Download Rwanda HRH Nursing and Midwifery

Rwanda Human Resources for Health Program:
Partnership with the Government of Rwanda, Ministry of Health
Terms of Reference for Nursing and Midwifery Faculty
I.
Purpose of the Project
The Rwanda Human Resources for Health (HRH) Program aims to build the health education
infrastructure and health workforce necessary to create a high quality, sustainable healthcare system in
Rwanda.
Rwanda currently faces a severe lack of highly qualified physicians, nurses, midwives and other health
care workers. The key obstacle to building the health workforce in Rwanda is the inability of Rwandan
schools of medicine, nursing and midwifery, dentistry, public health, and clinical teaching hospitals to
offer adequate levels of teaching, clinical training, mentorship, research experience, and opportunities
for advanced/specialized study.
The US Academic Consortium for the Rwanda HRH Program has been invited by the Ministry of Health
to assist in strengthening nursing education, faculty development, and professionalization of Rwandan
nursing. The US universities’ Schools of Nursing including: New York University, University of Illinois at
Chicago, University of Texas, Howard University, University of Maryland and Duke University. The
primary goal is to support nursing and midwifery faculty in Rwanda and strengthen clinical teaching
programs for nursing and midwifery students. As part of this program, the US universities will hire
nursing and midwifery educators and clinical mentors and deploy them to Rwandan Schools of Nursing
and teaching facilities. These educators will fill a number of roles at Rwandan academic institutions and
in the teaching hospitals and clinics (Partner to the Dean of the Faculty of Nursing Sciences, Curriculum
Development Advisor, E-Learning Advisor, Simulation Lab Advisor, Educational and Professional
Standards Advisor). Clinical mentors are being recruited with expertise in a number of clinical specialties,
including: Pediatrics (including neo-natal intensive care), Midwifery, Mental Health Nursing, Adult
Nursing (including critical care, trauma and surgery, infectious diseases and infection control), and
Public Health and Community Nursing. The US nursing and midwifery educators and clinical mentors
will be a resource for all nursing and midwifery faculty, the Nursing and Midwifery Council, currently
practicing nurses and midwives, and nursing and midwifery students throughout Rwanda.
II.
Objectives
The goals of the partnership between the Ministry of Health and the affiliated US nursing schools in the
Rwanda HRH consortium include the following:
1. Develop the clinical, teaching, and research skills of current and future nursing and midwifery
faculty
2. Improve the quality of nursing and midwifery education at clinical sites
3. Develop the capacity of the Nursing and Midwifery Council to license and register nurses and
midwives, develop professional standards, accredit educational programs, provide for
continuing education and all other functions necessary to maintain a professional nursing and
midwifery workforce.
4. Dramatically increase the percentage of nurses and midwives with at least a diploma from a 3year nursing and midwifery school
5. Create clear pathways for nursing and midwifery students to advance from A2 to diploma to
Bachelor’s degree to Master’s Degree through curriculum development, development of
distance learning technology and content, and development of national policy to support these
efforts.
6. Ensure an adequate number of highly educated and skilled Rwandan nursing and midwifery
educators to sustain and advance high quality education once the HRH Program is phased out
III.
I.
Overall Qualifications
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Overall Skills and Abilities: Successful candidates will have emotional intelligence and
personal maturity, enthusiasm for working in a developing country, cultural flexibility and
competence, and a passion for making a positive contribution to Rwanda’s healthcare
delivery system. Defining characteristics are uncompromised integrity, strategic and
innovative thinking skills, and the ability to foster interdisciplinary collaboration. Candidates
must be able to develop and apply quantitative measurement to promote effective
decision-making and continuous organizational improvement.
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Communication and Reasoning Ability: Demonstrated ability to effectively and
diplomatically communicate information and data in written and verbal form to top
management, government officials, and hospital-based colleagues is required. The ability to
interpret and apply instructions in diverse settings, and proven ability to support
organizational change and develop management capability of others is required. English
proficiency required; French proficiency preferred.
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Nursing: specific nursing skills/qualifications are outlined in the various nursing job
descriptions.
Compensation and Benefits
Faculty will receive salary and benefits, in addition to assistance with costs related to travel to/from and
housing in Rwanda. Health insurance will be provided by the respective US school.
