Evaluation of an international health partnership to capacity build emergency, trauma and critical care nurse education and practice in Zambia: An experience from the field.
Critical care nursing
bi-directional learning
emergency and trauma nursing
evaluation
north-south partnership
Journal
International nursing review
ISSN: 1466-7657
Titre abrégé: Int Nurs Rev
Pays: England
ID NLM: 7808754
Informations de publication
Date de publication:
Sep 2023
Sep 2023
Historique:
received:
09
01
2022
accepted:
17
07
2022
medline:
18
8
2023
pubmed:
19
12
2022
entrez:
18
12
2022
Statut:
ppublish
Résumé
To evaluate an international health partnership project to capacity build emergency, trauma and critical care nurse education and practice in Zambia. Zambia continues to face a significant workforce challenge and rising burden of communicable and non-communicable diseases, compounded by the COVID-19 pandemic. In response to these, the Zambian Ministry of Health is investing in specialised nurses. Emergency, trauma and critical care nursing education and training were seen as one of the solutions. North-south partnerships have been identified as a force for good to capacity build and develop emerging specialities. We use an evaluative approach, which includes desk research, a rapid literature review and documentary data analysis from published papers, government reports and project documentation. Ethics committee approval was sought and gained in both Zambia and the UK. A critical review of the evidence identified three key themes: challenges with changing education and practice, developing Zambian faculty for sustainability and the effect of an international health partnership project on both Zambia and UK. The outcomes from this project are multifaceted; however, the main achievement has been the implementation of emergency, trauma and critical care graduate programmes by the Zambian faculty. This experience from the field outlines the benefits and limitations of a north-south partnership and the importance of transparency, shared ownership and collegiate decisions. It has facilitated knowledge exchange and sharing to capacity build emergency, trauma and critical care nursing. Lessons learned may be applicable to other international nursing partnerships, these include the need for deep understanding of the context and constraints. Also, the importance of focusing on developing long-term sustainable strategies, based on research, education and practice was noted. This paper outlines the importance of developing nursing education and practice to address the changing burden of disease in line with Zambian national policy, regional and international standards. Also, the value of international nursing partnerships for national and international nursing agendas was described.
Sections du résumé
AIM
OBJECTIVE
To evaluate an international health partnership project to capacity build emergency, trauma and critical care nurse education and practice in Zambia.
BACKGROUND
BACKGROUND
Zambia continues to face a significant workforce challenge and rising burden of communicable and non-communicable diseases, compounded by the COVID-19 pandemic. In response to these, the Zambian Ministry of Health is investing in specialised nurses. Emergency, trauma and critical care nursing education and training were seen as one of the solutions. North-south partnerships have been identified as a force for good to capacity build and develop emerging specialities.
SOURCES OF EVIDENCE
METHODS
We use an evaluative approach, which includes desk research, a rapid literature review and documentary data analysis from published papers, government reports and project documentation. Ethics committee approval was sought and gained in both Zambia and the UK.
DISCUSSION
CONCLUSIONS
A critical review of the evidence identified three key themes: challenges with changing education and practice, developing Zambian faculty for sustainability and the effect of an international health partnership project on both Zambia and UK. The outcomes from this project are multifaceted; however, the main achievement has been the implementation of emergency, trauma and critical care graduate programmes by the Zambian faculty.
CONCLUSION
CONCLUSIONS
This experience from the field outlines the benefits and limitations of a north-south partnership and the importance of transparency, shared ownership and collegiate decisions. It has facilitated knowledge exchange and sharing to capacity build emergency, trauma and critical care nursing.
IMPLICATIONS FOR NURSING PRACTICE
CONCLUSIONS
Lessons learned may be applicable to other international nursing partnerships, these include the need for deep understanding of the context and constraints. Also, the importance of focusing on developing long-term sustainable strategies, based on research, education and practice was noted.
IMPLICATIONS FOR NURSING POLICY
CONCLUSIONS
This paper outlines the importance of developing nursing education and practice to address the changing burden of disease in line with Zambian national policy, regional and international standards. Also, the value of international nursing partnerships for national and international nursing agendas was described.
