This article describes a six-month project to facilitate educational developments in the School of Nursing at the Nairobi Hospital, Kenya. The project addressed curriculum revision, mentorship, audit of clinical learning environment, developing teaching and assessing skills in qualified staff, establishing a computerised student allocation system, and post-basic and in-service education. The first three will be described in detail, with some reflections on the experience of introducing change in an environment which was both familiar and strange to the author.
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