Child health nursing in the Solomon Islands: A qualitative evaluation of the impact of the 'Bachelor of nursing - Child health'.
Nursing
capacity building, education
child and infant care, education
mentoring
specialist nursing education, nursing capacity building, health service management
Journal
International nursing review
ISSN: 1466-7657
Titre abrégé: Int Nurs Rev
Pays: England
ID NLM: 7808754
Informations de publication
Date de publication:
03 Mar 2023
03 Mar 2023
Historique:
received:
24
05
2022
accepted:
29
01
2023
entrez:
3
3
2023
pubmed:
4
3
2023
medline:
4
3
2023
Statut:
aheadofprint
Résumé
To explore graduates' perceptions of the impact on nursing practice of a new postgraduate course in child health, developed and implemented in the Solomon Islands in 2016. The Bachelor of Nursing - Child Health was implemented in 2016 to develop nurses' knowledge and skills in child health and paediatric care with the intent to improve national child health outcomes. A qualitative exploratory, descriptive design was used to evaluate the impact of the Bachelor of Nursing - Child Health on graduates' nursing practice. Fourteen nurses who graduated from the first cohort of students enrolled in the child health course were purposively selected to participate. Participants engaged in individual semi-structured interviews, conducted between August and December 2018. A thematic analysis was undertaken following Braun and Clarke's six-phase process. Findings from the study demonstrate positive impacts of the course on graduates' nursing practice. These include a perceived enhanced quality of care through their commitment to evidence-based practice, the ability to contribute to capacity building of colleagues, the reinforcement of provincial public health programmes and expanded participation in managerial activities. Following graduation, most alumni took on senior roles and greater responsibilities, felt more confident in managing unwell children, felt there was better access to and quality of child health care at the community and broader country levels and felt recognised by colleagues and communities. Some graduates faced resistance from colleagues to change practice and felt that despite being given greater responsibilities, nursing levels and salaries remained unchanged. This reflected a potential lack of recognition from hospital or provincial managers, the Nursing Council as the regulatory body for the nursing profession, and the Ministry of Health and Medical Services. A lack of human and material resources also impacted quality of care. Findings from this study underline the need for the Solomon Islands National University, the Nursing Council, the Public Service and the Ministry of Health and Medical Services to concord and delineate formal accreditation standards for child health nurses. Overall, collaborative efforts and commitments at local, regional and global levels are required to support child health nurses in their ability and ambition to improve national child health outcomes. Findings from this study demonstrate positive impacts of the course on graduates' nursing practice. The impact of increasing nurses' knowledge and skills on national child health outcomes could be significant. Ongoing implementation and recognition of this course in the Solomon Islands, as well as more broadly across the Pacific region, are recommended.
Sections du résumé
AIM
OBJECTIVE
To explore graduates' perceptions of the impact on nursing practice of a new postgraduate course in child health, developed and implemented in the Solomon Islands in 2016.
BACKGROUND
BACKGROUND
The Bachelor of Nursing - Child Health was implemented in 2016 to develop nurses' knowledge and skills in child health and paediatric care with the intent to improve national child health outcomes.
DESIGN
METHODS
A qualitative exploratory, descriptive design was used to evaluate the impact of the Bachelor of Nursing - Child Health on graduates' nursing practice.
METHODS
METHODS
Fourteen nurses who graduated from the first cohort of students enrolled in the child health course were purposively selected to participate. Participants engaged in individual semi-structured interviews, conducted between August and December 2018. A thematic analysis was undertaken following Braun and Clarke's six-phase process.
RESULTS
RESULTS
Findings from the study demonstrate positive impacts of the course on graduates' nursing practice. These include a perceived enhanced quality of care through their commitment to evidence-based practice, the ability to contribute to capacity building of colleagues, the reinforcement of provincial public health programmes and expanded participation in managerial activities. Following graduation, most alumni took on senior roles and greater responsibilities, felt more confident in managing unwell children, felt there was better access to and quality of child health care at the community and broader country levels and felt recognised by colleagues and communities. Some graduates faced resistance from colleagues to change practice and felt that despite being given greater responsibilities, nursing levels and salaries remained unchanged. This reflected a potential lack of recognition from hospital or provincial managers, the Nursing Council as the regulatory body for the nursing profession, and the Ministry of Health and Medical Services. A lack of human and material resources also impacted quality of care.
IMPLICATIONS FOR NURSING AND HEALTH POLICY
CONCLUSIONS
Findings from this study underline the need for the Solomon Islands National University, the Nursing Council, the Public Service and the Ministry of Health and Medical Services to concord and delineate formal accreditation standards for child health nurses. Overall, collaborative efforts and commitments at local, regional and global levels are required to support child health nurses in their ability and ambition to improve national child health outcomes.
