Contemporary enrolled nursing practice: Opportunities and issues
|
|
- Anastasia Cooper
- 5 years ago
- Views:
Transcription
1 Contemporary enrolled nursing practice: Opportunities and issues Terri Gibson, Marie Heartfield, University of South Australia Over the last decade, Australia, as with the rest of the developed world, has experienced a widespread labour market decline in the numbers of nurses in the health workforce. Concurrent with this nursing shortage, the second level nurse has, in many countries, ceased to be recognised as a legitimate nursing role. In Australia, recent research indicates that the enrolled nurse role, though contentious, is consolidating as a core component of the health care workforce. This paper reports on national research that examined the role and function of the enrolled nurse in Australia and reviewed the Australian Nursing Council Inc (ANCI) National Competency Standards for Enrolled Nurses. Specific issues related to the contemporary role and function of enrolled nurses, namely supervision, scope of practice and education, are also discussed. Key words: nursing role, competencies, enrolled nurse, supervision, scope of practice, nursing education Introduction Internationally, the perception that enrolled nurses often undertake similar roles to registered nurses without the same level of education (Brown 1994, Allan & McLafferty 1999) has, in some countries, underpinned moves to phase out enrolled nurse training and encourage enrolled nurses to convert to a registered nurse qualification (Department of Health 1999, Nursing Council of New Zealand 2000). In Australia, although a twotiered nursing structure continues to be endorsed, demarcation between the levels of nurse and the associated roles and responsibilities has been a significant and ongoing professional issue (Pearson et al 1992, Percival et al 1994, Owen 1995, Owens & Macarty 1999). Competency standards were introduced in the late 1980s as one strategy to address this issue. The development and maintenance of competency standards for nursing practice in Australia is facilitated through the Australian Nursing Council Inc (ANCI). These standards are endorsed by the state and territory nurse regulatory authorities and play a significant role in the regulation of nursing practice. In 2000, the ANCI, as part of its national involvement in nursing regulation, commissioned a project to examine the role and function of the enrolled nurse (EN) in Australia and review the National Competency Standards for Enrolled Nurses to ensure their relevance for contemporary and future nursing practice. This paper presents an overview of the project and reports on key issues emerging from the research that have implications for the future role of the enrolled nurse in Australian health care. Terri Gibson RN MNStd BN(Ed) DipAppSc(Nsg) FRCNA, Senior Lecturer, University of South Australia, School of Nursing & Midwifery Marie Heartfield PhD RN FRCNA, Senior Lecturer, University of South Australia, School of Nursing & Midwifery. marie.heartfield@unisa.edu.au Project aims and objectives The project used a qualitative research design to revise the contemporary role, function, competencies, and educational preparation of enrolled nurses in Australia. The project team consulted with identified stakeholders to: identify the generic role expected of enrolled nurses on entry to practice in Australia; revise the enrolled nurse competency standards to reflect the contemporary role and function of the enrolled nurse in Australia including articulation with the competency standards for the registered nurse; 22 Collegian Vol 10 No1 2003
2 Contemporary enrolled nursing practice: Opportunities and issues validate the revised competency standards; identify, from the data collected on enrolled nurse practice, the issues concerning the ongoing and evolutionary development of the role, function, and educational preparation of enrolled nurses; and recommend the educational preparation required for enrolled nurses to achieve the validated and revised Competency Standards for the Enrolled Nurse (Gibson et al 2002). Research design The project aim and objectives were addressed through four interrelated phases of data generation and analysis, which included: Phase 1: Identification of the role of the enrolled nurse on entry to practice through literature review and critical incident interviews; Phase 2: Development of draft revised Competency Standards for the Enrolled Nurse following analysis of literature, interviews, workshops, open forums, teleconference and written submissions; Phase 3: Validation of the draft revised Competency Standards for the Enrolled Nurse against existing practice through direct observations of enrolled nurse practice; Phase 4: Determination of the educational requirements for enrolled nurse practice through analysis of relevant curriculum documents in relation to the revised Competency Standards for the Enrolled Nurse and consultation with relevant stakeholders (Gibson et al 2002). The range of research techniques used in the project have been demonstrated as valid for occupational analysis and the development of competencies (Gonczi et al 1990) and included empirical as well as reported data. The participants Registered and enrolled nurses and other key stakeholders including professional and industry bodies, regulatory authorities, consumers, employers of enrolled nurses and those involved in enrolled nurse education participated in the study. The sampling frameworks that guided the purposeful selection of participants from each state and territory were developed from national labour force data on the distribution of enrolled nurses in the Australian health workforce by geography and area of practice (Australian Institute of Health Welfare 1999, Gibson et al 2002). Consistent with the goal of purposeful sampling to ensure information rich cases (Miles & Huberman 1994, Sandelowski 1995), representation was sought from individuals in metropolitan, rural, regional and remote locations by virtue of their direct experience with enrolled nursing. The research phases Phase 1: Identification of the role of the enrolled nurse on entry to practice through literature review and critical incident interviews Semi-structured telephone interviews were conducted with enrolled nurses from a range of diverse practice areas in each state and territory (n=48). The enrolled nurses were asked to describe specific situations encountered and activities undertaken in their daily nursing practice. Data generated through the literature review and telephone interviews informed a series of national workshops, rural teleconferences and open forums conducted in Phase 2 of the project. Phase 2: Development of draft revised Competency Standards for the Enrolled Nurse following analysis of the literature, interviews, workshops, open forums, teleconference and written submissions Workshops in each state and territory (n=8) and a rural teleconference (n=1) targeted specific stakeholders to explore the role, function, competencies and education of enrolled nurses. Open public forums, advertised through the ANCI website, letters to Nurse Regulatory Authorities and the targeted workshop participants, were also held in each state and territory to enable interested people to comment on issues relevant to the project. A call for written submissions was also placed on the ANCI website, with letters sent to relevant national organisations, inviting their submission to the project. These data informed the development of a draft revised set of competency standards for enrolled nurses. Phase 