Facilitator : Morag Henry RN, RM, BSc NP(Hons)

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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’


Nursing and Midwifery Law

June 2013

Article 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




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)

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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.



• Regulations - develop statute

• Process – interim process

• Logistics (9,500 nurses in FBiH)


• Develop statute for issuing, renewing and revoking

• Professional development and continuing education

• Appeals procedures

Standards and codes of


• 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


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.

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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


License card /number

Funding , logistics , staffing, training

Access to register

Procedures for :


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


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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


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)

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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



• Committees, membership, election, terms of office

• Functions, Accountability, Transparency

• Mission statement

• Definition of nursing


• Income - Fees

• Expenditure


• Manpower/Material resources

• Communication with members and stakeholders

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Committees (functions)

Committee officers-

lay members other professions


Terms of office





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.


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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Other healthcare workers





Standards and Codes of Practice







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