Birmingham City University, Birmingham, UK.
Professor of Community Healthcare Studies, Birmingham City University, Birmingham, UK.
Int Nurs Rev. 2023 Sep;70(3):266-272. doi: 10.1111/inr.12813. Epub 2022 Dec 18.
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.
评估在赞比亚开展的一项国际卫生合作项目，以增强紧急、创伤和重症护理护士的教育和实践能力。
赞比亚继续面临着重大的劳动力挑战和不断增加的传染病和非传染性疾病负担，加上 COVID-19 大流行，情况更加复杂。为应对这些挑战，赞比亚卫生部正在投资培养专业护士。紧急、创伤和重症护理护理教育和培训被视为解决方案之一。南北合作已被确定为增强能力和发展新兴专业的有益力量。
我们采用评估方法，包括桌面研究、快速文献综述以及来自已发表论文、政府报告和项目文件的文献数据分析。我们在赞比亚和英国都寻求并获得了伦理委员会的批准。
对证据的批判性审查确定了三个关键主题：教育和实践变革面临的挑战、为可持续性培养赞比亚教师以及国际卫生合作项目对赞比亚和英国的影响。该项目的成果是多方面的；然而，主要成就是由赞比亚教师实施了紧急、创伤和重症护理研究生课程。
该领域的经验概述了南北合作的优势和局限性，以及透明度、共同所有权和学院决策的重要性。它促进了紧急、创伤和重症护理护理知识的交流和共享，以增强能力。
从中吸取的经验教训可能适用于其他国际护理伙伴关系，包括需要深入了解背景和限制。此外，还强调了根据研究、教育和实践，注重制定长期可持续战略的重要性。
本文概述了根据赞比亚国家政策、区域和国际标准，发展护理教育和实践以应对不断变化的疾病负担的重要性。还描述了国际护理伙伴关系对国家和国际护理议程的价值。
