Department of Nursing Education, School of Therapeutic Sciences, University of the Witwatersrand Faculty of Health Sciences, Johannesburg, Gauteng, South Africa
SARChI Chair: Research on the Health Workforce for Equity and Quality, Centre for Health Policy, School of Public Health, University of the Witwatersrand, Johannesburg, Gauteng, South Africa.
BMJ Open. 2020 Jun 17;10(6):e035580. doi: 10.1136/bmjopen-2019-035580.
The implementation of advanced practice nursing (APN) programmes in sub-Saharan Africa (SSA) has been difficult due to lack of SSA-specific curriculum frameworks or benchmarks to guide institutions in developing and implementing APN programmes. A few APN programmes in SSA were benchmarked on western philosophy and materials, making local ownership and sustainability challenging. This paper presents an SSA-specific concept-based APN (Child Health Nurse Practitioner, CHNP) curriculum framework developed to guide institutions in developing relevant and responsive APN curricula in order to qualify CHNP and contribute to a decreased incidence of preventable deaths of children in the SSA region.
A sequential multimethod study design consisting of a scoping review, Delphi study, development of a framework by a curriculum team, and evaluation of the curriculum framework by faculty from 15 universities in SSA.
This study included universities from East, West, Central and Southern Africa.
The study included international multidisciplinary health professionals and curriculum development experts from 15 universities in 10 SSA countries.
A concept-based Advanced CHNP curriculum framework was developed. The faculty who evaluated the curriculum framework for applicability within their institutions and the SSA context unanimously stated that the framework is detailed, evidenced-based and could be adapted for other APN specialty areas.
The Child Health Nurse Practitioner curriculum framework is comprehensive, context-specific and has the potential to respond to the special child healthcare needs of SSA. It is adaptable for other APN specialty programmes in SSA. Nursing leaders should lobby for funding and advocate for the introduction of the CHNP programme as a collaborative process between government, clinical services, communities and educational institutions.
由于缺乏针对撒哈拉以南非洲（SSA）的特定课程框架或基准，难以在撒哈拉以南非洲实施高级实践护理（APN）计划。SSA 的少数 APN 计划是以西方哲学和材料为基准的，这使得当地所有权和可持续性具有挑战性。本文提出了一个基于概念的特定于 SSA 的 APN（儿童健康护士从业者，CHNP）课程框架，旨在指导机构制定相关和响应的 APN 课程，以培养合格的 CHNP 并有助于减少 SSA 地区儿童可预防死亡的发生率。
一项顺序多方法研究设计，包括范围审查、德尔菲研究、课程团队制定框架以及来自 SSA 15 所大学的教师对课程框架的评估。
本研究包括来自东非、西非、中非和南非的大学。
该研究包括来自 10 个 SSA 国家的 15 所大学的国际多学科卫生专业人员和课程开发专家。
开发了基于概念的高级 CHNP 课程框架。评估课程框架在其机构和 SSA 背景下适用性的教师一致表示，该框架详细、基于证据，并且可以适应其他 APN 专业领域。
儿童健康护士从业者课程框架全面、具体，并有可能满足 SSA 特殊儿童保健需求。它可以适应 SSA 其他 APN 专业计划。护理领导者应争取资金，并倡导将 CHNP 计划作为政府、临床服务、社区和教育机构之间的合作过程引入。