Types de publication
Review
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
266-272Subventions
Organisme : UK Department for International Development (DFID) (2017-2018)
Organisme : Johnson & Johnson Africa Grants Programme (2019-2020)
Organisme : UK Global Challenges Research Fund (2020)
Organisme : UK Research and Innovation / Newton Agile Response (2020-2022)
Informations de copyright
© 2022 International Council of Nurses.
Références
African Federation of Emergency Medicine. Resources. Available at: https://afem.africa/resources/ [Accessed 27th October 2022].
Bauer, I. (2017) More harm than good? The questionable ethics of medical Faculty and international student placements. Tropical Diseases, Travel Medicine and Vaccines, 3(5), 5. https://doi.org/10.1186/s40794-017-0048-y
Benton, D.C. & Watkins, M.J. (2020) Evidence into action: a policy brief exemplar supporting attainment of nursing now. International Nursing Review, 67(1), 61-67. https://doi.org/10.1111/inr.12573
Bould, M., Clarkin, C., Boet, S., Pigford, A. A. E., Ismailova, F., Measures, E., McCarthy, A. & Kinnear, J. (2015) Faculty experiences regarding a global partnership for anaesthesia postgraduate training: a qualitative study. Canadian Jounal of Anaesthesia, 62, 11-21. https://doi.org/10.1007/s12630-014-0252-4
Brysiewicz, P., Scott, T., Acheampong, E. & Muya, I. (2021) Facilitating the development of emergency nursing in Africa: operational challenges and successes. African Journal of Emergency Medicine, 11(3), 335-338. https://doi.org/10.1016/j.afjem.2021.03.013
Carter, C., Mukonka, P., Sitwala, L., Howard-Hunt, B. & Notter, J. (2020) The development of critical care nursing education in Zambia. British Journal of Nursing, 29(9), 499-505. https://doi.org/10.12968/bjon.2020.29.9.499
Carter, C., Mukonka, P., Sitwala, L., Mulawisha, G. & Notter, J. (2021) The ‘sleeping elephant’: the role of mentorship of critical care nurses in Zambia. International Nursing Review, 68(4), 543-550. https://doi.org/10.1111/inr.12717
Carter, C., Sakala-Mukonka, P. & Notter, J. (2022) International capacity building via the ‘new norm’ of virtual teaching and volunteering. British Journal of Nursing, 31(9), 502-503
Guerin, B., Janta, B. & van Gorp, A. (2018) Desk-based research and literature review. In Hofman. J., Sutherland, A. (2018). Evaluating interventions hat prevent or counter violent extremism: A practical guide. RAND Europe.
Health Education England (2022) Global engagements. Available at: https://www.hee.nhs.uk/our-work/global-engagement [Accessed 9th January 2022].
Institute for Health Metrics and Evaluation. (2022). Global Burden of Disease. https://www.healthdata.org/gbd/2019.
Lamb, D., Hofman, A., Clark, J., Hughes, A. & Sukhera, A.M. (2020) Taking a seat at the table: an educational model for nursing empowerment. International Nursing Review, 67(1), 118-126. https://doi.org/10.1111/inr.12549
Lenhard, N.K., An, C., Jasthi, D., Laurel-Vargas, V., Weinstein, I., Vargas, J.A. et al. (2022) Establishing a virtual global health education partnership: the Cleveland-Cusco connection. Medical Science Educator, 32, 1087-1094. https://doi.org/10.1007/s40670-022-01626-6
Matenga, T.F.L., Zulu, J.M. & Corbin, J.H. (2019) Contemporary issues in north-south health research partnerships: perspectives of health research stakeholders in Zambia. Health Research Policy System, 17(1), 7. https://doi.org/10.1186/s12961-018-0409-7
McDermott-Levy, R., Leffers, J. & Mayaka, J. (2018) Ethical principles and guidelines of global health nursing practice. Nursing Outlook, 66(5), 473-481. https://doi.org/10.1016/j.outlook.2018.06.013
Ministry of Health. (2018) National human resources for health strategic plan 2018-2024. Available at: www.moh.gov.zm [Accessed 27th October 2022].