3: Validation of the draft revised Competency Standards for the Enrolled Nurse against existing practice through direct observations of enrolled nurse practice Observations of enrolled nurse practice were undertaken in each state and territory to validate the draft revised competency standards (n=160). Each four-hour observation was followed by an interview with the observed enrolled nurse and in some cases with the RN with whom the EN was working. Ethical and administrative approval was gained from all venues prior to commencement of the observations and all ethical principles were adhered to in the conduct of the research. Registered nurses were trained to conduct the observations in a three-day program focused on observing, interviewing and recording data for research purposes. Pilot observations of enrolled nurses in practice settings, conducted as part of the training, were used to develop standardised tools for data collection to enhance reliability. In addition, through a process of reviewing, critiquing and discussing each pilot observation, the registered nurse observers developed a shared understanding of the observation and recording process which enhanced consistency in data collection. Written consent and demographic and education information were obtained from all participants prior to the commencement of each observation. Information was also recorded about the context of the observations including time of day, clients receiving care, nature of care provided and interaction with registered nurses and other team members. The draft competency standards were revised in accordance with this data. Phase 4: Determining the educational requirements for enrolled nurse practice through analysis of relevant curriculum documents in relation to the revised Competency Standards for the Enrolled Nurse and consultation with relevant stakeholders Following validation of the revised competency standards, Collegian Vol 10 No
3 copies of currently approved enrolled nurse curricula from at least one major enrolled nurse education provider in each state and territory were analysed to determine the fit of current educational preparation with the revised standards. Analysis of educational issues also took into account data generated in all phases of the research. Data analysis Data analysis included use of N-Vivo (N-Vivo 1999) qualitative research software for data management and some aspects of coding. Data transcripts were individually read by two of the chief investigators in the research team (Gibson et al 2002) to gain an overall sense of themes, practices and events or situations in relation to enrolled nurse role, function, competency and education. Phase 1 and 2 data sets were compared, interpreted and integrated with the N-Vivo coding and cross referenced with the draft competencies resulting in a revised set of Competency Standards for the Enrolled Nurse. Data from all phases nurses need to recognise that competency standards are only one of the resources necessary to guide decision-making about the scope of enrolled nurse practice. were also coded and synthesised to produce a thematic description of the current enrolled nurse role and function on entry to practice. Content analysis of enrolled nurse curricula produced an overview of course structure (including content, assessment and theoretical and clinical hours), graduate outcomes, entry requirements, recognition of prior learning as well as integration of the current enrolled nurse competency standards. Results and discussion Enrolled nurse role and function in Australia The results of this project suggest that the enrolled nurse, as an associate to the registered nurse, remains a flexible and integral member of contemporary Australian health care services. While the project team observed role diversity as a salient feature of enrolled nursing practice, core aspects of the enrolled nurse role were also clearly evident. Core features of the role include: working as a part of the health care team by assisting patients with activities of daily living; providing physical and psychological comfort and support; assisting with assessment; communicating and liaising with patients and their families, colleagues and other members of the health care team; assisting with planning and evaluating nursing care; undertaking specific nursing interventions; and maintaining a safe environment (Gibson et al 2002). Core enrolled nurse practice was characterised by a supervisory relationship with the registered nurse, the nature of which was determined by the relevant state and territory legislation, educational preparation and experience of the enrolled nurse, and the health care context. Anecdotal evidence of complex and high level functioning for the enrolled nurse from participants in phases 1 and 2 of the study was not supported by the observational data generated in phase 3 of the project. Operational knowledge of organisational context, policies and procedures was commonly perceived as evidence of enrolled nurses performing at a higher level of knowledge and skill than was actually the case. Emphasis on efficiency in the completion of visible nursing tasks suggests that though enrolled and registered nurses may, in many instances, be seen to be performing the same or similar activities, the accompanying cognitive and analytical processes are often quite different in accordance with the broader registered nurse educational preparation and role responsibility. Amid a strong sense of collegiality and discussion of associate roles between registered and enrolled nurse participants, one registered nurse cautioned that sanctioning a wider role for enrolled nurses risked reducing... the complexity of nursing skills to that of a lesser level of tasks, just so that enrolled nurses, who are nurses with different levels of education, therefore cheaper, might perform them (workshop participant). Despite this complexity and differences in registered and enrolled nurse roles and the potential for role confusion, this research indicates that the enrolled nurse retains considerable visibility as a direct nursing care provider, liaising with registered nurses and other health care professionals (Gibson et al 2002). Enrolled nurse competency standards The commissioning of the project by ANCI to revise the competency standards was supported by participants as necessary and timely due to the increasing fragmentation of the health system, use of unregulated health workers, nursing shortages, expanded nursing workloads and increasing numbers of enrolled nurses working in community and residential care sectors and general medical practices. The significance of these issues in shaping nursing practice meant that the inclusion of observations of actual enrolled nursing practice to validate the competency standards was viewed as a particular strength of the research design. Participants proposed that the revised enrolled nurse competency standards use the ANCI registered nurse competency domains of professional and ethical practice, critical thinking and analysis, management of care and enabling (Australian Nursing Council Inc 2001). It was argued that the same domains would signify the enrolled nurse as a core part of the nursing profession and assist differentiation between the roles of the registered and enrolled nurse, and the enrolled nurse and unregulated care worker. The ANCI registered nurse domains were therefore adopted with different descriptions of each domain, competency statements and cues to reflect the enrolled nurse role, function and educational preparation (Gibson et al 2002). 24 Collegian Vol 10 No1 2003
