Table 1.
Personas used to create and map competencies.
| Getrude – Research Nurse at the University of Malawi |
| Getrude is 29 years old. She holds a Diploma in Nursing and has 5 years’ experience. She is registered with the Malawi Nursing Council. She was recently recruited as a research nurse in a clinical study being conducted at the Malawi Medical College of Medicine and Nursing. Her current duties include: |
| • Recruiting volunteers for a clinical and genetics research project. The volunteers will be recruited from the Yao tribe. |
| • Engaging with some villages from the Yao tribe |
| • Administering of informed consent |
| • Piloting and implementing the Case Reporting Forms in collaboration with the Study Coordinator |
| • Overseeing translation of the Informed Consent Forms and the Case Reporting Forms into the Chiyao language |
| • Taking blood specimens from children and making sure these are stored as per the Standard Operating Procedures |
| • Record keeping and other administrative duties as per SOPS provided. |
| • Reports to the Study Coordinator |
| • Referring study participants to the local clinic for treatment |
| Melody – Senior Midwife HIV Specialist: Malawi |
| Melody is 40 years old and holds a Senior Nurse Position in a district hospital. She holds a Bachelor degree in Nursing with two postgraduate diplomas in midwifery and HIV & AIDS Care. She is registered with the South African Nursing Council (SANC). She manages the day-to-day nursing operations within the midwifery department. She has 8 years experience in nursing. Her role covers the areas below: |
| • Maternal health; |
| • Reproductive health (including genetic counselling); |
| • Neonatal/child health (including genetic counselling) |
| Duties include: |
| Coordination of patient care. |
| Patient consultation, counselling and recommendation of treatment plans this includes the following clients: |
| • adherence counselling to avoid drug resistant strains of HIV, TB and other infectious agents |
| • pregnant women |
| • those with severe drug responses |
| • Providing consultation and advice to other nurses as a specialist practitioner |
| • Individual and team supervision. |
| • Ensure adherence of the unit to hospital and government policies and guidelines as they relate to nursing procedures, standards and practices, administrative and budgetary management. |
| • Working in collaboration with other healthcare professionals when they are available. |
| Douglas - Community Health Nurse: Nigeria |
| • Douglas is a 42-year-old Community Health Nurse who holds a 4 year Diploma in Nursing with 10 years’ experience. He works at a clinic in a farming community in Nigeria providing nursing care, health counselling, screening and education to individuals, families and groups in the community with a focus on health promotion. |
| • Duties IncludeProviding nursing care and preventative health services in community settings and community-based health care facilities. |
| • Identifying health care needs, priorities and problems of individuals, families and communities. |
| • Referring individuals or families in need of specialized care or hospitalization |
| • Coordinating health care interventions at community level. |
| • Coordinating the care of patients in community settings in consultation with other health professionals and members of health teams. |
| • Detects high risk factors amongst community members, developing and implementing care plans for the biological, social, and psychological treatment of patients in collaboration with other health professionals. |
| • Planning and providing personal care, treatments and therapies including administering medications, and monitoring responses to treatment or care plan. |
| • Planning and participating in health education programmes, health promotion and nurse education activities in clinical and community settings. |
| • Providing information about prevention of ill-health, treatment and care. |
| • Supervising and coordinating the work of other nursing, health and personal care workers |
| Erensia - General Nurse, Stellenbosch, South Africa |
| She holds a Bachelor degree in Nursing. She is registered with the South African Nursing Council as a Nurse (general, community, psychiatry) and midwife. She is currently working in an adult medical ward. |
| Duties include: |
| • Conducts individualized patient assessment, prioritizing data collection based on the adult or elderly patient’s immediate condition or needs within time frame specified by governing policies, procedures or protocols. |
| • Develops individualized plans of care patients reflecting on collaborations with other members of the healthcare team. |
| • Performs appropriate treatments as ordered by physicians in an accurate and timely manner. |
| • Performs therapeutic nursing interventions as established by individualized plan of care for the adult or elderly patient and his/her family, taking into account the patient’s family history. |
| • Provides individualized patient/family education customized to the adult or elderly patient and his/her family. |
| • Documents patient assessment findings, physical/psychosocial responses to nursing intervention and progress towards problem resolution. |
| • Initiates emergency resuscitative measures according to adult resuscitation protocols. |
| • Maintains confidentiality in matters related to patient, family and healthcare staff. |
| • Provides care in a non-judgmental, non-discriminatory manner that is sensitive to the adult or elderly patient’s and family’s diversity, preserving their autonomy, dignity and rights. |
| • Reports patient condition to the multidisciplinary team during each shift. |
| • Maintains current competency in General Nursing |
| • Keeps up to date with current research evidence in order to change policies and procedures to improve healthcare outcomes |