Abstract
Competence-based education (CBE) has been increasingly emphasized in optimising the preparation of healthcare professionals. Uganda like many other countries of the world, has taken considerable strides in implementing CBE training of nurses and midwives. The aim of this study was to investigate the perception of professionals regarding appropriateness of the CBE curriculum content in terms of organisation, clarity, relevance and suitability in training programs of nurses and midwives of Uganda. The study was conducted at Mulago National Referral Hospital (MNRH) that recruits the biggest number of trained CBE nurses and midwives. The study used concurrent mixed methods to gather both quantitative and qualitative data from respondents. It used a total sample of 193 professionals comprising of 102 CBE trained participants and 91 Key stakeholders. Findings of this study indicate that the CBE curriculum content used in the training of nurses and midwives was appropriate. However, it was concluded that the CBE curriculum implementation process remains a challenge due to inadequate sensitization of implementers, as well as standardization of the CBE curriculum content implementation process. It was recommended that sensitization and orientation of stakeholders is necessary for adapting the CBE curriculum content in the training of nurses and midwives. Key words: Competence-Based-Education, curriculum content appropriateness, quality healthcare, service delivery, competences, skilled nurses and midwives.
Highlights
Delivering appropriate health care services is fundamental for the human wellbeing
The year of completion of the training of participants who went through the Competence-Based Education (CBE) program and were working in Mulago National Referral Hospital (MNRH) as was between 2008 and 2014 (Figure 1)
This implies that participants in this study were contributing extensively to critical clinical healthcare which increasingly demands for highly specialized competences in contemporary hospitals
Summary
Delivering appropriate health care services is fundamental for the human wellbeing. Nurses and midwives are the backbone of hospital based and community healthcare service delivery worldwide (AdibHajbaghery, 2013; WHO, 2009). CBE is an outcomes-based approach to the design, implementation, assessment, and evaluation of education programs (Boyd et al, 2018; Frank et al, 2010; Pijl-Zieber et al, 2014). It is a framework for designing and implementing education that focuses on the desired performance characteristics, and acquisition of expected attitudes, skills, and knowledge by trainees that are necessary for them to offer quality healthcare services (Carraccio et al, 2002; Eraut, 1994; Josephsen, 2014)
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