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12 May 2021 | Story André Damons | Photo Supplied
Dr Champion Nyoni, Senior Researcher and Lecturer in the School of Nursing at the University of the Free State (UFS).

International Nurses Day, which is celebrated around the world on 12 May, celebrates the contribution of nurses to the healthcare of individuals, societies, and communities. The contribution of nurses during the pandemic cannot be overstated, and it is essential that such contributions are brought to light and that all nurses and nursing-related staff be appreciated.

This is according to Dr Champion Nyoni, Senior Researcher and Lecturer in the School of Nursing at the University of the Free State (UFS). The theme for the Day is Nurses: A Voice to Lead. The sub-theme is A Vision for Future Healthcare. Dr Nyoni says it is an important date on the calendar of the nursing profession.

The future of nursing 

Says Dr Nyoni: “A lot has happened in 2020 and more will happen in the future. The COVID-19 pandemic brought various challenges to the healthcare system and nurses have been at the coalface of these challenges. The mental health of nurses has been challenged, their resilience tested, and their teamwork strengthened. 

“In the future, a collective approach related to the function and role of nurses needs to be enhanced; the growth of the nursing profession is essential, and nurses will continue this work through enhancing their professional identity, their professional role, their own research, and also through teamwork with other professionals.”

The future of nursing is bright. The past 60 years have shown rapid advancements in the professionalisation of nursing – from being an altruistic occupation to a profession with legal status in many countries, says Dr Nyoni. The science of nursing has been growing exponentially, with several nursing-specific research and research led by nursing scientists. The impact of nursing research continues to be aligned with improved healthcare and health outcomes in many settings across the globe. 

“Nurses continue to be celebrated for their tireless efforts in influencing healthcare and health outcomes, in addition to being the single largest health professional body in the world. The world requires more professional nurses, not only by qualification but by necessary and appropriate context-specific competencies aimed at universal healthcare.” 
“Nurses have to look towards negotiating new healthcare spaces where their professional roles, though indispensable, are aligned with future population healthcare needs. In the same vein, the nurse of the future needs to embrace the Fourth Industrial Revolution and its potential influence on the profession,” says Dr Nyoni.

UFS preparing nursing students for future 

The UFS School of Nursing is at the forefront of nursing education in South Africa in terms of preparing competent professional nurses who meet the healthcare needs of our population and the future. “Our undergraduate programme is aligned with the primary healthcare approach, which is a complex healthcare model that underpins the health delivery system in South Africa and many low- and middle-income countries. Through state-of-the art facilities, our students engage with top nursing experts who facilitate and guide their learning.”

Dr Nyoni, who became the first UFS staff member and only the third African to win the prestigious Sigma Emerging Nurse Researcher/Scholar award, says the postgraduate nursing programmes at the UFS are driven towards producing independent thinkers who are able to significantly contribute to the development of nursing and healthcare, not only in South Africa but also in the rest of Africa. The students, drawn from all over the continent ؘ – says Dr Nyoni – are challenged to engage in research that makes a contribution to their own nursing practice and context. 

Research being done in the School of Nursing 

Two established research niche areas drive the research agenda in the School of Nursing, namely the ‘transfer of learning’ and ‘health communications’ research niche areas. In the transfer of learning through the research niches, various research projects are in place – all aimed at improving the quality of nursing education, which in turn result in quality graduates who will influence health outcomes. 

“Currently, various projects such as ‘emotional intelligence in nursing’, ‘online education of clinical preceptors’, ‘professional identity in nursing’, ‘self-directedness among nursing students’, and ‘extended reality in nursing education’ are some of the ongoing research projects aimed at improving the nursing education agenda and improving student experiences of nursing education,” Dr Nyoni explains some of the work being done in the School of Nursing. 

In the health communication research niche, several projects have been initiated in South Africa, Lesotho, and Kenya, and have been reported in several national and international fora. Both of these research niche areas are engaged in national, Africa-wide, and global research collaborations.  

A new research centre in the School of Nursing is about to be launched, focusing on reproductive, maternal, neonatal, and child health (RMHC).

News Archive

Media: Sunday Times
2006-05-20

Sunday Times, 4 June 2006

True leadership may mean admitting disunity
 

In this edited extract from the inaugural King Moshoeshoe Memorial Lecture at the University of the Free State, Professor Njabulo S Ndebele explores the leadership challenges facing South Africa

RECENT events have created a sense that we are undergoing a serious crisis of leadership in our new democracy. An increasing number of highly intelligent, sensitive and committed South Africans, across class, racial and cultural spectrums, confess to feeling uncertain and vulnerable as never before since 1994.

When indomitable optimists confess to having a sense of things unhinging, the misery of anxiety spreads. We have the sense that events are spiralling out of control and that no one among the leadership of the country seems to have a definitive handle on things.

