RESUMO
The process of change, implemented by the School of Nursing at the University of the Orange Free State so that a paradigm shift in approaches to nursing education at undergraduate level could be achieved, is outlined. The necessity to change, the identification of external and internal variables that impact on change, the founding of a support system, the process of overcoming resistance to change, the evaluation of the process of change and options for the future, are discussed. The rationale for the implementation of a problem-based teaching strategy and the phasing in of a community-based approach to teaching as the heart of the process of change are discussed.
Assuntos
Adaptação Psicológica , Atitude do Pessoal de Saúde , Enfermagem em Saúde Comunitária/educação , Enfermagem em Saúde Comunitária/organização & administração , Participação da Comunidade , Comportamento Cooperativo , Bacharelado em Enfermagem/organização & administração , Docentes de Enfermagem/organização & administração , Relações Interprofissionais , Aprendizagem Baseada em Problemas/organização & administração , Desenvolvimento de Programas/métodos , Medo , Humanos , Controle Interno-Externo , Modelos Educacionais , Modelos de Enfermagem , Pesquisa em Educação em Enfermagem , Inovação Organizacional , Filosofia em Enfermagem , Política , Avaliação de Programas e Projetos de Saúde/métodos , Apoio Social , África do SulRESUMO
A key step in the development of any educational programme is learning needs assessment. This is however often neglected. The purpose of this research was to identify learning needs of potential students in order to develop a relevant educational programme for registered nurses in advanced midwifery and neonatology. A survey design was used, and the population of the study was the registered nurses in the Free State. Two thousand questionnaires were mailed to respondents, selected by means of simple random sampling. Advanced educational programmes emphasize the teaching of advanced knowledge and skills and accept that the students entering these programmes already have specific knowledge and skills included in the curricula for basic programmes. This is contrary to the findings of this study. The results underline the importance of learning needs assessment in the development of relevant educational programmes.
Assuntos
Atitude do Pessoal de Saúde , Educação Continuada em Enfermagem/organização & administração , Capacitação em Serviço/organização & administração , Avaliação das Necessidades/organização & administração , Enfermagem Neonatal/educação , Enfermeiros Obstétricos/educação , Enfermeiros Obstétricos/psicologia , Recursos Humanos de Enfermagem/educação , Recursos Humanos de Enfermagem/psicologia , Desenvolvimento de Programas/métodos , Competência Clínica/normas , Currículo , Serviços de Planejamento Familiar , Humanos , Descrição de Cargo , Papel do Profissional de Enfermagem , Pesquisa em Educação em Enfermagem , Cuidado Pós-Natal , Cuidado Pré-Natal , Autonomia Profissional , Autoeficácia , África do Sul , Inquéritos e QuestionáriosRESUMO
The postpartum period is characterized by a revival of the pregnancy and birth experiences, as well as adjustment to new roles, and the adjustment of the family to the new family member. In the case of a first baby, it also represents a developmental milestone for the man and woman whose lives will no longer be unfettered. Adequate education in accordance with the needs of women is necessary to enable them to handle changes in the postpartum period and to meet these demands. This researcher is aware of several postpartum education programmes in operation in South Africa at present, but none have been compiled on the basis of a published investigation of the specific needs of these women. The aim of this study therefore was to determine the needs of postpartum women. An exploratory study was undertaken by means of a qualitative research design. The research was limited to women living in Bloemfontein. White married women, primiparae as well as multiparae, women who breast-fed or bottle-fed their babies and who had either vaginal delivery or a caesarean section were included in the study. Women who were discharged from hospital without their babies were excluded. The researcher concluded that women in the postpartum period experience common needs and problems regarding self-care and baby care but their priorities were needs and problems related to self-care. The reason could be that they had gained experience of baby care in hospital. Moreover, while there are many books and articles on baby care, few are available on self-care. Postpartum education is recommended for all mothers, both primiparae and multiparae.
