KWA ZULU NATAL NURSE EDUCATORS TB.MDR AND HIV AIDS WORKSHOP REPORT DATE OF TRAINING: 09-12 APRIL 2013 VENUE: TROPICANA HOTEL COR-ORDINATORS AND FACILITATORS: Mr. Sipho Cornwell Khoza and Ms. Thokozile Harriet Kgongwana, DPI Coordinators. VISITING FACILITATOR FROM THE KZN PROVINCE: Ms. Sharon Fynn. 1: INTRODUCTION AND BACKGROUND The Kwa Zulu Natal (KZN) Provincial Secretary (PS) Mr Cassim Lekhoathi opened and welcomed everyone to the fifth of the seven TB MDR and HIV AIDS Nurse educators workshops due to be completed by June 2013. He gave a special address to the participants providing background on the vision, mission values and objectives of DENOSA as well as the unfolding activities, i.e., the Marilyn Lahana nominations submission, the International Nurses Day(IND) and the Second Nurses Conference. The DENOSA Professional Institute (DPI) Mr. Sipho Khoza provided a brief background and purpose of the workshop, the funding source and the details on the administration and implementation by University Research Council (URC) and DENOSA. The intention is to train two hundred (200) nurse educators in the country from Nursing Colleges, Universities, Private sector Institutions and Military Colleges in all nine provinces. The Provincial TB MDR Manager, Ms. Sharon provided the current background, achievements and challenges in the province. The thirty three participants were excited and expressed great honor to be provided with such a great unique opportunity to comprehend the new current strategies and knowledge to manage TB MDR and HIV AIDS towards the achievement of Millennium goals and Department of Health (DoH) health priorities. The participants were represented as follows from various institutions except the private sector: Twenty nine nurse educators from Nursing Colleges, all sub campuses represented Two nurse educators from Durban University Technology Two from Zululand University. No representatives from the private nursing colleges in this workshop, due to the budget constraints. All participants introduced themselves and outlined their expectations to participate in the workshop. The ground rules with sanctions in case of non compliance were set democratically by participants. The participant s expectations were outlined and achieved even beyond as follows:
EXPECTATIONS Get knowledge, more information on TB MDR Empowerment on TBMDR Acquire information/content to give learners. TB prophylactic- PMTCT Challenges that learners are faced with related to TB Integrate TB MDR HIV AIDS theory with practice. Empowered to TB/MDR pregnancy and new born babies Changes in TB and application/ recent updates on TB/MDR. MDR XDR Relationship NEW TB MDR AND HIVAIDS GUIDELINES and research COMMENTS 2. DESCRIPTION OF KEY ACTIVITIES 38 participants were invited and confirmed their coming; however only 33 attended for four days and were issued with attendant s certificates. The 11 sessions were presented fully with additional information and a CD that is loaded with participant and facilitators manual, pre and post tests, strategic plan, power point presentations was issued to each participant. Mrs. Naicker, Nursing directorate was very instrumental in organizing the participants and provided brief information regarding the nursing education institutions in the province. The KZN province has 57 Nursing Education Institutions in the province; these includes Nursing Colleges, Universities and private Nursing Schools approved by the South African Nursing Council (SANC) to offer nursing programs from NQF level 3 to NQF level 10. ASSESSMENTS OUTCOMES PRE TEST POST TEST RANGES NUMBER RANGES NUMBER 100 0 100 10 90-99 0 90-99 08 80-89 0 80-89 06 70-79 0 70-79 05 60-69 4 60-69 02 50-59 16 50-59 01 40-49 11 40-49 0 30-39 02 30-39 0 TOTAL WROTE 33 33 NUMBER ACHIEVED 20 33 PERCENTAGE NOT 66% 100% ACHIEVED HIGHEST MARK 67% 100% LOWEST MARK 33% 53%
3. ACTION PLAN AND WAY FORWARD All 33 participants attended training in full and received attendance certificates. Noting the sub campuses and the geographical area, the educators agreed to share the information with all nurse educators as much as possible according to the roll out plan and tools provided. They will focus on all nursing programs, the sub-campuses within their area and invite the basic and post basic lecturers. The participants were encouraged to share the TB MDR HIV AIDS information as much as possible and submit the reports to DENOSA by mid August 2013. The other group of educators will submit by end of July 2013 through Ms. Naicker s office. The roll out presentation and tool has been emailed to Ms. Naicker so that the coordination is easier. 4. WAY FORWARD Information on the requirement to conduct workshops in the workplace and provide attendance, registers, demographic form and report on experience, remark s and suggestions regarding the TB MDR and HIV AIDS was shared with participants. All participants committed themselves to: Impart TB MDR HIV AIDS knowledge to colleagues in their workplace and influence policy in saving the community and the health workers. Add innovations to existing curriculum, review and update lesson plan accordingly; this include both the basic and post basic programs. Conduct minimum of 3 trainings within 3 months to: o Colleagues, learners, supportive staff and any other officials relevant within all THE RESPECTIVE DISCIPLINES AT THE BASIC AND POST BASIC LEVELS. o provide EVIDENCE OF ATTENDANCE REGISTERS, REVIEWED AND NEW DESIGNED LESSON PLANS TO BE SENT DENOSA THROUGH TASK TEAM The implementation and submissions was summarized as follows to the participants: ACTIVITY TIME LINE PERSON RESPONSIBLE Provide feedback to College based lecturers at all 4 levels of training and in all four disciplines including post basic courses. At least one feed back session by end of May 2013 TB MDR participants of April 2013. To submit attendance register for department, discipline, learners in class In-service training targeting relevant groups, e.g. Infection control, Medical ward staff, children ward End of July 2013 Demographic forms Attendance Registers Demographic forms Aligned and revised Lesson plans End of August 2013 Participants to submit 1-3 lesson plans relating to new content provided.
