There is no health without mental health: Implementing the first mental health nursing postgraduate program in Fiji
Kim Foster
Mental Health Nursing, Sydney Nursing School, University of Sydney, Sydney NSW
Kim Usher
School of Nursing, Midwifery and Nutrition, James Cook University, Cairns QLD
Sainimere Gadai
Tutor and Program Coordinator - Mental Health, Fiji School of Nursing, Suva, Fiji
Rusieli Taukei
Director, Nursing Services, Ministry of Health, Suva, Fiji
PP: 179 - 186
Abstract
Despite the high demand for skilled care of mental health consumers, many countries experience difficulty attracting and maintaining a sufficiently educated and trained mental health workforce, including nurses.
In developing countries such as Fiji, nurses are the primary providers of mental healthcare, yet often do so with minimal specialist education and training. In this paper, we discuss the development and implementation of the first mental health nursing postgraduate program in Fiji. We also raise critical issues in building successful educational partnerships between developed and developing countries, including those of capacity-building, managing organizational change, and achieving sustainability.
In doing so, our aim is that our experiences may be helpful to others seeking to work together in similar ways.
Keywords
mental health nursing, nurse education, educational partnerships, sustainability, Fiji
References
Aghanwa H (2004) The determinants of attempted suicide in a general hospital setting in Fiji Islands: A gender-specific study. General Hospital Psychiatry 26: 63-69.
Edwards R, Ranson S and Strain M (2002) Reflexivity: Towards a theory of lifelong learning. International Journal of Lifelong Education 21(6): 525-536.
Foster K, Usher K, Baker JA, Gadai S and Ali S (2008) Mental health workers' attitudes toward mental illness in Fiji. Australian Journal of Advanced Nursing 25(3): 72-79.
Grindle M and Hildebrand M (1995). Building sustainable capacity in the public sector: What can be done? Public Administration and Development 15(5): 441-463.
Jones M and Blunt P (1999) 'Twinning' as a method of sustainable institutional capacity-building. Public Administration and Development 19: 381-402.
Jones M (2001) Sustainable organisational capacity building: Is organizational learning a key? International Journal of Human Resource Management 12(1): 91-98.
Knowles M (1984) Androgogy in Action. San Francisco: Jossey-Bass.
Macdonagh R, Jiddawit M and Parry V (2002) Twinning: The future for sustainable collaboration. BJU International 89(Suppl.1): 13-17.
McAllister M (2005a) Transformative teaching in nursing education: Preparing for the possible. Collegian 12(1): 13-18.
McAllister M (2005b) Transformative teaching in nursing education: Leading by example. Collegian 12(2): 11-16.
Olowu D (2002) Capacity building for policy management through twinning: Lessons from a Dutch-Namibian case. Public Administration and Development 22: 275-288.
Parry E and Parry V (1998) Training for healthcare in developing countries: The work of the Tropical Health and Education Trust. Medical Education 32: 630-635.
Stewart L, Usher K, Nadakuitavuki R and Tollefson J (2006) Developing the future nurse leaders of Fiji. Australian Journal of Advanced Nursing 23(4): 47-51.
The WHO World Mental Health Survey Consortium (2004) Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. Journal of the American Medical Association 29(21): 2581-2590.
Usher K (2005) Completion Report on Fiji School of Nursing. Submitted to Fiji Ministry of Health & Health Sector Improvement Program, AusAID.
Usher K, Foster K and Gadai S (2007) A case for psychotropic prescribing by nurses: Fiji. WHO/ICN Atlas: Nurses in Mental Health 2007, p.46. WHO: Geneva.
Usher K, Rabuka I, Nadakuitavuki R, Tollefson J and Luck L (2004) Nursing and the development of nursing education in Fiji. Australian Journal of Advanced Nursing 21(3): 28-31.
World Health Organisation (2001a) The world health report - mental health: New understanding, new hope. WHO: Geneva.
World Health Organisation (2001b) The structure and sustainable delivery of essential public health functions in the western Pacific region. Country Report Fiji Islands: WHO Regional Office for the Western Pacific.
World Health Organisation (2005) Promoting mental health: Concepts, emerging evidence, practice. WHO: Geneva.
World Health Organization (2007) Atlas: Nurses in Mental Health. WHO: Geneva.

eContent Home




