increasing accessibility to advanced practice nursing education: an approach of faculty of nursing,...
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Increasing Accessibility to Advanced Increasing Accessibility to Advanced Practice Nursing Education: An Practice Nursing Education: An
Approach of Faculty of Nursing, Burapha Approach of Faculty of Nursing, Burapha University, ThailandUniversity, Thailand
Wannee Deoisres, R.N., Ph.D.Wannee Deoisres, R.N., Ph.D.Associate ProfessorAssociate Professor
Faculty of Nursing, Burapha Faculty of Nursing, Burapha University, Chon Buri Province, University, Chon Buri Province,
ThailandThailand
PURPOSEPURPOSE
To describe the educational programs of To describe the educational programs of Faculty of Nursing, Burapha University, in Faculty of Nursing, Burapha University, in responding to the needs of registered responding to the needs of registered nurses holding a master degree in nurses holding a master degree in nursing (non-APN graduate degrees) and nursing (non-APN graduate degrees) and in related fields (non-nursing graduate in related fields (non-nursing graduate degrees) so that they are qualified for degrees) so that they are qualified for advanced practice nurses. advanced practice nurses.
OUTLINE OF PRESENTATIONOUTLINE OF PRESENTATION
The development of APN in Thailand.The development of APN in Thailand. Nursing education at the master degree Nursing education at the master degree
level in Thailand.level in Thailand. The advanced practice nursing education The advanced practice nursing education
programs of Faculty of Nursing, Burapha programs of Faculty of Nursing, Burapha University.University.
THE DEVELOPMENT OF APNTHE DEVELOPMENT OF APNIN THAILANDIN THAILAND
Thailand Nursing Council promulgated Thailand Nursing Council promulgated the regulation concerning advanced the regulation concerning advanced practice nursing in 1998 .practice nursing in 1998 .
The certificate to advanced practice The certificate to advanced practice nurses was issued for the first time in nurses was issued for the first time in 2003.2003.
National Standard for APN Education has National Standard for APN Education has been set by Thailand Nursing Council been set by Thailand Nursing Council since 2003.since 2003.
Why APN?: ThailandWhy APN?: Thailand
Complex Health Problem Explosion of knowledge and technology Increase cost of Care Increase specialization in medicine National Health Care Reform Universal Health Care Coverage with
acceptable quality and reasonable cost Expanded scope of nursing practice
(Hanuchareaonkul, 2002)
APNs in Thailand
CNSCNS• Pediatric NursingPediatric Nursing• Adult NursingAdult Nursing• Maternal and Maternal and
Child NursingChild Nursing• Gerontological Gerontological
NursingNursing• Mental Health Mental Health
and Psychiatric and Psychiatric NursingNursing
NPNP• Community NPCommunity NP• Family NPFamily NP• Occupational NPOccupational NP
AdvancedAdvanced Nurse-MidwiferyNurse-Midwifery
Currently, there are 306 advanced practice Currently, there are 306 advanced practice nurses in Thailand.nurses in Thailand.
The present numbers of advanced practice The present numbers of advanced practice nurses are still far behind the target set by the nurses are still far behind the target set by the National Commission of Nursing Education of National Commission of Nursing Education of Thailand.Thailand.
NN urse practitioners and clinical nurse specialists urse practitioners and clinical nurse specialists are expected to produce in the numbers of are expected to produce in the numbers of 800800/y/y ear and ear and 500/500/ year respectively during the years of year respectively during the years of
2005-20092005-2009
Master Degree ProgramMaster Degree Programin Nursing in Thailandin Nursing in Thailand
M.S.N.: Non-APN ProgramsM.S.N.: Non-APN Programs• Aimed at providing advanced knowledge for practicing Aimed at providing advanced knowledge for practicing
nurses, nurse administrators, and nurse educatorsnurses, nurse administrators, and nurse educators
M.S.N.: APN ProgramsM.S.N.: APN Programs• Prepare advanced practice nursesPrepare advanced practice nurses• Standard Curriculum set by Thailand Nursing Council in Standard Curriculum set by Thailand Nursing Council in
20032003
Qualifications for APN Certificate Examination
BSN APN CertificateExamination
MSN (APN Program)& Clinical Experience
of 3 Years or more
MSN (Non-APN Program)or Master degree (related fields)
Additional education
Qualifications for APN Qualifications for APN Certificate ExaminationCertificate Examination
Advanced practice roles developmentAdvanced practice roles development• 1 credit1 credit
Health system & policyHealth system & policy• 2 credits2 credits
Nursing theoryNursing theory• 2 credits2 credits
Advanced Nursing SpecialtyAdvanced Nursing Specialty• 12 Credits12 Credits
MSN. ProgramsMSN. Programs• To prepare APNs.To prepare APNs.
