A distinctive Framework for Adventist Nursing: Cameroon

1. A distinctive Framework for Adventist Nursing: Cameroon Marie Abemyil

2. DFAN/Cameroon • The history/the context • 2003, Dr Hart • 2005 November 01: pioneer • Two tracts BS direct and RN to BS • First cohort: 20 students

3. DFAN/Cameroon • The history/the context • 2018: 187 students

4. DFAN/Cameroon • The history/the context Laval Partnership: last year students’ community and cultural internship 4 cohorts since 2015 (2-2-4-2)

5. DFAN/Cameroon • The history/the context Laval - Community outreaches for church members with nurse students.

6. DFAN/Cameroon • The history/the context • 2009 WHO project scaling-up midwifery education • 2015 Bloemfontein • 2016 enrolment Nursing Midwifery program 6-12-18

7. DFAN/Cameroon • The history/the context • Our aim: meet our environment (individuals, families, communties)needs • Educating community-based and culturally-sensitive Nurse Midwives to meet those needs and contribute to reducing maternal mortality rate

8. DFAN/Cameroon • The history/the context To that end Reach women where they mostly die • Community outreaches for women in procreative age with nurse midwives students

9. DFAN/Cameroon • The history/the context Acknowledgement The project/Dr Patricia JONES And the HILDE • a brand new vehicle • Hilde maternal care centre

10. DFAN/Cameroon • HOW? • The utilisation of the model to guide nursing activities (practice, education, administration and research) • A recommendation by the nursing discipline since the 70ths

11. DFAN/Cameroon • HOW? Person Environment Clinical, Family, Community, school

12. DFAN/Cameroon ENVIRONMENT • HOW? NURSING PERSON Interventions: caring, teaching, educating

13. DFAN/Cameroon ENVIRONMENT • HOW? HEALTH INDIVIDUALS FAMILIES COMMUNITIES STUDENTS NURSING PERSON

14. DFAN/Cameroon • ASSESSMENT OF THE METAPARADIGMS IN OUR CONTEXT • Our environment: Cameroon profile • In Central Africa Region and covers 475.000 km sheltering 24. 174. 967 inhabitants. • Women rate 51, 3%. • The poverty doorstep per inhabitant is $2. • 66% of the population lives in rural areas practicing subsistence agriculture as main source of income. • (BUCREP, 2016) in urban areas.

15. DFAN/Cameroon • Our environment (con’t): Cameroon profile • More than 250 ethnical origins cultural and traditional issues our graduates will deal with. • Nursing activities are not successful because most of the time, they don’t (or scarcely) inform people about what the are doing • Poor practice of interventions: they need to learn more about competence and humanistic care

16. DFAN/Cameroon • Our environment • Maternal mortality rate: among the highest in the world • 782/100.000 life birth

17. DFAN/Cameroon • Person: • A human being, created at the God’s image, mostly leaving in rural areas • Community-based and culturally- embedded, with specific health needs

18. DFAN/Cameroon • Person: • Gaps between poor rural and urban population • ‘’The richer you are, the more likely you benefit from being assisted by a qualified professional... The poorest you are, the more likely you are to be assisted by a friend or a traditional health attendant. • World Bank • NANGA-EBOKO

19. DFAN/Cameroon • Health: a fulfilment of the whole God’s image potential, addressing all his/her dimensions to restore that original image in him/her

20. DFAN/Cameroon • Nursing: a fulfilment of the whole God’s image potential, addressing all his/her dimensions to restore that original image in him/her.

21. DFAN/Cameroon • Our prior approach so far • Eclectic: • M. Leininger: transcultural nursing • J. Waston: trans-personality, competence and humanity (presence, compassion, caring) • M. Newman; care as expansion of the conscientiousness (provide total information, active listening, dialoging)

22. DFAN/Cameroon • APPLICATION OF MODEL: - translated • What is common with Leininger, Watson, and Newman.

23. DFAN/Cameroon • What is common with Leininger, Watson, and Newman • Caring, acknowledge the cultural component of human beings, competency, humanistic care

24. DFAN/Cameroon • What is specific with DFAN • The place given to God: • Priority • Our Creator and the redeemer

25. DFAN/Cameroon • What is specific with DFAN • Emphasis in CONNECTEDNESS • Self • God

26. DFAN/Cameroon • What is specific with DFAN • Connectedness leads to EMPOWERMENT • Ourselves (personal connexion) • Students and Faculty

27. DFAN/Cameroon • Empowered graduates will provide quality interventions in clinical setting, families and communities CARING

28. DFAN/Cameroon • Empowered graduates will become qualified educators, Mentoring, role modelling, and empowering their students.

29. DFAN/Cameroon • Application • Connectedness leads to empowerment • To empower Faculty • Devotional session even for non Adventist visiting Professors • Involved in community activities

30. DFAN/Cameroon • Application Connectedness leads to empowerment • To empower our student • From the beginning: Genesis 1 and 2 • Communityoutreach: once a week

31. DFAN/Cameroon • Application • Empowerment will lead to connected graduates and quality care • HIGH standard of our graduates/ • Reports from the places of work • Rapid growth of our graduates

32. DFAN/Cameroon • Thank you for The pleasure of Listening • The joy of sharing