Jean Pierre NDAYISENGA | University Of Rwanda (original) (raw)

Papers by Jean Pierre NDAYISENGA

Research paper thumbnail of Thriving After Homelessness: A Concept Analysis

International journal on homelessness, Jun 20, 2024

Research paper thumbnail of Utilization of technology to provide on-the-job trainings on Emergency Obstetric and Neonatal Care: Perspectives of nurses and midwives working in Rwanda’s remote health facilities

Research paper thumbnail of Can ePortfolios Scaffold Competency-based Workplace Learning in Low-income Countries? Lessons Learnt from a Qualitative Pilot Study in Midwifery Education in Rwanda

Advances in social science, education and humanities research, 2021

Background: Rwanda and other low-income countries face a critical shortage of competent midwives.... more Background: Rwanda and other low-income countries face a critical shortage of competent midwives. This capacity problem threatens the attainment of the Sustainable Development Goals by 2030. Competency-based midwifery education (CBME) holds the best promise of developing competencies and improving patient outcomes. However, challenges arise when developing and implementing competency-based frameworks and ePortfolio tools in low-income countries. Aim: This study explored midwifery students', mentors' and supervisors' perceptions about the applicability of an ePortfolio designed on an evidence-based Continuous Workplace Learning Competency Framework. Methods: Using a qualitative descriptive design, in depth-individual interviews were carried out with four midwifery students, two midwife mentors from selected hospitals and two midwife supervisors from a midwifery teaching institution. All interviews were audio-taped, transcribed verbatim and thematically analysed using NVIVO12 software Findings: All participants preferred ePortfolio over paper-based portfolio because of the continuous online accessibility of information. This accessibility encouraged collaboration between stakeholders, facilitated self-monitoring of performance, enhanced IT competency, reduced time and costs of handling portfolios and improved, in some cases, feedback. Nevertheless, the success of implementing a competency-based ePortfolio was strongly dependent on the extent to which essential conditions were met: devices, internet connectivity, time and training. The ePortfolio was not used in its full potential because of lack of knowledge of different categories of the Competency Framework. Conclusions: The results of this pilot study suggest that ePortfolios are the future to support workplace learning. An important lesson is that low-income countries must first implement the principles of CBME in clinical education followed by the design of ePortfolios according to evidence-based competency frameworks.

Research paper thumbnail of Nurses and Midwives' Perspectives on Technology-Enhanced Learning and Continuous Professional Development on Emergency Obstetric and Neonatal Care in Rwanda

Background: One of the targets for the third sustainable development goals is to reduce worldwide... more Background: One of the targets for the third sustainable development goals is to reduce worldwide maternal mortality ratio (MMR) to less than 70 deaths per 100,000 live births by 2030. To address issues affecting women and the newborns during childbirth and postnatal period, concerted efforts from governments and their stakeholders are crucial to maximize the use of technology to enhance frontline health professionals' skills to provide the emergency obstetric and newborn care (EmONC). However, no study has garnered nurses’ and midwives’ perspectives regarding the application of technology-enhanced learning approach to provide on-job CPDs and factors that may influence the application of this training approach in the Rwandan context. Methods: The study collected data from nurses and midwives from forty (40) public health facilities in remote areas nationwide. The study applied a qualitative descriptive design to explore and describe nurses’ and midwives’ perspectives on the feas...

Research paper thumbnail of Benefits of a Mentorship Program on Interprofessional Collaboration in Obstetric and Neonatal Care in Rwanda: A Qualitative Descriptive Case Study

Rwanda Journal of Medicine and Health Sciences

BackgroundInterprofessional collaboration (IPC) contributes to optimum patient outcomes. The Trai... more BackgroundInterprofessional collaboration (IPC) contributes to optimum patient outcomes. The Training, Support, Access Model for Maternal, New Born, and Child Health (TSAM – MNCH), a project initiated as an innovative model for Rwanda, has provided a mentorship program to improve the quality of emergency obstetric and neonatal care (EmONC )including IPC. However, no research has been conducted to understand the impact of that mentorship on IPC practice.Study objectiveTo identify the impact of the TSAM mentorship on IPC practice in Rwanda from the perspective of hospital managers where TSAM mentorship was implemented and healthcare professionals (HCPs) participated in the mentoring program.MethodsA qualitative descriptive case study was conducted in five district hospitals in the Northern Province of Rwanda. Interviews were conducted with hospital directors and twenty-five HCPs mentees. Data were recorded, transcribed verbatim, and analyzed to identify emergent themesResults and disc...

