apec standards of nursing dec 2006 (australia)
TRANSCRIPT
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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/