4 Contemporary enrolled nursing practice: Opportunities and issues A significant finding from the research was that nurses need to recognise that competency standards are only one of the resources necessary to guide decision-making about the scope of enrolled nurse practice. Decision-making about nursing practice requires consideration of a range of factors including the educational preparation and experience of the enrolled nurse, and context of care taking into account the particular needs of the individual patient/client, state and territory legislative requirements and organisational policy. An illustration of this can be seen in the role of the enrolled nurse in the administration of medications in that educational preparation, individual client need and the degree of involvement of enrolled nurses in this practice vary considerably between states and across practice settings. Whilst the revised competency standards do not preclude the administration of medications by enrolled nurses, decision-making about this practice issue cannot be resolved through interpretation of competency standards alone. The strength of the revised competency standards for enrolled nurses is that they are reflective of contemporary enrolled nurse practice without being prescriptive, thus accommodating the diversity of health care settings and nursing practice whilst providing a framework for safe and accountable nursing care. Education of enrolled nurses Significant debate related to enrolled nurse education centred on issues of national consistency, level and models of educational preparation, transition to practice, articulation with other programs, curriculum content and post-basic education (Gibson et al 2002). Analysis and interpretation of the current enrolled nurse role and function and revised competency standards indicates a strong correlation between the distinguishing features of a Certificate IV qualification as currently specified in the Australian Qualifications Framework (Australian Qualifications Framework Advisory Board to MCEETYA 1998) and the requirements of entry to practice for enrolled nurses. (see Table 1). Consistency in enrolled nurse educational preparation was seen as essential to effective implementation of national competency standards. However, considerable variation exists in the current educational preparation of enrolled nurses in Australia. Substantial debate occurred (and is yet to be resolved at national level) about whether enrolled nurses should be educated at Certificate IV or Diploma level. Currently enrolled nurses in all states and territories except Queensland are educated at Certificate IV level, Table 1: Distinguishing features of a Certificate IV qualification Demonstrate understanding of a broad knowledge base incorporating some theoretical concepts Apply solutions to a defined range of unpredictable problems Identify, analyse and evaluate information from a variety of sources Identify and apply skill and knowledge areas to a wide variety of contexts with depth in some areas Take responsibility for own outputs in relation to specified quality standards Take limited responsibility for the quantity and quality of the output of others (Australian Qualifications Framework Advisory Board to MCEETYA 1998) whilst initial EN preparation in Queensland is at Diploma level. The continuing education needs of enrolled nurses as highlighted in the project included the development of transition to practice support programs to maximise integration of enrolled nurses into the workforce, and ongoing education to facilitate career pathways for enrolled nurses other than conversion to a registered nurse. Supervision The supervision of enrolled nurses by registered nurses was a key issue that pervaded all aspects of the study. Definitions and interpretations of supervision vary between state and territory nurse regulatory authorities and according to the nature of the work delegated. For example, indirect supervision is defined by the Queensland Nursing Council (1998) as where the registered nurse is working in the same setting as the enrolled nurse and though accessible for consultation does not constantly observe the enrolled nurse s activities, while the Nurses Board of South Australia s definition of indirect supervision stipulates that in the absence of proximity, processes need to be established for the direction, guidance, support and monitoring of the enrolled nurse (Nurses Board of South Australia 1999). Further, the Tasmanian Nursing Board emphasises that where direct supervision of an enrolled nurse may not be required, the accountability for delegation remains with the registered nurse (Nurses Board of Tasmania 1997). Many registered and enrolled nurses in this study described a more liberal interpretation of supervision than the definitions of nurse regulatory authorities. In general, participants considered that formal delegation arrangements were unnecessary where the registered nurse knew the enrolled nurse. Registered nurse supervision of enrolled nurses was expressed as: An ideal not always achievable in reality in the current and emerging models of care delivery, staff shortages, and high patient acuity and turnover (workshop participant). While the legal requirement for enrolled nurses to work under the direct and/or indirect supervision of a registered nurse was acknowledged, some participants commented on the inevitability that enrolled nurses will assume increasing responsibility for team leadership roles which will include delegation and supervision of health care workers in aged care and community environments. A key issue related to supervision was the enrolled nurse s ability to act with relative autonomy, in a variety of contexts within nursing teams. Although it was acknowledged that registered nurses are responsible for providing direct or indirect supervision, this was seen as very much dependent on the skills and attributes of the enrolled nurse and the context of nursing care within which they were practicing. Whilst acknowledging that registered nurses remain accountable for delegation decisions, decision-making about enrolled nurse practice needs to legitimise enrolled nurse knowledge and experience by allowing for models of supervision that accommodate variations in supervision by a registered nurse. Such Collegian Vol 10 No
5 flexibility enables more effective use of enrolled nurses and reduces the frustration that many experience at not being able to use their knowledge and skills appropriately in the workplace. The argument for more flexible models of enrolled nurse supervision does not imply an expanded scope of enrolled nurse practice; rather, the aim is to enable enrolled nurses to practice to their fullest capability within the regulated scope of enrolled nurse practice, according to their level of education and experience, so as to facilitate safe, effective standards of nursing care. Scope of practice Discussion of the contexts in which supervision of enrolled nurses occurred, and in particular, the frustrations associated with making decisions about enrolled nurse scope of practice featured prominently in the research. Registered and enrolled nurse participants were often passionate in describing difficulties in making and implementing decisions about enrolled nurse competency in the contexts of acute nurse shortages and a perceived lack of support for both registered and enrolled nurses. As one participant noted: How is the enrolled nurse supposed to manage when they are [often] the ones with the specialist, in this case, mental health qualification, yet