Nurses’ and nurse educators’ experiences of a Pediatric Nursing Continuing Professional Development program in Rwanda

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Study Justification:
– The study aimed to explore the experiences of nurses and nurse educators who participated in a Pediatric Nursing Continuing Professional Development (PNCPD) program in Rwanda.
– The study sought to understand how the knowledge gained during the program was applied in academic and clinical settings.
– The findings of the study have the potential to inform positive changes to child health care in Rwanda and contribute to the scaling up of pediatric nursing education.
Highlights:
– The PNCPD program provided pediatric nursing education to forty-one Rwandan nurses and nurse educators.
– The program was implemented in Kigali, Rwanda, through the Training, Support, and Access Model (TSAM) for Maternal, Newborn, and Child Health (MNCH).
– The study identified five key themes: Transformations in Pediatric Nursing Practice, Knowledge Sharing, Relationship-Based Nursing, Barriers and Facilitators to Knowledge Implementation, and Scaling-up PNCPD within the Health System.
Recommendations:
– Based on the study findings, it is recommended to scale up the PNCPD program to other areas of the healthcare system in Rwanda.
– Efforts should be made to promote knowledge sharing among nurses and nurse educators.
– Barriers to knowledge implementation should be identified and addressed to facilitate the application of pediatric nursing knowledge in practice.
– The findings should be used to inform policy changes and improvements in child health care in Rwanda.
Key Role Players:
– Ministry of Health in Rwanda
– Nursing associations and organizations
– Nursing educators and trainers
– Healthcare facility administrators and managers
– International partners and donors
Cost Items for Planning Recommendations:
– Training and development of nursing educators and trainers
– Curriculum development and updates
– Resources and materials for pediatric nursing education
– Infrastructure and equipment for training facilities
– Monitoring and evaluation of the program
– Collaboration and coordination efforts with international partners
– Research and data collection for program evaluation

The strength of evidence for this abstract is 7 out of 10.
The evidence in the abstract is moderately strong. The study utilized a qualitative research design and collected data through individual interviews, which provides rich and in-depth insights into the experiences of nurses and nurse educators. The use of inductive content analysis adds rigor to the data analysis process. However, the abstract does not mention the sample size or the specific methods used for participant selection, which could affect the generalizability of the findings. To improve the strength of the evidence, it would be helpful to include more details about the research methodology, such as the sampling strategy and the criteria for participant inclusion. Additionally, providing information about the credibility and trustworthiness of the findings, such as member checking or triangulation, would further enhance the evidence.

Objectives: In 2016, a Pediatric Nursing Continuing Professional Development (PNCPD) program was created and implemented in Kigali, Rwanda, through the Training, Support, and Access Model (TSAM) for Maternal, Newborn, and Child Health (MNCH). This partnership project between Canada and Rwanda provided pediatric nursing education to forty-one Rwandan nurses and nurse educators in 2018 and 2019. The objective of this research study was to explore the experiences of nurses and nurse educators applying pediatric knowledge and skills to academic and clinical settings after participating in the PNCPD program. Methods: This study was situated within an interpretive descriptive perspective to explore the ways in which knowledge gained during the PNCPD program in Rwanda was applied by nurses and nurse educators in their nursing practice, both academically and clinically. Data was collected through individual interviews. Inductive content analysis was used for data analysis. Results: The analysis of the interviews resulted in the emergence of five themes: Transformations in Pediatric Nursing Practice, Knowledge Sharing, Relationship-Based Nursing, Barriers and Facilitators to Knowledge Implementation, and Scaling-up PNCPD within the Health System. Conclusions: The results of this study have the potential to inform positive changes to child health care in Rwanda, including scaling up pediatric nursing education to other areas of the healthcare system.

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Based on the provided information, it seems that the focus is on the experiences and outcomes of the Pediatric Nursing Continuing Professional Development (PNCPD) program in Rwanda. While the description does not explicitly mention innovations to improve access to maternal health, there are potential recommendations that can be derived from the study. These recommendations could contribute to improving access to maternal health in Rwanda. Some possible innovations or recommendations could include:

1. Expansion of the PNCPD program: Based on the positive experiences and outcomes reported in the study, one potential innovation could be to expand the PNCPD program to reach a larger number of nurses and nurse educators in Rwanda. This would help to increase the pool of skilled pediatric nurses who can provide quality care to mothers and children.

