of Health, Colombo, Sri Lanka. Electronic address: ashokabey@yahoo.com.
authors.forename: Ashoka
authors.initials: A
authors.lastname: Abeynayaka
authors.affiliation: Faculty of Medicine, University of Colombo, Colombo, Sri Lanka. Electronic address: sarojoffice@yahoo.com.
authors.forename: Kosala Saroj Amarasena
authors.initials: KS
authors.lastname: Jayasinghe
authors.affiliation: Office of Director General of Health Services, Ministry of Health, Colombo, Sri Lanka. Electronic address: dr.mahipala@gmail.com.
authors.forename: Palitha G
authors.initials: PG
authors.lastname: Mahipala
authors.affiliation: Mahidol Oxford Tropical Medicine Research Unit (MORU), Bangkok, Thailand. Electronic address: arjen@tropmedres.ac.
authors.forename: Arjen
authors.initials: A
authors.lastname: Dondorp
authors.affiliation: National Intensive Care Surveillance, Ministry of Health, Colombo, Sri Lanka; Faculty of Medicine, University of Colombo, Colombo, Sri Lanka; Mahidol Oxford Tropical Medicine Research Unit (MORU), Bangkok, Thailand. Electronic address: rashan@nicslk.com.
authors.forename: Rashan
authors.initials: R
authors.lastname: Haniffa
mesh_terms: D000328:Adult; D057191:Capacity Building / Q000379:methods*; D002983:Clinical Competence / Q000592:standards*; D064648:Critical Care Nursing / Q000193:education*; D003479:Curriculum / Q000592:standards; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015397:Program Evaluation / Q000379:methods; D013188:Sri Lanka; D011795:Surveys and Questionnaires; D013663:Teaching / Q000592:standards
keywords: Capacity building; Critical care training; Intensive care training for nurses; Resource limited setting