Research paper thumbnail of Knowledge, attitudes, and practices towards hepatitis B virus prevention among nursing students at a selected campus in Rwanda

Research Journal of Health Sciences, 2021

Introduction: Hepatitis B virus continues to be among the significant global challenges, and its ... more Introduction: Hepatitis B virus continues to be among the significant global challenges, and its prevention is doubtable among nursing students due to the lack of knowledge or exposure to risky behaviors in their clinical practices. This study was conducted to assess nursing students at a selected campus in Rwanda about their knowledge, attitudes, and practices towards hepatitis B prevention.Methods: A cross-sectional study design was used to conduct this study. Non-probability sampling, including convenience and snowball techniques, was used to determine the representation at all levels at a selected Campus from May to July 2018. Statistical Package for the Social Sciences (SPSS) version 26 was used for data entry. Descriptive and inferential statistics using Binary logistic regression were used to analyze the data. Institutional Review Board (IRB) of the University of Rwanda approved the study, andparticipants' rights were protected.Results: Among 171 study participants, onl...

Research paper thumbnail of Interprofessional collaboration experience among healthcare professionals providing emergency obstetric and neonatal care in Rwanda. A qualitative descriptive case study

Journal of Interprofessional Education & Practice

Research paper thumbnail of Rwandan Nursing and Midwifery Faculty's Experiences of Applying Knowledge about Teaching Methodology to Practice in Academic and Clinical Settings with Students

Research paper thumbnail of Early routine amniotomy: an unnecessary procedure

Research Journal of Health Sciences, 2021

Early routine amniotomy, also known as artificial rupture of the amniotic membrane, is one of the... more Early routine amniotomy, also known as artificial rupture of the amniotic membrane, is one of the procedures used to induce and accelerate labour before cervical dilation reaches four centimeters. Because of its benefits and risks, there are at least two schools of thought about this controversial issue. The purpose of this paper is to argue against early routine amniotomy as an unnecessary procedure that can have drastic and unintended outcomes associated with the labour process, the fetus, and the mother. This commentary paper articulates that early routine amniotomy is a questionable procedure because its risks outweigh its benefits. Therefore, routine early amniotomy should be discouraged among obstetrical procedures. Keywords: Amniotomy, artificial rupture of membrane, routine, labour, process

Research paper thumbnail of Rwandan Nursing and Midwifery Faculty\\u27s Experiences of Applying Knowledge about Teaching Methodology to Practice in Academic and Clinical Settings with Students

Aim and objectives: Nursing and midwifery faculty play a vital role in nursing and midwifery stud... more Aim and objectives: Nursing and midwifery faculty play a vital role in nursing and midwifery students' professional development as soon-to-be clinicians by enabling them to gain essential competencies in perinatal and neonatal care. To enhance the quality of pre-service education of nursing and midwifery students in Rwanda, nursing and midwifery faculty participated in continuous professional development (CPD) educational workshops about teaching methodologies. The study's aim was to explore nursing and midwifery faculty's experiences of translating the knowledge and skills acquired from the workshops about teaching methodologies into their teaching practice in academic and clinical practice contexts. Methodology: A qualitative descriptive design was used with a purposive sample of 15 nursing and midwifery faculty from six private and public schools. Participants were involved in semistructured individual interviews. Inductive content analysis was used for generating themes. Results: Five themes emerged: enhanced competencies about teaching practices, application of knowledge and skills into classroom and clinical teaching, collaboration and teamwork, facilitators and challenges to applying knowledge and skill into practice, and indirect outcomes to maternal and child health care. Discussion and recommendations: Although educators' knowledge, skills, and confidence for teaching practice increased after participation in CPD, application of new skills was often hampered by insufficient resources and heavy workloads. The results support ongoing CPD programs for nursing and midwifery faculty members to increase their competencies around classroom and clinical teaching practice which can create a positive learning environment for students. The findings of this study highlighted that the application of competencies acquired from CPD workshops into teaching practice was perceived to ultimately contribute to improved student learning outcomes, and thus, enhanced maternal and child health care in Rwanda.

