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in Pakistan : Challenges and Way Forward 1 ALIA NASIR, MA EHPID (UK), BSN, RM, RN RO Z I N A JA L A LU D D I N K YG I A N I, M S N, B S N, R N S A M I L A W R E N C E K H O K H A R, M S N, B S N Z I AU D D I N C O L L E G E O F N U R S I N G, Z I AU D D I N U N I V E R S I T Y, K A R AC H I, PA K I S TA N
Background: 2
Background: Among the most important health-related factors that impact health care in Pakistan includes: Demographic changes Health transition and demographic trap Technological advancement Level of patient knowledge and decision making Complexity of care Emergence of new nursing sciences like quality assurance etc Policies and political changes Economic condition and recession 3
Design Methodology: Case Study Sample 4 Nursing leaders who worked in key position were interviewed Data collection tool: Review of existing documents Desk search and net surfing Structured interview questionnaire
Time Period Results: Program 5 Quality of Education Teachimg Methods Curriculum Nursing Research 1947-1954 Only Three school of Nursings with Diploma in Nursing and Diploma in Midwifery. Four additional SON established Apprentiship Model Traditional method of lecture and Rot learning No standardized curriculum No concept of research and scholarly work by a Nurse
Time Period Results: Program 6 Quality of Education Teachimg Methods Curriculum Nursing Research Postgraduate Diploma: Apprentiship Model of teaching 1955-1996 Teaching Administration Ward Administration Psychiatric Pediatric Community Health Nursing Traditional method of lecture and Rot learning Academic Model introduced National level standardized curriuculum was developed Nursing seminars and conference were initiated Post RN BScN
NURSING REGULARITY BODY Pakistan Nursing Council (PNC) was formed after the constitution of 1973 PNC started as regulatory body for: All provinces of Pakistan to regulate the Provincial Examination Boards i.e.: NWFP NEB SNEB PNEB Balochistan NEB PNC became member of International Council of Nursing (ICN) 7
Time Period Results: Program 8 Quality of Education Teachimg Methods Curriculum Nursing Research 1997-2002 Four Year BScN Program was initiated Apprentiship Model of teaching Traditional method of lecture and Rot learning Academic Model Tutorial and Problem Based teaching National level standardized curriculum for BScN Nursing Honor Society Rho Delta Chapter of STTI Scientific publication increased
Time Period Results: Program 9 Quality of Education Teachimg Methods Curriculum Nursing Research 2003 to-date MScN PhD in Nursing Many School of Nursing and College of Nursing exist across the country Apprentiship Model of teaching Traditional method of lecture and Rott learning Academic Model introduced Blended learning introduced National level standardized curriculum for BScN by HEC and PNC Post RN BScNand MScN is in process of revision and development Rho Delta Chapter of STTI Scientific publication increased
Challanges: Low level of Literacy Image of Nursing Well qualified teachers for teaching degree program Career structure High migration rate of qualified nurses Fulfilling the demand of community services Nursing curriculum was well developed Quality Assurance Political instability 10
Recommendations: 11 Involvement at policy level Faculty development plan Evidence based research and body of knowledge Blended learning MSN Clinical specialty Intensive care Nursing Pediatric Nursing Obstetric and Gynecology Oncology Cardiac Medical and Surgical
A journey of a thousand miles must begin with a single step. Lao-Tsu Chinese Philosopher
13 References Frenk, Julio, Lincoln Chen, Zulfiqar A. Bhutta, Jordan Cohen, Nigel Crisp, Timothy Evans, Harvey Fineberg, et al. (2010). Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. The Lancet 376(9756): 1923-1958. Governers, B. (2005). Transforming Nursing Education. Position Statement: National League for Nursing. Ornstein, A.C & Levine, D.U. (1993). Foundations of education. 5 th edition. Boston: Houghton Mifflin. Tanner, D., & Tanner, L. (1995). Curriculum development: Theory into practice. New Jersey: Englewood Cliffs. Villiers, L.D. (2001). A Model for Curriculum Development in Nursing. Health Publications. Retrieved from http://findarticles.com/p/articles/mi_6820/is_2_6/ai_n281 28086/?tag=content;col1 on 09/01/2011.
14 THANKYOU
Questions and comments 15