Challenges of Nurse Tutor Utilization of the Teaching Aids


Introduction: Nursing is the largest healthcare profession in Malawi with more than 11,000 registered nurses (RNs), nurse technicians and midwives (NTM) practicing in hospitals and other settings like nursing colleges nationwide. Student preparation is mostly done by nursing tutors in all the nursing colleges using numerous types of teaching aids. Methods: Descriptive exploratory design which utilized both qualitative and sequential quantitative methods was applied to Iterated Purposive Probability Sampling (IPPS) of 10 nursing colleges in Malawi. This was done to 129 students and 82 nurse tutors in two structured questionnaires, 40 nurse tutors in-depth interviews and 10 students focus groups. There were 32 variables for the teaching aids under five ranked Likert scale and the Cronbach’s Alpha was found to be 0.932 without standardisation and it was 0.952 after standard-disation. Results: Although nurse tutors show that they use manikins to teach (0.011 < p = 0.05), students seem not to agree on the utilization of the manikins during teaching both in class and at the clinical area (0.05; p = 0.05). There is also increased discrepancy between students and nurse tutors on internet utilization as the teaching aid as the Beta Coefficient value was (B = 0.202) for the nurse tutors and (B = 1.061) for the students basing on their experience. Use of patient as a teaching aid is very common in Malawi and both the nurse tutors and students agree that it is the realistic and best way in teaching and has a strong binary logistic regression with a model outcome of (OR = 1.431; 95%CI (0.890 ± 2.304); p = 0.139). Conclusion: There is a need to develop the teaching strategies that would be conducive with the current scarcity of the teaching aids. Use of patients if ethically followed remains the most effective and efficient teaching aid in developing countries.

Share and Cite:

Mbirimtengerenji, N. and Adejumo, O. (2015) Challenges of Nurse Tutor Utilization of the Teaching Aids. Open Journal of Nursing, 5, 516-527. doi: 10.4236/ojn.2015.55055.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Ministry of Health (2008) Annual Report; Nursing Section. Lilongwe.
[2] Ministry of Health (2012) Annual Report on Nurse’s Performance: Capitol Hill. Lilongwe.
[3] Ministry of Health (2010) Biannual Conference, Karikuti Hotel. Lilongwe.
[4] Nurses Council of Malawi (2012) Annual Report on Nursing Education.
[5] Grigulis, A.L. (2010) Lives of Malawian Nurses: Stories behind the Statistics. PhD Thesis, Centre for International Health and Development, University College London.
[6] Nurse Council of Malawi (2006) Annual Report; Progress of Nurses in Development. Lilongwe.
[7] Chirwa, M. (2007) Performance of CHAM Nursing Schools. Lilongwe.
[8] Dennis, H. and Duncan, C. (2011) Introduction to Research Methods in Psychology. 3rd Edition, Loughborough University Press, Prentice Hall.
[9] Rivera, R. (2011) Research Ethics Training Curriculum. 2nd Edition, Family, Health International.
[10] Gina, M. (2002) Posters Give Nursing Staff Consistent Information. Critical Care Nurse, 22, 152.
[11] Maunye, T.J., Meyer, S.M. and van, V.C.E. (2009) An Assessment of Teaching Strategies. Used by Lecturers at a Nursing College in Mpumalanga. Curatiouis, 32, 30-37.
[12] Cant, R.P. and Cooper, S.J. (2010) Simulation-Based Learning in Nurse Education: Systematic Review. Journal of Advanced Nursing, 66, 3-15.
[13] Yava, A., Tosun, N., Çiçek, H., Yavan, T., Terakye, G. and Hatipoglu, S. (2009) Nurses’ Perceptions of the Barriers to and the Facilitators of Research Utilization in Turkey. Applied Nursing Research, 22, 166-175.
[14] O’Shea, E. (2003) Self-Directed Learning in Nurse Education: A Review of the Literature. Journal of Advanced Nursing, 43, 62-70.
[15] Jeffries, P.R. (2001) Computer versus Lecture: A Comparison of Two Methods of Teaching Oral Medication Administration in a Nursing Skills Laboratory. The Journal of Nursing Education, 40, 323-329.
[16] Banning, M. (2005) Facilitation of Teaching Strategies in Nursing. Nurse Education Today, 25, 502-508.
[17] Polit, D. and Beck, C.T. (2003) Nursing Research: Principals and Methods. Williams Book Company, New York.
[18] Tomietto, M., Saiani, L., Palese, A., Cunico, L., Cicolini, G., Watson, P. and Saarikoski, M. (2012) Clinical Learning Environment and Supervision plus Nurse Teacher (CLES + T) Scale: Testing the Psychometric Characteristics of the Italian Version. Giornale Italiano di Medicina del Lavoro ed Ergonomia, 34, B72-B80.

Copyright © 2023 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.