Facilitator : Morag Henry RN, RM, BSc NP(Hons)
WE BELIEVE that nurses and midwives have key and
increasingly important roles to play in society’s efforts to tackle the public health challenges of our time, as well as in ensuring the provision of high-quality, accessible, equitable, efficient and sensitive health services which ensure continuity of care and
address people’s rights and changing needs.
WHO Munich Declaration, 2000
Morag Henry Sept 2013
A unanimous decision was reached that nursing and nurses in FBiH would be strengthened by:
Forming a federal level nurses’ chamber (secondary school and graduate nurses).
Supporting and strengthening the existing federal nursing association.
Achieving this would involve a great deal of work by nurses
within FBiH and would require support from ProSes.
In order to
protect the interests of the profession
fulfill professional and personal needs
ensure conditions for organized representation
protect the public
nurses with all educational levels are obligatorily organized in chambers of nurses and technicians
while midwives are organized in chambers of midwives.
The structure and the scope of the work of the chambers from paragraph 1 of this Article are regulated by the provisions on healthcare, unless defined
differently with this Law, as well as with the provisions on gender equality.
Morag Henry Sept 2013
In order to preserve and protect the interests of the profession, fulfill professional and personal needs, ensure conditions for organized representation of health
professionals of the same group of professionals, as well as for the protection of the public, health workers are obligatorily organized in the following respective
chambers as professionals organizations:
doctors’ chamber,
dentists’ chamber,
chambers of masters of pharmacy,
chamber of medical biochemists ,
chamber of midwifes,
chamber of graduate nurses and technicians ,
chamber of health engineers of all profiles.
The Chamber has the status of a legal entity and it is entered in the register of the competent court.
The Chambers are formed as professional organizations in the territory of the cantons and the Federation
Depending on whether it is cantonal or federal level that the chamber is formed at, the name of the canton, i.e. the
Federation, is contained in the title of the chamber. .
Morag Henry Sept 2013
To be employed as a nurse within Bosnia it is a legal requirement to be registered with and hold a current license issued by the Federal Nurses’
Chamber.
Nursing and Midwifery Law
June 2013Article 17
Conditions to practice are following:
Diploma from a faculty of health studies, high health school higher or secondary medical school of general courses, pediatric, psycho-geriatric and midwifery
courses acquired in BiH, or a validated diploma acquired abroad in accordance with educational legislation;
Certification exam passed,
BiH citizenship,
License issued by the competent chamber.
sets the common criteria for licensing
defines the content and the form of the register of licensed members of the Chamber
keeps a single register of the licensed members
defines the content for professional development, time-limits and procedures for evaluation of the competencies gained
through professional education;
Morag Henry Sept 2013
keep a register of their members;
adopt deontic and ethical code, oversee and follow-up its
application, and take adequate actions in case of its violation;
provide protection to the public when realizing their rights regarding the quality, content and type of healthcare services provided;
by right of office, issue, renew and revoke licenses to their
members on the basis of common criteria of the competent
federal chamber.
The Federal Ministry oversees the operation of the Federal
Chamber, while the cantonal ministry oversees the work of the cantonal chamber.
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Nursing and Midwifery Council UK http://www.nmc-uk.org
Singapore Nursing Board
http://www.healthprofessionals.gov.sg/content/hprof/sn
b/en.html
Keep a register of qualified nurses
Issue licenses to practice as a nurse
Keep a register of nurses holding a current license
Develop standards of practice and conduct
Regulate fitness to practice
Regulate professional development
(continuing education)Morag Henry Sept 2013
The Chamber’s statute obligatorily defines:
the formation, scope and organization of work;
the competencies of the Chambers and modes of financing;
the content, time-limits and procedures for professional development of the Chamber’s members;
the procedures for issuing, renewing and revoking licenses;
the manner for keeping the register of licensed members of the Chamber;
the limitations, modes and other issues related to the realization of the public authority described in Article 221 of this Law;
the elaboration of the modes for performing other tasks defined in
Articles 221 and 222 of this Law.
Registration
• Regulations - develop statute
• Process – interim process
• Logistics (9,500 nurses in FBiH)
Licensing
• Develop statute for issuing, renewing and revoking
• Professional development and continuing education
• Appeals procedures
Standards and codes of
practice
• Develop standards
• Awareness campaign
• Fitness to practice
• Complaints , discipline and sanctions
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Definition of nursing and nurses within FBiH context
Initial registration
• Trained in Bosnia
• Trained in other country
Maintenance of register
• Fee
• Data recorded
• Funding , logistics , staffing, training
Access to register
Different parts of register e.g. graduate nurse section
Appeals procedures
Removal from register
Transitional arrangements
Nursing encompasses autonomous and collaborative care of individuals of all ages, families, groups and communities, sick or well and in all settings.
Nursing includes the promotion of health, prevention of illness, and the care of ill, disabled and dying people.
Advocacy, promotion of a safe environment, research, participation in shaping health policy and in patient and health systems management, and education are also key nursing roles.
Morag Henry Sept 2013
The nursing profession implies provision of health/ nursing care (hereinafter: health care).
Health care encompasses autonomous and collective care for individuals of all ages, families and groups in the community; for healthy and sick individuals in all environments.
Health care encompasses health promotion, preventing of diseases and care for the sick, weak and dying, and persons with disabilities; advocacy, promotion of safe environment, research and participation in the design of health policies and
educational system for health workers
The American Nurses Association (ANA) states nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations
Royal College of Nursing UK
Nursing is the use of clinical judgement in the provision of care to enable people to improve, maintain, or recover health, to cope with health problems, and to achieve the best possible quality of life, whatever their disease or disability, until death.
