Neonatology Community Midwifery In effect, the new Curriculum will now prepare NMTs for dual roles “Nurse” and “Midwife” enabling them to function at all levels of health care which is more cost-effective for a low resource country like Sierra Leonean . The new NMT curriculum will include additional aspects of ethics, current trends in nursing and midwifery practice, infection prevention and control in a post-Ebola setting, health education and communication skills and use of the nursing and midwifery process and midwifery sciences. 1.5. Re-organisation of the modules Courses have been grouped into categories as below Basic Sciences Maternal and Child Health Social Sciences Nursing Specialty Sciences Nursing Clinical Sciences Anatomy and Physiology Midwifery Science (theory & practice) Behavioural Sciences(Sociology & Psychology) Medical Nursing Fundamentals of Nursing Patient and Staff Safety Paediatric Nursing (theory and practice) Medical Nursing Practice Principles of Nursing Practice Pharmacology Emergency Obstetric and Newborn Care (theory & practice) Surgical Nursing Nutrition and Dietetics Community Midwifery (theory & practice) Surgical Nursing Practice Fundamentals of Midwifery Community Health Nursing Neonatology (theory & practice) Mental Health and Psychiatric Nursing 2.0. Mission To produce competent Nurse-Midwife Technicians who will deliver Basic nursing and midwifery services to women, families and communities.
Perform postural drainage and record outcome Provide wound care using aseptic technique o Assess for signs and symptoms of wound infection o Assess for signs and symptoms of haemorrhage o Pack and dress infected wounds o Perform mechanical and surgical debridement o Suturing o Removal of sutures/drains/clips Admit or refer patients for surgical care appropriately TEACHING METHODS: Illustrated lecture Discussion Questions and answers Demonstration Role play TEACHING/LEARNING METHODS: Lecture/Discussion; Demonstration; Reflection; Clinical conferences; Role play; Case study; METHODS OF ASSESSMENT: Formative – 30% assignments; role play; Summative – End of course examination- written (essay and objective), RESOURCES: Alexander,M.F.; Fawcett, J.N.; Runciman, P.J. (2010). Nursing Practice Hospital and Home (3rd ed.). UK: Elsevier Ltd. Berman, A., Snyder, S.J., Kozier, B. & Erb, G. (2012). Fundamentals of Nursing: Concepts, Process and Practice (8th ed.). New Jersey: Prentice Hall Jeran, P. (2006). Emergency Care and First Aid for Nurses (2nd ed.). Philadelphia: Churchill Livingston Elsevier LeMone, P., & Burke, K. (2007). Medical-Surgical Sursing. Vol. 1 and 2 (4th ed.). New Jersey: Prentice Hall. Lewis, S., Heitkemper, M., Dirkson, S. and O’Brien, P. (2007). Medical-surgical nursing. Assessment and management of clinical problems. (7th ed.). Oxford: Mosby Press. Mogotlane, S.M., Mokoena, J.D., Chauke, A., Young, A. (2005). Juta’s Manual of Nursing(Volume 4) — Medical Surgical Nursing Parts 1 & 2. Cape Town: Juta Health. St. John Ambulance, St. Andrew’s Ambulance, and British Red Cross. (2011). First Aid Manual: The Step by Step Guide for Everyone (9th ed.). UK: Darling Kindersley.
TEACHING METHODS: Lecture/Lecture discussion; illustrations; presentations; case study and presentations; Role play; Demonstration etc METHODS OF ASSESSMENT Formative-Continuous assessment - 30%- assignments, tests, mid-course examination etc Summative assessment – 70% -End of course examination (written –essay and objective)and practical examination(OSCE, 100&) RESOURCES: Berman, A., Snyder, S.J., Kozier, B. & Erb, G. (2012). Fundamentals of Nursing: Concepts, Process and Practice (8th ed.). Philadelphia: Prentice Hall Lemore, P. and Burke, K. (2007). Medical-Surgical Nursing. Vol. 1 and 2(4th ed.). Prentice Hall. Lewis, S., Heitkemper, M., Dirkson, S. and O’brien, P. (2007). Medical-Surgical Nursing. Assessment and Management of Clinical Problems. ( 7th ed.). Oxford: Mosby Press Smelters, S., Bare B, Hinkle, J., Cheever, K. (2010). Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. (12th ed.). Philadelphia: Lippincott- Williams and Wilkins,.
