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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

Stem cell research and human cloning: legal and ethical focal points
2004-07-29

   

(Summary of the inaugural lecture of Prof Hennie Oosthuizen, from the Department of Criminal and Medical Law at the Faculty of Law of the University of the Free State.)

 

In the light of stem cell research, research on embryo’s and human cloning it will be fatal for legal advisors and researchers in South Africa to ignore the benefits that new bio-medical development, through research, contain for this country.

Legal advisors across the world have various views on stem cell research and human cloning. In the USA there is no legislation that regulates stem cell research but a number of States adopted legislation that approves stem cell research. The British Parlement gave permission for research on embryonic stem cells, but determined that it must be monitored closely and the European Union is of the opinion that it will open a door for race purification and commercial exploitation of human beings.

In South Africa the Bill on National Health makes provision for therapeutical and non therapeutical research. It also makes provision for therapeutical embryonical stem cell research on fetuses, which is not older than 14 days, as well as for therapeutical cloning under certain circumstances subject to the approval of the Minister. The Bill prohibits reproductive cloning.

Research on human embrio’s is a very controversial issue, here and in the rest of the world.

Researchers believe that the use of stem cell therapy could help to side-step the rejection of newly transplanted organs and tissue and if a bank for stem cell could be built, the shortage of organs for transplants would become something of the past. Stem cells could also be used for healing of Alzheimer’s, Parkinson’s and spinal injuries.

Sources from which stem cells are obtained could also lead to further ethical issues. Stem cells are harvested from mature human cells and embryonic stem cells. Another source to be utilised is to take egg cells from the ovaries of aborted fetuses. This will be morally unacceptable for those against abortions. Linking a financial incentive to that could become more of a controversial issue because the woman’s decision to abort could be influenced. The ideal would be to rather use human fetus tissue from spontaneous abortions or extra-uterine pregnancies than induced abortions.

The potential to obtain stem cells from the blood of the umbilical cord, bone-marrow and fetus tissue and for these cells to arrange themselves is known for quite some time. Blood from the umbilical cord contains many stem cells, which is the origin of the body’s immune and blood system. It is beneficial to bank the blood of a newborn baby’s umbilical cord. Through stem cell transplants the baby or another family member’s life could be saved from future illnesses such as anemia, leukemia and metabolic storing disabilities as well as certain generic immuno disabilities.

The possibility to withdraw stem cells from human embrio’s and to grow them is more useable because it has more treatment possibilities.

With the birth of Dolly the sheep, communities strongly expressed their concern about the possibility that a new cloning technique such as the replacement of the core of a cell will be used in human reproduction. Embryonic splitting and core replacement are two well known techniques that are associated with the cloning process.

I differentiate between reproductive cloning – to create a cloned human embryo with the aim to bring about a pregnancy of a child that is identical to another individual – and therapeutically cloning – to create a cloned human embryo for research purposes and for healing human illnesses.

Worldwide people are debating whether to proceed with therapeutical cloning. There are people for and against it. The biggest ethical objection against therapeutical cloning is the termination of the development of a potential human being.

Children born from cloning will differ from each other. Factors such as the uterus environment and the environment in which the child is growing up will play a role. Cloning create unique children that will grow up to be unique individuals, just like me and you that will develop into a person, just like you and me. If we understand this scientific fact, most arguments against human cloning will disappear.

Infertility can be treated through in vitro conception. This process does not work for everyone. For some cloning is a revolutionary treatment method because it is the only method that does not require patients to produce sperm and egg cells. The same arguments that were used against in vitro conception in the past are now being used against cloning. It is years later and in vitro cloning is generally applied and accepted by society. I am of the opinion that the same will happen with regard to human cloning.

There is an argument that cloning must be prohibited because it is unsafe. Distorted ideas in this regard were proven wrong. Are these distorted ideas justified to question the safety of cloning and the cloning process you may ask. The answer, according to me, is a definite no. Human cloning does have many advantages. That includes assistance with infertility, prevention of Down Syndrome and recovery from leukemia.

 

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