they are being supervised by a registered nurse who does not have the mental health care qualifications? (workshop participant). From another participant: How many times has an enrolled nurse been the only regular staff member on a floor with only a junior or agency registered nurse, this by default making them the senior person on the floor and in charge when there is no recognition that this is what is being expected (workshop participant). Hence a reasonable consensus developed between participants in the majority of states and territories about the need for resources to assist decision-making about scope of nursing practice. An illustration of the effectiveness of such resources was evident in the consistency with which registered and enrolled nurses in Queensland described how they made decisions about scope of nursing practice. Participants suggested that the education process associated with the implementation of a decision-making framework (Queensland Nursing Council 1998) by the Queensland Nursing Council had greatly assisted clarification of the roles and relationships between registered and enrolled nurses (Gibson et al 2002). Conclusion The type of work that enrolled nurses do is changing; and there is recognition that competence is not simply about the tasks that can be done, but also about the educational preparation and practice environment and how they shape enrolled nurse practice. This is reflected in the proposed changes to accommodate more flexible interpretations of supervision. Decision making about enrolled nurse practice is no longer the sole domain of the registered nurse, but requires consideration of a number of factors by both the enrolled and registered nurse. Whilst the registered nurse is accountable for delegation decisions, the enrolled nurse is accountable and responsible for his/her own practice and acceptance of delegated responsibilities. Although the enrolled nurse role has recently been affirmed as a core feature of contemporary health care delivery in Australia, this does not suggest that there is a role for enrolled nurses in all areas of health care service provision, or that the role should be expanded to enable working without the supervision of a registered nurse. However, it does indicate recognition that the composition of the Australian health workforce is evolving to meet the specific requirements of the Australian health care system. Issues related to enrolled nurse scope of practice, articulation between registered and enrolled nurse roles, and enrolled nurse educational preparation are far from resolved and require continued dialogue between the nursing profession, industrial and professional bodies, health service and educational providers and consumers to maximise the potential of enrolled nurses in the health workforce while ensuring quality standards of nursing care. References Allan I, McLafferty I 1999 Professional issues. The road to conversion for enrolled nurses: a literature review. British Journal of Nursing 8(6): Australian Institute of Health and Welfare 1999 Nursing labour force Australian Institute of Health and Welfare, Canberra Australian Nursing Council Inc 2001 ANCI National Competency Standards for the Registered Nurse, 3rd edn. Australian Nursing Council Inc, Dickson, ACT Australian Qualifications Framework Advisory Board to MCEETYA 1998 Australian qualifications framework implementation handbook, 2nd edn. Retrieved 28 August 2001 from the World Wide Web: Brown G D 1994 Enrolled nurses: where do they go from here? Journal of Nursing Management 2(5): Department of Health 1999 Making a difference: strengthening the nursing, midwifery and health visiting contribution to health and healthcare. Department of Health, London, UK Gibson T, Heartfield M, Cheek J 2002 An examination of the role and function of the Enrolled Nurse and revision of the competency standards. Australian Nursing Council Inc, Canberra Gonczi A, Hager P, Oliver L 1990 NOOSR research paper no 1: Establishing competency-based standards in the professions. AGPS, Canberra Miles M B, Huberman A M 1994 Qualitative data analysis: an expanded sourcebook. Sage, Thousand Oaks, CA Nurses Board of South Australia 1999 Personal communication Nurses Board of Tasmania 1997 Scope of nursing practice. Nursing Board of Tasmania, Sandy Bay, Tasmania Nursing Council of New Zealand 2000 The second level health worker of the future: a draft scope of practice and discussion paper to guide the development of program requirements. Nursing Council of New Zealand. Retrieved 16 October 2000 from the World Wide Web: N-Vivo 1.0 CDRom, Qualitative Solutions and Research Pty Ltd, April 1999, Bundurra Victoria Owen A 1995 Enrolled Nurses and the need for balance. Australian Nursing Journal 2(7):4 Owens J, Macarty M 1999 Enrolled Nurse practice in rural Australia. In: Education, training and support for Australian rural nurses. Association for Australian Rural Nurses Inc, Whyalla Pearson A, Hocking S, Mott S, Riggs A 1992 Skills mix in Australian nursing homes. Journal of Advanced Nursing 17: Percival E, Anderson M, Lawson D 1994 Assessing beginning level competencies: the first steps in continuing education. The Journal of Continuing Education 25(3): Queensland Nursing Council 1998 Final report of the Scope of Nursing Practice Project: the development, refinement and validation of the Scope of Nursing Practice decision making framework, volumes 1 and 2. Queensland Nursing Council, Brisbane Sandelowski M 1995 Focus on qualitative methods. Qualitative analysis: what it is and how to begin. Research in Nursing and Health 18: Collegian Vol 10 No1 2003
CAREER & EDUCATION FRAMEWORK
CAREER & EDUCATION FRAMEWORK FOR NURSES IN PRIMARY HEALTH CARE ENROLLED NURSES Acknowledgments The Career and Education Framework is funded by the Australian Government Department of Health under the Nursing
More informationSubmission to the Productivity Commission Issues Paper
Submission to the Productivity Commission Issues Paper Vocational Education and Training Workforce July 2010 LEE THOMAS Federal Secretary YVONNE CHAPERON Assistant Federal Secretary Australian Nursing
More informationNational Competency Standards for the Registered Nurse
National Competency Standards for the Registered Nurse INTRODUCTION DESCRIPTION OF REGISTERED NURSE DOMAINS NATIONAL COMPETENCY STANDARDS GLOSSARY OF TERMS Introduction The Australian Nursing and Midwifery
More informationFinal Report ALL IRELAND. Palliative Care Senior Nurses Network
Final Report ALL IRELAND Palliative Care Senior Nurses Network May 2016 FINAL REPORT Phase II All Ireland Palliative Care Senior Nurse Network Nursing Leadership Impacting Policy and Practice 1 Rationale
More informationNATIONAL GUIDELINES FOR THE ACCREDITATION OF NURSING AND MIDWIFERY PROGRAMS LEADING TO REGISTRATION AND ENDORSEMENT IN AUSTRALIA
NATIONAL GUIDELINES FOR THE ACCREDITATION OF NURSING AND MIDWIFERY PROGRAMS LEADING TO REGISTRATION AND ENDORSEMENT IN AUSTRALIA NATIONAL GUIDELINES FOR THE ACCREDITATION OF NURSING AND MIDWIFERY PROGRAMS
More informationNational competency standards for the registered nurse
National competency standards for the registered nurse Introduction National competency standards for registered nurses were first adopted by the Australian Nursing and Midwifery Council (ANMC) in the
More informationNATIONAL TOOLKIT for NURSES IN GENERAL PRACTICE. Australian Nursing and Midwifery Federation
NATIONAL TOOLKIT for NURSES IN GENERAL PRACTICE Australian Nursing and Midwifery Federation Acknowledgements This tool kit was prepared by the Project Team: Julianne Bryce, Elizabeth Foley and Julie Reeves.
