Background COVID‐19 pandemic has impacted the way things are done in walks of life including nursing education in both developing and developed countries. Nursing schools all over the world as well as in developing countries responded to the pandemic following the guidelines of the World Health Organisation and different countries specific guidelines regarding the pandemic. Aim This reflective piece aims to describe the effect of COVID‐19 on nursing education in developing countries. Result Face‐to‐face teaching and learning were converted to virtual remote learning and clinical experiences suspended to protect the students from the pandemic. Specific but broader responses to the pandemic in the Caribbean and other developing countries have been shaped by financial, political and other contextual factors, especially the level of information technology infrastructure development, and the attendant inequities in access to such technology between the rural and urban areas. Internet accessibility, affordability and reliability in certain areas seem to negatively affect the delivery of nursing education during the COVID‐19 lockdown. Conclusion and Implications for Nursing and/or Health Policy The impact of COVID‐19 on nursing education in the Caribbean and other parts of the world has shown that if adequate measures are put in place by the way of disaster preparedness and preplanned mitigation strategies, future crises like COVID‐19 will have less impact on nursing education. Therefore, health policymakers and nursing regulatory bodies in the developing countries should put policies in place that will help in responding, coping and recovering quickly from future occurrences.
Some nurses who provide AIDS care, in addition to experiencing stigma themselves, also exhibit negative attitudes and perpetrate stigma and discrimination toward persons living with HIV (PLWHAs). We used a participatory research approach to explore the nature, context, and influence of stigma on the nursing care provided to PLWHAs in four low- and middle-income countries: Jamaica, Kenya, South Africa, and Uganda. Eighty-four registered nurses, enrolled nurses, and midwives participated in interviews and 79 participated in 11 focus groups. Nurses were very aware of the stigma and discrimination that AIDS evoked, and made adjustments to their care to decrease the manifestation of AIDS stigma. Despite the assurance that PLWHAs were treated equally, and that universal precautions were used consistently, we found that in reality, nurses sometimes made decisions about nursing care that were based on the appearance of the patient or knowledge of his or her status.
As part of a multinational program of research, we undertook a community-based participatory research project in Jamaica to strengthen nurses' engagement in HIV and AIDS policy. Three leadership hubs were purposefully convened and included small groups of people (6-10) from diverse HIV and AIDS stakeholder groups in Jamaica: frontline nurses and nurse managers in primary and secondary care settings; researchers; health care decision makers; and other community members. People living with HIV or AIDS were among the hub members. Using a relational public health ethics framework, we outline some of the ethical challenges and opportunities experienced by the research team and the leadership hubs. Data included research assistant field notes and hub progress reports. Emerging ethical concerns were associated with relational personhood, social justice, relational autonomy, relational solidarity, and sustainability of the hub activities.
This study explored baccalaureate students' perception of the characteristics of an effective clinical instructor utilizing the Whitehead Characteristics of Effective Clinical Instructor Rating Scale. The instrument is a 39 item 5 point Likert-type scale that measures, interpersonal relationships, personality traits, teaching practices, knowledge and experience, and evaluation procedures. This descriptive, cross-sectional study utilized a sample of 110randomly selected second and third year students from an urban school of nursing. Results showed that students regarded all characteristics as important (m= 4.05 to 4.76). A comparison of the means for the characteristics of an effective clinical instructor by year group, showed significant differences between the year groups for all five categories (p= 0.0001). A comparison of the mean characteristics of effective clinical instructors by age groups revealed statistically significant differences between the mean scores of interpersonal relationship (p= .005), personality traits (p= .024), teaching practices (p= .027) and evaluation procedures (p= .047). Students placed high levels of importance on the characteristics of the Clinical instructor. Therefore to ensure a suitable environment for learning, nursing schools could establish interactive feedback sessions with students and clinical instructors to ensure both groups have an understanding of their expectations of each other.
Background: Global organizations urge toward transformative, lifelong learning for nurses and midwives. Throughout Latin America and the Caribbean, strengthening the quality of nursing and midwifery education is top priority. A regional partnership of World Health Organization Collaborating Centers aimed to develop a user-friendly, culturally relevant, and adaptable educational quality improvement intervention. Method: Following the five-step ADDIE process, experts analyzed objectives and needs, designed activities and assessments, and determined optimum delivery of course content. A self-directed, asynchronous online course was developed, in line with regional needs and mandates. Three sequential online educational modules for English-speaking and Spanish-speaking nurse and midwife educators focused on (a) principles of teaching and learning, (b) instructional strategies, and (c) methods to evaluate students and courses. Content and design were externally reviewed and culturally adapted. Conclusion: Upon completion of pilot testing and evaluation, final course versions in both languages are expected to become freely accessible. [ J Nurs Educ . 2020;59(1):38–41.]
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