Nursing education, regulation

and standards in Australia

15 November 2014

FACULTY OF
HEALTH
Contents

01 Introduction

02 Australian Government Reform

03 Quality and Safety in Healthcare: Australian Perspective

04 Nursing Regulation and Registration in Australia

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Dr Lisa Dalton, University of Tasmania

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University of Tasmania
Hobart
Main Campuses

Launceston North West Coast

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School of Health Sciences

Professor Steven
Campbell

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School of Nursing and Midwifery Courses

Undergraduate Courses
Bachelor of Nursing
Bachelor of Nursing (Honours Research)
Bachelor of Nursing (Honours Clinical)

Postgraduate Courses
Speciality Nursing Graduate Certificates
Speciality Nursing Graduate Diplomas
- nursing and midwifery
Master of Nursing
Master of Clinical Leadership in Nursing
(Indonesia)
Graduate Diploma of Midwifery (Indonesia)
Master of Midwifery
Professional Doctorate
PhD

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Australia is a large country

Indonesia is
1,919,317 square
kilometers

Australia is
7,617,930 square
kilometres

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Population

Australia Indonesia

23.13 million 249.9 million

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02
Reform of the
Australian Government

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 Government Reform in Australia
Education, Employment and Health
Commonwealth Department of Commonwealth Department of
Commonwealth Department of Commonwealth Department of
Education, Employment and Health and Aging
Education, Employment and Health and Aging
Workplace Relations
Workplace Relations

Department
Department of
of Education Department Department
Department of
of Health
Health
Education Department of
of Employment
Employment

“Earn or Learn”

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Government Reform in Australia
Health Workforce Development

Tertiary Health workforce

Education development

Department of Health

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03
Quality and Safety in
Australian Healthcare

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Australia’s
Education, Professional Practice and Health

– 2006 –Productivity Commission

report - Australia’s Health Workforce
– March 2008 - A national scheme for
the registration and regulation of
health professionals & the
accreditation of the education &
training programs leading to
registration
– 1 July 2010 – National Registration
and Accreditation Scheme - new
legislation, new structures & new
regulatory framework in place
A new regulatory framework:
Main points of difference

Pre July 2010 Post July 2010

8 States and 1 National

Jurisdiction Territories Scheme

Health Profession
Boards 85 10

85 Acts of Nationally consistent

Legislation parliament legislation
Regulated Health Professions in Australia: 2010

Physiothera
pists
Pharmacists Podiatrists

Psychologis
Osteopaths
ts

Health
Optometrist
s
Profession
s

Medical
Practitioner
s

Nurses &
Dental Care
Midwives
Chiropractor
s

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Regulated Health Professions in Australia: 2012

Medical Occupation
Radiation al
Practitioners Therapists

Chinese Health
Medicine Profession
Practitioners s

Aboriginal &
Torres Strait
Islander Health
Professionals

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04
Nursing regulation and
registration in
Australia

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 Areas of Regulation
Education, Professional Practice and Health

Education Professional Health Services

Education Professional Health Services
Practice
Practice

Regulation
Regulation of
of Higher
Higher Regulation
Regulation of
of the
the Nursing
Nursing Regulation
Regulation of
of Health
Health
Education
Education Workforce
Workforce Service
Service Providers
Providers

Australian Australian
Australian Health Australian
Australian
Australian
Australian Quality
Quality Tertiary
Tertiary Education
Education Australian Nursing
Nursing Health
and Professional Commission
Commission
Skills Authority
Skills Authority Quality
Quality Standards
Standards and Midwifery
Midwifery Professional
Accreditation Regulation
Regulation Agency
Agency on
on Safety
Safety and
and
(ASQA))
(ASQA Authority
Authority (TEQSA)
(TEQSA) Accreditation
Council (AHPRA) Quality
Quality In
In
Council (ANMAC)
(ANMAC) (AHPRA)
Health
Health Care
Care
(AHPRA)
(AHPRA)
Vocational Universities Nurse
Nurses &
Education & Education
Midwives
Training

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 Quality and Safety in Australian Health Care
Health Service Regulation

• Governance for Safety and Quality in Health

Service Organisations
• Partnering with Consumers
• Preventing and Controlling Healthcare
Associated Infections
• Medication Safety
• Patient Identification and Procedure Matching
• Clinical Handover
• Blood and Blood Products
• Preventing and Managing Pressure Injuries
• Recognising and Responding to Clinical
Deterioration in Acute Health Care
• Preventing Falls and Harm from Falls

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 Regulatory Framework for Health Professionals
Australian Health Practitioner Nursing and Midwifery
Regulation Agency Board of Australia
●
Code of Conduct
●
Registration ●
Code of Ethics
●
Standards for practice for EN,
●
Policy RN, RM, NPs (competencies)
●
Approval of standards ●
Professional boundaries
●
Decision making framework

Registratio
Profession
n of Nurses
al
and
Standards
Midwives
Australian Nursing and Nursing and Midwifery
Midwifery Accreditation Board of Australia
Profession
Council Accreditati
al
on of
Competenc
Education
e
●
Accreditation of
providers ●
Health impairment
●
Accreditation of courses ●
Conduct issues
●
Standards for ●
Performance issues
accreditation
 Standards for Nurse Education in Australia

