NURSING

REGULATORY
MECHANISMS
BY
M.SENTHÌL KUMAR
MSC NURSÌNG ÌÌ YEAR
CHRÌ
INTRODUCTION
REGULATION
Regulation is "controlling human or
societal behavior by rules or restrictions."
forms of ReguIation :
IegaI reguIation: promulgated by a
government authority
seIf-reguIation : by an industry, institution
such as through a trade association, social
regulation e.g. norms
REGULATION INFLUENCES:
Educational programmes and institutions
(approval, accreditation)
Practitioners (registration, licensure,
certification)
Practice (scope of practice)
Health care agencies (accreditation,
approval)
All of those legitimate and
appropriate means - governmental,
professional and individual - where
by order, identity, consistency and
control are brought to a profession
and its practice.
StyIes & Affara for ICN.
1997
PROFESSIONAL REGULATION
DEFINED
efine the profession and its members.
etermine the scope of practice.
Set standards of education and for ethical,
competent practice.
Establish some system of accountability.
OUTCOMES OF REGULATION
TYPES OF SYSTEMS
. Regulation by the Government
Ìts focus tends to be on registering and licensing
nurses.
2. Regulation by the statutory bodies
ReguIatory Mechanisms
Licensure
Accreditation
Certification
Education
Registration
TYPES OF THE CREDENTIALING
MECHANISMS
REGULATORY MODEL
ReguIation incIudes:
Licensure
The granting of authority to practice
Accreditation
ormal review and approval by a recognized agency
of educational degree or certification programs in
nursing or nursing related programs
Certification
The formal recognition of knowledge, skills and
experience demonstrated by the achievement of
standards identified by the profession
'
Education
The formal preparation in graduate or post-
graduate programs
Registration
Registration is the listing of an individual
name and other information on the official
roster of a governmental or non governmental
agency
Nurse who are registered are permitted to
use the title " registered nurse"
LICENSURE
The process by which an agency of state
government grants permission to an
individual to engage in a given
profession , upon finding that the
applicant has attained the essential
degree of competency necessary to
perform a unique scope of practice
TYPES
Mandatory
Anyone who practices nursing must
be licensed
Permissive
The title RN is reserved for licensed
but the practice of nursing is not
prohibited to others who are not
licensed or registered[canada]
MECHANISMS
Two mechanisms
MutuaI recognition modeI
Nurses can practice electronically
or in person across state lines
with one license
Inter state compact
Agreement between 2 or more
states to create mutual recognition
among the states
ACCREDITATION
Ìt refers to a voluntary review process of
educational programs by a professional
organization.
The organization is called an accrediting
agency which compares the educational
quality of the program with established
standard and criteria
NLNAC [NationaI League for Nursing
Accrediting Commission]
Accreditation
PURPOSE
to provide specialized accreditation for
programs of nursing education, both
postsecondary and higher degree,
which offer either a certificate, a
diploma, or a recognized professional
degree (clinical doctorate, master's,
baccalaureate, associate, diploma,
and practical).
GOALS
!romulgate a common core of standards
and criteria for the accreditation of
nursing programs.
Strengthen educational quality
Advocate self-regulation in nursing
education.
!romote peer review.
oster educational equity, access,
opportunity, mobility
ENEFITS OF ACCREDITATION
enhance quality improvement in nursing
education.
!rovides recognition
Assures professional development
opportunity and validation for faculty.
Ìs a gateway to licensure, certification, and
eligibility for entitlement programs.
Ìdentifies areas needing development.
osters ongoing self-examination, re-
evaluation, and focus on the future.
Aids in student recruitment and
retention.
Assists employers seeking graduates
who are competent nurses.
acilitates career and education
decision-making.
!romotes professional and educational
mobility of program graduates.
CERTIFICATION
The formal recognition of knowledge,
skills and experience demonstrated by
the achievement of standards
identified by the profession
Certification programmes are
conducted by the American nurses
credentialing center and by specialty
nursing organizations
#%A%
Certification programs will:
ollow established testing and psychometrically
sound, legally defensible standards
Assess A!RN core and role competencies across
at least one population focus
Assess specialty competencies separately, if
appropriate
Be accredited by a national certification
accreditation body
#%A% %.
Certification programs will:
Enforce congruence between the education
program and the type of certification.
!rovide a mechanism to ensure ongoing
competence and certification maintenance.
!articipate in a mutually agreeable
mechanism
CERTIFICATION
PROGRAMME
EDUCATION
Education
The formal preparation in
graduate or post-graduate
programs
Education programs will:
ollow established educational standards
ensure attainment of core, role and population
competencies.
Be accredited.
Be pre-approved, pre-accredited, or accredited prior to
accepting students.
Ensure that graduates are eligible for national
certification and state licensure.
Ensure that the transcript specifies the role and
population focus.
REGISTRATION
Registration is the listing of an
individual name and other information
on the official roster of a governmental
or non governmental agency
Nurse who are registered are
permitted to use the title " registered
nurse'
REGISTRATION IN INDIA
REGISTRATION IN USA
Eligibility criterion
Registered general nurse
Minimum one year of experience
Eligibility exams
CGNS[centre for graduate foreign nursing school]
NCLEX RN[National Council Licensure
Examination]
56
English language
The Test of English as a oreign Language
(TOEL),
the Test of English for Ìnternational
Communications (TOEÌC)
the Ìnternational English Language Testing System
(ÌELTS)
REGISTRATION IN CANADA
Eligibility criterion
B.sc nursing degree
With at least year of clinical experience
Eligibility exams
CRNE exam[twice a year=feb, june, oct]
CRNE conducted by CNA
ÌELTS
REGISTRATION IN NEWZEALAND
Eligibility criterion
Ìnternational nursing qualification
equivalent to that prescribed in
newzealand
English language test
ÌELTS
OET
REGISTRATION IN AUSTRALIA
Eligibility criterion
Certificate, diploma or degree
Registration certificate from the
native country
Eligibility exams
OET=> over all pass must be
achieved
REGISTRATION IN IRELAND
Eligibility criterion
Graduate nursing programme/
graduate midwife programme
2 year of clinical experience
English exam
ÌELTS : 7 score
REGISTRATION IN MALAYSIA
Eligibility criterion
Certificate in nursing
Minimum 2 years of clinical experience
Registered with nursing board in
respective countries
English language
ÌELTS: 6.5
REGISTRATION IN SINGAPORE
RENEWAL / REPEAT
REGISTRATION
Ìn ÌNÌA: recommended to renewal every 5 years
!racticed in most of the developed countries
Renewal of one's license about every 2 years
with payment of fee each time
Other places: granting renewal only when the
applicant has
Worked for certain hours in last year
Taken no of hours continuing education
!assed in exam conducted by nursing
board
BCLS certificate latest
Self-regulation (self governance)
!ublic involvement in professional self-
regulation
Mechanisms for international
communication
Collaboration and coordinating
Ìncreased congruence and coherence
among regulatory systems
ÌCN & WHO 2005
1
st
century professionaI reguIation
Agreeing on acceptable and feasible
criteria for mutual recognition
!ortability of qualifications
!roviding evidence about
competence, qualifications and the
fitness of nurses
INTERNATIONAL REGULATORY
CHALLENGES
SUMMARY &
CONCLUSION
THANK YOU

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