Naruse Kazuko, Tashiro Junko, Sakyo Yumi, Ichikawa Wakako, Karani Anna K
Graduate School, St. Luke's College of Nursing, Chuo-ku, Tokyo, Japan.
Jpn J Nurs Sci. 2008 Jun;5(1):61-7. doi: 10.1111/j.1742-7924.2008.00094.x.
After the World Health Assembly approved the WHA 45.5 in 1992, which addressed the nursing shortage by refocusing nurses and midwives to meet community health needs, community demands for educated nurses and the needs of higher nursing education in developing countries increased. However, in developing countries that suffering from multiple resource deficiencies, such as Kenya, the strategic direction of higher education in nursing was unclear. Therefore, in Kenya, a major university school of nursing initiated a collaborative study with a well-established Japanese nursing college to determine the service-providers' perspective about upgrading the Master's community nursing curriculum.
The aim of the study was to describe the Kenyan stakeholders' perspective and the expected roles and abilities of Master's graduates in community nursing.
This qualitative, cross-sectional study used convenience sampling to obtain 21 participants. The content analysis of the data was based on 19 semistructured interviews.
Sixteen categories and 42 subcategories were derived from the five key questions that related to the expectations of the Master's program. The Master's graduates were expected to acquire knowledge and skills relating to administration, management, epidemiology, research, and education. The participants recognized that epidemiology, important for preventive care, was minimal among the current community health nurses. Also, Master's graduates must be prepared to manage health programs.
The stakeholders expected that Master's graduates would become leaders in community health nursing, with a broad range of knowledge and skills, most notably in the areas of management and administration, epidemiology, and research. Those abilities should be reflected in the curriculum content.
1992年世界卫生大会批准了WHA 45.5,该决议通过重新调整护士和助产士的工作重点以满足社区卫生需求来解决护理人员短缺问题,此后,发展中国家对受过教育的护士的社区需求以及高等护理教育的需求增加。然而,在像肯尼亚这样面临多种资源短缺的发展中国家,护理高等教育的战略方向并不明确。因此,在肯尼亚,一所主要的大学护理学院与一所久负盛名的日本护理学院开展了一项合作研究,以确定服务提供者对升级社区护理硕士课程的看法。
该研究的目的是描述肯尼亚利益相关者的看法以及社区护理硕士毕业生的预期角色和能力。
这项定性的横断面研究采用便利抽样法获取了21名参与者。数据的内容分析基于19次半结构化访谈。
从与硕士课程期望相关的五个关键问题中得出了16个类别和42个子类别。预计社区护理硕士毕业生将获得与管理、行政、流行病学、研究和教育相关的知识和技能。参与者认识到,对预防保健很重要的流行病学在当前社区卫生护士中涉及较少。此外,硕士毕业生必须做好管理卫生项目的准备。
利益相关者期望硕士毕业生成为社区卫生护理领域的领导者,具备广泛的知识和技能,尤其是在管理与行政、流行病学和研究领域。这些能力应体现在课程内容中。