Contract Period
US faculty will live and work in Rwanda for at least one academic year. The 2012 deployment of US
faculty will begin in August 2012 and end in July 2013. Longer term commitments will be encouraged.
Salary
US faculty will receive a salary defined by the respective US school.
Benefits
Specific benefits are provided by the respective US school, and typically include health insurance, life
insurance, disability insurance and medical evacuation insurance. Malpractice insurance will be
provided by the Ministry of Health.
Paid Time Off
Paid time off (PTO) will be consistent with the standard policy set by the respective US school.
Housing
US faculty will receive a monthly housing allowance from the Ministry of Health. The housing allowance
will be a standard rate, based on location and the number of family members living in Rwanda.
Additionally, upon arrival in country, US faculty will receive a standard allowance to stay in a hotel
determined by the Ministry in order to allow time to finalize housing.
Travel
The travel allowance will be a standard rate of $2,500 for one coach class ticket to/from Rwanda for
each member of the family. This will be funded by the Ministry of Health
Program Evaluation Plan
A detailed program evaluation plan and required tools will be developed in consultation with local
partners based on final program design. The plan will include focused student and faculty feedback and
skills assessment, and information on key clinical quality indicators at the teaching sites.
VI: In-Country Organization
Each US university School of Nursing will appoint one faculty member to serve on the Nursing and
Midwifery Steering Committee. This committee also includes the Chief Nursing Officer, the Nursing
Registrar, the Dean of the Faculty of Nursing Sciences at Kigali Health Institute, and the Directors of the
Schools of Nursing and Midwifery. This committee will meet regularly (to be determined) to address all
issues related to nursing and midwifery education.
Each US university School of Nursing will appoint one faculty member in-country as the coordinator of
faculty from his/her school. He/She will address issues related to faculty integration into the nursing
education community and adjustment to life in Rwanda. This person will serve as the liaison to the
home university.
Each US university School of Nursing will appoint one coordinator to be based in the US to maintain a
connection with the Rwanda-based faculty, serve as a mentor, and address any issues related to the US
Academic Consortium.
VII: Specific Nursing Faculty Positions
Detailed on pages below:
Partner to the Dean of the Faculty of Nursing Sciences
The Partner to the Dean will provide comprehensive support to the Dean of the Faculty of Nursing
Sciences (FNS) at Kigali Health Institute (KHI)
Responsibilities include, but are not limited to:
 Assisting the dean to:
o establish the vision and mission of the school in collaboration with faculty
o provide leadership in education, research and practice
 Mentoring the dean in
o faculty hiring and development
o development and administration of the annual budget
o setting academic rules and policies
o developing academic programs consistent with the dean and faculty vision
o monitoring policies for consistency and compliance
o ensuring excellence in classroom, simulation and clinical instruction of nursing and
midwifery students
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Contributing to the development of accreditation and national standards concerning academics
and professional practice
Participating in activities of faculty committees
Consulting with the rector of Kigali Health Institute on academic matters as appropriate
Providing professional development advising to faculty
Providing support for the Advisors to the Directors at the 5 schools of nursing and midwifery
Working with nursing and midwifery faculty at KHI to facilitate the development of advanced
nursing and midwifery education opportunities, including master’s degree programs
Connecting Rwandan and US faculty to develop collaborative nursing and midwifery research
Serving on committees of the Rwanda Human Resources for Health Program as requested by
the Dean or the Minister of Health
The education/experience qualifications for the job of dean partner include:
 At least 3+ years of experience in executive academic administration in a College of Nursing
 A proven track record as a leader and teacher, with faculty development expertise
 Teaching and curriculum development experience
 Experience in developing baccalaureate and master’s degree programs in nursing and/or
midwifery
 Research experience with a track record of developing, completing and publishing funded
research
 A PhD or equivalent from an accredited institution
 Former position as a dean is preferred
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International development experience is preferred
Other qualifications:
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Excellent written and oral communication skills
Management style that is inclusive and collaborative
Willingness to live in Rwanda for a minimum of 11 months
Respect for the experience and expertise of Rwandan colleagues
Commitment to the goals of the Rwanda Ministry of Health and Rwandan nursing leadership as
it relates to strengthening of nursing and midwifery education
French or Kinyarwanda language skills preferred but not required
Simulation/Skills Lab Advisor
The simulation/skills lab advisor will provide support at Kigali Health Institute (KHI) and at the 5 schools
of nursing and midwifery.
