Presentation on theme: "Education of reflective neonatal nurses in a South African context"— Presentation transcript:
1 Education of reflective neonatal nurses in a South African context Carin MareeUniversity of Pretoria
2 What is reflective practice? An approach to meet the demands of a specific context:Is more than just application of knowledge and skillsIncludes experience and personal growthIs based on reflection-in-action, reflection-on-action, reflection-before-actionPuts an emphasis on ‘why’ and not ‘what’Has positive outcomes for the clients / community
3 What is a reflective neonatal nurse? A professional nurse responsible for reflective practice in a neonatal nursing context, based on:Knowledge (empirical-analytical, historical-hermeneutic and critical / self-reflective)Skills (technical and cognitive)Personal attributes (values, perception of the world, self-perception, emotional status and interaction with her world)
4 Why do we need reflective neonatal nurses? Neonatal nursing practice is dynamic and the characteristics thereof change:Patient profile and needs are changingExplosion of knowledgeAdvancement of technology and pharmacologyUnequal accessibility to advanced neonatal careChanges in staffing of health facilities
5 ‘Routinised’ neonatal nurses who learned ‘recipes’ for care of infants with special needs are not able to meet the changing demands of neonatal nursing practice. Reflective neonatal nurses are able to act as ‘changing agents’ amidst the changing context.
6 How do we educate reflective neonatal nurses? Education of reflective neonatal nurses is:Formal post-basic practice-based course/s presented by an accredited tertiary institutionBased on 4 main pillars: neonatal nursing practice, the higher education scenario, reflective education and the neonatal nurse as learner
7 Neonatal nursing practice Knowledge, skills and personal characteristics demanded from reflective neonatal nurses are determined by health care clients and – providers, and are related to:Basic and advanced care of neonates with special needs, including the dying infantCare of families of neonates with special needsMulti-disciplinary teamworkUtilization of medical technology and medicationManagerial aspectsProfessional-ethical aspects of neonatal nursing
8 Higher Education Scenario Legislative framework is based on Higher Education Act, Act no. 101 of 1997 and makes provision for:South African Qualifications Authority (SAQA)National Qualifications Framework (NQF)National Standards Bodies (NSB)Standard Generating Bodies (SGB)Education and Training Quality Assurance Bodies (ETQA)Sectoral Education and Training Authority (SETA)
9 Higher Education Scenario (continue) Accredited providers (tertiary institutions)Life-long learning as aimOutcomes-based education (OBE) as philosophy
10 Reflective educationA teaching approach that facilitates reflective learning:Curriculum is evidence- and practice-basedLearning environment is conducive for personal and professional growthEducation is learner-drivenEducator has to be a role-model in reflective practice, reflective learning and reflective teaching, and act as a facilitator
11 Reflective education (continue) A variety teaching methods / techniques could be used in reflective education:Emphasis on outcomes-based education of empirical-analytical, historical-hermeneutic and critical / self-reflective knowledge, as well as technical and cognitive skillsFacilitate reflection-before-action, reflection-in-action and reflection-on-actionLearner plays a significant role in own assessment
12 Neonatal nurses as learners Adult learners: purpose-driven with significant experienceDiverse backgrounds, circumstances and personalitiesDiverse abilities to become reflective practitioners
13 Achievements and Challenges! Significant personal and professional growthChange agents responsible for positive changes in practice to benefit infants and familiesConflict, frustration and resignationWhat if a person is unable to become a reflective neonatal nurse?
14 “ The object of education is to prepare others to educate themselves throughout their lives” – Robert Maynard Hutchins