CONCLUSIONS
CONCLUSIONS
Findings from this study demonstrate positive impacts of the course on graduates' nursing practice. The impact of increasing nurses' knowledge and skills on national child health outcomes could be significant. Ongoing implementation and recognition of this course in the Solomon Islands, as well as more broadly across the Pacific region, are recommended.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2023 The Authors. International Nursing Review published by John Wiley & Sons Ltd on behalf of International Council of Nurses.
Références
Braun, V., Clarke, V., Hayfield, N. & Terry, G. (2019) Thematic analysis. Handbook of Research Methods in Health Social Sciences, 843-860.
Colquhoun, S., Ogaoga, D., Tamou, M., Nasi, T., Subhi, R. & Duke, T. (2012) Child health nurses in the Solomon Islands: lessons for the Pacific and other developing countries. Human Resources for Health, 10, 45-45. https://doi.org/10.1186/1478-4491-10-45.
Creswell, J.W. (2014) A concise introduction to mixed methods research. Sage Publications: New York.
Duke, T. (2018) How to do a postgraduate research project and write a minor thesis. Archives of Disease in Childhood, 103, 820-827. https://doi.org/10.1136/archdischild-2018-315340.
Knoema (2021) World data atlas, Solomon Islands. Available from: https://knoema.com/atlas/Solomon-Islands [Accessed 20th September 2022].
Mark Rale, C. (2016). An exploration into the capacity building initiatives for clinical nurses in Solomon Islands. Masters in Nursing, Kaohsiung Medical University: Taiwan.
Martinez, A.M. et al. (2012) Barriers to neonatal care in developing countries: parents' and providers' perceptions. Journal of Paediatrics and Child Health, 48, 852-858. https://doi.org/10.1111/j.1440-1754.2012.02544.x.
McClure, E.M., Carlo, W.A., Wright, L.L., Chomba, E., Uxa, F., Lincetto, O. & Bann, C. (2007) Evaluation of the educational impact of the WHO Essential Newborn Care course in Zambia. Acta Paediatrica, 96, 1135-1138. https://doi.org/10.1111/j.1651-2227.2007.00392.x.
Salmond, S.W. (2007) Advancing evidence-based practice: a primer. Orthopaedic Nursing, 26, 114-123. https://doi.org/10.1097/01.NOR.0000265869.72265.0a.
Solomon Islands National University (2017) Bachelor of nursing: child health, course and competency booklet. Solomon Islands National University's School of Nursing and Allied Health Sciences: Honiara.
Taylor, S. J., Bogdan, R. & Devault, M. L. (2016) Introduction to qualitative research methods: a guidebook and resource. Hoboken, NJ: John Wiley & Sons, In.
The World Bank (2021) Solomon Islands. Available from: https://data.worldbank.org/country/solomon-islands?view=chart [Accessed 20th September 2022].
Thomas, E. & Magilvy, J. K. (2011) Qualitative rigor or research validity in qualitative research. Journal for Specialists in Pediatric Nursing, 16, 151-155. https://doi.org/10.1111/j.1744-6155.2011.00283.x.
Tong, A., Sainsbury, P. & Craig, J. (2007) Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care, 19, 349-357. https://doi.org/10.1093/intqhc/mzm042.
United Nations Children's Fund (2017a). Situation analysis of children in Solomon Islands. Pacific Office: Suva.
United Nations Children's Fund (2017b). Situation analysis of children in the Pacific Island Countries. UNICEF: Suva.
United Nations Children's Fund (2020) UNICEF data: Monitoring the situation of children and women. Country Profiles: Solomon Islands. Available from: https://data.unicef.org/country/slb/[Accessed 20th September 2022].
Uwajeneza, P., Babenko-Mould, Y., Evans, M. & Mukamana, D. (2015) Midwives’ experience of participating in the Advanced Life Support in Obstetrics® educational program in Rwanda. Journal of Nursing Education and Practice, 5, 11. https://doi.org/10.5430/jnep.v5n11p120.
Vaismoradi, M., Turunen, H. & Bondas, T. (2013) Content analysis and thematic analysis: implications for conducting a qualitative descriptive study. Nursing & Health Sciences, 15, 398-405. https://doi.org/10.1111/nhs.12048.
World Health Organization (2020) Children: improving survival and well-being. Available from: https://www.who.int/news-room/fact-sheets/detail/children-reducing-mortality [Accessed 24th October 2021].