The Emergence of Community-Based Nursing Education Programmes
The worldwide changes in the health systems, including the adoption of a primary health care approach, has contributed significantly to the paradigm shift from hospital-based education to community-based education. Community-based education is favoured because of its potential to stimulate interest amongst graduates to serve in rural and under-resourced settings and it has a potential to equip graduates with competencies required to function in a primary health care oriented system. In South Africa, community-based nursing education was first reported in university-based schools of nursing in the early 90's and the first nursing college piloted community-based nursing education in the late 90's. Most of the initiatives were supported by the Kellogg Foundation. The nursing schools adopted a problem-based approach to learning and adult learning principles in their community-based programmes. Literature however reflects that there have been some adjustments in the initial programmes to ensure effective learning and sustainability of these initiatives.
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