TWNA Center for Excellence

The Development of OSCE in Taiwan

TWNA established the Center for Excellence in January 2015. In order to implement the organization and funct ions of th is center, “The Regula t ion Governing the Establishment” was amended and five functional groups were set up on November 14, 2015. The five groups under the center include the Elites Database Group, Leadership Program Group, Nursing Innovation Group, Nursing Policy Group, and Knowledge Translation Group. The missions of the Center for Excellence include: (1) Creating a nursing experts databank and recommending qualified nurses to participate in international organizations and in international collaborative-research projects, nursing education programs, and collaborative clinical projects; (2) Fostering international nursing leaders; (3) Setting the framework for TWNA policy-driven, mission-

To enhance the quality of teaching of faculty members and the clinical-practice competency of nursing students, the government is providing strong funding support to several nursing schools in Taiwan to create Objective Structured Clinical Examination (OSCE) facilities. The Ministry of Examination is currently considering the feasibility of including OSCE as a criterion for taking the National Licensure Examination for Registered Nurses, as is currently the case with the National Licensure Examination for Physicians. Responding to this need, TWNA facilitated communications between nursing organizations and the government and collected opinions with the goals of harnessing the manpower and

driven, and integrated research projects; (4) Integrating the nationwide Clinical Practice Guidelines (CPG) and driving the promotion and expansion of evidence-based care; (5) Promoting nursing-policy-related formulation and advocacy work; (6) Formulating the themes / topics of international conferences; and (7) Helping train nursing leaders in countries other than Taiwan. The new TWNA Center for Excellence is dedicated to strengthening the development of the nursing profession in Taiwan and to amplifying the positive influence of the professional nursing community on policymaking at the national level. Furthermore, the center will help the TWNA raise its profile and involvement internationally as Taiwan’s global gateway for world-class nursing experience and expertise

budget to launch the projects and standards necessary to establish OSCE facilities. Many challenges and discussions lie ahead before Taiwan will have a mature OSCE system.

TAIWAN NURSES ASSOCIATION

TWNA NEWS

NURSING IN TAIWANJanuary 2016 NO. 29

Semi-annual First Published May 1997ISSN 1563-31874F, 281 Hsin-Yi Road Section 4, Taipei 10681, Taiwan, Republic of China

TEL: +8862-2755-2291 FAX: +8862-2701-9817 E-mail: twna@twna.org.tw Web site: http://www.twna.org.tw

NURSING IN TAIWAN

In December 2015, TWNA invited Dr. Rick Wiechula from Australia to share his perspective on the topic of Evidence-Based Concepts and Curriculum Design in PhD/DNS Programs. The conference focused on how to apply evidence-based concepts in the design of PhD/DNS programs in order to enhance the quality of nursing education and create better nursing and healthcare outcomes for patients.

Four ICN NNAs, including the Taiwan Nurses Association, the Chinese Nursing Association, the College of Nursing, Hong Kong, and the Nurses Association of Macau, have jointly hosted the annual Cross-Straits Nursing Conference since 2014 as a platform for promoting academic and research exchange among nurses in the Greater China region. Each year, the TWNA allocates funds to sponsor its members to attend this conference in order to encourage the sharing of research outcomes. From the 3rd to 5th of December 2015, 138 TWNA members, led by TWNA President Kwua-Yun Wang, attended the 2015 Cross-Straits Nursing Conference in Hong Kong, where they made 136 presentations (21 oral and 115 poster) highlighting t h e s t r o n g r e s e a r c h - r e l a t e d c a p a b i l i t i e s a n d accomplishments of Taiwanese nurses.

Evidence-Based Concepts and Curriculum Design in PhD/DNS Programs

The Ministry of Health and Welfare (MOHW) announced an amendment to the “Regulations Governing the Registration of Nurses for Practice and Continuing Education” on December 30, 2015. The continuing-education credits required for license renewal every 6 years have been adjusted downward, from 150 to 120. Rules regarding the application of online-learning and correspondence-course credits toward license renewal remain unchanged, with a maximum ceiling of 60 credits allowed for each.

Renewal of License

Cross Straits Nursing Conference

Dr. Rick Wiechula, Director of the Centre for Evidence-based Practice, South Australia with seminar participantsDr. Rick Wiechula, Director of the Centre for Evidence-based Practice, South Australia

138 TWNA members attended the 2nd Four Places Cross Straits Nursing Conference 2015 in Hong Kong.

The consensus meeting on exploring the feasibility of including OSCE as a criterion for taking the National Licensure Examination for Registered Nurses.

138 TWNA members attended the 2nd Four Places Cross

The consensus meeting on exploring the feasibility of including OSCE as a criterion

NURSING IN TAIWAN TWNA NEWS

In order to exert a greater influence on national policy and politics and to ensure that the voice of nurses is heard and valued, Taiwan’s nursing organizations regularly work together to raise public awareness of nurses and nursing. In the run-up to the recently ended Taiwan presidential election, these organizations presented a united front to request that all candidates commit to improving the working environment for nurses and patient safety. The five key petitions that were submitted all received statements of support from the candidates of Taiwan’s two main political parties.1. Regulate a reasonable nurse-to-patient ratio, link the

nurse-to-patient ratio to health insurance payments, base nursing fees for hospitalization on the nurse-to-patient ratio, and set a reasonable NP-to-patient ratio.