Research paper thumbnail of Nursing and Midwifery Students’ Perceptions and Experiences of Using Blended Learning in Rwanda: A Qualitative Study

Rwanda Journal of Medicine and Health Sciences

BackgroundAlthough blended learning (BL) is being adopted in public and private higher learning i... more BackgroundAlthough blended learning (BL) is being adopted in public and private higher learning institutions (HLIs) in Rwanda, little is known about students’ use of BL in their learning activities. This article describes a qualitative descriptive study of students’ perceptions and experiences of BL in Rwanda’s post-secondary nursing and midwifery programs in public and private HLIs.MethodsThirty-three nursing and midwifery students from all public and private HLIs in Rwanda exposed to BL were invited to participate in three online focus group discussions (FGDs) conducted using a developed FGD guide with open-ended questions. Inductive content analysis was used to analyze the transcripts.ResultsThree main themes emerged from the data analysis:(1) BL perceived as a new and effective teaching and learning approach, (2) Contextual challenges to the BL method, and (3) Recommendations to improve the BL method. From students’ experiences, the benefits included but were not limited to the ...

Research paper thumbnail of Nursing and Midwifery Students’ Perceptions and Experiences of Using Blended Learning in Rwanda: A Qualitative Study

Rwanda Journal of Medicine and Health Sciences

BackgroundAlthough blended learning (BL) is being adopted in public and private higher learning i... more BackgroundAlthough blended learning (BL) is being adopted in public and private higher learning institutions (HLIs) in Rwanda, little is known about students’ use of BL in their learning activities. This article describes a qualitative descriptive study of students’ perceptions and experiences of BL in Rwanda’s post-secondary nursing and midwifery programs in public and private HLIs.MethodsThirty-three nursing and midwifery students from all public and private HLIs in Rwanda exposed to BL were invited to participate in three online focus group discussions (FGDs) conducted using a developed FGD guide with open-ended questions. Inductive content analysis was used to analyze the transcripts.ResultsThree main themes emerged from the data analysis:(1) BL perceived as a new and effective teaching and learning approach, (2) Contextual challenges to the BL method, and (3) Recommendations to improve the BL method. From students’ experiences, the benefits included but were not limited to the ...

Research paper thumbnail of The Analysis of Deixis Found in Channel New Asia

IDEAS: Journal on English Language Teaching and Learning, Linguistics and Literature, 2020

This article describes the study of pragmatics in a specific domain of deixis found in Channel Ne... more This article describes the study of pragmatics in a specific domain of deixis found in Channel New Asia. The aim of this study is to find out the type of deixis found in the Channel New Asia. In this research, through the discussion, it can be concluded from the Channel New Asia, based on Levinson and Yule theory, there are 4 types found and the function also found. From the 4th types, there are nine types of personal deixis. They are from the third person deixis. The use of she, there are three and the use of he, there are six. From the type of place deixis, there is one and also the same with discourse deixis is only one.

Research paper thumbnail of A Critical Analysis of the Tidal Model of Mental Health Recovery

Archives of Psychiatric Nursing, 2021

The purpose of this paper is to critically analyze the Tidal Model of Mental Health Recovery. Thi... more The purpose of this paper is to critically analyze the Tidal Model of Mental Health Recovery. This examination consolidates the existing knowledge used in developing and implementing this model in order to add clarity and explores how its theory relates to practice, research, and educational activities. This paper follows Chinn and Kramer's theory analysis framework, which includes the following criteria: clarity, simplicity, generalizability, importance, and accessibility. While the Tidal Model theory meets the criterion of clarity, simplicity is impeded due to the complexity of its concepts. That being said, Barker's theory is applicable across different psychiatric nursing settings because it is general and accessible. To enhance simplicity and make this a more actionable mid-range theory, an illustration is offered to demonstrate how the theory could be utilized and empiricized with a potential population of women who use substances. It is concluded that the Tidal Model appeals not only to mental health practice, but as the literature indicates, it also supports everyone who needs shelter where they feel safe at some point in their lives.