Responsibilities include, but are not limited to:
 Advising the Faculty of Nursing Sciences (FNS) at KHI and the 5 schools of nursing/ midwifery on
the most effective ways to integrate skills lab sessions into the existing curriculum
 Advising on the appropriate equipment to be purchased at KHI and the 5 schools
 Advising and training simulation/skills lab directors at KHI and the 5 schools
 Working with faculty at KHI and the 5 schools of nursing and midwifery to create advanced inservice education opportunities using simulation
 Connecting Rwandan and US faculty to develop collaborative nursing and midwifery research
related to incorporating simulation into skills labs for clinical education
The education/experience requirements for the job of simulation/skills lab director include:
 At least 3+ years of experience in teaching at an accredited college of nursing
 Experience overseeing skills lab that includes the use of simulation in nursing/midwifery clinical
education
 A proven track record as a leader and teacher, with simulation/skills lab expertise
 A PhD or equivalent from an accredited institution is preferred; Master’s degree with at least 3
years teaching experience and proven track record of curriculum development to integrate
simulation into clinical nursing and midwifery education will be considered
 Former position that included planning for purchases, setting up and supervising skills lab with
simulation equipment is preferred
 International development experience is preferred
Other qualifications:
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Excellent written and oral communication skills
Management style that is inclusive and collaborative
Willingness to live in Rwanda for a minimum of 11 months
Respect for the experience and expertise of Rwandan colleagues
Commitment to the goals of the Rwanda Ministry of Health and Rwandan nursing leadership as
it relates to strengthening of nursing and midwifery education
French or Kinyarwanda language skills preferred but not required
Education and Professional Practice Standards Advisor
The Education and Professional Practice Standards Advisor will work with the National Department of
Nursing and Midwifery and the Faculty of Nursing Sciences (FNS) and the 5 schools of nursing and
midwifery.
Responsibilities include, but are not limited to:
 Working with the National Department of Nursing and Midwifery to develop national policy
(e.g., licensure, professional practice standards, certification in specialty areas of advanced
practice) to regulate nursing and midwifery practice
 Working with FNS, the nursing schools, and the National Department of Nursing and Midwifery
to develop national policy on nursing and midwifery curriculum approval and accreditation of
nursing and midwifery education programs
 Working with FNS and the 5 schools of nursing and midwifery to create advanced nursing and
midwifery in-service education opportunities focused on practice standards and professional
regulation
 Working collaboratively to integrate national standards and professional regulation into
management and leadership courses within nursing and midwifery curricula
The education/experience requirements for the job of education and professional practice standards
consultant include:
 At least 3+ years of experience in working with state and national regulatory bodies for nursing
and midwifery education and professional practice accreditation and regulation
 Experience includes preparing schools of nursing/midwifery for accreditation by
nursing/midwifery regulatory bodies
 A proven track record as a leader and teacher, with accreditation and practice standards
experience
 A PhD or equivalent from an accredited institution is preferred; Master’s degree with at least 3
years teaching experience and proven track record of education and professional practice
standards development will be considered
 International development experience is preferred
Other qualifications:
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



Excellent written and oral communication skills
Management style that is inclusive and collaborative
Willingness to live in Rwanda for a minimum of 11 months
Respect for the experience and expertise of Rwandan colleagues
Commitment to the goals of the Rwanda Ministry of Health and Rwandan nursing leadership as
it relates to strengthening of nursing and midwifery education
French or Kinyarwanda language skills preferred but not required
Curriculum Development Advisor
The curriculum development advisor will provide support to the Faculty of Nursing Sciences (FNS) at
Kigali Health Institute (KHI) and to the 5 schools of nursing and midwifery nationally. Responsibilities
include, but are not limited to:
 Advising on program and curriculum development at KHI and the 5 schools of nursing and
midwifery
 Advising on revisions of curriculum at KHI and the 5 schools of nursing and midwifery
 Advising on the development of clear educational pathways for nurses and midwives to advance
from basic nursing to academic degrees and/or specialization
 Working with the FNS and the 5 schools of nursing and midwifery to create advanced nursing
and midwifery education opportunities in curriculum development and revision
 Providing expert advice on distance learning curricula
 Ensuring the appropriate integration of simulation training and clinical instruction into all
curricula
 Connecting Rwandan and US faculty to develop collaborative research related to education and
curriculum development
 Collaborating with the Rwanda Nursing Council to ensure that nursing and midwifery curricula
support the approved scope of practice
