Study Protocol for the Development of an African Framework for Critical Care Nursing based on Ubuntu using Co-operative Inquiry: Decolonising Care

Carter, Chris and Notter, Joy and Kanyanta, Michael (2026) Study Protocol for the Development of an African Framework for Critical Care Nursing based on Ubuntu using Co-operative Inquiry: Decolonising Care. Nursing in Critical Care. ISSN 1362-1017 (In Press)

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Abstract

Background: Critical care nursing in Zambia is a new speciality that has adopted traditional nursing documentation, and currently use the Roper, Logan and Tierney Activities of Daily Living combined with NANDA International (NANDA-I) criteria. It is a cause for concern these models are based on different high-income domains, and are not critical care or context specific, making integration and application in practice challenging. Therefore, there is an urgent need to develop a Zambian context specific critical care nursing framework.

Aims and Objectives: This study aims to explore intensive care nurses’ perceptions of the applicability of currently used nursing models and theories and to develop a new Zambian critical care nursing framework based on the principles of Ubuntu.

Methods: A participatory co-operative inquiry, mixed method study with two phases. Phase 1 includes a retrospective review of nursing care plan documentation. This will allow for the identification of the current use of nursing models and theories. Phase 2 will utilise the findings from phase 1 as the basis for a series of focus groups with intensive care nurses.
Phase 1 utilises documentary data analysis to identify key nursing documentation over a 2-month period. Descriptive statistics and where possible significant difference will be used to determine patterns and trends.
Phase 2 comprises of semi-structured focus groups with intensive care nurses within the study site. Total population sampling will be used; therefore, all nurses will be invited to participate. Framework analysis will be used to analyse the qualitative datasets using.

Conclusion: The outcomes will illustrate the efficiency and effectiveness of nursing documentation and perceptions of using the current nursing model. The findings will be combined to develop a critical care nursing framework based on Ubuntu, which will then be piloted.

Item Type:	Article
Dates:	Date Event 24 February 2026 Accepted
Subjects:	CAH02 - subjects allied to medicine > CAH02-04 - nursing and midwifery > CAH02-04-02 - adult nursing
Divisions:	Nursing and Midwifery > Adult Nursing
Depositing User:	Gemma Tonks
Date Deposited:	05 Mar 2026 14:47
Last Modified:	05 Mar 2026 14:47
URI:	https://www.open-access.bcu.ac.uk/id/eprint/16906

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