Research paper thumbnail of Nurse and midwife educators’ experiences of translating teaching methodology knowledge into practice in Rwanda

Objectives The aim of this study was to explore how nurse and midwife educators applied the knowl... more Objectives The aim of this study was to explore how nurse and midwife educators applied the knowledge and skills acquired from attending acontinuous professional development (CPD) workshop on teaching methodologies into their teaching practices in Rwanda. Methods A qualitative descriptive design was used with a purposive sample of 15 nursing and midwifery faculty members from six private and public post-secondary schools in Rwanda. Participants were involved in semi-structured individual interviews. Inductive content analysis was used for generating themes. Results Five themes emerged describing the educators’ teaching experiences: (1) enhanced teaching practices competencies; (2) application of knowledge and skills gained into classroom and clinical teaching; (3) collaboration and teamwork; (4) facilitators and challenges faced to the application of the knowledge and skills into practice; and (5) indirect outcomes to maternal, newborn, and child health care. Conclusion CPD workshop...

Research paper thumbnail of Blended teaching and learning methods in nursing and midwifery education: A scoping review of the literature

Background: Blended learning (BL) is defined as the combination of both traditional face-to-face ... more Background: Blended learning (BL) is defined as the combination of both traditional face-to-face learning and synchronous or asynchronous e-learning approaches. The aim of this scoping review was to explore the literature to obtain a broad understanding of the use of BL in nursing and midwifery education in general, in Sub-Saharan Africa (SSA), and in particular Rwanda. Methods: The literature published between 2010 and 2019 were reviewed from six electronic databases using keywords including blended learning, nursing education, midwifery education, higher education, SSA, and Rwanda. Arksey and O'Malley's framework was used in this review. Results: The initial search identified 1,283 records. Eleven articles were selected for this review after the application of predetermined inclusion criteria. Almost all reviewed articles indicated that the integration of BL methods improved the quality of nursing and midwifery education in general, and in SSA countries including Rwanda. C...

Research paper thumbnail of Can ePortfolios Scaffold Competency-based Workplace Learning in Low-income Countries? Lessons Learnt from a Qualitative Pilot Study in Midwifery Education in Rwanda

Proceedings of the International Conference on Medical Education (ICME 2021)

Research paper thumbnail of Understanding the principle of consumer choice in delivering housing first

Housing Studies

Based on an analysis of a Housing First program this study explores the principle of 'consumer ch... more Based on an analysis of a Housing First program this study explores the principle of 'consumer choice'. Housing First is a model aimed at rapidly ending experiences of housing loss. Based on interviews with 4 program staff and 7 Housing First recipients, this analysis brought to light complexities in 'consumer choice'. The provision of consumer choice can be constrained when housing markets are tight, or when consumers seek congregate living when scattered-site is the focus. Choice can also be a challenge if consumers request housing readiness prior to re-housing. While the principle of choice has allowed services to move away from a staircase model, also considered as a "one size fits all" approach, we need to critically assess whether our current system supports self-determination around unique needs and preferences. This paper provides a thorough discussion on the challenges associated with enacting the principles of Housing First, and how policy environments can either impede or support consumer choice.

Research paper thumbnail of The Impact of COVID-19 Pandemic on Maternal and Child Health Services in Rwanda

Research Journal of Health Sciences

Research paper thumbnail of Implications of COVID-19 Lockdown on Child Preparedness among Rwandan Families

Research Journal of Health Sciences

The world is currently facing the fatal viral pandemic called coronavirus disease 2019 (COVID-19)... more The world is currently facing the fatal viral pandemic called coronavirus disease 2019 (COVID-19), earlier named 2019-novel coronavirus (2019- nCoV). Every country of the world keeps responding to the challenges posed by covid-19 in all aspects of human endeavour with high demand and burden on health care. The report of the first case in Rwanda on 14th March 2020 was accompanied by actions to drive control measures by the government of Rwanda importantly to prevent the spread of COVID-19. Those measures included education on personal preventive behaviours, social distancing and restricting the movement of people locally, nationally and internationally resulting to lockdown that allowed only essential services. Lockdown has particularly affected Rwandan families with pregnant mothers in the context of childbirth preparation in different aspects. This review paper articulates the possible various dimensions of influence of the COVID-19 lockdown on birth preparedness by families and t...

