Perspectives of Supervisors on the Diploma in Nursing Graduates’ Performance in Selected Healthcare Facilities of Malawi: A Qualitative Tracer Study

Esmie Mkwinda; Chimwemwe Munthali; Zione Mugala; Catherine Titanus Mselema; Jester Jere; Merium Kalyolyo Banda; Treazer Jere; Geldine Chironda

doi:10.25159/2520-5293/19505

Authors

Esmie Mkwinda Saint John of God University https://orcid.org/0000-0002-6658-2504
Chimwemwe Munthali Saint John of God University
Zione Mugala Saint John of God University https://orcid.org/0009-0000-6082-9185
Catherine Titanus Mselema Saint John of God University https://orcid.org/0009-0004-6681-9841
Jester Jere Saint John of God University https://orcid.org/0009-0004-3857-3565
Merium Kalyolyo Banda Saint John of God University https://orcid.org/0009-0003-5616-897X
Treazer Jere Saint John of God University
Geldine Chironda Saint John of God University https://orcid.org/0000-0003-1361-1495

DOI:

https://doi.org/10.25159/2520-5293/19505

Keywords:

supervisors, diploma in nursing graduates, performance, healthcare facilities, tracer study

Abstract

Tracer studies are essential for understanding the relevance and quality of programmes offered by universities and the labour market. Saint John of God College of Health Sciences (SJOGCHS) introduced the Diploma in Nursing programme in 2014 and is committed to producing competent graduates who meet employer expectations. This study explored the supervisors’ views on the performance of the SJOGCHS diploma in nursing graduates in selected healthcare facilities in Malawi. An explorative research design that followed a qualitative approach was used to collect data from the immediate supervisors of the graduates using individual interviews. Data were collected from thirteen (13) participants in eight (8) government and private healthcare facilities using a semi-structured in-depth interview guide and analysed using a content analysis guide. Findings revealed that graduates performed several nursing roles like basic and mental health care, teaching students, supervising junior staff, ward management and quality assurance activities. These roles were performed with minimal supervision, while other graduates performed beyond expectations. Supervisors noted that graduates had gaps in managing obstetrics and gynaecological cases, professionalism, delegation and ward management. The study recommended that SJOGCHS should introduce a generic training programme with both nursing and midwifery components and an upgrading programme in midwifery to improve care of obstetric and gynaecological patients and their employability. Furthermore, students in these programmes would need frequent supervision in the clinical area and innovative delivery of management and leadership courses.

Author Biography

Geldine Chironda, Saint John of God University

Seed Global Health

References

Ahmed, H., and T. Tessma. 2020. “Employers’ Expectations and Perceptions of Business and Economics College Graduate’s Competencies in Ethiopia.” IBMRD’s Journal of Management & Research 9 (2): 37–50. https://doi.org/10.17697/ibmrd/2020/v9i2/156630

Aiken, L. H., M. Simonetti, D.M. Sloane, C. Cerón, P. Soto, D. Bravo, A. Galiano, J. R. Behrman, H. L. Smith, M. D. McHugh, and E. T. Lake. 2021. “Hospital Nurse Staffing and Patient Outcomes in Chile: A Multilevel Cross-Sectional Study.” The Lancet Global Health 9 (8). https://doi.org/10.1016/s2214-109x(21)00209-6.

Austria, J. 2023. “Tracer Study of the Nursing Graduates in a State College.” International Journal of Multidisciplinary 4 (9): 3318–3328. https://doi.org/10.11594/ijmaber.04.09.20

Bril, I., H. J. Boer, N. Degens, and J. Fleer. 2022. “Nursing Students’ Experiences with Clinical Placement as a Learning Environment for Assertiveness: A Qualitative Interview Study.” Teaching and Learning in Nursing 17 (4): 383–391. https://doi.org/10.1016/j.teln.2022.04.006

Chima, T., E. Mkwinda, S. Kumwenda, and T. Machaya. 2023. “A Tracer Study of Psychosocial Counselling Graduates Working in Different Healthcare Facilities across Malawi.” Journal of Multidisciplinary Healthcare 16 (October): 2977–2992. https://doi.org/10.2147/JMDH.S427513

Clarke, H. 2021. “How Pre-Registration Nursing Students Acquire Delegation Skills: A Systematic Literature Review.” Nurse Education Today 106 (105096): 105096. https://doi.org/10.1016/j.nedt.2021.105096

Dahlke, S., M. R. Kalogirou, and N. L. Swoboda. 2021. “Registered Nurses’ Reflections on Their Educational Preparation to Work with Older People.” International Journal of Older People Nursing 16 (2): e12363. https://doi.org/10.1111/opn.12363

Dzimbiri, G. L. and M. A. Molefi. 2022. “Model of Talent Management for Registered Nurses in Malawian Public Hospitals.” SA Journal of Industrial Psychology 48: a1953. https://doi.org/10.4102/sajip.v48i0.1953

Ebaid, I. E. S. 2021. “Employers’ Perceptions of Generic Employability Skills of Accounting Graduates: Evidence from Saudi Arabia.” Journal of Management and Business Education 4 (2): 136–149. https://doi.org/10.35564/jmbe.2021.0008

Ernawati, E., D. M. Damris, A. Revis, and S. Elrifda. 2022. “How Effective Is Clinical Supervision in Nursing? A Systematic Review.” Journal of Client-Centered Nursing Care 8 (2): 69–78. https://doi.org/10.32598/JCCNC.8.2.426.

