Contextualisation of Early and Enhanced Clinical Exposure Model through Development of Curricula for Advanced Practice Nursing and Midwifery.
Contextualisation of Early and Enhanced Clinical Exposure Model through Development of Curricula for Advanced Practice Nursing and Midwifery.
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DOI：
10.4236/ojn.2022.127035
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发表时间：
2022-07
期刊：
影响因子：
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通讯作者：
Fastone G
中科院分区：
文献类型：
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作者：
Patricia KM;Victoria MK;Connie MM;Marjorie KM;Violet K;Elliot K;Moses S;Emmanuel M;Christabel M;Kampata L;Nzala SH;Zyaambo C;Kaile T;Fastone G
高级实践护士是一个多面手或专业护士谁已经获得了彻底的研究生教育，至少硕士学位。对高级实践护士的需求在全球范围内日益得到认可。本文介绍了这一过程，这是由赞比亚大学护理科学学院在审查和开发先进的实践护理和助产课程，将使用早期和增强临床暴露模型（EECE）实施。课程编制/审查过程采用了经过修改的塔巴模式，该模式遵循循序渐进的办法，包括：1）案头审查，2）需求诊断（需求评估），3）利益攸关方磋商，4）内容开发，5）验证和批准，从中吸取了一些经验教训并提出了建议。不同阶段的调查结果和建议被用作审查和开发高级实践护理和助产课程的基础。案头审查、需求评估和利益攸关方协商查明了现有课程的长处和短处。主要优势是时间和核心课程，这些课程符合研究生护理和助产培训的最低要求。主要的弱点/差距包括一些内容对于硕士水平来说过于基础，以及延迟接触实习地点，这限制了高级实践技能的发展。其他的是先进的实践能力不足，研究方法课程不足，缺乏内容，以促进个人软技能的发展和传统的教学方法的主要使用。利益攸关方建议实施高级、临床和实践护理和助产硕士课程，结果审查了四个现有课程，并制定了五个需求驱动的课程。已审查和制定的课程得到加强，以弥补已查明的差距。经审查和制定的课程都采用了早期和加强临床接触模式，以期培养能够满足各种保健需求并有助于改善病人结果的高级执业护士和助产士。
An Advanced Practice Nurse is a generalist or specialized nurse who has acquired thorough graduate education a minimum of a master’s degree. The need for Advanced Practice Nurses is increasingly recognized globally. This paper describes the process, which was undertaken by School of Nursing Sciences, University of Zambia in reviewing and developing advanced practice nursing and midwifery curricula which will be implemented using the Early and Enhanced Clinical Exposure model (EECE). The curricula development/review process utilized a modified Taba’s Model which followed a step-by-step approach including: 1) desk review, 2) diagnosis of needs (needs assessment), 3) stakeholder consultations, 4) content development, 5) validations and approval from which several lessons were learnt and recommendations made. Findings and recommendations from different stages were used as a basis for reviewing and developing advanced practice nursing and midwifery curricula. Desk review needs assessment and stakeholder consultations identified both strengths and weaknesses in the existing curricula. Major strengths were duration and core courses which met the minimum requirement for postgraduate nursing and midwifery training. Major weaknesses/gaps included some content that was too basic for the master’s level and the delayed exposure to practicum sites which limited the development of advanced practice skills. Others were inadequate competence for advanced practice, inadequate research methodology course, lack of content to foster development of personal soft skills and predominant use of traditional teaching methods. Stakeholders recommended implementing advanced, clinical and hands-on Masters of Nursing and Midwifery programmes which resulted in the review of four existing and development of five demand-driven curricula. The reviewed and developed curricula were strengthened to close the identified gaps. Both the reviewed and developed curricula have been implemented using the Early and Enhanced Clinical Exposure Model with a view to producing Advanced Practice Nurses and Midwives who are competent to meet diverse health care needs and contribute to improving patient outcomes.