Research paper thumbnail of Thriving After Homelessness: A Concept Analysis

International journal on homelessness, Jun 20, 2024

Research paper thumbnail of Utilization of technology to provide on-the-job trainings on Emergency Obstetric and Neonatal Care: Perspectives of nurses and midwives working in Rwanda’s remote health facilities

Research paper thumbnail of Can ePortfolios Scaffold Competency-based Workplace Learning in Low-income Countries? Lessons Learnt from a Qualitative Pilot Study in Midwifery Education in Rwanda

Advances in social science, education and humanities research, 2021

Background: Rwanda and other low-income countries face a critical shortage of competent midwives.... more Background: Rwanda and other low-income countries face a critical shortage of competent midwives. This capacity problem threatens the attainment of the Sustainable Development Goals by 2030. Competency-based midwifery education (CBME) holds the best promise of developing competencies and improving patient outcomes. However, challenges arise when developing and implementing competency-based frameworks and ePortfolio tools in low-income countries. Aim: This study explored midwifery students', mentors' and supervisors' perceptions about the applicability of an ePortfolio designed on an evidence-based Continuous Workplace Learning Competency Framework. Methods: Using a qualitative descriptive design, in depth-individual interviews were carried out with four midwifery students, two midwife mentors from selected hospitals and two midwife supervisors from a midwifery teaching institution. All interviews were audio-taped, transcribed verbatim and thematically analysed using NVIVO12 software Findings: All participants preferred ePortfolio over paper-based portfolio because of the continuous online accessibility of information. This accessibility encouraged collaboration between stakeholders, facilitated self-monitoring of performance, enhanced IT competency, reduced time and costs of handling portfolios and improved, in some cases, feedback. Nevertheless, the success of implementing a competency-based ePortfolio was strongly dependent on the extent to which essential conditions were met: devices, internet connectivity, time and training. The ePortfolio was not used in its full potential because of lack of knowledge of different categories of the Competency Framework. Conclusions: The results of this pilot study suggest that ePortfolios are the future to support workplace learning. An important lesson is that low-income countries must first implement the principles of CBME in clinical education followed by the design of ePortfolios according to evidence-based competency frameworks.

Research paper thumbnail of Nurses and Midwives' Perspectives on Technology-Enhanced Learning and Continuous Professional Development on Emergency Obstetric and Neonatal Care in Rwanda

Background: One of the targets for the third sustainable development goals is to reduce worldwide... more Background: One of the targets for the third sustainable development goals is to reduce worldwide maternal mortality ratio (MMR) to less than 70 deaths per 100,000 live births by 2030. To address issues affecting women and the newborns during childbirth and postnatal period, concerted efforts from governments and their stakeholders are crucial to maximize the use of technology to enhance frontline health professionals' skills to provide the emergency obstetric and newborn care (EmONC). However, no study has garnered nurses’ and midwives’ perspectives regarding the application of technology-enhanced learning approach to provide on-job CPDs and factors that may influence the application of this training approach in the Rwandan context. Methods: The study collected data from nurses and midwives from forty (40) public health facilities in remote areas nationwide. The study applied a qualitative descriptive design to explore and describe nurses’ and midwives’ perspectives on the feas...

Research paper thumbnail of Benefits of a Mentorship Program on Interprofessional Collaboration in Obstetric and Neonatal Care in Rwanda: A Qualitative Descriptive Case Study

Rwanda Journal of Medicine and Health Sciences

BackgroundInterprofessional collaboration (IPC) contributes to optimum patient outcomes. The Trai... more BackgroundInterprofessional collaboration (IPC) contributes to optimum patient outcomes. The Training, Support, Access Model for Maternal, New Born, and Child Health (TSAM – MNCH), a project initiated as an innovative model for Rwanda, has provided a mentorship program to improve the quality of emergency obstetric and neonatal care (EmONC )including IPC. However, no research has been conducted to understand the impact of that mentorship on IPC practice.Study objectiveTo identify the impact of the TSAM mentorship on IPC practice in Rwanda from the perspective of hospital managers where TSAM mentorship was implemented and healthcare professionals (HCPs) participated in the mentoring program.MethodsA qualitative descriptive case study was conducted in five district hospitals in the Northern Province of Rwanda. Interviews were conducted with hospital directors and twenty-five HCPs mentees. Data were recorded, transcribed verbatim, and analyzed to identify emergent themesResults and disc...

