Perceptions And Experiences of Nurses and Midwives on the Uganda Nurses Midwives Council (UNMC) Online Registration and Licensure System: A Qualitative Study
Résumé
Purpose: Nurses and midwives are important members of Uganda's health workforce, and their licensure procedure is critical to developing a competent and regulated professional cadre. This qualitative study looked at nurses' and midwives' experiences while using the Uganda Nurses and Midwives Council's (UNMC) online registration and licensure system. Methods: Between June and August 2024, we conducted a qualitative cross-sectional study among nurses and midwives at the Uganda Nurses and Midwives Council (UNMC), Mbale, Mbarara, and Hoima Regional Referral Hospitals. Using purposive sampling, data were collected through eight Focus Group Discussions (FGDs), determined by data saturation. A semi-structured FGD guide was employed, and responses were captured using an audio recorder. The data was then analysed using thematic content analysis to generate codes, sub-themes, and overarching themes. Results: The study highlighted two main themes: enablers and barriers of online registration for nurses and midwives. Enablers included time-saving and convenience, cost-effectiveness, user-friendliness, and perceived safety and comfort, with participants appreciating reduced travel, lower costs, and ease of use. Barriers encompassed technical issues, limited computer skills, network problems, exploitation by intermediaries, and frequent physical follow-ups, which hindered the process for some users. Technical challenges, inadequate internet access, and exploitation by intermediaries led to frustrations, particularly for users with limited experience or resources. Conclusion: UNMC’s online registration and licensure system brings several benefits, including convenience, cost savings, and increased safety, particularly for nurses and midwives from remote regions. However, significant challenges still exist. To ensure the effectiveness of the system, we recommend measures to address knowledge gaps, system delays, and financial exploitation of middlemen.
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