There can be nothing more debilitating than a generalised and undefined sense of anxiety in the body politic. It breeds conspiracies and fear.

There is an impression that a very complex society has developed, in the last few years, a rather simple, centralised governance mechanism in the hope that delivery can be better and more quickly driven. The complexity of governance then gets located within a single structure of authority rather than in the devolved structures envisaged in the Constitution, which should interact with one another continuously, and in response to their specific settings, to achieve defined goals. Collapse in a single structure of authority, because there is no robust backup, can be catastrophic.

The autonomy of devolved structures presents itself as an impediment only when visionary cohesion collapses. Where such cohesion is strong, the impediment is only illusory, particularly when it encourages healthy competition, for example, among the provinces, or where a province develops a character that is not necessarily autonomous politically but rather distinctive and a special source of regional pride. Such competition brings vibrancy to the country. It does not necessarily challenge the centre.

Devolved autonomy is vital in the interests of sustainable governance. The failure of various structures to actualise their constitutionally defined roles should not be attributed to the failure of the prescribed governance mechanism. It is too early to say that what we have has not worked. The only viable corrective will be in our ability to be robust in identifying the problems and dealing with them concertedly.

We have never had social cohesion in South Africa — certainly not since the Natives’ Land Act of 1913. What we definitely have had over the decades is a mobilising vision. Could it be that the mobilising vision, mistaken for social cohesion, is cracking under the weight of the reality and extent of social reconstruction, and that the legitimate framework for debating these problems is collapsing? If that is so, are we witnessing a cumulative failure of leadership?

I am making a descriptive rather than an evaluative inquiry. I do not believe that there is any single entity to be blamed. It is simply that we may be a country in search of another line of approach. What will it be?

I would like to suggest two avenues of approach — an inclusive model and a counter-intuitive model of leadership.

In an inclusive approach, leadership is exercised not only by those who have been put in some position of power to steer an organisation or institution. Leadership is what all of us do when we express, sincerely, our deepest feelings and thoughts; when we do our work, whatever it is, with passion and integrity.

Counter-intuitive leadership lies in the ability of leaders to read a problematic situation, assess probable outcomes and then recognise that those outcomes will only compound the problem. Genuine leadership, in this sense, requires going against probability in seeking unexpected outcomes. That’s what happened when we avoided a civil war and ended up with an “unexpected” democracy.

Right now, we may very well hear desperate calls for unity, when the counter-intuitive imperative would be to acknowledge disunity. A declaration of unity where it manifestly does not appear to exist will fail to reassure.

Many within the “broad alliance” might have the view that the mobilising vision of old may have transformed into a strategy of executive steering with a disposition towards an expectation of compliance. No matter how compelling the reasons for that tendency, it may be seen as part of a cumulative process in which popular notions of democratic governance are apparently undermined and devalued; and where public uncertainty in the midst of seeming crisis induces fear which could freeze public thinking at a time when more voices ought to be heard.

Could it be that part of the problem is that we are unable to deal with the notion of opposition? We are horrified that any of us could be seen to have become “the opposition”. The word has been demonised. In reality, it is time we began to anticipate the arrival of a moment when there is no longer a single, overwhelmingly dominant political force as is currently the case. Such is the course of history. The measure of the maturity of the current political environment will be in how it can create conditions that anticipate that moment rather than seek to prevent it. We see here once more the essential creativity of the counter-intuitive imperative.

This is the formidable challenge of a popular post-apartheid political movement. Can it conceptually anticipate a future when it is no longer overwhelmingly in control, in the form in which it is currently, and resist, counter-intuitively, the temptation to prevent such an eventuality? Successfully resisting such an option would enable its current vision and its ultimate legacy to our country to manifest in different articulations, which then contend for social influence. In this way, the vision never really dies; it simply evolves into higher, more complex forms of itself. Consider the metaphor of flying ants replicating the ant community by establishing new ones.

We may certainly experience the meaning of comradeship differently, where we will now have “comrades on the other side”.

Any political movement that imagines itself as a perpetual entity should look at the compelling evidence of history. Few movements have survived those defining moments when they should have been more elastic, and that because they were not, did not live to see the next day.

I believe we may have reached a moment not fundamentally different from the sobering, yet uplifting and vision-making, nation-building realities that led to Kempton Park in the early ’90s. The difference between then and now is that the black majority is not facing white compatriots across the negotiating table. Rather, it is facing itself: perhaps really for the first time since 1994. Could we apply to ourselves the same degree of inventiveness and rigorous negotiation we displayed leading up to the adoption or our Constitution?

This is not a time for repeating old platitudes. It is the time, once more, for vision.

In the total scheme of things, the outcome could be as disastrous as it could be formative and uplifting, setting in place the conditions for a true renaissance that could be sustained for generations to come.

Ndebele is Vice-Chancellor of the University of Cape Town and author of the novel The Cry of Winnie Mandela

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