Research paper thumbnail of Knowledge, attitudes, and practices towards hepatitis B virus prevention among nursing students at a selected campus in Rwanda

Research Journal of Health Sciences, 2021

Introduction: Hepatitis B virus continues to be among the significant global challenges, and its ... more Introduction: Hepatitis B virus continues to be among the significant global challenges, and its prevention is doubtable among nursing students due to the lack of knowledge or exposure to risky behaviors in their clinical practices. This study was conducted to assess nursing students at a selected campus in Rwanda about their knowledge, attitudes, and practices towards hepatitis B prevention.Methods: A cross-sectional study design was used to conduct this study. Non-probability sampling, including convenience and snowball techniques, was used to determine the representation at all levels at a selected Campus from May to July 2018. Statistical Package for the Social Sciences (SPSS) version 26 was used for data entry. Descriptive and inferential statistics using Binary logistic regression were used to analyze the data. Institutional Review Board (IRB) of the University of Rwanda approved the study, andparticipants' rights were protected.Results: Among 171 study participants, onl...

Research paper thumbnail of Interprofessional collaboration experience among healthcare professionals providing emergency obstetric and neonatal care in Rwanda. A qualitative descriptive case study

Journal of Interprofessional Education & Practice

Research paper thumbnail of Rwandan Nursing and Midwifery Faculty's Experiences of Applying Knowledge about Teaching Methodology to Practice in Academic and Clinical Settings with Students

Research paper thumbnail of Early routine amniotomy: an unnecessary procedure

Research Journal of Health Sciences, 2021

Early routine amniotomy, also known as artificial rupture of the amniotic membrane, is one of the... more Early routine amniotomy, also known as artificial rupture of the amniotic membrane, is one of the procedures used to induce and accelerate labour before cervical dilation reaches four centimeters. Because of its benefits and risks, there are at least two schools of thought about this controversial issue. The purpose of this paper is to argue against early routine amniotomy as an unnecessary procedure that can have drastic and unintended outcomes associated with the labour process, the fetus, and the mother. This commentary paper articulates that early routine amniotomy is a questionable procedure because its risks outweigh its benefits. Therefore, routine early amniotomy should be discouraged among obstetrical procedures. Keywords: Amniotomy, artificial rupture of membrane, routine, labour, process

Research paper thumbnail of Rwandan Nursing and Midwifery Faculty\\u27s Experiences of Applying Knowledge about Teaching Methodology to Practice in Academic and Clinical Settings with Students

Aim and objectives: Nursing and midwifery faculty play a vital role in nursing and midwifery stud... more Aim and objectives: Nursing and midwifery faculty play a vital role in nursing and midwifery students' professional development as soon-to-be clinicians by enabling them to gain essential competencies in perinatal and neonatal care. To enhance the quality of pre-service education of nursing and midwifery students in Rwanda, nursing and midwifery faculty participated in continuous professional development (CPD) educational workshops about teaching methodologies. The study's aim was to explore nursing and midwifery faculty's experiences of translating the knowledge and skills acquired from the workshops about teaching methodologies into their teaching practice in academic and clinical practice contexts. Methodology: A qualitative descriptive design was used with a purposive sample of 15 nursing and midwifery faculty from six private and public schools. Participants were involved in semistructured individual interviews. Inductive content analysis was used for generating themes. Results: Five themes emerged: enhanced competencies about teaching practices, application of knowledge and skills into classroom and clinical teaching, collaboration and teamwork, facilitators and challenges to applying knowledge and skill into practice, and indirect outcomes to maternal and child health care. Discussion and recommendations: Although educators' knowledge, skills, and confidence for teaching practice increased after participation in CPD, application of new skills was often hampered by insufficient resources and heavy workloads. The results support ongoing CPD programs for nursing and midwifery faculty members to increase their competencies around classroom and clinical teaching practice which can create a positive learning environment for students. The findings of this study highlighted that the application of competencies acquired from CPD workshops into teaching practice was perceived to ultimately contribute to improved student learning outcomes, and thus, enhanced maternal and child health care in Rwanda.

