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RCN-ZUNO Partnership Project
Who is involved in the project?
ZUNO – Zambia Union of Nurses Organisation
Both a professional association and a union.
Promote the interests and develop the skills and reputation of their members.
RCN – Royal College of Nursing
The world’s largest nursing union and professional body, representing more than 435,000 nurses, student nurses, midwives and health care assistants in the UK and internationally.
With funds from THET – Tropical Health and Education Trust
Forges partnerships between healthcare experts to deliver targeted training programmes in low and middle income countries.
What are the challenges facing nurses in Zambia?
• Serious shortage of nurses and midwives• Burnout, low morale, long working hours, low
levels of professional leadership and development for nurses
• Degree level nurses tend to move into education, NGOs and administration rather than into leadership roles in clinical practice lack of nurse leaders
• For ZUNO – reputation as a union rather than a professional association.
Background
• 2013/2014 – two needs assessment visits to Zambia• 2014 – joint application submitted to THET (with
support from Zambian Ministry of Health)• April 2015 – RCN-ZUNO Partnership Project
launched, with formal event attended by the PS of the MoH and CE&GS of the RCN in July 2015 (Lusaka)
• Two-year collaboration between the RCN and ZUNO, funded by THET through the DFID Health Partnerships Scheme
What is the project trying to achieve?
• ZUNO is strengthened to influence nursing policy and improve nursing practice in Zambia as it develops as a professional association.
• As a vehicle to show enhanced leadership RCN is supporting ZUNO to strengthen multidisciplinary teamwork and communication to improve implementation of WHO Safe Surgery checklist at the University Teaching Hospital (UTH) Lusaka, Kabwe General Hospital and Kabwe Mines Hospital.
• First for the RCN - demonstrate the power of partnerships between two national nursing associations.
WHO Safe Surgery checklist – what have we done?
• Workshops, training sessions and mentoring of multidisciplinary staff from the three hospitals
• Training and mentoring of ZUNO staff by RCN expert in this field
• Transfer of training and mentoring responsibilities from RCN to ZUNO
• Number of nurses, porters, anaesthetists, surgeons, nurse tutors trained – 156 to date
• Safe Surgery Champions trained – 26• Monthly meetings of champions
• Distribution of scrub suits, sponsored by Grahame Gardner
Achievements in implementation at UTH
• 71% of those trained felt there have been major improvements in teamwork since the RCN-ZUNO training
• 80% of participants felt the consistency with which their team carries out the five steps has changed and that they now do it more frequently
• 70% of training participants felt their confidence had increased a lot since the training, 10% felt it had increased a little.
Strengthening the capacity of ZUNO
• Training ZUNO staff as trainers in Safe Surgery.• Improved reputation of ZUNO as a professional
association with hospital management and other professional associations.
• Strengthening ZUNO’s advocacy capacity, through 2 x 2 day workshops.
• Before the 2nd two-day workshop only 50% of ZUNO staff and members felt confident to use a wide variety of advocacy methods. After the workshop 100% of those that took part felt confident to take part in advocacy activities for ZUNO.
• ZUNO management and governance structures, with support from the RCN, have developed and committed to a clear advocacy workplan through to end 2018.
ZUNO Visits to the UK
• Liseli Sitali (ZUNO President) and Jennifer Munsaka (Deputy Director of Programmes and Professional Affairs) visited the RCN in June 2016.
• Visited the Royal Berkshire Hospital to observe patient safety interventions and the WHO checklist.
• Attended the RCN Congress in Glasgow June 2016.
• Opportunity to learn about and exchange ideas with different RCN departments.
• Rita Kalomo (ZUNO Programme Officer) and Judith Munthali (Chair of the Zambia Operating Theatre Nurse Interest Group (ZOTNIG)), will visit the RCN in November 2016 to present at the RCN Centenary Conference.
Next steps…
• ZUNO will continue to support the Safe Surgery Champions at UTH, with diminishing support as they become more confident in their roles.
• Intensive mentoring of Safe Surgery Champions at KabweGeneral Hospital, as well as mop-up training for staff members who missed the recent training in September 2016.
• Results to be shared with key stakeholders, the General Nursing Council of Zambia (GNCZ), the MoH and hospital management, with a view to discussing wider roll-out and uptake.
• Distance support to ZUNO to implement its advocacy workplan.
Working in partnership
• VITAL! Only way to understand what is happening, the needs…
• Complicated project… but meets partner’s needs
• Joint project planning – LESSON - more next time! Face-to-face
• Nurse-to-nurse training/support very valuable – tackles hierarchy, increases confidence
• Multidisciplinary involvement vital• Use of senior nurses to mentor and inspire• Country visits – both ways