More information24 February Lee Thomas Federal Secretary. Annie Butler Assistant Federal Secretary
Submission to the Australian Nursing and Midwifery Accreditation Council for the Review of the Enrolled Nurse Accreditation Standards Second Consultation Paper 24 February 2017 Lee Thomas Federal Secretary
More informationNational Practice Standards for Nurses in General Practice
National Practice Standards for Nurses in General Practice Julianne Bryce and Elizabeth Foley Australian Nursing & Midwifery Federation Professor Liz Halcomb University of Wollongong Nurses and Midwives
More informationAdvanced skills for enrolled nurses: a developing classification
Advanced skills for enrolled nurses: a developing classification AUTHORS Dr Lynette Cusack RN PhD MHA BN DipAppSc(Nurs) MidCert Senior Lecturer, School of Nursing, The University of Adelaide, South Australia
More informationGuidelines on the Development of Courses Preparing Nurses & Midwives as Clinical Nurse/Midwife Specialists and Advanced Nurse/Midwife Practitioners
Guidelines on the Development of Courses Preparing Nurses & Midwives as Clinical Nurse/Midwife Specialists and Advanced Nurse/Midwife Practitioners MAY 2002 Introduction Nursing and midwifery practice
More informationPublic Health Skills and Career Framework Multidisciplinary/multi-agency/multi-professional. April 2008 (updated March 2009)
Public Health Skills and Multidisciplinary/multi-agency/multi-professional April 2008 (updated March 2009) Welcome to the Public Health Skills and I am delighted to launch the UK-wide Public Health Skills
More informationAustralian Medical Council Limited
Australian Medical Council Limited Procedures for Assessment and Accreditation of Specialist Medical Programs and Professional Development Programs by the Australian Medical Council 2017 Specialist Education
More informationSubmission to the Productivity Commission
Submission to the Productivity Commission Impacts of COAG Reforms: Business Regulation and VET Discussion Paper February 2012 LEE THOMAS Federal Secretary YVONNE CHAPERON Assistant Federal Secretary Australian
More informationWorkforce issues, skill mix, maternity services and the Enrolled Nurse : a discussion
University of Wollongong Research Online Faculty of Health and Behavioural Sciences - Papers (Archive) Faculty of Science, Medicine and Health 2005 Workforce issues, skill mix, maternity services and the
More informationOriginal Article Rural generalist nurses perceptions of the effectiveness of their therapeutic interventions for patients with mental illness
Blackwell Science, LtdOxford, UKAJRAustralian Journal of Rural Health1038-52822005 National Rural Health Alliance Inc. August 2005134205213Original ArticleRURAL NURSES and CARING FOR MENTALLY ILL CLIENTSC.
More informationVisitors report. Contents. Doctorate in Health Psychology (Dpsych) Full time Part time. Programme name. Mode of delivery. Date of visit 7 8 June 2012
Visitors report Name of education provider Programme name Mode of delivery Relevant part of HPC Register Relevant modality / domain City University Doctorate in Health Psychology (Dpsych) Full time Part
More informationAssessing competence during professional experience placements for undergraduate nursing students: a systematic review
University of Wollongong Research Online Faculty of Science, Medicine and Health - Papers Faculty of Science, Medicine and Health 2012 Assessing competence during professional experience placements for
More informationMentoring for nurses in general practice: national issues and challenges
Mentoring for nurses in general practice: national issues and challenges Marie Heartfield, Terri Gibson, University of South Australia This paper reports the findings of a research project designed to
More informationNURS6031 Leadership and Collaborative Practice
NURS6031 Leadership and Collaborative Practice Lecture 1a (Week -1): Becoming a professional RN What is a professional? Mastery of specialist theoretical knowledge Autonomy and control over your work and
More informationNational Accreditation Guidelines: Nursing and Midwifery Education Programs
National Accreditation Guidelines: Nursing and Midwifery Education Programs February 2017 National Accreditation Guidelines: Nursing and Midwifery Education Programs Version Control Version Date Amendments
More informationAWCH 10 th National Conference April 2005
ABSTRACT The number of students with specialised health needs attending state schools in Queensland has increased over the past decade. This trend is attributed to a combination of advances in medical
More informationProvision of acute undifferentiated general medicine consultant services
Position Statement March 2010 Provision of acute undifferentiated general medicine consultant services Requirements for training, credentialling and continuing professional development This document provides
More informationPart 5. Pharmacy workforce planning and development country case studies
Part 5. Pharmacy workforce planning and development country case studies This part presents seven country case studies on pharmacy workforce development from Australia, Canada, Great Britain, Kenya, Sudan,
More informationAustralian Nursing And Midwifery Federation REVIEW OF REGISTERED NURSE ACCREDITATION STANDARDS CONSULTATION PAPER 2 JULY 2018
Australian Nursing And Midwifery Federation REVIEW OF REGISTERED NURSE ACCREDITATION STANDARDS CONSULTATION PAPER 2 JULY 2018 Annie Butler Federal Secretary Lori-anne Sharp Assistant Federal Secretary
More informationFrequently Asked Questions
Frequently Asked Questions Who is ANMAC? The Australian Nursing and Midwifery Accreditation Council (ANMAC) is the independent accrediting authority for the nursing and midwifery professions under the
More informationOriginal Article Nursing workforce in very remote Australia, characteristics and key issuesajr_
Aust. J. Rural Health (2011) 19, 32 37 Original Article Nursing workforce in very remote Australia, characteristics and key issuesajr_1174 32..37 Sue Lenthall, 1 John Wakerman, 1 Tess Opie, 3 Sandra Dunn,
More informationScope of Practice for Registered Nurses
Scope of Practice for Registered Nurses Introduction The Health Authority of Abu Dhabi (HAAD) is responsible for regulating the practice of nursing in the Emirate of Abu Dhabi. A system of licensing and
More informationUptake of Medicare chronic disease items in Australia by general practice nurses and Aboriginal health workers
University of Wollongong Research Online Faculty of Science, Medicine and Health - Papers Faculty of Science, Medicine and Health 2010 Uptake of Medicare chronic disease items in Australia by general practice
More informationClinical Education for allied health students and Rural Clinical Placements
Clinical Education for allied health students and Rural Clinical Placements Services for Australian Rural and Remote Allied Health August 2007 Shelagh Lowe, Executive Officer, SARRAH Clinical education
More informationThe non-medical surgical assistant in Australia: who should contribute to governance?
