1.Nursing and Midwifery Students’ Perceptions and Experiences of Clinical Learning in Papua New Guinea: A Qualitative Study
Nikki Naki Joseph ; Gracelyn Potjepat ; Marian Vowari Minnala ; Paula Zebedee Aines ; Lilian Temo ; Mckenzie Maviso
Pacific Journal of Medical Sciences 2026;27(2):24-35
The clinical learning environment plays a critical role in developing the skills and competence of nursing and midwifery students. However, limitations within the clinical learning environment may impede students’ ability to effectively translate theoretical knowledge into clinical practice. This study aimed to explore the perceptions and experiences of student nurses and midwives regarding their clinical learning in Papua New Guinea. A descriptive qualitative study was conducted using purposive sampling to recruit 18 nursing and midwifery students. Data was collected through individual, in-depth, semi-structured interviews and analyzed using thematic analysis. Four themes emerged from the interview data, influencing participants’ perceptions and experiences regarding clinical learning: supportive learning environment, perceived bias and dismissive attitudes from clinical supervisors, inadequate supervision and unmet clinical learning outcomes, and constraints in clinical resources. Findings revealed that negative clinician attitudes, poor supervision, and limited resources hindered students’ clinical learning. Strengthening collaboration between institutions and hospitals, along with improved resource support, is essential for better learning outcomes.
2.Sociodemographic characteristics of people tested HIV-positive by notifying testing facilities in Papua New Guinea,
Papua New Guinea medical journal 2019;62(3-4):132-143
Introduction: Human immunodeficiency virus (HIV) infection continues to be a growing public health burden in HIV-endemic countries, including Papua New Guinea (PNG). The aim of this analysis was to describe the sociodemographic characteristics and sexual risk behaviours of people tested positive with HIV by notifying testing facilities in PNG.Methods: A descriptive analysis was conducted using the national HIV/STI (sexually transmitted infection) surveillance data from 2010 to 2014. Descriptive statistics were utilized to compare categorical variables: sociodemographic characteristics, reasons for HIV testing and HIV-related risk factors. The chi-squared test was conducted to ascertain differences between categorical variables. Results: There were 13,687 HIV-positive cases, with a mean age of 34.9 years (± SD 10.1) for males and 28.2 years (± SD 8.2) for females. 62% were female, of whom 36% were aged 15-24 years and 39% had no formal education. The overall proportion who were married was 66%, many in polygamous relationships. 64% of females and 45% of males were unemployed. 60% overall were from the Highlands Region. 51% of people were tested HIV-positive through voluntary counselling and testing (VCT) services, along with clinical suspicion (30%). Heterosexual sex with non-regular sex partners was an important risk factor in both males (57%) and females (59%). The number of HIV-positive cases reported decreased significantly over the 5-year period. Conclusions: The study found specific sociodemographic factors and risky sexual behaviours, along with high HIV infection rates, in geographically concentrated settings. This demands comprehensive antiretroviral therapy (ART) coverage, with context-specific and targeted behavioural change prevention strategies, in accordance with the national HIV treatment cascade.

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