Enrolled Nurse Registered Nurse

1. Governance 1. Governance
2. Staffing 2. Curriculum conceptual framework
3. Students 3. Program development and structure
4. Course Length and Structure 4. Program content
5. Course Content 5. Student assessment
6. Approaches to teaching and learning 6. Students
7. Student Assessment 7. Resources
8. Professional Experience 8. Management of workplace experience
9. Research 9. Quality improvement and risk
management

Diploma of Nursing Bachelor of Nursing

Advanced Diploma of Nursing

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 Standards for Advanced Nurse and Midwife
Education
Midwife Nurse Practitioner
1. Governance 1. Governance
2. Academic Staffing 2. Academic Staffing
3. Students 3. Students
4. Course Length and Structure 4. Course Length and Structure
5. Course Content 5. Curriculum content
6. Approaches to teaching and learning 6. Approaches to teaching and learning
7. Student Assessment 7. Student Assessment
8. Professional Experience 8. Professional Experience
9. Research 9. Research

Graduate Diploma in Midwifery Master of Advanced Nursing

Master of Midwifery (Nurse Practitioner)

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 Regulatory Framework for Health Professionals
Australian Health Practitioner Nursing and Midwifery
Regulation Agency Board of Australia
●
Code of Conduct
●
Registration ●
Code of Ethics
●
Standards for practice for EN,
●
Policy RN, RM, NPs (competencies)
●
Approval of standards ●
Professional boundaries
●
Decision making framework

Registratio
Profession
n of Nurses
al
and
Standards
Midwives
Australian Nursing and Nursing and Midwifery
Midwifery Accreditation Board of Australia
Profession
Council Accreditati
al
on of
Competenc
Education
e
●
Accreditation of
providers ●
Health impairment
●
Accreditation of courses ●
Conduct issues
●
Standards for ●
Performance issues
accreditation
 National and Midwifery Board of Tasmania
Codes, Guidelines and Standards
Policies
– Social media policy
Codes of Conduct
– Code of Professional Practice for Nurses/Midwives
– Code of Ethics for Nurses/Midwives
Guidelines
– Professional indemnity insurance arrangements
– Professional boundaries for nurses and midwives
– Decision making framework
– Professional practice guidelines
– Re-entry to practice guidelines
Competency Standards
– Enrolled Nurse
– Registered Nurse
– Midwives
– Nurse Practitioners
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 Specific Standards for Nurse Registration in
Australia
– Criminal history
– English language skills
– International English Language Testing System (IELTS)
 a minimum score of 7 in each of the four components of
listening, reading, writing, speaking
– Occupational English Test (OET)
 Overall pass, and with grades A or B only, in each of the
four components of listening, reading, writing, speaking
Professional indemnity insurance arrangements
– civil liability cover
– unlimited retroactive cover and
– run-off cover.
– Continuing professional development
– 20 hours +
– Recency of practice
– practice, course completion or supervised practice

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 Maintaining Nurse Registration in Australia

Nurse
Nurse &
& Midwife
Midwife
Registration
Registration

Education
Education Practise
Practise

Nurse
Nurse &
& Midwife
Midwife
Competency
Competency Standards
Standards

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INSERT FACULTY NAME IN FOOTER 28
Structure of the National Competency
Standards for the Registered Nurse
Domain
Professional practice
- professional, legal and ethical responsibilities which require demonstration of a
satisfactory knowledge base, accountability for practice, functioning in accordance with
legislation affecting nursing and health care,
and the protection of individual and group rights.

Critical thinking and analysis

- self-appraisal, professional development and the value of evidence and research for
practice. Reflecting on practice, feelings and beliefs and the consequences of these for
individuals/groups is an important professional benchmark.

Provision and coordination of care

- coordination, organisation and provision of nursing care that includes the assessment of
individuals /groups, planning, implementation and evaluation of care.

Collaborative and therapeutic practice

- establishing, sustaining and concluding professional relationships with
individuals/groups. This also contains those competencies that relate to nurses
understanding their contribution to the interdisciplinary health care team.
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Structure of the National Competency
Standards for the Registered Nurse
Domain elements and descriptors
1. Practises in accordance with legislation affecting nursing practice and health care
1.1 Complies with relevant legislation and common law:
• identifies legislation governing nursing practice
• describes nursing practice within the requirements of common law
• describes and adheres to legal requirements for medications
• identifies legal implications of nursing interventions
• actions demonstrate awareness of legal implications of nursing practice
• identifies and explains effects of legislation on the care of individuals/groups
• identifies and explains effects of legislation in the area of health, and
• identifies unprofessional practice as it relates to confidentiality and privacy
legislation.
1.2 Fulfils the duty of care:
• performs nursing interventions in accordance with recognised standards of
practice
• clarifies responsibility for aspects of care with other members of the health
team
• recognises the responsibility to prevent harm, and
• performs nursing interventions following comprehensive and accurate
assessments.
1.3 Recognises and responds appropriately to unsafe or unprofessional practice:
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Summary

- Nursing education, and registration in Australia:

- occurs within the broad framework for Safe and Quality Healthcare.
- is legislated by the Health practitioner regulation national law act 2009
- requires all nurses to be registered for practise with the Australian Health
Practitioners Regulatory Authority, which works closely with the
Nursing and Midwifery Board of Australia
- Requires all nurse education courses requiring accreditation are reviewed
and assessed by the Australian Nursing and Midwifery Accreditation
Council
- Requires assessment of nurses and midwives against the National
Competency Standards for:
- Enrolled Nurses
- Registered Nurses
- Midwives
- Nurse Practitioners

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TERIMA KASIH