On the impact of the genocide on the intergroup empathy bias between former perpetrators, survivors, and their children in Rwanda.

Studying what factors influence the ability to resonate with the pain of others in the aftermath of a genocide and how this extends to the following generation is critical to better understand the perpetuation of conflicts. In the present study conducted in Rwanda, we recruited former genocide perpetrators and survivors, and their respective children and investigated how their neural response to the pain of others is modulated when they visualized pictures of former perpetrators or survivors, or their offspring. We further evaluated how the impact of the genocide and psychological factors associated with trauma influenced the results. Results showed that the intergroup empathy bias-that is, a reduced neural response to the pain of the outgroup-is present for both individuals alive during the genocide and their offspring. We also observed that a higher number of stressors experienced during the genocide was associated with a higher reduction of the neural response to the pain of others, even toward the children of one's own ingroup. Finally, we observed that a deliberate and free decision to reconcile is associated with a higher neural response to the pain of others. The results may be central to encouraging reconciliation in peacebuilding programs and to fostering empathic repair after trauma. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Mentors' perspectives on strengths and weaknesses of a novel clinical mentorship programme in Rwanda: a qualitative study.

OBJECTIVES: To identify mentors' perspectives on strengths and weaknesses of the Training, Support and Access Model for Maternal, Newborn and Child Health (TSAM-MNCH) clinical mentorship programme in Rwandan district hospitals. Understanding the perspectives of mentors involved in this programme can aid in the improvement of its implementation. DESIGN: The study used a qualitative approach with in-depth interviews. SETTING: Mentors of TSAM-MNCH clinical mentorship programme mentoring health professionals at district hospitals of Rwanda. PARTICIPANTS: 14 TSAM mentors who had at least completed six mentorship visits on a regular basis in three selected district hospitals. RESULTS: Mentors' accounts demonstrated an appreciation of the two mentoring structures which are interprofessional collaboration and training. These structures are highlighted as the strengths of the mentoring programme and they play a significant role in the successful implementation of the mentorship model. Inconsistency of mentoring activities and lack of resources emerged as major weaknesses of the clinical mentorship programme which could hinder the effectiveness of the mentoring scheme. CONCLUSION: The findings of this study highlight the strengths and weaknesses perceived by mentors of the TSAM-MNCH clinical mentorship programme, providing insights that can be used to improve its implementation. The study represents unique TSAM-MNCH structural settings, but its findings shed light on Rwandan health system issues that need to be further addressed to ensure better quality of care for mothers, newborns and children.

Assessing the impact of mentorship on knowledge about and self-efficacy for neonatal resuscitation among nurses and midwives in Rwanda.

In the first minute of life after birth, it is critical to effectively manage an infant's respiratory status. Given the critical nature of newborn airway management, it is vital that health professionals have the knowledge and confidence to engage in airway management procedures. Consequently, there has been a call for nurses and midwives to be prepared to skillfully enact neonatal resuscitation interventions when required, especially in low-resource environments, to help reduce neonatal death. The purpose of this study was to assess the impact of a mentorship program that involves an education component for neonatal resuscitation in the first minute after birth. The study examined changes to knowledge and self-efficacy of Rwandan nurses and midwives towards newborn airway care outcomes. A pre-/post-test, quasi-experimental study design was used to assess the changes in knowledge about and self-efficacy for neonatal resuscitation. Using a paired t-test, the results suggested that nurses' and midwives' knowledge and self-efficacy increased significantly, and participants' knowledge correlated positively to self-efficacy. Therefore, a mentorship program that supports professional development through education appears to be an effective strategy to enhance nurses' and midwives' knowledge about and self-efficacy for neonatal resuscitation and could eventually lead to neonatal practice improvements.