GLOBE RESEARCH NURSES

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GLOBE RESEARCH NURSES NETWORK

• RESEARCH AS A TOOL FOR
• QUALITY CARE IMPROVEMENT.
• PRESENTATION BY
• John Nepiyala RNM
• Monitoring , Evaluation
• and Investigations
• Officer.
• LILONGWE- MALAWI.

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Nurses and Midwives Council secretariat- Lilongwe
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PRESENTATION OUTLINE

• Nurses and Midwives Council of Malawi(NMCM)
  mandate
• Roles and functions of NMCM
• Activities by NMCM
• Findings during supportive supervision activities
  in health facilities
• Importance of research in the Nursing and
  midwifery profession

• Need for nursing and midwifery research in Malawi
• What NMCM has done so far
• The focus on NMCM research committee
• Challenges in the implementation of research
  committee activities
• What nurses need to do
• Whose responsibility to make it happen

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NMCM MANDATE

• It exists to regulate nursing and midwifery
  training, education and practice as enshrined in
  the Nurses and Midwives Act No 16 of 1995.
• It is a symbol of professional nursing and
  midwifery in Malawi.

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FUNCTIONS OF NMCM

• To assist in the promotion and improvement of
  health of the population of Malawi
• To control and exercise authority affecting the
  nursing and midwifery profession

• To exercise disciplinary control over
  professional conduct of nurse/midwives
• To promote liaison of the education and training
  and practice here and beyond

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FUNCTIONS OF NMCM cont.

• To advise the minister of health on any matters
  falling within the scope of nursing and midwifery
  profession

• To communicate to the minister any information
  acquired by the council relating to matters of
  health.

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SOME ACTIVITIES BY NMCM
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FINDINGS DURING MONITORING AND EVALUATION
ACTIVITIES

• Improved dressing code
• Improved infection prevention practices
• Monitoring of patient condition especially in
  HDUs, ICUs
• Inadequate provision of basic nursing and
  midwifery care
• Poor or no documentation of nursing and midwifery
  care given

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FINDINGS DURING MONITORING AND EVALUATION
ACTIVITIES cont.

• Inadequate material and human resource
• Inadequate support systems
• Health education given only in programmatic
  areas.
• Inadequate monitoring of patient condition
• Inadequate student supervision
• Inadequate supervision at all levels
• Poor attitudes of health care providers

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IMPORTANCE OF NURSING AND MIDWIFERY RESEARCH

• Florence Nightingale first
• discussed the importance
• of applying research
• based nursing practice
• during the Crimean war.

• To expand the practice of nursing
• For the nursing profession to identify itself as
  a unique discipline
• To properly understand the health care of
  patients

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IMPORTANCE OF NURSING AND MIDWIFERY RESEARCH cont.

• To modify existing and generate knew knowledge
• To create information to explain the unique
  responsibility of the nurse in the profession
• To depict a sense of responsibility if care is
  based on research evidence

• To reduce unnecessary health costs
• To enable the nurse take proper decisions at
  every phase of the health care process
• Helps to plan the nursing process, to predict
  what could be the possible result of nursing care
  and avoid undesirable outcomes

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WHY NURSING AND MIDWIFERY RESEARCH IN
MALAWI(CONTEXT OF HEALTH STATISTICS)

• High disease burden, high maternal and
  neonatal(infant) mortality rates HIV/AIDS,
  malaria, pneumonia, gastrointestinal diseases
  malnutrition etc

• 13.1 million people
• 5.7 Total Fertility Rate
• 10.6 HIV prevalence
• 42 Contraceptive Prevalence Rate
• 5.7 Total Fertility Rate,
• (MDH 2010, 2008 census )

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WHY NURSING AND MIDWIFERY RESEARCH IN MALAWI cont.

• MMR 675/100,000 live births (UN 460).
• U5MR 112/1000 live births (MDHS 2010)
• IMR 66/1000 live births
• NMR 31/1,000 live births

• 40 infant deaths occur during 1st month of life
• Cause sepsis, asphyxia, LBW, prematurity
• 20 newborns LBW below 2500 gm
• Against nurse/midwife population of 10,400 (NMCM
  2011)

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WHY NURSING AND MIDWIFERY RESEARCH IN MALAWI cont.

• Growing demand and expectation of nursing and
  midwifery care by society
• Resource constraint health care delivery setting

• The health care is changing at unprecedented pace
  and nursing has to assume a posture which will
  enable it withstand that change.

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WHAT NMCM HAS DONE ON RESEARCH SO FAR

• Inclusion of research activities in its 2010 to
  2014 strategic plan
• Recruitment of research officer in August, 2012.

• Establishment of research committee within the
  structures of NMCM on 1st April, 2010 with the
  following individual membership composition
• FPAM chair
• Kamuzu College of Nursing
• College of Medicine
• Kamuzu Central hospital
• Bunda College of Agriculture
• National Organization of Nurses in Malawi
• NMCM secretariat

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THE FOCUS OF RESEARCH COMMITTEE AT NMCM

• Research activities designed to assess and
  document the effectiveness of health care
  services for cost-effective but achieves positive
  outcomes without compromising quality

• Translate research findings into practice and
  nurse/midwives at all levels will be encouraged
  to engage in evidence based care

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THE FOCUS OF RESEARCH COMMITTEE AT NMCM cont.

• Development of stronger knowledge base through
  multiple confirmatory strategies to ensure that
  the research findings are relevant to our
  situations.

• Need for improvement both in the quality of
  nursing studies and in nurse/midwives skills in
  understanding, critiquing and utilizing study
  results

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THE FOCUS OF RESEARCH COMMITTEE AT NMCM cont.

• Expanding dissemination of research findings i.e.
  diversify modes of dissemination of research
  information which in turn may help to promote
  research utilization.

• Encourage nurses in clinical settings engage in
  operational research and utilization of the
  findings

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CHALLENGES IN THE IMPLEMENTATION OF RESEARCH
ACTIVITIES

• Inadequate numbers of research minded nurses
• Inadequate skills, material resource to support
  operational research activities
• Little focus on practical research (clinical
  trials) in the academia

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CHALLENGES IN THE IMPLEMENTATION OF RESEARCH
ACTIVITIES cont.

• Low interest in doing operational research by
  nursing and midwifery fraternity
• Most nurses and midwives do not have a reading
  culture

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WHAT NURSE/MIDWIVES NEED TO DO

• Learn to evaluate nursing/midwifery literature
  critically developing the ability to read
  nursing literature as a means of discovering gaps
  in knowledge and evaluating the findings of
  research study.
• Learn how valid research results can be applied
  to nursing practice and develop ideas about how
  scientific knowledge can be used in caring of
  patients

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WHAT NURSE/MIDWIVES NEED TO DO cont.

• Nurse need to develop an enquiring mind as they
  provide care to clients pose questions that could
  form basis for future research
• Need to take a leading role in research
  investigations that lead to contribute to new
  knowledge.
• Need to reflect their daily work experiences as a
  starting point for operational research areas

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WHOSE RESPONSIBILITY TO MAKE IT HAPPEN
Training institutions
Regulatory bodies
Nursing and midwifery research
Service providers(MOH,CHAM,PVT)
Professional associations
Development partners
You and me
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WHOSE RESPONSIBILITY TO MAKE IT HAPPEN cont.

• We need to unite as stakeholders in the nursing
  and midwifery research with NMCM focus on
  operational research.

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