The non-medical surgical assistant in Australia: who should contribute to governance? AUTHORS Toni Hains RN, MClinSc (PNSA), MNPractSt, PhD Scholar The University of Queensland, School of Nursing, Midwifery
More informationStandards to support learning and assessment in practice
Standards to support learning and assessment in practice Houghton T (2016) Standards to support learning and assessment in practice. Nursing Standard. 30, 22, 41-46. Date of submission: January 19 2012;
More informationAustralian Nursing and Midwifery Council. National framework for the development of decision-making tools for nursing and midwifery practice
Australian Nursing and Midwifery Council National framework for the development of decision-making tools for nursing and midwifery practice September 2007 A national framework for the development of decision-making
More informationaustralian nursing federation
australian nursing federation Submission to the Nursing and Midwifery Board of Australia on the provision for nurses to hold both registration as an enrolled nurse and as a registered nurse concurrently
More informationAccreditation Guidelines
Postgraduate Medical Education Council of Tasmania Accreditation Guidelines May 2016 Guidelines outlining the accreditation process for intern training programs in Tasmania Objectives of the Accreditation
More informationImplementing a mentor support system for general practice nurse mentors. Anthony Chambers, Debra Smith and Lisa Billingham
Implementing a mentor support system for general practice nurse mentors Anthony Chambers, Debra Smith and Lisa Billingham Abstract The development of the Advanced Training Practice (ATP) scheme in general
More informationSection 2: Advanced level nursing practice competencies
Advanced Level Nursing Practice Section 2: Advanced level nursing practice competencies RCN Standards for advanced level nursing practice, advanced nurse practitioners, RCN accreditation and RCN credentialing
More informationSupervision, Accountability & Delegation. date of issue April 2017
Supervision, Accountability & Delegation reference issuing function PD126 Practice & Development date of issue April 2017 0 Supervision, Accountability & Delegation Contents INTRODUCTION... 2 WHAT IS DELEGATION?...
More informationNursing and Midwifery Council Education Consultation: Response from Mental Health Nurse Academics UK
Nursing and Midwifery Council Education Consultation: Response from Mental Health Nurse Academics UK Mental Health Nurse Academics UK (MHNAUK) was formed in 2003 and represents more than 60 Higher Education
More informationaustralian nursing federation
australian nursing federation Submission to the National Health Workforce Taskforce - Discussion paper: clinical placements across Australia: capturing data and understanding demand and capacity February
More informationTo investigate the concerns and benefits of job sharing a community based Clinical Nurse Consultant role
To investigate the concerns and benefits of job sharing a community based Clinical Nurse Consultant role AUTHORS Gay Woodhouse RN, CM, GradCert Community Nursing, GradCert, Advanced Rural Nursing, Master
More informationOptions for models for prescribing under a nationally consistent framework
The Nursing and Midwifery Board of Australia and the Australian and New Zealand Council of Chief Nursing and Midwifery Officers consultation regarding registered nurse and midwife prescribing 22 December
More informationProgramme name MSC Advanced Nurse Practitioner-Child/Adult (Advanced Practice in Health and Social Care)
PROGRAMME SPECIFICATION KEY FACTS Programme name MSC Advanced Nurse Practitioner-Child/Adult (Advanced Practice in Health and Social Care) Award MSc School School of Health Sciences Department Division
More informationContinuous quality improvement for the Australian medical profession
Continuous quality improvement for the Australian medical profession Continuous quality improvement for the Australian medical profession Avant s comments on revalidation in Australia May 2017 Position
More information3-5 years part time. July 2016
Faculty of Health Studies Programme Specification Programme title: MSc Nursing Studies International Academic Year: 2017-2018 Degree Awarding Body: Partner(s), delivery organisation or support provider
More informationGuideline: Expanded practice for Registered Nurses
Guideline: Expanded practice for Registered Nurses Ki te whakarite i nga ahuatanga o nga Tapuhi e pa ana mo nga iwi katoa Regulating nursing practice to protect public safety September 2010 2 Expanded
More informationSPECIALIST NURSING STANDARDS AND COMPETENCIES
D r u g & A l c o h o l N u r s e s o f A u s t r a l a s i a Drug and Alcohol s of Australasia Incorporated (DANA) SPECIALIST NURSING STANDARDS AND COMPETENCIES DANA SPECIALIST NURSING STANDARDS AND COMPETETENCIES
More informationRe: ANMC Nurses and Midwives Guides to Professional Relationships
5 October 2009 Ms Karen Cook Chief Executive Officer Australian Nursing and Midwifery Council PO Box 873 DICKSON ACT 2602 Dear Karen Re: ANMC Nurses and Midwives Guides to Professional Relationships Thank
More informationClinical governance for Primary Health Networks
no: 22 date: 21/04/2017 title Clinical governance for Primary Health Networks authors Amanda Jones Manager, Deeble Institute for Health Policy Research Australian Healthcare and Hospitals Association Email:
More informationStandards of Proficiency for Higher Specialist Scientists
Standards of Proficiency for Higher Specialist Scientists July 2015 Version 1.0 Review date: 31 July 2016 Contents Introduction... 3 About the Academy Register - Practitioner part... 3 Routes to registration...
More informationProtecting the NHS investment; supporting the preceptorship of newly qualified staff. A consultation on the way forward
Protecting the NHS investment; supporting the preceptorship of newly qualified staff. A consultation on the way forward June 2009 Protecting the NHS investment; supporting the preceptorship of newly qualified
More informationThis is the consultation responses analysis put together by the Hearing Aid Council and considered at their Council meeting on 12 November 2008
Analysis of responses - Hearing Aid Council and Health Professions Council consultation on standards of proficiency and the threshold level of qualification for entry to the Hearing Aid Audiologists/Dispensers
More informationaustralian nursing federation
australian nursing federation Submission to the Nursing and Midwifery Board of Australia on the Draft English Language Skills Registration Standard December 2010 Lee Thomas Federal Secretary Yvonne Chaperon
More informationKEY FACTS MSc Nursing (Advanced Practice in Health and Social Care) MSc, PG Dip, PG Cert School of Health Sciences
PROGRAMME SPECIFICATION KEY FACTS Programme name MSc Nursing (Advanced Practice in Health and Social Care) MSc, PG Dip, PG Cert School of Health Sciences Division of Nursing PSAHNR Full Time / Part Time
More informationThank you for the opportunity to present submissions to the inquiry into Charity Fundraising in the 21 st Century.
