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19 October 2021 | Story André Damons | Photo Charl Devenish
Dr Champion Nyoni and Dr Annali Fichardt, together with Prof Yvonne Botma (not on the picture), from the School of Nursing at the University of the Free State (UFS) came in second for their research paper on this innovative educational strategy at the recent Faculty of Health Sciences’ Faculty Research Forum.

When South Africa went into hard lockdown due to the outbreak of the COVID-19 pandemic, the School of Nursing at the University of the Free State (UFS) adopted the conventional boot camp as an innovative way to continue learning and teaching clinical skills for its students.

School of Nursing leadership adopting an innovative educational strategy

The COVID-19 pandemic, specifically the hard lockdown of 2020, challenged the leadership of the School of Nursing to adopt  innovative educational strategies to continue learning and teaching, especially for undergraduate nursing students. Adapting theory classes to the online space appeared easier due to the various enabling modalities in the university such as Blackboard, but the same could not be said about learning clinical skills. It is near impossible to learn clinical skills at home. The School of Nursing had to devise ways to facilitate learning of clinical skills in campus during the pandemic. Underpinned by the theory of deliberate practice, they used the boot camp as an innovative educational strategy to continue the learning and teaching of clinical skills. 

Dr Champion Nyoni, Dr Annali Fichardt and Prof Yvonne Botma, who did research on this innovative educational strategy, came in second place at the recent Faculty of Health Sciences’ Faculty Research Forum. They also won the Kerneels Nel medal for best educational research paper in 2020. 

Manuscript already accepted

The manuscript about their research has already been accepted by The African Journal of Health Professions Education and will be published next year. 

“Deliberate practice is understood as a type of purposeful and systematic learning of skills requiring focused attention and is conducted to improve performance. Boot camps are synonymous with conventional training camps, such as used in the military, where specific skills are learnt, and the School of Nursing adopted the practice for this particular situation,” wrote the researchers in the manuscript. 

According to them, the boot camps had the dual aim of developing foundational clinical skills for undergraduate nursing students, including sessions missed during the higher levels of lockdown, and preparing them for the ‘new’ workplace environment. 

Educational institutions were compelled to adapt their education strategies during the pandemic and the innovation of the use of boot camps as a strategy for learning and teaching clinical skills is an example of what the School of Nursing applied immediately after the hard lockdown. 

How the boot camps worked 

Each student year group was allocated a week at the simulation laboratory. Each year group was then split into smaller groups to attend their boot camp on specific days of the week. The module outcomes determined the nature and number of clinical skills to be taught per camp. 

All the students received a video recording of the clinical skills and associated learning material prior to the boot camp to prepare for the session. On the day of the camp, the group was further split into smaller manageable groups, which were stationed in smaller venues of the simulation laboratory with a preceptor. 

Equipment and materials related to the clinical skills for the day were made available in all the venues. A central venue hosted the leading session facilitator, who provided foundational information about the clinical skill before a demonstration while being live-streamed to the other smaller venues. Students in smaller venues watched the leading facilitator via live streaming after which they had opportunities for clarification from their preceptor. All the students in the small groups then demonstrated the taught skills to the preceptor who immediately provided feedback. 
This intervention commenced after the hard lockdown and continued for the whole of the year 2020.

Outcomes of the strategy 

The boot camps appeared to have influenced the learning and teaching of clinical skills positively, but the strategy is an emergency solution only in response to COVID-19 and is not regarded as suitable for long-term educational purposes. Students’ clinical outcomes appear to have improved compared to previous years and they appreciated the efforts taken by their educators in facilitating the learning of clinical skills and re-integrating them into the clinical environment. 
“We always encourage our students to be innovative in their own practice, – the boot camps were an exceptional demonstration of practising what we preach,” says Dr Nyoni.

The infrastructure, the educators, and the leadership of the School of Nursing appeared to be enablers for the effective influence of this strategy. The boot camps were located at the state-of-the-art simulation facilities at the school that have multiple venues and facilities for live streaming. Teamwork among the educators in each year group drove the process through reflecting on their own practice. 

News Archive

Head of SA Witness Protection Programme pays UFS a visit
2010-05-04

 
Receiving the Head of the South African Witness Protection Programme are, in front: Prof. Hennie Oosthuizen, Head of the Department of Criminal and Medical Law at the UFS; back: Adv. Beatri Kruger from the UFS Unit for Children’s Rights, Ms Lani Opperman, Member of the Free State Human Trafficking Forum (FHF), Adv. John Welch, Head of the Witness Protection Programme in South Africa; and Lene van Zyl, a LLM student at the UFS who is doing her thesis on human trafficking in body parts.
Photo: Leonie Bolleurs


Recently Adv. Beatri Kruger from the Unit for Children’s Rights in the Faculty of Law at the University of the Free State (UFS) invited Adv. John Welch, Head of the Witness Protection Programme in South Africa, to address the Free State Human Trafficking Forum (FHF) on the safe-keeping of victims who are witnesses against human traffickers.

Human trafficking is prevalent in the Free State, especially in Bloemfontein. The Unit for Children’s Rights is one of the founding members of the FHF that was established to take action against and fight the disturbing reality of human trafficking more efficiently.

According to Adv. Kruger the FHF identified the problem of trafficked witnesses being threatened by human trafficker syndicates.

Adv. Welch made some suggestions with regard to the safe-keeping of trafficked victims. He also, with some of the forum members, paid a visit to the areas in Bloemfontein where human trafficking is prevalent as well as to the local shelter for trafficked victims.

Adv. Welch undertook to join forces with the FHF in assisting trafficked victims and the local Witness Protection Programme Office is now a member of the forum.

Since December 2009 members of the FHF managed to disrupt the work of the human trafficking syndicates. “The traffickers have not stopped this inhumane practice but there are indications that they have moved to other buildings in the inner city and even to houses in the suburbs. It was reported to the forum that approximately 27 males suspected of being involved in human trafficking had been arrested, and since they are illegal in the country, they were deported to their countries of origin,” said Adv. Kruger.

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