{"title":"转变护理教育以加强马拉维卫生系统:一项探索性研究。","authors":"Thokozani Bvumbwe, Ntombifikile Gloria Mtshali","doi":"10.2174/1874434601812010093","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Malawi made great strides to increase the number of nurses through the Emergency Human Resource for Health Program. However, quantity of health workforce alone is not adequate to strengthen the health system. Malawi still reports skill mix imbalance and geographical mal-distribution of the nursing workforce. Health systems must continuously adapt and evolve according to the health care needs and inform health professionals' education to accelerate gains in health outcomes. The Lancet Commission reported that health professionals' education has generally not lived up pace with health care demands.</p><p><strong>Objectives: </strong>The aim of this study was to describe the strategies being implemented in Malawi to improve nursing education. Specifically, the objectives of the study were to explore strategies being implemented, identify stakeholders and their targets in order to share practices with countries experiencing similar nursing education challenges.</p><p><strong>Methods: </strong>This was a cross sectional descriptive study with a concurrent mixed method design. One hundred and sixty participants including nurse practitioners and educators responded to a questionnaire. Fifteen nurse practitioners and eight nurse educators were also engaged in one to one interview.</p><p><strong>Results: </strong>Respondents showed varied opinion on how nursing education is being implemented. Six themes as regards strategies being implemented to improve nursing education emerged namely- capacity building, competency based curriculum, regulation, clinical learning environment, transformative teaching and infrastructure/ resources.</p><p><strong>Conclusion: </strong>Findings of this study show that the strategies being implemented to improve nursing education are relevant to closing the gap between health care needs and nursing education.</p>","PeriodicalId":38868,"journal":{"name":"Open Nursing Journal","volume":"12 ","pages":"93-105"},"PeriodicalIF":0.0000,"publicationDate":"2018-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5997875/pdf/","citationCount":"8","resultStr":"{\"title\":\"Transforming Nursing Education to Strengthen Health System in Malawi: An Exploratory Study.\",\"authors\":\"Thokozani Bvumbwe, Ntombifikile Gloria Mtshali\",\"doi\":\"10.2174/1874434601812010093\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Malawi made great strides to increase the number of nurses through the Emergency Human Resource for Health Program. However, quantity of health workforce alone is not adequate to strengthen the health system. Malawi still reports skill mix imbalance and geographical mal-distribution of the nursing workforce. Health systems must continuously adapt and evolve according to the health care needs and inform health professionals' education to accelerate gains in health outcomes. The Lancet Commission reported that health professionals' education has generally not lived up pace with health care demands.</p><p><strong>Objectives: </strong>The aim of this study was to describe the strategies being implemented in Malawi to improve nursing education. Specifically, the objectives of the study were to explore strategies being implemented, identify stakeholders and their targets in order to share practices with countries experiencing similar nursing education challenges.</p><p><strong>Methods: </strong>This was a cross sectional descriptive study with a concurrent mixed method design. One hundred and sixty participants including nurse practitioners and educators responded to a questionnaire. Fifteen nurse practitioners and eight nurse educators were also engaged in one to one interview.</p><p><strong>Results: </strong>Respondents showed varied opinion on how nursing education is being implemented. Six themes as regards strategies being implemented to improve nursing education emerged namely- capacity building, competency based curriculum, regulation, clinical learning environment, transformative teaching and infrastructure/ resources.</p><p><strong>Conclusion: </strong>Findings of this study show that the strategies being implemented to improve nursing education are relevant to closing the gap between health care needs and nursing education.</p>\",\"PeriodicalId\":38868,\"journal\":{\"name\":\"Open Nursing Journal\",\"volume\":\"12 \",\"pages\":\"93-105\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2018-05-31\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5997875/pdf/\",\"citationCount\":\"8\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Open Nursing Journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.2174/1874434601812010093\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2018/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"Nursing\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Open Nursing Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2174/1874434601812010093","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2018/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"Nursing","Score":null,"Total":0}
Transforming Nursing Education to Strengthen Health System in Malawi: An Exploratory Study.
Background: Malawi made great strides to increase the number of nurses through the Emergency Human Resource for Health Program. However, quantity of health workforce alone is not adequate to strengthen the health system. Malawi still reports skill mix imbalance and geographical mal-distribution of the nursing workforce. Health systems must continuously adapt and evolve according to the health care needs and inform health professionals' education to accelerate gains in health outcomes. The Lancet Commission reported that health professionals' education has generally not lived up pace with health care demands.
Objectives: The aim of this study was to describe the strategies being implemented in Malawi to improve nursing education. Specifically, the objectives of the study were to explore strategies being implemented, identify stakeholders and their targets in order to share practices with countries experiencing similar nursing education challenges.
Methods: This was a cross sectional descriptive study with a concurrent mixed method design. One hundred and sixty participants including nurse practitioners and educators responded to a questionnaire. Fifteen nurse practitioners and eight nurse educators were also engaged in one to one interview.
Results: Respondents showed varied opinion on how nursing education is being implemented. Six themes as regards strategies being implemented to improve nursing education emerged namely- capacity building, competency based curriculum, regulation, clinical learning environment, transformative teaching and infrastructure/ resources.
Conclusion: Findings of this study show that the strategies being implemented to improve nursing education are relevant to closing the gap between health care needs and nursing education.
期刊介绍：
The Open Nursing Journal is an Open Access online journal, which publishes research articles, reviews/mini-reviews, letters and guest edited thematic issues in all areas of nursing. The Open Nursing Journal, a peer-reviewed journal, is an important and reliable source of current information on developments in the field. The emphasis will be on publishing quality papers rapidly and freely available to researchers worldwide. We welcome papers related to nursing and midwifery, with specific relevance to health care practice, policy and research. We publish under the following themes: -Nursing and Midwifery practice -Education -Research methodology -Evidence based practice -New role in practice -Systematic reviews -Case studies -Ethical and professional issues -Management in health care -Sustainability in health and health care provision All authors should make clear how the implications of their paper for nursing, midwifery and health care practice. They should also clearly identify the ‘take home message’ from their paper.
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