6 th August 2018 Committee Secretary Department of the Senate PO Box 6100 Parliament House Canberra, ACT 2600 By online submission upload Dear Secretary Submission to the Select Committee on Charity Fundraising
More informationScope of Practice for Practical Nurses
Scope of Practice for Practical Nurses Introduction The Health Authority of Abu Dhabi (HAAD) is responsible for regulating the practice of nursing in the Emirate of Abu Dhabi. A system of licensing and
More informationAllied Health Rural Generalists Concepts and strategy for moving to national accreditation of training
Allied Health Rural Generalists Concepts and strategy for moving to national accreditation of training Kylie Woolcock Kate Silk Policy Director Integration and Innovation Manager Australian Healthcare
More informationBSc (HONS) NURSING IN THE HOME/ DISTRICT NURSING
BSc (HONS) NURSING IN THE HOME/ DISTRICT NURSING PRACTICE TEACHER HANDBOOK OCTOBER 2014 (Hons) Nursing in the Home District Nursing Practice Teacher Handbook.doc 1 CONTENTS 1 INTRODUCTION 1 2 THE PROGRAMME
More informationAged Care Access Initiative
Aged Care Access Initiative Allied Health Component PROGRAM GUIDELINES July 2011 Table of Contents 1 Purpose 3 2 Program context and aims. 3 2.1 Background 3 2.2 Current components 3 2.3 Reform in 2012
More informationSubmission to the South Australian Child and Adolescent Mental Health Service Re: CAMHS Review. August 2014
Submission to the South Australian Child and Adolescent Mental Health Service Re: CAMHS Review August 2014 Australian Association of Social Workers National Office Canberra Level 4, 33-35 Ainslie Place
More information"REALISING THE POTENTIAL" Briefing Paper 1 "CREATING THE POTENTIAL" A Plan for Education
"REALISING THE POTENTIAL" A Strategic Framework for Nursing, Midwifery and Health Visiting in Wales into the 21st Century Briefing Paper 1 "CREATING THE POTENTIAL" A Plan for Education "to ensure that
More informationWORKING DRAFT. Standards of proficiency for nursing associates. Release 1. Page 1
WORKING DRAFT Standards of proficiency for nursing associates Page 1 Release 1 1. Introduction This document outlines the way that we have developed the standards of proficiency for the new role of nursing
More informationConsultant Radiographers Education and CPD 2013
Consultant Radiographers Education and CPD 2013 Consultant Radiographers Education and Continuing Professional Development Background Although consultant radiographer posts are relatively new to the National
More informationPrimary Health Networks
Primary Health Networks Drug and Alcohol Treatment Activity Work Plan 2016-17 to 2018-19 Western Victoria PHN When submitting this Activity Work Plan 2016-2018 to the Department of Health, the PHN must
More informationSAMPLE. TAFE NSW HLT51612 Diploma of Nursing (Enrolled/Division 2 Nursing) Course Student Information Book. HLT07 Health Training Package V5
HLT07 Health Training Package V5 TAFE NSW HLT51612 Diploma of Nursing (Enrolled/Division 2 Nursing) Course 14393 Student Information Book Version 1 Training and Education Support Industry Skills Unit Meadowbank
More informationProgramme name Advanced Practice in Health and Social Care (Ophthalmic Nurse Practitioner)
PROGRAMME SPECIFICATION KEY FACTS Programme name Advanced Practice in Health and Social Care (Ophthalmic Nurse Practitioner) Award MSc School School of Health Sciences Department or equivalent Division
More informationHealth Workforce Australia. Health Workforce 2025 Volume 3 Medical specialties. Adelaide: HWA,
Fostering generalism in the medical workforce 2012 This document outlines the AMA position on the broad measures that should be in place to promote generalist medical practice as a desirable career option
More informationDelegation and Supervision for Nurses and Midwives
Delegation and Supervision for Nurses and Midwives Preamble The Australian Nursing and Midwifery Council (ANMC) leads a national approach with state and territory nursing and midwifery regulatory authorities
More informationAllied Health Worker - Occupational Therapist
Position Description January 2017 Position description Allied Health Worker - Occupational Therapist Section A: position details Position title: Employment Status: Classification and Salary: Location:
More informationProgramme Specification Learning Disability Nursing
Programme Specification Learning Disability Nursing Teaching Institution London South Bank University Programme Accredited by Nursing Midwifery Council Faculty of Origin Faculty of Health Social Care Year
More informationHow to Return to Social Work Practice in Wales A Guide for Social Workers
How to Return to Social Work Practice in Wales A Guide for Social Workers March 2016 Contents Background to the Requirements 2 Why the Requirements are being introduced 2 The Requirements for social workers
More informationFrequently Asked Questions about the BILD PI Training Accreditation Scheme
Frequently Asked Questions about the BILD PI Training Accreditation Scheme The BILD PI Training Accreditation Scheme was launched in 2002, following extensive work, consultation and guidance. Underpinned
More informationOctober 2015 TEACHING STANDARDS FRAMEWORK FOR NURSING & MIDWIFERY. Final Report
October 2015 TEACHING STANDARDS FRAMEWORK FOR NURSING & MIDWIFERY Final Report Support for this activity has been provided by the Australian Government Office for Learning and Teaching. The views expressed
More informationModels of Support in the Teacher Induction Scheme in Scotland: The Views of Head Teachers and Supporters
Models of Support in the Teacher Induction Scheme in Scotland: The Views of Head Teachers and Supporters Ron Clarke, Ian Matheson and Patricia Morris The General Teaching Council for Scotland, U.K. Dean
More informationPROGRAMME SPECIFICATION KEY FACTS. Health Sciences. Part-time. Total UK credits 180 Total ECTS 90 PROGRAMME SUMMARY
PROGRAMME SPECIFICATION KEY FACTS Programme name Award School Department or equivalent Programme code Type of study Total UK credits 180 Total ECTS 90 Health Services Research MSc Health Sciences Health
More informationThe 13th Biennial National Enrolled Nurse Association of Australia (ANMF SIG) Conference
The 13th Biennial National Enrolled Nurse Association of Australia (ANMF SIG) Conference Empowering Enrolled Nurses in our Scope of Practice 2017 Program 11 October, Wrest Point, Hobart Tourism Tasmania
More informationaustralian nursing federation
australian nursing federation Submission to Health Legislation Amendment (Midwives and Nurse Practitioners) Bill 2009 and two related Bills: Midwife Professional Indemnity (Commonwealth Contribution) Scheme
More information1999 NZCOM Education Framework: Looking back over the past 10 years
1999 NZCOM Education Framework: Looking back over the past 10 years In November 1999 the College published an Education Framework (Pairman, 2000) which provided not only a framework but also guidelines
More informationCare home services for older people
Care home services for older people Procurement strategy - engagement report September 2017 1 CONTENTS: 1. Introduction.... 3 2. Language... 3 3. Survey analysis... 4 a) People living in care homes....
