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Community Placements

The Transcendence Magazine

Nursing Staff

COMMUNITY PLACEMENTS

Student nurses, before the completion of their courses at MUST, have the opportunity to be placed in several sites in the community. These community placements allow nursing students to carry out activities that benefit families, students, and children. Community placements include: teaching in nursing schools, assessing and working with children and families in the community, outreach with new mothers and babies, and placements that enhance leadership and management skills.

Domiciliary nursing

The domiciliary midwifery service is meant to bring maternal-child health services to the clients in the confines of their homes where privacy and comfort are ensured. Services are provided to mothers and newborns from the time of delivery to 7 days postpartum.

Aims of the domiciliary exercise

• Concretize the midwifery skills learned by the student during midwifery ward placements
• Expose the student to home environments where they get a feel of the traditional norms regarding child and maternal care, while allowing them to develop competencies in providing care and education to dispel any myths.
• Early detection of postpartum complications for timely management to reduce maternal and neonatal morbidity and mortality rates
• Introduce the concept of birth registration to parents so that proper monitoring of population growth can be enhanced.

How the exercise is done

Each finalist nursing student takes on the care of 3 women in normal labour admitted to the maternity ward of MRRH.  The student then monitors each of the women in labour, conducts their deliveries, immunises their babies and visits them for a week at home after delivery to provide education and to assess for postpartum complications and to offer newborn care. The mother is offered a birth certificate for the baby.

Two supervisors are attached to this exercise so it runs smoothly.  Ethical clearance is obtained from the Mbarara District Health officials.

Community nursing

Nursing in the community at MUST is an educational program that aims to increase the knowledge base of students about the community with the hope of improving the community health status and changing community health practices.
Third year and second year completion nursing students receive a combination of theoretical and practical training that allow them to work with families in the community and improve overall health.

Home visits

Home visits are the main method students use to get to know the community. About 32 homes are visited about three times over the 15 week semester.  On the first visit, students perform an assessment and come up with a family challenge.  On the second visit, interventions are performed.  On the third visit, a thorough evaluation regarding the success of the intervention is done.  

The key achievements

By the end of the program, two key achievements have been accomplished:              

1) students acquire community nursing knowledge and skills, which help them to succeed as nurses on the wards and in the community; and

2) there is improvement in health seeking behaviors by community members.

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