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BackgroundIn August, 2012, Duke University School of Nursing partnered with Rwanda's Ministry of Health to join the Rwanda Human Resources for Health Program, a seven-year initiative to increase the quantity and quality of Rwanda's health professional workforce.The purpose of this paper is to: (1) describe an educational project to promote evidence-based practice in the clinical and didactic settings; (2) to evaluate barriers to integration of best practices in the clinical setting.

This article reviewed the development of the education of nurses and midwives in Rwanda.Nursing and midwifery education started with missionaries providing general nursing education and later evolved into the integration of nursing education in public and private schools.The establishment of the Kigali Health Institute in1996 greatly advanced nursing and midwifery education with the awarding of an advanced diploma (A1) in nursing and midwifery, followed by the bachelor's (A0) and master's...

BackgroundReducing under-5 year mortality is a priority for Rwanda and consistent with Millennium Development Goal (MDG) 4; to reduce child mortality by two-thirds by the year 2015.Despite the significant progress made in reducing under-5 mortality over the past five years, Rwanda now faces the challenge of sustaining these gains as morbidity and burden of disease remains high.Achievement of the MDGs and sooner the Sustainable Development Goals (SDGs) will require a scaling-up of nursing and...

ConclusionsAs it is early in the implementation of this innovative project, outcomes are limited.The first cohort of students (298) have completed the program and are preparing to write their licensure examinations.Program evaluation is a priority for the next year to determine the strengths of the program and areas for improvement.

BackgroundIn the late summer of 2013 it was noted that healthcare professional students in Rwanda had certain gaps in their ability to obtain a complete history, physical exam and to make a diagnosis and a plan. It was a problem identified in both students and staff, that doing a thorough presentation of a patient’s situation was difficult and often inadequate.DescriptionA group of nursing students from the then Kigali Health Institute were directed to prepare a guide that could be used to...

ConclusionsRecommendations for the future includes quarterly chart audits and ongoing evaluation of the A/E staff, implementation and evaluation of data collection tools and their use to effectively measure triage practice, and continued orientation of new staff to the ATS system of triage.

BackgroundThe triage process at a University Teaching Hospital in Accident & Emergency room started in April 2013 using adapted version of the evidenced-based South African Triage Scale (Emergency Medicine Society of South Africa, 2012). It was started to improve patients’ prioritization according to acuity to reduce chaotic situation in emergency department.ObjectivesThe purpose of this audit was to evaluate the implementation of this triage process.MethodsThe retrospective chart audit...

BackgroundThere is a lack of trained staff to respond to critically ill patients and cardiac and respiratory arrests in a health facility in Rwanda.This lack of human resources can lead to poor patient outcomes.Therefore, innovative strategies to provide the best and most appropriate patient care, with limited resources, is needed. MethodsA group of nurses addressed the shortage of trained staff to respond to critical patients at Rwanda Military Hospital (RMH) by developing a training...

BackgroundImproving confidence increases creativity and self-accountability.The core of leadership is developing the skills to assess, guide, and mentor others to develop confidence in their profession.Improving leadership requires specific education.This project was developed after a Needs Assessment of the Kibungo District Hospital and Kibungo School of Nursing and Midwifery. PurposeTo design and implement a leadership educational project that would to provide insight and inspiration for...

Creativity is a natural skill often exhibited by children at home and in schools, especially during play. Children are often seen playing with drawings and moulding of objects. Hence, if care is taken to encourage and develop children’s creativity, it may enhance a sustainable development in Technical Vocational Education and Training (TVET) programme. The aim of this study therefore was to determine the level of engagement of Nigerian children in creativity practice. The study was carried...

Purpose and objectivesThe aim of the study was to explore the factors contributing to nurses' stress and related coping strategies used by nurses in the University Teaching Hospital of Butare (UTHB), Rwanda.The objectives were to: Explore the stressors faced by nurses at UTHB; identify the coping strategies of nurses for stress management among nurses at UTHB, and identify the consequences of stress among nurses at UTHB.

African Americans suffer from disproportionately high rates of hypertension and cardiovascular disease. Psychosocial stress, lifestyle and telomere dysfunction contribute to the pathogenesis of hypertension and cardiovascular disease. This study evaluated effects of stress reduction and lifestyle modification on blood pressure, telomerase gene expression and lifestyle factors in African Americans.Forty-eight African American men and women with stage I hypertension who participated in a...

Few studies have explored the attitudes of African American parents about child disability and early intervention services. Research and data suggest that early intervention services are effective in preparing preschool-aged children identified with disabilities for school. However, the underrepresentation of African American children enrolled in early intervention is an ongoing policy concern. This exploratory study examined the perceptions and attitudes of African American parents about...

Purpose African agri-food systems are undergoing major structural change in response to growing urbanization, rising incomes and shifting patterns of food consumption. The purpose of this paper is to explore four major dimensions of this surprisingly rapid structural shift in African food systems.

Background : Primary open angle glaucoma (POAG) has continued to cause high disease burden globally and Zambia is no exception. We investigated the prevalence and socio-demographic determinants of POAG based on records of clients attending the eye clinic at University Teaching Hospital (UTH), Lusaka. Methods : Data stem from serial hospital population based stored patients' records at the UTH eye clinic from 2008 to 2011 (n= 71,347). These records were examined for completeness in terms...