2. Rationalize the workload of nurses in accordance with the nursing classification system (RN→APN→DNP) and utilize a skill-mix nursing care model to meet patient needs.

Statement for Taiwan Presidential and Legislators Candidates 2016-2019

3. Upgrade entry-level nursing education to the bachelor level and include the Nurse Practitioner (NP) curriculum in the master Program of national educat ion system to improve the qual i ty of professional healthcare.

4. Facilitate the development of the long-term care industry to enhance the quality of care for the disabled and dementia patients.

5. Establish a national center for nursing policy and research under the National Health Research Institute that will be responsible for drafting and executing national policies related to nursing and professional nurses.

Nursing organizations must integrate available resources, work as a team, agree on goals and priorities, and establish a common mission in order to effectively improve the nursing profession and nursing care in Taiwan.

The 31st Annual Nursing Research Conference was held on August 28, 2015 at National Cheng- Kung University in Tainan, Taiwan. In accordance with the ICN’s IND 2015, the theme of the conference was “A Force for Change: Promoting Nursing Care Efficiency and Cost Effectiveness”. The event attracted more than 450 participants from Taiwan, Mainland China, and Macau and 331 research presentations, given in symposium, oral, or poster format. The conference earned high marks from participants. We feel very much honored that Dr. Eileen T. Lake, Associate Professor, School of Nursing and Associate Director, Center for Health Outcomes and Policy Research, University of Pennsylvania accepted an invitation to attend as a keynote speaker. Dr. Lake’s keynote speech was entitled “Missed Nursing Care: Contexts and Consequences”.

The TWNA and the Ministry of Science and Technology (MOST) have co-organized the annual “Presentation of Scientific Research in the Discipline of Nursing” program since 2014. In addition to sharing research outcomes, the purposes of this program include updating nursing scientists on current trends in

The TWNA 31st Annual Nursing Research Conference

national nursing research policy, identifying the focuses of national research and development in nursing, and improving the quality of nursing research writing. It was an honor to have MOST Director General Shaw-Jenq Tsai and MOST Chairperson Hung-Yi Chiou attend the 2015 program and update the attendees on the status of ongoing cooperative efforts. In addition, 16 project investigators were invited to report on their research outcomes in the arenas of adult nursing, psychiatric nursing, maternal-child nursing, and community health. Participants gave an excellent overall rating for the 2015 conference.

Dr. Eileen T. Lake (7th from left in back row) delivered the keynote speech: Missed Nursing Care: Contexts and Consequences. 57 nursing leaders from China and Macau made 38 oral and poster presentations.

- ICN 2015 Credentialing and Regulators Forum in Dubai, United Arab Emirates; November 2-4, 2015.

- ICN 16th AWFF and 12nd AANA Meeting in Singapore; November 17-19, 2015.

International Participation 2015

Delegates from TWNA and the Ministry of Health and Welfare at the ICN 2015 Credentialing and Regulators Forum

Delegates from Taiwan, China, Macau, and Hong Kong at the ICN 16th AWFF and 12nd AANA Meeting in Singapore.

The Nightingale Nursing Leadership Institute, the TWNA’s nurs ing leadership t ra in ing program, was established in 2011 to enhance nursing leadership in Taiwan. Twenty-nine nursing leaders from various backgrounds and posit ions were attended this program from August 13-15, 2015. Topics addressed in the training courses included the healthcare system, health policy, the chal lenges and impacts of nursing, the power of the network trooper, PR marketing and nursing image, political lobbying, commitment and reflection, and voicing your influence. The purpose of the Nightingale Nursing Leadership Institute is to instill in nursing leaders the core competencies of visionary leadership, political influence, strategic partnership, and policy lobbying in order to give them the skills and knowledge necessary to positively influence national policy. Over the coming 15 years, the agenda of the

global health system will focus on Universal Health Coverage (UHC), Human Resource for Health (HRH), and Sustainable Development Goal (SDG). Preparing the related competencies will allow nurses to significantly influence the outcomes of the above three goals. As of the close of 2015, 123 nursing leaders have successfully completed the Nightingale Nursing Leadership Institute training program.

Nightingale Nursing Leadership Program 2015

TWNA Nightingale Nursing Leadership Program 2015

To cultivate more Taiwanese nursing leaders who are willing to dedicate their careers to nursing care in Taiwan, the TWNA in 2014 created a subsidy program to help its members attend the ICN Global Nursing Leadership Institute (GNLI). TWNA Board Member Dr. Hui-Ying Chiang earned sponsorship and attended GNLI from September 5-11, 2016 in Geneva. To strengthen Taiwan’s international partnerships and to fulfill Taiwan’s social responsibility to assist fellow countries in need, the TWNA and the Ministry of Health and Welfare (MOHW) cosponsored Campus Chief Ms. Nira Pandey from Nepal to attend GNLI. Ms. Pandey said it was a wonderful opportunity for her to attend this high-level training program and expressed her thanks to the two cosponsors.

Dr. Hui-Ying Chiang and Ms. Nira Pandey

ICN GNLI 2015