Submit the class room attendants register and Demographic forms Monitoring and Evaluation Invitation before 1 st August 2013 The participants to invite the Provincial Coordinator or Provincial Secretary to visit the learning or clinical cites. The participants were issued with a form that requires the following data: Number of nurses trained and their Occupational Positions Demographic data Nurse Educator s comments reflecting their experience, proposals, remarks on TB HIV trainings conducted effectively in academic institutions for learners, administrative and all health workers (all health workers-nurses, DoT supporters, Doctors, porters, occupational Health committee members, social workers) and the academic staff. 5. SUCCESS STORIES The KZN nurse educators were enthusiastic, relevant and participated actively in the workshop sessions. Some of them provided the updated practices and positive resolutions to operational and academic challenges shared during sessions. They repeatedly appreciating the first initiative for educators requested for more workshop of this nature aligning academic world with the nursing practice arena for many other programs. The 10 participants scored 100% with the post test, which was a new record in all seven provinces. One participant registered as DENOSA members for the first time. The outlined expectations were outlined were achieved in full and beyond the expectations; The feedback from the participants was on the overall positive and constructive suggestions to improve were noted. The content evaluation was not submitted due to time constraints. 6. COURSE EVALUATION General rates range between excellent and good. The following specific input were of significance and reflected as is from the course evaluation forms. (NB the sign:// means number of participants who made the same comment). INFORMATION INPUT REMARKS Information of interest All information was interesting////// Use of abbreviations was confusing to me. These TB AND HIV drugs, side effects relevant for hands on Noted Concern to note the comment that the TB AND HIV is irrelevant
What additional information do you require people; Management of HIVE due to area of work, teaching than in clinical area. Stats by province ///, Government role on protecting all employees. HIV by HIV experts; New FDC AIDS drug; Consider Management of teenagers exposed with TB and HIV More time still needed for the workshop; Frequent workshops on HIV/TB Integration More on PMTCT updates// Update on drugs Avail latest guidelines of the DOH frequently. More updates on TB/MDR/XDR All expectations were met./// Remarks and suggestions Suggest to include NDoH experts to handle misunderstandings, unpack new changes; e.g. TB HIV treatment in children Strengthen policies on preemployment procedures Keep it up, but remember to explain more for people who are not on practical situation;/// The workshop organisors to request the hospital management to extend invitation to such workshops regularly as educators are part of them./// Course very informative and eye opening/// Workshop very fruitful and relevant to educators to nurse educators. It becomes a disturbing reality of perceptions of nurse educators and quality education. Nurse educators whondo not appreciate data are of concern to us. How do we build new body of knowledge without reflecting on statitistics? Noted and will be forwarded to the NDoH team Noted with appreciation, suggestions will be elevated to the relevant authorities.
Compile all information including slides in the participant s manual. Good presentation/// / Presenters were very committed, showed interest and knowledgeable. Ability to instill information especially to people who are not exposed to HIV/TB, interesting presentations Need more time for assimilation. Course was interesting and informative./// Format of presentation should be similar to that of the manual. Very good course, I learned a lot Suggest it will be excellent for clinic staff that is hands on. Time of the course to be extended Nurse educators t be embraced, clearly not updated and not exposed Facilitators knowledgeable Recommend course for all educators, health care professionals-drs, OT, Social workers; Workshop empowered me with updated knowledge, will give information to colleagues, managers at PHC and a staff working in the clinic. Course needs to be extended to facility managers and clinic staff