Morgan, H. (2022) Conducting a qualitative document analysis. The Qualitative Report, 27(1), 64-77. https://doi.org/10.46743/2160-3715/2022.5044
Mormina, M. & Pinder, S. (2018) A conceptual framework for training of trainers (ToT) interventions in global health. Global Health, 14(1), 100. https://doi.org/10.1186/s12992-018-0420-3.
Notter, J. & Carter, C. (2021) What lessons can we take from reverse innovation? British Journal of Nursing, 30(13), 770. https://doi.org/10.12968/bjon.2021.30.13.770
Nursing and Midwifery Council. (2022) Revalidation. Available at: https://www.nmc.org.uk/revalidation/ [Accessed 9th October 2022].
Nurses and Midwives Act. (2019) Available at: www.parliament.gov.zm [Accessed 27th October 2022].
Parker, M. & Kingori, P. (2016) Good and bad research collaborations: researchers’ views on science and ethics in global health research. Plos One, 11(10), e0163579. https://doi.org/10.1371/journal.pone.0163579
Plamondon, K.M., Brisbois, B., Dubent, L. &Larson, C.P. (2021) Assessing how global health partnerships function: an equity-informed critical interpretive synthesis. Global Health, 17(73), https://doi.org/10.1186/s12992-021-00726-z
Price, H., Domoney, J., Ariss, S. & Larson, C.P. (2021) Documentary analysis within a realist evaluation: recommendations from a study of sexual assault referral centres. International Journal of Qualitative Methods, 20, 1-13. https://doi.org/10.1177/16094069211047818
Royal College of Nursing. (2022) Ten-fold increase in nurse recruitment from “red list” countries. Available at: https://www.rcn.org.uk/news-and-events/Press-Releases/ten-fold-increase-in-nurse-recruitment-from-red-list-countries.
Scott, T. & Brysiewicz, P. (2017) Piloting a global mentorship initiative to support African emergency nurses. International Emergency Nursing, 34, 7-10. https://doi.org/10.1016/j.ienj.2017.05.002
Spies, L.A., Garner, S.L., Faucher, M.A., Hastings-Tolsma, M., Riley, C., Millenbruch, J. et al. (2017) A model for upscaling global partnerships and building nurse and midwifery capacity. International Nursing Review, 64(3), 331-344. https://doi.org/10.1111/inr.12349.
Tricco, A.C., Langlois, E.V. & Straus, S. E. (2017) Rapid reviews to strengthen health policy and systems: a practical guide. Available at: https://www.who.int/alliance-hpsr/resources/publications/rapid-review-guide/en/ [Accessed 27th October 2022].
United Nations Human Development Report. (2022) Zambia human development indicators. Available at: http://www.hdr.undp.org/en/countries/profiles/ZMB [Accessed 9th October 2022].
United Nations. (2022) Sustainable development goals. Available at: https://sdgs.un.org/goals [Accessed 9th October 2022].
Vaessen, J. Lemire, S. & Befan, B. (2020) Evaluation of international development interventions: an overview of approaches and methods. World Bank Group.
Walsh, A., Brugha, R. & Byrne, E. (2016) ‘The way the country has been carved up by researchers’: ethics and power in north-south public health research. International Journal of Equity Health, 15(1), 204. https://doi.org/10.1186/s12939-016-0488-4
World Federation of Critical Care Nurses. (2022) Declarations and position statements. Available at: https://wfccn.org/declarations/ [Accessed 27th October 2022].
World Health Organization. (2016) Nurse educator core competencies. Available at: https://www.who.int/hrh/nursing_midwifery/nurse_educator050416.pdf [Accessed 9th January 2022].
World Health Organization. (2020) State of the world's nursing report. Available at: https://www.who.int/publications/i/item/9789240003279.
World Health Organization. (2022) Zambia. Available at: https://www.who.int/workforcealliance/countries/zmb/en/ [Accessed 9th January 2022].