More informationPreparation of Mentors and Teachers: A new framework of guidance Foreword 3. 2 The context for the new framework 7. References 22 Appendix 1
contents Foreword 3 1 Introduction 5 Mentors, lecturers and practice educators 5 Commencement of new s 5 Existing qualifications 5 1.1 The aims 6 1.2 Target audiences 6 1.3 A note on terminology 6 2 The
More informationApprenticeship Standard for Nursing Associate at Level 5. Assessment Plan
Apprenticeship Standard for Nursing Associate at Level 5 Assessment Plan Summary of Assessment On completion of this apprenticeship, the individual will be a competent and job-ready Nursing Associate.
More informationNational Clinical Supervision Support Framework
National Clinical Supervision Support Framework July 2011 Enquiries concerning this report and its reproduction should be directed to: Health Workforce Australia This work is copyright. It may be reproduced
More informationCourse specification STAFFING RATIONALE SYNOPSIS OBJECTIVES. The University of Southern Queensland. Academic group: Academic org:
The University of Southern Queensland Course specification The current and official versions of the course specifications are available on the web at .
More informationPost Graduate Diploma Mental Health Nursing
Programme Specification for Post Graduate Diploma Mental Health Nursing 1. Programme title Post Graduate Diploma Mental Health Nursing 2. Awarding institution Middlesex University 3. Teaching institution
More informationNursing essay example
Nursing essay example COMMONWEALTH OF AUSTRALIA Copyright Regulations 1969 WARNING This material has been produced and communicated to you by or on behalf of the University of South Australia pursuant
More informationSA Health Women s and Children s Health Network. Division Paediatric Medicine
SA Health Job Pack Job Title Registered Nurse - Adolescent Ward Job Number 657746 Applications Closing Date 27/4/2018 Region / Division Health Service Location SA Health Women s and Children s Health Network
More informationFrom Metrics to Meaning: Culture Change and Quality of Acute Hospital Care for Older People
From Metrics to Meaning: Culture Change and Quality of Acute Hospital Care for Older People Executive summary for the National Institute for Health Research Service Delivery and Organisation programme
More informationProgramme Specification
Health, Psychology and Social Care MSc Emergency Medicine Programme Specification This document provides a concise summary of the main features of the course(s) & associated award(s) offered through this
More informationProgramme Specification
Programme Specification MSc, PG Dip, PG Cert in Advanced Nursing Practice Valid from: January 2016 Faculty of Health and Life Sciences SECTION 1: GENERAL INFORMATION Awarding body: Teaching institution
More informationEnrolment & Clinical Information
Bachelor of Nursing (Pre-registration) BNRSG Enrolment & Clinical Information Semester 1 & 2 2018 Important information for all commencing and continuing students School of Health BNRSG Enrolment & Clinical
More informationWomen's and Children's Hospital. North Adelaide ENC/END; RNM1. Casual
SA Health Job Pack Job Title Casual Pool Enrolled Nurses, Registered Nurses and Registered Midwives Job Number 612107 Applications Closing Date 02/03/2018 Region / Division Health Service Location Classification
More information5 GCSEs including Maths and English Language grade A-C, plus 2 A-levels at grade C or above.
BSc (Hons) Nursing Child Pathway There will be some changes to the document that is used to assess your learning and practice when you commence Year 2 of your programme, which will slightly alter this
More informationCurriculum Framework For General Practice Supervisors
Curriculum Framework For General Practice Supervisors Dr Gerard Ingham Contents Summary... 2 Introduction... 4 Curriculum Framework... 5 Aims... 6 Goals and Objectives... 7 Diagram of Curriculum Framework
More informationProgramme title: Foundation Degree Science Nursing Associate (Apprenticeship)
Faculty of Health Studies School of Nursing and Healthcare Leadership Programme Specification Programme title: Foundation Degree Science Nursing Associate (Apprenticeship) Academic Year: 2017/2018 Degree
More informationDEVELOPING A CENTER FOR NURSING SCHOLARSHIP AND LEADERSHIP IN KANSAS
DEVELOPING A CENTER FOR NURSING SCHOLARSHIP AND LEADERSHIP IN KANSAS Alison E. Pendley, BSN Submitted to the School of Nursing in partial fulfillment of the requirements for the Nursing Honors Program
More informationUniversity of Plymouth. Pathway Specification. Postgraduate Certificate Postgraduate Diploma Master of Science
University of Plymouth Faculty of Health and Human Sciences School of Nursing & Midwifery Pathway Postgraduate Certificate Postgraduate Diploma Master of Science Advanced Professional Practice (Nursing
More informationClinical Leadership in Community Health. Project Report
Clinical Leadership in Community Health Project Report March 2009 Table of Contents Introduction... 3 Background..3 Why Clinical Leadership 3 Project Overview... 4 Attributes and Tasks for Effective Clinical
More informationD.N.P. Program in Nursing. Handbook for Students. Rutgers College of Nursing
1 D.N.P. Program in Nursing Handbook for Students Rutgers College of Nursing 1-2010 2 Table of Contents Welcome..3 Goal, Curriculum and Progression of Students Enrolled in the DNP Program in Nursing...
More informationCore competencies* for undergraduate students in clinical associate, dentistry and medical teaching and learning programmes in South Africa
Core competencies* for undergraduate students in clinical associate, dentistry and medical teaching and learning programmes in South Africa Developed by the Undergraduate Education and Training Subcommittee
More informationHealth Care Support Workers in England Response to HEE Consultation The Talent for Care
Health Care Support Workers in England Response to HEE Consultation The Talent for Care Executive Summary This paper presents the Council of Dean s response to Health Education England s national consultation
More information