apec standards of nursing dec 2006 (australia)

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  • 7/27/2019 APEC Standards of Nursing Dec 2006 (Australia)

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    Asia Pacific Region

    Standards for Nursing skills and

    competencies

    Perspectives from a Registered Nurse, Queensland,

    Australia

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    Core purpose of Nursing

    NONMALEFICENCE

    doing no harm

    Patient Safety

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    Nursing in Australia

    Mutual Recognition schemes inclusive of

    New ealand ! consultation guidelines

    Confidence in each others technicalstandards and conformance infrastructure

    to assist in the management of health

    C"A# ! national registration and courseaccreditation

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    Nursing in Australia

    Si$ State and two %erritor& RegisteringAuthorities

    %hreelevels'categories of nursingpersonnel ( onl& two regulated

    Migrating nurse categori)ed and emplo&edaccording to licence issued through theregulator& authorit&

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    NURSING IN AUSTRALIA

    Projected new graduate requirements:

    2006* +RNs-.-/0 1 -002. +3Ns 42/5

    2010* +RNs-02-. 1 -656/ +3Ns 70.-

    Current estimate of completion rate appro$ 2/8

    3stimate national commencement figures indicate

    appro$imatel& /,45. 9 new places : ;6/0?AC Report 0..5@0

    August 0..5

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    Nursing in Australia

    Australian Nursing and Midwifer& Council

    +ANMC is peak nursing od&

    South 3ast Asian and ?esternPacific

    nations meet ever& two &ears to discusssimilar issues

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    FRAMEWORK FOR DISCUSSION

    Codes of Conduct

    Begislation and Regulation

    Scopes of Practice Curriculum +content and conte$t

    Banguage'Culture

    Competenc& Standards of Care

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    C!"s # Cn!u$t

    Dnternational, national and state Codes of

    conduct of the profession

    3thical decision making in conte$t of

    practice setting

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    LEGISLATION AND REGULATION

    Setting standards for education, skilltraining and testing across the region for

    levels of nursing

    Assurance of good standing for licensures

    ! protecting the pulic and professional

    EConditionalF Bicences to practice inspecific settings with direct and'or in1direct

    supervision

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    SCO%ES OF %RACTICE

    Recognising levels of nursing, midwifer& and

    otherscopes of practice within conte$ts

    Appropriate education preparation for decisionmaking process within scope of practice

    Responsive to improving population andcommunit& health outcomes

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    Curri$ulu&

    Responsive to health and welleing of thecommunit& including respectful of cultureand communit& wa&s

    =est evidence used for content, conte$tand skill ( acGuisitions which aretransferale across orders

    Post1grad specialisationH advancedpractice competenc& and collaorativepractice guidelines

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    Languag" an! Cultur"

    3nglish versus Australian 1 colloquialisms

    Common Nursing terminolog& and

    definitions

    Culturall& safe and competent nurses

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    Cultural C&'"t"n$()

    values diversit&

    capacit& for cultural self1assessment

    conscious of the d&namics when culturesinteract

    having institutionali)ed culturalknowledge

    adaptations of service deliver& practicesreflect an understanding of and respectfor cultural diversit&

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    Competenc&

    Iaried definitions and varied theories

    aout appropriate training of students of

    nursing

    Cultural Competenc& a critical element

    Standards of Care

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    C&&n C&'"t"n$i"s an!

    Cr" Nursing S*ills

    Cross1disciplinar& skills +non1nursing

    Nursing skills and standards

    Care Pathwa&s

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    C&'"t"n$( + a !"#initin

    EJa written statement that refers to a

    comination of knowledge, skills and

    attitudes of a person who performs at a

    predefined level and considers the wider

    implications of their practice and its affect

    on the patientF +Mollo&, R 0..6

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    C&'"t"n$( + !"#ining #urt,"r

    E J the competence of a person is their

    ailit& to perform consistentl& in different

    situations using her'his knowledge, skill

    and attitude to achieve optimum

    outcomesJF +Mollo&, R 0..6

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    G"n"ri$ C&'"t"n$i"s

    Communication Skills

    ReGuiredClinical Skills

    3ducation and continuing development Management

    Research and Audit

    Mollo& R 0..6

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    SUMMAR-

    Iarious factors influence progressing

    towards estalishing regional standards of

    nursing care and related competencies

    %here are common nurse competencies

    and skills reGuired in all health conte$ts

    and locations

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    Su&&ar( .$ntinu"!/

    Dt can e argued that a framework to

    progress estalishing regional standards

    of nursing practice needs to e*

    inclusive of clinical and cultural

    competence

    and e responsive to the conte$t in which

    the nurse is practicing

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    Fra&"r*

    And the competencies and skills need to*

    Address io1ps&cho1social spiritual

    wellness'health across the Ewhole of lifeFcontinuum

    Recogni)e the novice to e$pert evolution

    of the individual nurse in a new setting Responsive to population and var&ing

    models of care and service deliver&

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    Actions do speak louder then

    words

    %rans Asia1Pacific Mutual RecognitionArrangements and Mutual RecognitionAgreements

    Koint review of curricula and capacit&uilding across and within Lurisdictions

    states ! pre and post graduate studies

    Recognising shared skills and ailities tomeet Eareas of health needsF across

    region

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    ACTIONS .$ntinu"!/

    >arness the s&nerg& associated with thedevelopment of Nurse Practitioner ande$plore cross order practice competenc&

    evelop further regional partnerships withcolleges and universities in the deliver&

    recognition of vocational and tertiar&

    Gualifications across orders Seek the government commitment and the

    fiscal support to provide the infrastructureto rapidl& Egrow our ownF

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    REFERENCES

    Cross, %@, =a)ron, =@, ennis, @, and Dsaacs, M@ +-;/; Tar! a Culturall(C&'"t"nt S(st"& # Car", Iolume -@ ?ashington, @C@* #eorgetownOniversit&@

    Ka&asekara R and Schult) % +0..7 5*6 pp 0./ ET," #"asiilit( an!a''r'riat"n"ss # intr!u$ing nursing $urri$ula #r& !""l'"! $untri"s int!""l'ing $untri"s3 a $&'r","nsi" s(st"&ati$ r"i"4 Dnternational Kournal

    of 3vidence1=ased >ealthcare@

    Nichols, = and "ulton K +0..4 7*6 -7/1-2.5D""l'ing a n" R"sur$" nInt"rnatinal Nurs" Migratin3 T," Int"rnatinal C"ntr" # Nurs" MigratinPolic&, Politics, Nursing Practice@

    Silva, M@ and Budwick, R@ +-;;; Int"rstat" nursing 'ra$ti$" an! r"gulatin +

    "t,i$al issu"s #r 21stC"ntur(

    Mollo&, R +0..7 Nursing Progress* -5 ! Astract* D"#ining C&'"t"n$"rl,l"agu"#nurs"srgu*'3ducation'Progress-5'efinitions

    http://www.rlhleagueofnurses.org.uk/http://www.rlhleagueofnurses.org.uk/