2. Integration of pediatric nursing education: Another innovation could involve integrating pediatric nursing education into the broader healthcare system in Rwanda. By incorporating pediatric nursing knowledge and skills into the training of healthcare professionals across different disciplines, there would be a greater emphasis on maternal and child health, leading to improved access to care for mothers.

3. Knowledge sharing and collaboration: The study highlights the importance of knowledge sharing among nurses and nurse educators. An innovation could involve creating platforms or networks for ongoing collaboration and knowledge exchange between healthcare professionals working in maternal health. This could facilitate the dissemination of best practices and the implementation of evidence-based care, ultimately improving access to quality maternal health services.

4. Addressing barriers to knowledge implementation: The study identifies barriers and facilitators to knowledge implementation. An innovation could involve developing strategies to overcome these barriers, such as providing additional support and resources to nurses and nurse educators, addressing infrastructure challenges, and promoting a supportive work environment. By addressing these barriers, the implementation of pediatric nursing knowledge and skills in maternal health settings could be enhanced.

5. Scaling up pediatric nursing education: The study suggests the potential for scaling up pediatric nursing education to other areas of the healthcare system. An innovation could involve developing a comprehensive plan to expand pediatric nursing education across different regions in Rwanda. This would ensure that healthcare professionals in various settings have the necessary skills and knowledge to provide quality care to mothers and children.

It is important to note that these recommendations are derived from the information provided and may not encompass all possible innovations to improve access to maternal health. Further research and consultation with relevant stakeholders would be necessary to develop a comprehensive and context-specific approach.
AI Innovations Description
Based on the description provided, the recommendation to improve access to maternal health would be to scale up the Pediatric Nursing Continuing Professional Development (PNCPD) program in Rwanda. This program has already been successful in providing pediatric nursing education to nurses and nurse educators in Kigali. By expanding the program to other areas of the healthcare system, more healthcare professionals can gain the necessary knowledge and skills to improve child health care in Rwanda. This would ultimately contribute to better maternal health outcomes by ensuring that healthcare providers have the expertise to address the specific needs of mothers and children.
AI Innovations Methodology
Based on the provided description, the focus is on improving access to maternal health. Here are some potential recommendations for innovation:

1. Telemedicine: Implementing telemedicine platforms can improve access to maternal health by allowing pregnant women to consult with healthcare professionals remotely. This can be particularly beneficial for women in rural or remote areas who may have limited access to healthcare facilities.

2. Mobile health (mHealth) applications: Developing mobile applications that provide maternal health information, appointment reminders, and access to healthcare professionals can enhance access to maternal health services. These apps can also provide educational resources on prenatal care, nutrition, and breastfeeding.

3. Community health workers: Expanding the role of community health workers can improve access to maternal health services. These trained individuals can provide basic prenatal care, health education, and referrals to healthcare facilities for more complex cases.

4. Transportation solutions: Addressing transportation barriers can significantly improve access to maternal health services. Implementing initiatives such as subsidized transportation or mobile clinics can help pregnant women reach healthcare facilities more easily.

To simulate the impact of these recommendations on improving access to maternal health, a methodology could include the following steps:

1. Define the target population: Identify the specific group of pregnant women who would benefit from improved access to maternal health services, such as those in rural areas or with limited transportation options.

2. Collect baseline data: Gather information on the current state of access to maternal health services in the target population, including factors such as distance to healthcare facilities, availability of healthcare professionals, and utilization rates.

3. Introduce the recommendations: Implement the recommended innovations, such as telemedicine, mHealth applications, community health worker programs, or transportation solutions, in the target population.

4. Monitor and collect data: Track the utilization and impact of the implemented innovations over a specified period. Collect data on factors such as the number of telemedicine consultations, app usage, community health worker interactions, and transportation utilization.

5. Analyze the data: Use statistical analysis techniques to evaluate the impact of the implemented innovations on improving access to maternal health services. Compare the baseline data with the data collected after the implementation to determine any significant changes.

6. Assess outcomes: Evaluate the outcomes of the implemented innovations, such as increased utilization of maternal health services, improved health outcomes for pregnant women, and reduced barriers to access.

By following this methodology, it would be possible to simulate the impact of the recommended innovations on improving access to maternal health and assess their effectiveness in addressing the identified barriers.

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