Background Caring is a core function of nurses and it confers upon them ethical obligations as ethical agents. Failure to carry out such ethical obligations raises ethical concerns. This study was not intended to explore ethical concerns, but the reported findings reveal problems which have ethical implications. This paper aims to elucidate the ethical issues inherent in the findings and propose strategies to mitigate them. Research design and methods An exploratory-descriptive qualitative design was used within a larger Action Research Study. (...) Data were collected through focus group discussions with nurse/midwives, and through exit interviews which were conducted with the women who participated in the study on their day of discharge. Six focus group discussions and thirty exit interviews were conducted, and data were analysed through thematic analysis. Participants and research context The study took place at selected maternal and child healthcare settings in Lilongwe, Malawi. The participants were nurse/midwives and women who were admitted in maternal and child healthcare settings and were purposively sampled. Ethical considerations Ethical approval was obtained from the relevant ethics committee and all ethical guidelines were followed in the conduct of the study. Findings The findings are presented under three themes which emerged from the data. The findings reveal effects of staff shortages on patient outcomes, problems experienced in low resource clinical settings and disrespectful nurse/patient communication. Conclusion The findings reveal that institutional factors constrain moral agency and patient safety is severely compromised in some of the clinical settings in Malawi which raises serious ethical concerns. (shrink)

The book is a whirlwind of thought and life in general. Its main purpose is not hurt speech but subjects everything to rigorous questions and seeks answers to seemingly insurmountable problems. Some views expounded in this book will no doubt raise some dust. But if dust has to be raised to reach to truth, so be it, no apologies. The author writes to be damned, but will not accept any thing that is advanced without evidence. The book in the first (...) chapter guides the reader through the author's struggles and in a way is a motivational piece as it shows that all is possible through not giving up, in spite of insurmountable odds. As a practical demonstration, of the power of being a Sceptic, the reader is taken through the fundamentals of the poorly understood topic of hypnosis. The reader is guided through the practical ways of becoming not only a hypnotist, but a way to improve one's memory. The section on how to study for success will certainly help those that are engaged in pursuing knowledge in any field. It has been used by the author himself and many others in their successful studies over a long period. In this way the book is a small but powerful educational tool.. A small part is what the author calls common Science; which of course may not be so common after all. The book shows through brutal examination of traditional views that the Sceptic sooner than later reaches to the truth. There are few topics in the book that the author has inserted purely to provide rest periods from the hard philosophical and scientific arguments that follow. Satire that may seem to exhibit itself in some topics should be seen from this point of view. It is the considered view of the author that many views that appear in this book, if taken as way of life would improve the world as we know it, be it socially, economically or politically. Topics on homosexuality, abortion, capital punishment, witchcraft, afterlife, and death, miracles, language and quality leadership among others are always brushed away without due thoughtful process especially in the African context. The book touches on these sensitive topics with candor and vigour, honesty and brutally. The authors' long stay in Botswana, a country with no debt and practically negligible corruption, helps him show what a country that embraces democracy coupled with pragmatism from the word go and prudent economic management can achieve. In this way, the Sceptic is as good source of wisdom to research students and those whose decisions do affect the vast majority of their people. The unconventional interesting way the various topics have been handled make reading of seemingly difficult topics enjoyable and can be read in any order for they do not follow a linear structure.Common myths prevalent in society are tackled with clarity towards the end of the book. The shooting down of some common myths, including the myths surrounding weight reduction and alcohol are a source of knowledge and guidance for those not lucky enough to be privy to very deep scientific evaluations of things. The book does not claim absolute knowledge but is an honest guide to those who do not fear to think.This small book is a dynamite of knowledge especially in most African countries where ignorance is the odder of the day. (shrink)

This article explores the nexus of themes of sexual desire, gender and prayer in the Bemba mythology of creation. Approached from Sarah Coakley’s theology of participation in the divine desire, the article utilizes email technique to collect data from African scholars both women and men with an intention to find out their perspectives on the nexus of the entangled themes above as embodied within the widespread Bemba mythology. The second objective was to understand the ways in which these three themes (...) are intersected in the mythology and demonstrate how the contemporary African Christian search for gender and sexual desire justice might be linked to a gendered prayer. The findings show that gendered prayer could be a place of sexual desire and gender healing and justice for women. (shrink)

This article examines the role of Prophecy and divination in the success of the Lumpa Church of Alice Mulenga Lenshina in Zambia. Concurring with James Amanze, the article argues that the rapid growth of Christianity in Africa is to a large extent due to its engagement with prophecy and divination. Strong growth in African Christianity takes place mainly in the African Initiated Churches which are Pentecostal-charismatic in their outlook. In these Churches the emphasis is on the prophetic ministry of (...) the Church, evident in the performance of divination, healing and in predictions of the future. A good example is the Lumpa Church of Lenshina. Taking this Church as a case study, the article argues that Lenshina’s success and that of her Church are based on the fact that divination, prophecy and a search for gender justice were taken seriously. (shrink)