Clark, M. J. (2008). Community Health Nursing: Caring for populations, 5th ed. Upper Saddle River, New Jersey. Prentice Hall. Clark, D.M.J.(2008). Community health nursing: Advocacy for population health. 5th edition. New Jersey: Pearson Vlok, M.E. (2007). Manual of Community Nursing & Communicable Diseases (Revised ed.). Cape Town: Juta and Company. Palliative Care Association. (2010). Palliative Care Training COURSE For Health Training Institution. Lilongwe: Likuni Press.
CLINICAL SKILLS UNIT I-. Interaction with patients/clients Skills Effectively creates a therapeutic environment for clients Effectively interview patients/clients Effectively practice active listening Competently counsel UNIT II- Management of clients with mental health disorders Skills Competently take a psychiatric/mental health history Competently conduct a mental health assessment, including associatedphysical assessment Competently observe patients/clients Correctly administer medications and manage side effects Competently refer clients UNIT III- Collaboration and networking with multidisciplinary and multi-sectoral team Skills Interact effectively with multidisciplinary and multispectral teams Identify clients with or at risk for common psychiatric and mental health disorders UNIT IV- Competencies Effectively treats clients with respect Competently demonstrates professionalism Effectively observes them/patients rights TEACHING METHODS: Demonstration Clinical conference Reflection Role play Case study TEACHING/LEARNING METHODS: Lecture/Discussion; Demonstration; Reflection; Clinical conferences; Role play; Case study; METHODS OF ASSESSMENT: Formative – 30% assignments; role play;
BLOCKS 5 & 6 Introduction The general emphasis in the third year of the nurse midwife technician programme build on the knowledge and skills of the first two years, and to equip the learner with knowledge, skills and attitudes that would facilitate effective management of women during pregnancy, labour and postpartum period, including care of the neonate. The learner will also be exposed to life saving skills (BEmONC and EmONC), that would enable the learner to provide emergency services to women, and make timely referrals as need arise. LEARNING OUTCOMES At the end of year 3, the learner will be able to: Demonstrate competence in the provision of culturally sensitive care for women and families during pregnancy, labour, postnatal and neonatal care in the community and clinical settings. Utilize the midwifery management process in the promotion of safe motherhood. Discuss the required knowledge, skills and attitudes necessary to provide care throughout pregnancy, intra partum (labour), and the postpartum period including the neonate using the midwifery management process
Midwifery Management/Nursing Process and selected nursing theories in provision of midwifery care Safe environment (Florence Nightingale) Hierarchy of needs (Maslow’s theory) Nursing care Plan/Midwifery Proces Professional regulatory bodies , roles and responsibilities Nursing and Midwifery Act specific to the country Professional standards and scope of practice UNIT III- Policies, guidelines/Initiatives influencing Midwifery education and Practice National Health Policy Civil service code, rules and regulation Stakeholders in the health care delivery system: Ministry of Health and Sanitation Private Organizations Development partners Directorate of Nursing and Midwifery Services District Health management Team Reproductive and child health policy TEACHING/LEARNING METHODS Lecture/Discussion; Group discussion; Demonstration Role Play; Problem based Learning (PBL); Question and answers; Reflection METHOD OF ASSESSMENT Formative - Tests, Assignments, group work, continuous assessment, etc Summative - End of course Examinations: RESOURCES Diamond, B. (2006). Legal aspects of midwifery. (3rd Edition): Edinburgh: Elsevier Ltd. Fraser, D. & Cooper, M.A. (2006). Myles Textbook for Midwives. (14th Edition). Edinburgh: Churchill Livingstone Jones, S.R. (2000). Ethics in Midwifery, London: Mosby. Sellers, P.M. (2001). Midwifery. Capetown: Juta & Co. Supplementary Reading Cluett, E.R. & Bluff, R. (2006).Principles and Practice of Research in Midwifery Wickham, S. (2006). Midwifery: Best practice. (volume 4). Edinburgh: Elsevier Ltd. Littleton, L.Y. & Engebretson, J.C. (2002). Maternal, Neonatal and Women;s Health Nursing. Albany: Delmar Thomson Learning