Research paper thumbnail of Nursing and Midwifery Students’ Perceptions and Experiences of Using Blended Learning in Rwanda: A Qualitative Study

Rwanda Journal of Medicine and Health Sciences

BackgroundAlthough blended learning (BL) is being adopted in public and private higher learning i... more BackgroundAlthough blended learning (BL) is being adopted in public and private higher learning institutions (HLIs) in Rwanda, little is known about students’ use of BL in their learning activities. This article describes a qualitative descriptive study of students’ perceptions and experiences of BL in Rwanda’s post-secondary nursing and midwifery programs in public and private HLIs.MethodsThirty-three nursing and midwifery students from all public and private HLIs in Rwanda exposed to BL were invited to participate in three online focus group discussions (FGDs) conducted using a developed FGD guide with open-ended questions. Inductive content analysis was used to analyze the transcripts.ResultsThree main themes emerged from the data analysis:(1) BL perceived as a new and effective teaching and learning approach, (2) Contextual challenges to the BL method, and (3) Recommendations to improve the BL method. From students’ experiences, the benefits included but were not limited to the ...

Research paper thumbnail of Nursing and Midwifery Students’ Perceptions and Experiences of Using Blended Learning in Rwanda: A Qualitative Study

Rwanda Journal of Medicine and Health Sciences

BackgroundAlthough blended learning (BL) is being adopted in public and private higher learning i... more BackgroundAlthough blended learning (BL) is being adopted in public and private higher learning institutions (HLIs) in Rwanda, little is known about students’ use of BL in their learning activities. This article describes a qualitative descriptive study of students’ perceptions and experiences of BL in Rwanda’s post-secondary nursing and midwifery programs in public and private HLIs.MethodsThirty-three nursing and midwifery students from all public and private HLIs in Rwanda exposed to BL were invited to participate in three online focus group discussions (FGDs) conducted using a developed FGD guide with open-ended questions. Inductive content analysis was used to analyze the transcripts.ResultsThree main themes emerged from the data analysis:(1) BL perceived as a new and effective teaching and learning approach, (2) Contextual challenges to the BL method, and (3) Recommendations to improve the BL method. From students’ experiences, the benefits included but were not limited to the ...

Research paper thumbnail of The Analysis of Deixis Found in Channel New Asia

IDEAS: Journal on English Language Teaching and Learning, Linguistics and Literature, 2020

This article describes the study of pragmatics in a specific domain of deixis found in Channel Ne... more This article describes the study of pragmatics in a specific domain of deixis found in Channel New Asia. The aim of this study is to find out the type of deixis found in the Channel New Asia. In this research, through the discussion, it can be concluded from the Channel New Asia, based on Levinson and Yule theory, there are 4 types found and the function also found. From the 4th types, there are nine types of personal deixis. They are from the third person deixis. The use of she, there are three and the use of he, there are six. From the type of place deixis, there is one and also the same with discourse deixis is only one.

Research paper thumbnail of A Critical Analysis of the Tidal Model of Mental Health Recovery

Archives of Psychiatric Nursing, 2021

The purpose of this paper is to critically analyze the Tidal Model of Mental Health Recovery. Thi... more The purpose of this paper is to critically analyze the Tidal Model of Mental Health Recovery. This examination consolidates the existing knowledge used in developing and implementing this model in order to add clarity and explores how its theory relates to practice, research, and educational activities. This paper follows Chinn and Kramer's theory analysis framework, which includes the following criteria: clarity, simplicity, generalizability, importance, and accessibility. While the Tidal Model theory meets the criterion of clarity, simplicity is impeded due to the complexity of its concepts. That being said, Barker's theory is applicable across different psychiatric nursing settings because it is general and accessible. To enhance simplicity and make this a more actionable mid-range theory, an illustration is offered to demonstrate how the theory could be utilized and empiricized with a potential population of women who use substances. It is concluded that the Tidal Model appeals not only to mental health practice, but as the literature indicates, it also supports everyone who needs shelter where they feel safe at some point in their lives.

