دورية أكاديمية
'We are pulled to the four corners': Qualitative role descriptions of advanced practice children's nurses in Malawi.
| العنوان: | 'We are pulled to the four corners': Qualitative role descriptions of advanced practice children's nurses in Malawi. |
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| المؤلفون: | North N; Department of Paediatrics and Child Health, The Harry Crossley Children's Nursing Development Unit, Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa., Brysiewicz P; School of Nursing & Public Health, University of KwaZulu-Natal, Durban, South Africa.; Division of Emergency Medicine, University of Cape Town, Cape Town, South Africa., Coetzee M; Department of Paediatrics and Child Health, The Harry Crossley Children's Nursing Development Unit, Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa. |
| المصدر: | Journal for specialists in pediatric nursing : JSPN [J Spec Pediatr Nurs] 2024 Jul; Vol. 29 (3), pp. e12433. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley Country of Publication: United States NLM ID: 101142025 Publication Model: Print Cited Medium: Internet ISSN: 1744-6155 (Electronic) Linking ISSN: 15390136 NLM ISO Abbreviation: J Spec Pediatr Nurs Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: July/Sept. 2004- : Malden, MA : Wiley Original Publication: Philadelphia, PA : Nursecom, Inc., c2002- |
| مواضيع طبية MeSH: | Nurse's Role* , Pediatric Nursing*/standards , Qualitative Research* , Advanced Practice Nursing*, Humans ; Malawi ; Female ; Male ; Child ; Adult ; Focus Groups ; Middle Aged |
| مستخلص: | Purpose: This study investigated emerging roles among specialist child health nurses (CHNs) in Malawi. Advanced nursing role development is globally advocated. Nursing role descriptions provide an evidential basis for workforce planning. Rigorously developed role descriptions are scarce worldwide, especially for Africa. Advanced nursing roles were introduced in Malawi's child health system a decade ago. Design and Methods: We followed guidance on generating nursing role descriptions to collect and analyse qualitative data from interviews and focus groups, using qualitative content analysis. We used COREQ reporting standards. Results: More than half (41/80) of Malawi's child health nursing workforce participated. Richly descriptive accounts of roles elicited three themes: leading and developing new services and improving existing ones; holding rare knowledge which uplifts care quality; and responsibility for developing the role. These responsibilities are experienced as a privilege and a burden, often meaning CHNs are 'pulled to the four corners'. Practice Implications: We found evidence of remarkable achievements by Malawi's CHNs but also suggestions that they are under heavy strain. Because multi-stakeholder agreement about role content is crucial to successfully implementing advanced nursing roles, we hope the approach taken by this study, and the information generated, could be useful as part of human resources for health strategy development in other lower-resourced countries globally. (© 2024 The Author(s). Journal for Specialists in Pediatric Nursing published by Wiley Periodicals LLC.) |
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| فهرسة مساهمة: | Keywords: advanced practice; clinical nurse specialist; focus groups; leadership; policy: roles |
| تواريخ الأحداث: | Date Created: 20240527 Date Completed: 20240527 Latest Revision: 20240527 |
| رمز التحديث: | 20240527 |
| DOI: | 10.1111/jspn.12433 |
| PMID: | 38800936 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1744-6155 |
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| DOI: | 10.1111/jspn.12433 |