 Participating in high level committees of the Rwanda Human Resources for Health Program as
requested by the Minister of Health
The education/experience requirements for the job of curriculum development expert include:
 At least 3+ years of experience in teaching at an accredited college of nursing
 Experience in curriculum development and revision in nursing/midwifery education
 A proven track record as a leader and teacher, with program and curriculum development
expertise
 A PhD or equivalent from an accredited institution is preferred; Master’s degree with at least 3
years teaching experience and proven track record of program and curriculum development will
be considered
 Former position that included program and curriculum development is preferred
 International development experience is preferred
Other qualifications:





Excellent written and oral communication skills
Management style that is inclusive and collaborative
Willingness to live in Rwanda for a minimum of 11 months
Respect for the experience and expertise of Rwandan colleagues
Commitment to the goals of the Rwanda Ministry of Health and Rwandan nursing leadership as
it relates to strengthening of nursing and midwifery education
French or Kinyarwanda language skills preferred but not required
Distance and E-learning Programs Advisor
The Distance and E-Learning Programs Advisor will provide support to the Faculty of Nursing Sciences
(FNS) and the 5 schools of nursing and midwifery nationally.
Responsibilities include, but are not limited to:
 Advising FNS, the 5 schools of nursing/ midwifery, and the National Department of Nursing and
Midwifery on the effective use of distance-learning in all programs
 Assisting with the creation of online or distance educational modules
 Training faculty to optimize the effectiveness of e-learning materials
 Assisting with the integration of e-learning into all future nursing education curricula
 Working with faculty at KHI and the 5 schools of nursing and midwifery to create in-service
advanced nursing and midwifery education e-learning opportunities
 Connecting Rwandan and US faculty to develop collaborative nursing and midwifery research
related to the role of e-learning in nursing and midwifery education
The education/experience requirements for the job of e-learning director include:
 At least 3+ years of experience in teaching at an accredited college of nursing
 Teaching experience includes the use of distance or e-learning modalities in nursing/midwifery
education
 A proven track record as a leader and teacher, with e-learning expertise
 A PhD or equivalent from an accredited institution is preferred; Master’s degree with at least 3
years teaching experience and proven track record of e-learning course development will be
considered
 Former position that included planning for purchases and setting up computer lab/studio with elearning equipment is preferred
 International development experience is preferred
Other qualifications:






Excellent written and oral communication skills
Management style that is inclusive and collaborative
Willingness to live in Rwanda for a minimum of 11 months
Respect for the experience and expertise of Rwandan colleagues
Commitment to the goals of the Rwanda Ministry of Health and Rwandan nursing leadership as
it relates to strengthening of nursing and midwifery education
French or Kinyarwanda language skills preferred but not required
Infection Control Nurse Educator
The Infection Control Nurse Educator will be assigned to the referral and provincial hospitals which
serve as clinical placement sites for the majority of Rwandan nursing and midwifery students.
Responsibilities include, but are not limited to:
 Serving as a shared resource and developing a training course for infection control nurses at
each institution
 Consulting on developing/updating and implementing written infection control protocols at
clinical care sites
 Consulting with faculty members at Kigali Health Institute and the 5 schools of nursing and
midwifery to incorporate updated infection control protocols into skills lab and clinical curricula
 Working with the newly developed infection control nurses to develop in-service training
courses for all institutional staff whose responsibilities include patient contact
 Collaborating with hospital administrators in the area of infection control in an effort to attain
hospital accreditation
The education/experience requirements for the job of infection control nurse include:
 At least 3+ years of experience in infection control
 A proven track record as a leader and expert clinician
 Knowledge and experience in public health and tropical disease conditions
 A master’s degree or post-master’s certificate in their clinical specialty from an accredited
institution is preferred
 Former position that included staff training and infection control program development is
required
 International development experience is preferred
Other qualifications:
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



Excellent written and oral communication skills
Management style that is inclusive and collaborative
Willingness to live in Rwanda for a minimum of 11 months
Respect for the experience and expertise of Rwandan colleagues
Commitment to the goals of the Rwanda Ministry of Health and Rwandan nursing leadership as
it relates to strengthening of nursing and midwifery education
French or Kinyarwanda language skills preferred but not required
Advisor to the Director of Rwandan School of Nursing and Midwifery
(5 positions)
Each Director of a School of Nursing and Midwifery will be assigned a US faculty advisor.
