mtrla/19052009/perst.29052009 1

Framework of Nursing Professionalism

1mtrla/13072010

• Nurses (all category) - 83,802

* Doctors - 30,573

mtrla/13072010/malaysia 2

2mtrla/13072010

mtrla/13072010/malaysia 3

STATISTIC

TOTAL NO. OF NURSES IN MALAYSIA

NO CATEGORY PUBLIC PRIVATE TOTAL

1 REGISTERED NURSES (U29-U54)

41,184 14,414 55,598

2 COMMUNITY NURSES 18,147 - 18,147

3 ASSISTANT NURSES 1,855 7,711 9,566

4 MIDWIVES 491 - 491

TOTAL 61,677 22,125 83,802

TOTAL NUMBER (U29-U54) WITH POS BASIC

21,276 ( 38.27% )

3mtrla/13072010

ANNUAL PRACTISING CERTIFICATE ISSUED

5,076 4,907 4,616 4,403

11,753 15,395 16,636 19,420

42,83647,426

52,18058,742

0

10000

20000

30000

40000

50000

60000

70000

80000

90000

2006 2007 2008 2009

Year

To

tal

ASSISTANT NURSE COMMUNITY NURSEREGISTERED NURSE

mtrla/13072010 4

0

200

400

600

800

1000

1200

1400

1600

2006 2007 2008 2009

740857

1054

1412

548 14 10

Temporary Practising Certificate / Issued

TPC

Elective Training Certificate

5mtrla/13072010

6mtrla/13072010

7mtrla/13072010

Planning

Do

ActionCheck

DIRECTOR

NetworkingMonitoring

FATHILAH

In 2006 – from a total of 11 private owned Nursing Colleges approved to 36 Colleges.

mtrla/13072010/malaysia 8

Challenges Faced With

Newly Appointed Graduates

8mtrla/13072010

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• INCOMPETENT

• NOT KNOWLEDGEABLE

• POOR COMMUNICATION

• NOT SKILLFULL

• 1. Strengthen entry qualification for basic nursing training from 3 credit to 5

credits in SPM.

• Aptitude test – during application and for the appointment.

mtrla/13072010 10

Entry Qualification

STRATEGY

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2. Mentor-mentee programme

Problem Solving / decision making Critical thinking Communication (including soft skills) Assertiveness in the delivery of quality and safe

nursing care.

11mtrla/13072010

mtrla/13072010/malaysia 12

REMEDIAL ACTIONS

• 2006 - Initiation of Mentor – Mentee Programme

in collaboration with Northumbria Uni.,UK

• 2006 – Workshop on Mentoring for senior nurses

and nurse tutors was jointly organized by

NBM University Northumbria, UK - Create

awareness

12mtrla/13072010

• 2006 – Set – up technical committee to prepare module :

- How to mentor- Guidelines on Being A Good Nurse

(based on 7 concept )- Nursing Practice Guidelines (25

discipline)

- Training of Trainers (zoning – 3 Peninsular + 2 East Malaysia)

mtrla/13072010/malaysia 13

13mtrla/13072010

3. Tying of Continuos Professional

Development (CPD) to Annual Practicing

Certificate (APC)

• Made mandatory since year 2008.

Effect • Competent, knowledgeable and skillful.

mtrla/13072010/malaysia 14

14mtrla/13072010

• 4. Specialization • Encourage nurses after 3years clinical to

go for advance course• By equipping nurses with the desired

knowledge and relevant core competencies and skills in highly specialized care disciplines, hence, making today’s nurses more flexible and responsive to the needs of the environment and consumers.

mtrla/19052009/perst.29052009 15

15mtrla/13072010

CHALLENGES MADE THROUGH

16mtrla/13072010

• Upgrading Nurses from Support group to Professional (2006)

• Restoration of Nursing Division

• Appointment of Director of Nursing

• Incentives for Pos-basic Courses

• Retirement age increased to 58 years old.

17

mtrla/13072010/malaysia 17

Service Sector

17mtrla/13072010

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EDUCATION

Upgrading from school to college

Upgrading college to university

Upgrading from certificate to diploma

Upgrading community nurses to staff nurses

Upgrading Midwives to Community Nurses

mtrla/13072010 19

FUTURE CHALLENGES

Making good contributions to Patient safety

Sustain quality and productivity

Building skills and competency of nurses

Meeting client’s needs now and in the future

20mtrla/13072010

SUCCESS

21mtrla/13072010

Educator

Clinical Nurse Specialist U48HospitalIntensive Care, Medical, Paediatric, Surgical,Obs&Gyn,Perioperative,Cardiology,Orthopaedic, Neonatal,Anesthesia, Emergency, Trauma, Haematology, Nephrology,Oncology, Neurology ,Opthalmology, Otorinolaringologi,

Public Health - Maternal Child Health, Primer

Clinical Nurse Specialist U48HospitalIntensive Care, Medical, Paediatric, Surgical,Obs&Gyn,Perioperative,Cardiology,Orthopaedic, Neonatal,Anesthesia, Emergency, Trauma, Haematology, Nephrology,Oncology, Neurology ,Opthalmology, Otorinolaringologi,

Public Health - Maternal Child Health, Primer

ManagementU48

ManagementU52

ManagementU54

ManagementJusa C

Clinical Nurse Specialist U52

Clinical Nurse Specialist U54

Clinical Nurse Specialist JUSA C

Nurse with DegreeU41/42

Nurse with DegreeU44

22

Proposal for the Future of Nurses with Tertiary EducationMinistry of Health MalaysiaProposal for the Future of Nurses with Tertiary EducationMinistry of Health Malaysia

Nurse with degreeU29/32/36

22

mtrla/13072010 23

OUR WAY FORWARD / FUTURE CHALLENGE

Upgrading diploma Nursing programes to degree

Increase the number of nurses with Specialization

Upgrade basic Nursing training from Diploma to Degree

Nursing is a holistic profession.

THE FUTURE OF NURSING IS IN OUR HAND ….

WHAT WE ARE DOING TODAY!

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25mtrla/13072010

If we are still sleeping…

Wake Up!!! 2010 nowWake Up!!! 2010 now 26mtrla/13072010

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28mtrla/13072010