Scaling up nurse education: An evaluation of a national PhD capacity development programme in South Africa, in the context of the global shortage of nursing graduates

SummaryBackgroundThe global shortage of nursing professionals educated at baccalaureate level and beyond has been highlighted. Within America, services are preparing to treat an additional 32 million individuals under the Health Reform Bill. Within South Africa nursing education outputs do not meet demands. Countries are addressing these shortages by developing advanced nurse roles which require research degrees.ObjectiveTo evaluate a national PhD programme within the context of a nurse education strategy and a national health insurance plan.DesignA comparative effectiveness research design was employed.SettingThe setting was in South Africa between 2011 and 2013, a county with 51.7 million inhabitants.ParticipantsParticipants included PhD candidates, programme facilitators, supervisors and key stakeholders.MethodsData from a one day workshop was analysed using an inductive thematic analysis. Three years of evaluation reports were analysed. A mapping of the alignment of the PhD topics with healthcare priorities, and a comparison of the development of nurse education, of the national and international funder were conducted.ResultsThe evaluation reports rated the programme highly. Three themes were identified from the workshop. These were, “support” with the sub-themes of burden, leveraging and a physical supportive place; “planning” with the sub-themes of the national context and practice, and “quality” with the sub-themes of processes and monitoring and evaluation. The mapping of PhD topics revealed that research was in line with development priorities. However, further investment and infrastructural changes were necessary to sustain the programme and its impact.ConclusionsTo address sustainability and capacity in nations scaling up nurse education and healthcare insurance, it was recommended that top-up degrees for diploma educated nurses be developed along with, the implementation of a national nursing strategy for PhD and post-doctoral training encompassing clinical practice implementation and collaboration.