Contextualization of Early and Enhanced Clinical Exposure Model Through Development of Curricula for Advanced Practice Nursing and Midwifery.

Autor: Patricia, Katowa-Mukwato, Victoria, Mwiinga-Kalusopa, Connie, Maimbolwa Margaret, Marjorie, Kabinga-Makukula, Violet, DrKayamba, Elliot, Kafumukache, Moses, Simuyemba, Emmanuel, Musenge, Christabe, Mwiinga, Kampata, Linda, Nzala, Selestine H., Zyaambo, Cosmas, Kaile, Trevor, Fastone, Goma
Předmět:
Zdroj: Medical Journal of Zambia; 2022 Special Issue, Vol. 49, p24-24, 3/4p
Abstrakt: Background: The need for Advanced Practice Nurses is increasingly recognized globally. An Advanced Practice Nurse is a generalist or specialized nurse who has acquired advanced skills thorough graduate education with a minimum of master's Degree. This paper describes the process which was undertaken by the University of Zambia-School of Nursing Sciences in reviewing and developing advanced practice nursing and midwifery curricula which are being implemented using the Early and Enhanced Clinical Exposure Model. EECE is a novel model which entails immediate placement of nursing and midwifery masters students and their integration into the clinical area for continued hands on learning throughout the training period. Materials and Methods: The curricula development/review process utilized a modified Taba's Model which followed a step by step approach including, 1) desk review, 2) diagnosis of needs (needs assessment), 3) stakeholder consultations, 4) content development, 5) validations and approval from which several lessons were learnt and recommendations made. Findings and recommendations from different stage were used as a basis for reviewing and developing advanced practice nursing and midwifery curricula. Results: Desk review, needs assessment and stakeholder consultations identified both strengths and weakness in the existing curricula. Major strengths were duration and core courses which met the minimum requirement for postgraduate nursing and midwifery training. Major weakness/gaps included some content which was too basic for masters' level and the delayed exposure to practicum sites which limited development of advanced practice skills. Others were inadequate competences for advanced practice, inadequate research methodology course, lack of content to foster development of personal soft skills and predominant use of traditional teaching methods. Stakeholders recommended implementation of advanced clinical and hands-on Masters of Nursing and Midwifery programmes which resulted into the review of four existing (MSc Clinical Nursing; Public Health Nursing, Midwifery and Mental Health Nursing, and development of five demand driven curricula (Neonatal, Critical Care, Trauma and Emergency, Oncology Nursing and Palliative Care). Conclusion: The reviewed and developed curricula were strengthened to close the identified gaps. Both the reviewed and developed curricula will be implemented using the Early and Enhanced Clinical Exposure Framework with a view to produce Advanced Practice Nurses and Midwives who are competent to meet diverse health care needs and contribute to improved patient outcomes. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index