Gaite, F. T. G., R.A. Arroyo, P. J. Lim, and P. M. E. Vergara. 2022. “Employers’ Feedback on Job Performance of Hotel and Restaurant Management Graduates.” International Journal of Academe and Industry Research 3 (4): 129–44. https://doi.org/10.53378/352944.

Gondwe, M. J., N. Desmond, M. Aminu, and S. Allen. 2022. “Resource Availability and Barriers to Delivering Quality Care for Newborns in Hospitals in the Southern Region of Malawi: A Multisite Observational Study.” PLOS Global Public Health 2 (12): e0001333. https://doi.org/10.1371/journal.pgph.0001333.

Ilieva, M. 2020. “ESP Assertiveness and Communication Training for Japanese Nursing Students to Work in Australia ESP Assertiveness and Communication Training I Acknowledgments.” (Doctoral dissertation, Soka University). | https://www.soka.ac.jp/files/en/20220715_151743.pdf

Jarden, R. J., A. Jarden, T. J. Weiland, G. Taylor, N. Brockenshire, and M. Gerdtz. 2021. Registered Nurses’ Experiences of Psychological Well‐Being and Ill‐Being in Their First Year of Practice: A Qualitative Meta‐Synthesis.” Journal of Advanced Nursing 77 (3): 1172–1187. https://doi.org/10.1111/jan.14667

Creswell, J.W. and Creswell, J.D., 2017. Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. Sage Publications.

Kukkonen, P., H. Leino-Kilpi, S. Koskinen, L. Salminen, and C. Strandell-Laine. 2020. “Nurse Managers’ Perceptions of the Competence of Newly Graduated Nurses: A Scoping Review.” Journal of Nursing Management 28 (1): 4–16. https://doi.org/10.1111/jonm.12891

Kula-semos, M., F. Aime, and P. Nasale. 2020. “Graduate Tracer Study 2020 Report”. Divine Word University.

Lindfors, K., M. Flinkman, M. Kaunonen, H. Huhtala, and E. Paavilainen. 2022. “New Graduate Registered Nurses’ Professional Competence and the Impact of Preceptors’ Education Intervention: A Quasi-Experimental Longitudinal Intervention Study.” BMC Nursing 21 (1): 360. https://doi.org/10.1186/s12912-022-01133-4

Matlhaba, K. L., A. J. Pienaar, and L.A. Sehularo. 2021. “Professional Nurses’ Perceptions Regarding Clinical Competence of Community Service Nurses in North West Province, South Africa.” Health SA Gesondheid 26: 1688. https://doi.org/10.4102/hsag.v26i0.1688.

Mhango, L., D. Jere, G. Msiska, G. Chorwe-Sungani, and E. Chirwa. 2021. “The Roles and Experiences of Preceptors in Clinical Teaching of Undergraduate Nursing and Midwifery Students in Malawi.” Malawi Medical Journal: The Journal of Medical Association of Malawi 33 (Postgraduate Supplementary Issue): 35–39. https://doi.org/10.4314/mmj.v33iS.7

Munjiyah, D. K. S. N., P. G. Amimaruddin, and D. Ruditaldris. 2022. “Exploring student nurses’ learning experience in the clinical setting: A literature review.” International Journal of Nursing Education, 14(1): 31–37 https://doi.org/10.37506/ijone.v14i1.17733

National Council of Higher Education. 2022. http://www.nche.ac.mw

Nudzor, H. P., and F. Ansah. 2020. “Enhancing Post-Graduate Programme Effectiveness through Tracer Studies: The Reflective Accounts of a Ghanaian Nation-Wide Graduate Tracer Study Research Team.” Quality in Higher Education 26 (2): 192–208. https://doi.org/10.1080/13538322.2020.1763034

Orton, M. L., N. Nelson Follin, P. Dannapfel, and Y. Wengström. 2022. “Roles and Functions in Clinical Care for Registered Nurses with a PhD—a Systematic Literature Review.” Scandinavian Journal of Caring Sciences 36 (1): 16–26. https://doi.org/10.1111/scs.12979

Saint John of God College of Health Sciences. 2023. Saint John of God Hospitaller Order, Mzuzu, Malawi. https://www.sjog.mw.

United Nations Statistics Division. 2023. “Global unemployment is expected to decline below pre-pandemic levels, but challenges persist in low-income countries- SDG indicators. ” https://unstats.un.org/sdgs/report/2023/Goal-08/

Wasik, M. 2020. “The Role of the Nurse in Improving the Quality of Healthcare.” Journal of Education, Health and Sport 10 (4): 68–74. https://doi.org/10.12775/jehs.2020.10.04.008

Zheng, S., L. Yand, N. Zhou, and H. Zhu. 2023. “New Nurses’ Experience during a Two Year Transition Period to Clinical Practice: A Phenomenological Study.” Nurse Education Today 121: 105682. https://doi.org/10.1016/j.nedt.2022.105682