Research paper thumbnail of Nurse and midwife educators’ experiences of translating teaching methodology knowledge into practice in Rwanda

Objectives The aim of this study was to explore how nurse and midwife educators applied the knowl... more Objectives The aim of this study was to explore how nurse and midwife educators applied the knowledge and skills acquired from attending acontinuous professional development (CPD) workshop on teaching methodologies into their teaching practices in Rwanda. Methods A qualitative descriptive design was used with a purposive sample of 15 nursing and midwifery faculty members from six private and public post-secondary schools in Rwanda. Participants were involved in semi-structured individual interviews. Inductive content analysis was used for generating themes. Results Five themes emerged describing the educators’ teaching experiences: (1) enhanced teaching practices competencies; (2) application of knowledge and skills gained into classroom and clinical teaching; (3) collaboration and teamwork; (4) facilitators and challenges faced to the application of the knowledge and skills into practice; and (5) indirect outcomes to maternal, newborn, and child health care. Conclusion CPD workshop...

Research paper thumbnail of Blended teaching and learning methods in nursing and midwifery education: A scoping review of the literature

Background: Blended learning (BL) is defined as the combination of both traditional face-to-face ... more Background: Blended learning (BL) is defined as the combination of both traditional face-to-face learning and synchronous or asynchronous e-learning approaches. The aim of this scoping review was to explore the literature to obtain a broad understanding of the use of BL in nursing and midwifery education in general, in Sub-Saharan Africa (SSA), and in particular Rwanda. Methods: The literature published between 2010 and 2019 were reviewed from six electronic databases using keywords including blended learning, nursing education, midwifery education, higher education, SSA, and Rwanda. Arksey and O'Malley's framework was used in this review. Results: The initial search identified 1,283 records. Eleven articles were selected for this review after the application of predetermined inclusion criteria. Almost all reviewed articles indicated that the integration of BL methods improved the quality of nursing and midwifery education in general, and in SSA countries including Rwanda. C...

Research paper thumbnail of Can ePortfolios Scaffold Competency-based Workplace Learning in Low-income Countries? Lessons Learnt from a Qualitative Pilot Study in Midwifery Education in Rwanda

Proceedings of the International Conference on Medical Education (ICME 2021)

Research paper thumbnail of Understanding the principle of consumer choice in delivering housing first

Housing Studies

Based on an analysis of a Housing First program this study explores the principle of 'consumer ch... more Based on an analysis of a Housing First program this study explores the principle of 'consumer choice'. Housing First is a model aimed at rapidly ending experiences of housing loss. Based on interviews with 4 program staff and 7 Housing First recipients, this analysis brought to light complexities in 'consumer choice'. The provision of consumer choice can be constrained when housing markets are tight, or when consumers seek congregate living when scattered-site is the focus. Choice can also be a challenge if consumers request housing readiness prior to re-housing. While the principle of choice has allowed services to move away from a staircase model, also considered as a "one size fits all" approach, we need to critically assess whether our current system supports self-determination around unique needs and preferences. This paper provides a thorough discussion on the challenges associated with enacting the principles of Housing First, and how policy environments can either impede or support consumer choice.

Research paper thumbnail of The Impact of COVID-19 Pandemic on Maternal and Child Health Services in Rwanda

Research Journal of Health Sciences

Research paper thumbnail of Implications of COVID-19 Lockdown on Child Preparedness among Rwandan Families

Research Journal of Health Sciences

The world is currently facing the fatal viral pandemic called coronavirus disease 2019 (COVID-19)... more The world is currently facing the fatal viral pandemic called coronavirus disease 2019 (COVID-19), earlier named 2019-novel coronavirus (2019- nCoV). Every country of the world keeps responding to the challenges posed by covid-19 in all aspects of human endeavour with high demand and burden on health care. The report of the first case in Rwanda on 14th March 2020 was accompanied by actions to drive control measures by the government of Rwanda importantly to prevent the spread of COVID-19. Those measures included education on personal preventive behaviours, social distancing and restricting the movement of people locally, nationally and internationally resulting to lockdown that allowed only essential services. Lockdown has particularly affected Rwandan families with pregnant mothers in the context of childbirth preparation in different aspects. This review paper articulates the possible various dimensions of influence of the COVID-19 lockdown on birth preparedness by families and t...