Special Training Programs Special Training Programs • To prepare nurses holding master degree To prepare nurses holding master degree
(non-APN program) to be qualified for APN (non-APN program) to be qualified for APN certification examination.certification examination.
Educational ProgramsEducational Programsat BUU for APNat BUU for APN
Training Programs at BUUTraining Programs at BUU
APN Role Development Course:APN Role Development Course:• A Three Days Conference ModelA Three Days Conference Model• 18 Credit of CNEU = 1 Credit of formal 18 Credit of CNEU = 1 Credit of formal
educationeducation
Nursing Theory Course:Nursing Theory Course:• 8 days workshop = 32 Credit Hours8 days workshop = 32 Credit Hours
Advanced Nursing Specialty Course:Advanced Nursing Specialty Course:• 4 modules for a period of 4 months4 modules for a period of 4 months• 2 modules for theory courses (6 credit hours)2 modules for theory courses (6 credit hours)• 2 modules for practicum (6 credit hours)2 modules for practicum (6 credit hours)
APN Role DevelopmentAPN Role Development
• A Three Days A Three Days ConferenceConference
Concept of APNConcept of APN APN RoleAPN Role Best Practice Model of Best Practice Model of
APN in a variety areas APN in a variety areas of specialty and setting of specialty and setting of practice by of practice by APNsAPNs
July 13-15, 2005July 13-15, 2005• 201 participants201 participants
June 21-23, 2005 June 21-23, 2005 OutcomeOutcome• 100 participants100 participants
OutcomeOutcome• Overall satisfaction Overall satisfaction
mean scores = 4.16 mean scores = 4.16 (1-5 rating scale)(1-5 rating scale)
Conference on APN Role DevelopmentConference on APN Role Development
Nursing Theory WorkshopNursing Theory Workshop Offered on 8 weekend Offered on 8 weekend
daysdays Lecture on selected Lecture on selected
theories for 4 days theories for 4 days (Saturdays-Sundays)(Saturdays-Sundays)
Participants applied a Participants applied a select theory for their select theory for their practicepractice
Presentation of using Presentation of using theory in practice on theory in practice on the last 4 days the last 4 days (Saturdays-Sundays)(Saturdays-Sundays)
11stst Workshop: Workshop:• Sept, 2005Sept, 2005
22ndnd Workshop: Workshop:• August, 2006August, 2006
Outcome:Outcome:• Overall satisfaction Overall satisfaction
mean scores = 4.33 (1-mean scores = 4.33 (1-5 rating scale)5 rating scale)
Nursing Theory WorkshopNursing Theory Workshop
Nursing Theory WorkshopNursing Theory Workshop
Advanced Nursing Specialty Advanced Nursing Specialty TrainingTraining
• 4 modules for a 4 modules for a period of 4 monthsperiod of 4 months
• 2 modules for 2 modules for theory courses (6 theory courses (6 credits)credits)
• 2 modules for 2 modules for practicum (6 practicum (6 credits)credits)
Currently there are Currently there are 2 specialty 2 specialty trainings:trainings:• One for adult One for adult
nursing specialtynursing specialty• One for mental One for mental
health and health and psychiatric nursingpsychiatric nursing
Lesson Learned fromLesson Learned fromOur ApproachOur Approach
Additional training program for nurses Additional training program for nurses with master degree in non-APN program with master degree in non-APN program is essential to increase the numbers of is essential to increase the numbers of APNs in health care system.APNs in health care system.
The training should be held on Saturdays The training should be held on Saturdays and Sundays so that nurses could and Sundays so that nurses could participate in the training.participate in the training.
Lesson LearnedLesson Learned
Continuing education for APNs in a Continuing education for APNs in a variety of topics is needed e.g., variety of topics is needed e.g., Evidence-based practice.Evidence-based practice.
To date there is a few continuing To date there is a few continuing educational program for advanced educational program for advanced practice nurses.practice nurses.
Thank You for Your AttentionThank You for Your Attention
Flower of Faculty of NursingBUU
Flower of NursingThailand