Woman donates her blood in a street point in sub Saharan Africa

Assessment of Relevancy of Nurse Practitioner Entry-to-Practice Competencies in the Primary Health Care Systems of Sub-Saharan Africa

July 20, 2023

The family nurse practitioners (FNP) role has been shown to increase access to quality, safe primary care for populations that have not had this access before.

presenters at international nursing congress
Cecelia Kpangbala-Flomo RN, MPH, Registrar for the Liberia Board of Nursing and Midwifery, Republic of Liberia; Dorcas Kunkel, RN/PHN, DNP, clinical associate professor, U of M, School of Nursing; and Diana Sarteh, RN, MPH, chief nursing officer, Ministry of Health, Republic of Liberia; presented at the 2023 International Council of Nurses Congress (missing author: Edwin Beyan, DHSc, RN, coordinator of Graduate Nursing Programs, Mother Patern College of Health Sciences, Monrovia, Liberia).

A new study supported by a 2022 SDG Research Grant Award and led by Dorcas Kunkel, RN/PHN, DNP, clinical associate professor at the School of Nursing, will assess the relevancy of an existing set of core competencies for training and practice of advanced practice nurses in primary health care contexts, in particular FNPs in Liberia and for additional application in Sub-Saharan Africa.

The project is built upon what was learned in previous educational initiatives in Liberia and will provide information for governmental, and non-governmental organizations and boards of nursing to begin to plan for context relevant, national, graduate level FNP curriculum for programs of nursing in universities and colleges.

These advanced practice nursing roles can begin to fill the profound gap that exists in the numbers of primary care providers in Liberia and across Sub-Saharan Africa.

"I, along with my research team and supporting colleagues in Liberia, have been extremely grateful for this SDG Research Grant Award," said Kunkel. "It has made it possible to plan for data collection that is context relevant, necessary and ethically sound. This work can provide information to build a foundation (sustained) for advanced practice nursing initiatives through the appropriate country channels using the PEPPA Framework in Liberia and that is applicable to other Sub-Saharan countries. This project fulfills Steps 4 & 5 of the PEPPA Framework (a nine step process)."

Kunkel adds that she is looking forward to data collection in the near future, and to analyzing and presenting and writing about the results and how they can be used. 


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