Dilemmas in Nurse Practitioner Education: The Experience of Botswana
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Dilemmas in Nurse Practitioner Education: The Experience of Botswana. Dr. Cynthia N. Pilane, RN/ DLitt et Phil Phone: (+267) 355 2270(w) University of Botswana (+267) 3971309 (h) Mobile: (+267) 72263973 Email: pilane@mopipi.ub.bw Onalenna S. Seitio, RN/RM, BEd. MSN/CS Phone: (+267) 3953033

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Dilemmas in Nurse Practitioner Education: The Experience of Botswana

Dr. Cynthia N. Pilane, RN/ DLitt et PhilPhone: (+267) 355 2270(w)

University of Botswana(+267) 3971309 (h)

Mobile: (+267) 72263973

Email: pilane@mopipi.ub.bw

Onalenna S. Seitio, RN/RM, BEd. MSN/CSPhone: (+267) 3953033

Institute of Health Sciences –GaboroneMobile: (+267) 72619577

Email: oseitio@gov.bw

Patricia T Ncube, RN/RM BEd. MSNPhone: (+267) 3552398

University of Botswana(+267) 3926105

Mobile: (+267) 72575643

Email: ncubept@mopipi.ub.bw


Introduction l.jpg
Introduction Botswana

The current nursing education system in Botswana does not support continued learning:

  • No recognition of prior learning

  • Repetition of content

  • All diploma holders are awarded a blanket one year exemption when they want to pursue degree

  • Cost for attainment of degree is prohibitive


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Rationale for articulating FNP with BNS Botswana

Making the programme cost effective in terms of length of time and financial burden and redundancy.

  • It takes a minimum of twelve (12) years to qualify with BNS.

  • To complete BNS from FNP costs a total of P 310 488.00

  • to decrease unnecessary redundancy and repetition.


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Comparison of the FNP, BNS and MNS Programs Botswana

  • Entry Requirements

  • Mandate of the Program

  • Duration

  • Number of Credits

  • Academic Regulations


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Course Equivalence Botswana

  • Health Assessment

  • Family Nursing

  • Health Promotion

  • Physiology/ Patho-physiology


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  • Sexual and Reproductive Health Pharmacotherapeutics

  • Statistics

  • Research Theory

  • Role Development

  • Disease Diagnosis and Management in Adults and Older Adults


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Example of Reproductive Health Care (Practicum)coursecomparison

HEALTH ASSESSMENT:

  • FNP 401- 4 CREDITS, FOCUS ON ACQUISITION OF ADVANCED SKILLS

  • Inbuilt PRACTICAL HOURS (1 CREDIT)

  • BNS 300- 3 CREDITS, FOCUS ON ACQUISITION OF BEGINNING Skills

  • PRACTICAL APPLICATION IN OTHER COURSES

  • MNS 604 -3 CREDITS, FOCUS ON ACQUISITION OF ADVANCED Skills

  • PRACTICAL APPLICATION IN OTHER COURSES.


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Analysis Reproductive Health Care (Practicum)

  • Entry requirements for both FNP and BNS are the same.

  • Duration of FNP and BNS programmes, and total credits differ because of repeated content.

  • FNP credits build on the basic General Nursing which is also three years long

  • BNS completion does not add value, instead content repeated


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Out of the 19 courses done in the FNP programme: Reproductive Health Care (Practicum)

  • twelve (12) are the same with MNS.

  • better coverage, depth and focus than in BNS.

  • Five (5) courses (17 Credits)- not offered at BNS

  • Only two (2) courses are identical in both FNP and BNS.


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FNP credit deficit Reproductive Health Care (Practicum)

  • basic sciences (21 credits)

  • liberal arts/optional courses (41 credits), making a total of 62 credits.

  • 17 credits done in FNP but not in BNS, make up for optional courses,

  • FNP deficit is therefore only 45 credits to get a degree.


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Conclusion and Recommendations Reproductive Health Care (Practicum)

According to the above analysis:

  • FNP should do only 45 credits to qualify for BNS.

  • FNP be exempted from CHN and Psych Mental Health courses.

  • FNP to be articulated with the Masters program

  • Other post basic programmes be analyzed and articulated with BNS.

  • University of Botswana to expedite articulation process.