Background: Clinical experiences allow nursing students to apply theoretical knowledge into practice hence socialize with their future professional roles and responsibilities. This is a report of observations made by thirteen perioperative nursing students in the first cohort of Master of sciences in nursing training program during their practicum in selected Rwandan Referral Hospitals aimed at improving students' learning outcomes in future. Methods: Teams of four to five students were allocated to the operating theatres in three selected referral and teaching hospitals in Rwanda for thirteen weeks. At the end of their clinical placement, they wrote clinical reports that highlighted their observations informed by theoretical knowledge of perioperative nursing care using a structure, process and outcome format. These reports focused on the strengths and challenges observed. Results: Students were able to translate theoretical knowledge gained in class to clinical practice. Although the hospitals provided good learning opportunities in relation to the number of patients attended to and the various surgical treatments provided, the existing infrastructures, and care delivery systems, still need improvement. Conclusions: Hospital structure and processes helped the students to achieve their clinical learning objectives. Fostering strong collaboration of Universities, Hospitals and Ministry of Health will promote specialization in the emerging field of perioperative nursing in Rwanda.
BackgroundHypertension is the main risk factor for cardiovascular diseases and its prevalence is high in Rwanda. Rwanda has integrated the management of hypertension in health centres (HCs). However, little is known about the quality of hypertension care in HCs in Rwanda.Study objectiveTo examine the quality of care for patients with hypertension and associated outcome of hypertension control in Health Centres.MethodsA cross-sectional study design was used, and data were collected from a convenience sample of 202 patients. A self-reported questionnaire and blood pressure measurement were taken. Data were analysed using descriptive, bivariate, and hierarchical logistic regression analyses.ResultsA total of 166 (82.2%) patients participated in the study. Of these, 130 (78.3%) were females. Mean age was 57.8 (SD =14.0). The quality of hypertension care process was high with mean score of 5.86 over 7 (SD = 1.4). However, only 30.1% (n = 50/166) had well-controlled hypertension. Comorbidity (OR = 2.3; 95% CI:1.0-5.1, p =.039) and the quality of care (OR = 1.6; 95% CI: 1.1- 2.4, p = .024) were associated with higher odds of having hypertension control.ConclusionTailored patient-centred primary care interventions that consider comorbidity could contribute to hypertension control in primary HCs in Rwanda.Rwanda J Med Health Sci 2023;6(1):84-98
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