Responsibilities include, but are not limited to:
 Working with the Director and faculty members to improve teaching techniques, integrate
simulation into the curriculum, and address all other aspects of the functioning of the school
 Working with faculty at a school of nursing and midwifery, as well as the clinical mentors at the
partner institutions where students have clinical placements, to ensure integration of theory
into clinical instruction
 Working collaboratively to develop management and leadership courses
 Mentor nursing faculty in the development and implementation of research projects
 Provide lectures in faculty area of expertise
The education/experience requirements for the job of assistant dean include:
 At least 3+ years of experience in teaching at an accredited college of nursing; academic
administration at the departmental or executive level is preferred
 Expertise in the pedagogy of nursing and midwifery educational processes
 Experience in developing curriculum that integrates the use of simulation in nursing/midwifery
clinical education
 A proven track record as a leader and teacher, with faculty development expertise
 A PhD or equivalent from an accredited institution is preferred; Master’s degree with at least
3years teaching experience and proven track record of teaching excellence will be considered
 Former position that included program and curriculum development is preferred
 International development experience is preferred
Other qualifications:






Excellent written and oral communication skills
Management style that is inclusive and collaborative
Willingness to live in Rwanda for a minimum of 11 months
Respect for the experience and expertise of Rwandan colleagues
Commitment to the goals of the Rwanda Ministry of Health and Rwandan nursing leadership as
it relates to strengthening of nursing and midwifery education
French or Kinyarwanda language skills preferred but not required
Nurse Mentor/Clinical Preceptor
The Nurse Mentor/Clinical Preceptor will be assigned to teaching facilities throughout the country which
serve as clinical placement sites for the majority of Rwandan nursing and midwifery students, from both
the Faculty of Nursing Sciences (FNS) and the 5 schools of nursing and midwifery.
Responsibilities include, but are not limited to:
 Modeling the role of preceptor for nursing and midwifery students in their area of clinical
expertise
 Serving as part of the professional development team at the clinical teaching sites
 Providing continuing education to the existing nursing and midwifery staff
 Working closely with the physician mentors to foster integrated education of medical, nursing
and midwifery students and medical residents
 Serving as a resource for FNS and the 5 schools, providing lectures, faculty development
programs, and advice on curriculum development in their specialty areas
 Specialty areas include:
o Adult nursing – including general adult care, critical care, trauma and surgery, infectious
diseases, and chronic disease management
o Pediatrics –including general pediatric care, neo-natal intensive care and pediatric
infectious diseases
o Mental Health Nursing – including expertise in PTSD and pediatric and adolescent
mental health issues
o Midwifery – including pre-natal care, family planning, emergency obstetrical care, and
Prevention of Mother to Child Transmission of HIV
o Public Health and Community Nursing
The education/experience requirements for the job of clinical mentor include:
 At least 3+ years of experience in their clinical specialty
 Ability and willingness to teach students at all levels- from fundamentals to advanced nursing
practice
 Experience adapting to resource limitations while maintaining high quality care
 A proven track record as a leader and expert clinician
 Former position that included mentoring/precepting students is required
Other qualifications:





Excellent written and oral communication skills
Management style that is inclusive and collaborative
Willingness to live in Rwanda for a minimum of 11 months
Respect for the experience and expertise of Rwandan colleagues
Commitment to the goals of the Rwanda Ministry of Health and Rwandan nursing leadership as
it relates to strengthening of nursing and midwifery education

French or Kinyarwanda language skills preferred but not required