Baloyi Olivia B, Jarvis Mary Ann
School of Nursing and Public Health, University of KwaZulu-Natal, Howard College, Durban, South Africa.
Int J Afr Nurs Sci. 2020;13:100258. doi: 10.1016/j.ijans.2020.100258. Epub 2020 Oct 17.
There is evidence of underperformance of the Global Health Indicators, particularly in the WHO Afro-region. Yet, quality, effective healthcare delivery, and access to information about best practice remains a challenge to nurses and midwives in the WHO Afro-region. For nurses and midwives to have the capacity to practice safely and competently they need to engage in mandatory Continuing Professional Development (CPD). However a composite picture is not available for future project planners, researchers, and policy developers. Published literature from the past five years and professional body webpages were searched. The results of shining a light on the WHO Afro-region member states' CPD status revealed strengths, weaknesses, opportunities, and threats. The strengths lay in the beginnings of mandatory CPD and annual licensure renewal, while the weaknesses revealed inequity of CPD distribution across the region. The opportunities showed international academic partnership with possibilities for further engagement, and the threats were evident in the health context of the Afro-region, the shortage of nurses and the lesser participation of nurses in CPD programs. The illumination of the CPD status in the Afro-region suggests that a revised CPD landscape is necessary to strengthen the relevance and response capacity of nurses and midwives, as key contributors towards the Global Health Indicators.
有证据表明全球卫生指标表现不佳,尤其是在世卫组织非洲区域。然而,高质量、有效的医疗服务以及获取最佳实践信息对世卫组织非洲区域的护士和助产士来说仍是一项挑战。为使护士和助产士有能力安全、胜任地执业,他们需要参加强制性的持续专业发展(CPD)。然而,未来的项目规划者、研究人员和政策制定者无法获得全面的情况。检索了过去五年发表的文献和专业机构的网页。对世卫组织非洲区域成员国CPD状况的调查结果揭示了优势、劣势、机遇和威胁。优势在于强制性CPD和年度执照更新的开端,而劣势则显示出CPD在该区域分布不均。机遇表现为国际学术伙伴关系以及进一步参与的可能性,威胁则明显体现在非洲区域的卫生状况上,即护士短缺以及护士参与CPD项目的比例较低。对非洲区域CPD状况的调查表明,有必要修订CPD格局,以加强护士和助产士作为全球卫生指标关键贡献者的相关性和应对能力。