Capacity building in neonatal nursing research in majority world settings: A Malawi case study
Date
2025
Authors
Amundsen, Miranda M. M.
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Abstract
In this dissertation, I contribute to the scientific understanding of neonatal nursing-led research in Malawi, a majority world context. I conduct a single heuristic case study informed by participatory action research and postcolonial feminism perspectives to offer a comprehensive account of neonatal nursing-led research in this setting. Through this work, I uncover how neonatal nursing practice is problematized in the global south, draw attention to the underrepresentation of nurses in global health research, and expose the persistent neglect of nursing perspectives in efforts to advance neonatal health equity. I identify structural barriers that limit neonatal nursing-led research and propose actionable solutions grounded in the insights of Malawian nurses. My study is also the first to present a comprehensive definition of capacity building from the perspective of these nurses. Ultimately, I center the voices of Malawi’s neonatal nurses to challenge the dominant paradigms in global neonatal health research that continue to marginalize nursing contributions.
This dissertation reflects my personal growth over the past five years as I immersed myself in this work. I engaged in the entire research process collaboratively with RC, my valued nursing colleague and co-conspirer in Malawi. Along the way, I deepened my understanding of research, critical theory, participatory approaches, and case study methodology. More importantly, I learned about equity, examined my own positionality, and began to meaningfully deconstruct colonial systems. While I know I still have much to learn, this dissertation marks a significant step forward in my journey.
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Capacity Building, Neonatal Nursing Research, Global Health, Malawi, Case Study, Participatory Action Research