.
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Nursing profession can be performed only by nurses, in the
manner and under the conditions laid out with this law, and
specific regulations on health care.
Nurses trained in Bosnia (Nursing and Midwifery Law Article 17)
Aproved education program / transcipt from training school ( list of approved schools and programs)
Certification examination
Time since qualified
Character reference /Fitness to practice from training school
Good health and good character (personal declaration or criminal record check)
BiH citizenship
Nurses trained in another country (Nursing and Midwifery Law Article 18,20)
Qualification equivalancy
Language requirements
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Requirements :
Registration as a qualified nurse
Continuing education
Hours of professional practice
Fitness to practice
Proof of personal liability protection
Duration of license
Maintenance of register
• Fee
• License card /number
• Funding , logistics , staffing, training
Access to register
Procedures for :
cancellation
refusal to issue
re-instatement of licenses
Appeals procedures
Transitional arrangements
Age limit
59% of regions had specific requirements for
demonstrated hours of practice
continuing education and/or continuing competence.
Renewal periods varied from annually to every six years.
One or two year timeframe was identified as the most usual
.
Fee was payable for re-licensure
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To maintain your registration with the NMC, you need to declare you have completed:
450 hours of registered clinical practice in the previous three years and
35 hours of learning activity (Continuing Professional Development) in the previous three years.
The practice standard can be met through administrative, supervisory,
teaching, research and managerial roles as well as providing direct patient care.
Nurses have the right and obligation for continuous professional
development in order to maintain and improve the quality of health care and needs of the patients.
Continuous professional development form paragraph 1 of this article implies renewing of acquired knowledge and acquisition of new
knowledge, skills and attitudes in line with the latest developments and knowledge in the field of nursing, and is done in the form of seminaries, courses and professional meetings.
.
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It is essential that individual practitioners
recognise the importance of maintaining and improving their knowledge, skills, ethical awareness and competence
throughout professional life
use all opportunities to improve the quality and standard of nursing care
accept this responsibility as being an integral part of their
personal accountability for professional practice
Continuous education includes:
professional meetings (congresses, symposiums and conferences)
courses, study tours with mentor
publications (professional journals, editor in publications, authorship, co- authorship, editor in books or book's chapters, reviewer of the book)
independent e-learning
on-line courses and on-line professional meetings
.
Morag Henry Sept 2013
Licence to practice nursing is granted for a limited period of 7 years and can be renewed on the basis of submitted documents demonstrating professional
competence
An important requirement for a renewal of the licence is continuing education, which must cover the following topics during the 7-year period:
– modern trends in nursing and midwifery care, – basic resuscitation procedures,
– professional ethics, – health legislation.
Continuing education can take the following forms:
– participation in professional meetings (active or passive);
– publication of professional papers in professional literature – training in a health care institution or other organization
System of approval of on-going education courses/programs
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Ethical and Deontic code
Standards of care
Fitness to practice
Code of ethics and conduct for European Nurses ICN Code of ethics
NMC UK The code: Standards of conduct, performance and ethics for nurses and midwives Croation Nursing Council Code of Ethics
Procedure for making complaint
Procedure and timeline for Chamber to investigate complaint
Possible sanctions
Implications for current or future license
70-100% of regulatory bodies have powers to:
remove, revoke or suspend licenses
order retraining
issue a warning
require a registrant to undergo counselling
ICN International Comparative Study 2009)
Morag Henry Sept 2013
The competent chamber revokes the license for independent practice to the nurse in cases defined with special regulation on healthcare, and the statute of the competent chamber.
Cessation of the right to practice Article 29 Nurses no longer have the right to practice if:
They lose BiH citizenship
Lose fitness to practice (Article 30)
Become permanently disabled to practice in terms of health
Have been prohibited to practice
Have lost the license, and consequently, the right to practice with a disciplinary measure issued by the competent chamber
Organisation
• Committees, membership, election, terms of office
• Functions, Accountability, Transparency
• Mission statement
• Definition of nursing
Finances
• Income - Fees
• Expenditure
Logistics
• Manpower/Material resources
• Communication with members and stakeholders
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Committees (functions)
Committee officers-
lay members other professions
Elections
Terms of office
Accountability
Funding
Administration
Please add here Mission statements of:
Chamber of Tech of Tuzla
Graduate nurses’ chamber
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We are the nursing and midwifery regulator for England, Wales, Scotland, Northern Ireland and the Islands.
We exist to safeguard the health and wellbeing of the public.
We set standards of education, training, conduct and performance so that nurses and midwives can deliver high quality healthcare consistently throughout their careers.
We ensure that nurses and midwives keep their skills and knowledge up to date and uphold our professional standards.
We have clear and transparent processes to investigate nurses and midwives who fall short of our standards.
The Singapore Nursing Board (SNB) is the regulatory authority for nurses and midwives in Singapore. Its scope and functions are defined in the Nurses and Midwives Act (Chapter 209) for the purpose of registration and
enrolment of nurses, the registration of midwives and the certification of Advanced Practice Nurses and related matters.
Vision
World-Class Nursing for a Healthy Nation Mission
To Uphold Professional Nursing Standards and Honour the Public Trust Values
• Compassion • Commitment
• Integrity • Professional Excellence
• Respect • Transparency
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Nurses
Employers
Other healthcare workers
Public
Registration
Licensing
Standards and Codes of Practice
Structure
Logistics
