Nursing Workforce Development: TANZANIAN PERSPECTIVE

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Nursing Workforce Development TANZANIAN
PERSPECTIVE

• Khadija Malima

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• What do we mean by Tanzanian Nursing workforce
  Development?

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• Nursing Workforce development is an essential
  process of ensuring the future strength and
  impact of the Nursing profession!!!!

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SITUATIONAL ANALYSIS

• Brain teaser and reality check!!!
• ASK YOURSELF, WHAT IS IT ABOUT YOUR WORK THAT
  MAKES YOU WORRIED EVEN WHEN AT HOME?

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Answers from participants
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SITUATIONAL ANALYSIS
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Current education schemes

• Tanzania Commission for Universities
• Universities-Ministry of Education Vocational
• Ist Degree -2nd
• PhDs (MUHAS)

• National Accreditation Council for Technical
  Education
• Ministry of Health Social Welfare
• Advanced diploma
• Diploma
• Certificate

ALL NURSES ARE REGISTRERED REGULATED BY TNMC
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OPPORTUNITIES CHALLENGES

• Sprouting of Universities offers more
  opportunities but coverage in Tz??
• Quantity or Quality .compromises??
• (monotony of degrees less clinical
  specialisationneed changes.Nurse clinical
  specialists)MUHAS
• Entry criteria for minimum qualifications
• Recruitment and retention of nurses..how far to
  saturation point?
• Brain drain? Internal or External?

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Efforts to improve workforce developments
Nationally
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Why is this important? (SON)

• Recognised need to expand the pipeline for youth
  entering the Nursing profession
• Develop alternative training strategies for
  educating training nurses
• Enhance the capacity to educational institutions
  through increasing number of faculty embrace
  new modes of clinical training
• Develop strategies to retain nurses help them
  move to higher level positions

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NACTE (1)

• Restructuring education system for all MoHSW
  technical education
• Specifics for Nursing education
• Competence based curriculum with various exit
  levels
• Phasing out Advanced diploma and introducing
  Higher diploma

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NACTE (2)

• Condensing general nursing to 3 years
• Levels
• Certificate
• Diploma
• Higher diploma
• Degree
• Masters
• PhD

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Developments at Various levels

• MoHSW -Funding loans for all.
• EAC-Harmonisation of Nursing curricula for member
  countries-opens opportunities ..education
  employment
• Parliament passed Revised Nurses midwives act of
  2006
• Establishment of a 2nd Public University-UDOM
  with a new Faculty of Nursing
• Established DEANs Forum for graduate nursing
  programs in the country

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SCHOOL OF NURSING AT MUHAS
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Recognised need to expand the pipeline for youth
entering the Nursing profession

• ! Introduced Career days at Secondary schools

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Develop alternative training strategies for
educating training nurses? Module based
degrees
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Enhance its capacity through increasing number
of faculty embrace new modes of clinical
training

• Revisited entry criteria
• Tailoring basic sciences
• Sandwich PhD
• Exchange programmes

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Develop strategies to retain nurses help them
move to higher level of clinical practice,
education efficiency

• ? Linking clinical nurses nurse
  teachers-transfer of knowledge
• By Introducing courses such as clinical governance

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Introducing Clinical Governance in the Tanzanian
Nursing practice

• 5 interactive modules (each ..learning days)
  each approximately . weeks apart.
• Practical help to deliver a 'programme of
  change'.
• Support for multi-disciplinary team work.
• Access to Higher learning modules (Nursing
  faculty)
• Ongoing networking and sharing of experiences and
  good practice.

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How does the Clinical Governance help
influence best practice?

• Expertise in helping clinical teams to understand
  and implement clinical governance.
• Enables implementation of a development programme
  in an organisation.
• Backed up by support and site visits.

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Clinical governance (2)

• Stimulates the development of many front line
  multidisciplinary projects to enhance the user
  experience.
• Challenges existing practice and creates new ways
  of working.
• Facilitates collective agreement and shared
  purpose.

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What are the benefits?

• A systematic approach to developing a service.
• Improved patient experience.
• A culture of engagement and involvement of staff.
  
• Effective use of people and resources.

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• Realising creativity and energy within a service
• A forum for multi-agency teams to address real
  issues in a supported environment.
• PotentialsANY IDEAS?