Nursing education management and post qualification competency based outcome in public hospitals in Mufulira district.

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Zulu, Zeliya Margaret
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The University of Zambia
This study was sort to examine the nursing education management and post qualification competency based outcome in public hospitals in Mufulira district. The objectives of the study were to examine post qualification training programs or initiatives that are aimed at enhancing achievement of competency based outcome, examine the monitoring system that is used to ensure achievement of adherence to post qualification competencies and establish factors influencing the application of nursing competencies. The study was anchored on Blooms Taxonomy Theory that argues that learning occurs after exposure to specific stimuli. It elicits competence development, observed by changes in behaviour in the learners Changes in behaviour that is performing of a skill entails that planned education had occurred and competency developed. The study used a descriptive design where both quantitative and qualitative methods were used. Through the use of questionnaires, the researcher asked quantitatively specific narrow questions to collect quantifiable data from participants that enabled the researcher to conduct the inquiry in an unbiased and objective manner. On the other hand the researcher relied on qualitative methods through participants’ views; open, broad and general questions through interviews which made the researcher have deeper understanding of the issues under investigations. A total of 100 respondents were sampled, 3 above calculation representative sample size. The target populations of the study were nursing services supervisors, nurses and midwives at public hospitals in Mufulira. The study used a stratified random sampling. Different data collection methods such as interviews with recordings, questionnaires and field observation were used. The study established that there were two types of programs which are induction and orientation with orientation being the main source for acquisition of competencies. The initiatives were task observation and peer support. The study examined the monitoring system in place and revealed that while standard procedures are in place; measuring tools for post qualification training are absent. The supervisors must encourage forms of training for post qualification such as record keeping, supervisor training on trainer of trainers basing on competency based outcome, mentoring, development of measuring tools and feedback sessions are implemented. The study did not find evidence of supervisors demonstrating critical tasks or indeed observing tasks being performed by nurses which meant no supervisor feedback to the nurse with the view to improve could be verified. It further established that nurses are dimmed competent upon college or university qualification and is assumed that their competency will keep improving over the years without any monitoring system in place. The study established that the work environment is impacting negatively on the implementation of post qualification competencies. The study recommended that programs such as induction and orientation are used for their intended purposes to orient new staff to the ward while induction is used for introducing new staff to the critical tasks in the ward. Supervisors must make time and allow for peer evaluation and support which is one of the best forms of learning. Supervisors must also make time for observing nurses performing critical tasks and procedures. Supervisors should ensure available monitoring systems such as demonstration of critical tasks and procedures, provision of guidance with the view to improve, documented feedback system, record keeping and standard measuring tools are being used to develop nurse competency. Supervisors must ensure factors that promote post qualification competency such as promotions, training recommendations, awards and rewards are performance based.
Nursing services--Administration. , Nursing--Study and teaching. , Management nursing-- education and services. , Nursing education.