Pascal Rod, Executive Director IFNA
The Hague, Netherlands, June 2010
Benin
Democratic Rep.
of Congo
Gabon
Ghana
Ivory Coast
Morocco
Nigeria
Tunisia
Uganda
Cambodia
Indonesia
Taiwan
Republic
of China
South Korea
Austria
Belgium
Croatia
Denmark
Finland
France
Germany
Hungary
Iceland
Italy
Luxembourg
Netherlands
Norway
Poland
Slovenia
Spain
Sweden
Switzerland
United Kingdom
Jamaica
U.S.A
Membership Conditions
• To be the most representative association, organization
or branch of nurse anesthetist in the country.
• Nurse anesthetist: generic word for nurses specialised
or « involved » in anesthesia services with formal
program of education or in process to developp one
• One association per country,
• One voice in IFNA
• Non nurse anesthesia providers associations can apply
for associate membership
Countries not represented
• Many countries had a recruitment for nurses
at the age of 16, without achieving secondary
education.
• Nurse Anesthesia practice requires higher
education, beyond secondary education.
• Health technicians: higher education
• Lack of national organizations
• Lack of « official » recognition of nurses
practicing in anesthesia
IFNA organization
Officers
Elected for 2 years
Executive Director
Meeting Twice every year
Executive Committee
Council of National Representatives
6 Elected delegates
CNR
+
4 Officers
1 per country member
Meeting once every other year
Meeting once every 2 years
Congress Planning Committee
CPC
+Officers and Executive Director
Meeting twice a year
Practice Committee
Education Committee
Appointed by President
5 members appointed by President
Meetig once a year
Meeting once a year
Congress Planning Committee
CPC
• Standing Committee of the IFNA in charge of organizing
the World Congress
• Composition:
– Chairperson of the immediate past Congress Chair of the
CPC
– Chairperson of the current Congress
– Chairperson of the next Congress
– Officers
– Executive Director
• Meeting twice a year
Education Committee
• First IFNA Committee
• Composition:
– Nurse anesthesia Program Directors or Teachers
Dr. Betty Horton , USA, Chairperson
Ms. Jennifer Hui-Ju Yang , Taiwan
Dr. Karin Bjorkman-Bjorkelund, Sweden
Mrs. Susanna Anang, Ghana
Mrs. Marianne Riesen , Switzerland
• Activities:
– Developping and reviewing Standards of Education, Program
guidelines, Master’s guidelines
– Developpment of Accreditation program and reviewing of application
forms
– Poster Judgement at Congress
Practice Committee
• New committee:
– Mrs. Sandra Ouellette chairperson
• Reviewing the Standards of practice,
Monitoring Guidelines
• Address Continuing education issues
• Collect data about practice worldwide
Membership fees
• 3 categories for membership based on World
Bank classification of GPNI
• Lower: 0,75 CHF ( 0,52 Euros) / active member
of the country member association
• Middle: 1,25 CHF (0,87 Euros)/active member
of the country member association
• Highest: 3 CHF (2 Euros)/active member of the
country member association
Members categories
• Upper Middle Income Countries: 1,25 SFr
(0,87 Euros) per active member of organization
Croatia, Gabon, Jamaica, Poland, Serbia
• Low and Lower Middle Income countries:0,75
SFr (0,52 Euros) per active member of
organization
Benin, Cambodia, Congo Democratic Republic,
Ghana, Côte d’Ivoire, Indonesia, Morocco,
Nigeria, Tunisia, Uganda
Members categories
• High Income Countries: 3,00 SFr ( 2 Euros) per
active member of organization
Austria, Belgium, Denmark, Finland, France,
Germany, Hungary, Iceland, Italy, Luxembourg,
Netherlands, Norway, Slovenia, Korea Rep,
Spain, Sweden, Switzerland, Taiwan, United
Kingdom and the United States of America
Education
• Countries with 18 up to 24 months ( or more) of education:
– Benin, Cambodia, Rep. Dem. of Congo, Denmark, France, , Gabon,
Ghana, Hungary, Iceland, Indonesia, Ivory Coast, Jamaica,
Luxemburg, Morocco, Netherlands, Nigeria, Norway, Poland,
Sweden, Switzerland, USA
• Countries with less than 18 months
– Belgium, Finland, Taiwan, UK
• Countries with combined training:
– Austria, Germany
• Countries with on site training:
– Croatia, Italy, Serbia, Slovenia, Spain
• Countries without formal nursing background:
– Tunisia, partly Netherlands
Level of Education
• Master’s:
– USA
– France in progress
– Spain in progress
• Post-bachelor:
– Iceland
– Norway ( in progress for Master’s)
– Sweden
– Taiwan in progress
National Data from country members
•
•
•
•
Number of Nurse Anesthetists
Number of members in association
Number of Anesthesiologists
Number of Anesthesia cases
Salaries per year ( Euros)
Salaries per month ( Euros)
Ratio Nurse Anesthetist / 100 000 Hbts
Luxemburg
Norway
Sweden
Denmark
Iceland
Finland
Germany
Switzerland
Slovenia
USA
Netherlands
France
Taiwan
Poland
UK
R.D.Congo
Spain
South Korea
Ghana
Cambodia
68.7
43
33.15
32.26
31.73
30.38
19.89
16.31
14.01
12.87
12.84
12.54
11.79
10.43
9.9
4.84
1.8
1.2
0.93
0.72
0
10
20
Ratio
30
40
50
60
70
80
ratio of anesthesia cases not realized
by anesthesiologists
100
RDCongo
Spain
USA
cambodia
Luxemburg
France
Netherlands
Slovenia
Switzerland
Norway
Finland
63
60
50
45
44
600/year
900/year
28
22
20
6
1.8
0
20
40
60
80
100
120
IFNA Documentation
• International Standards of Education for nurse
anesthetists
• International Standards of practice for nurse
anesthetists
• International Code of Ethics for nurse anesthetists
• Monitoring guidelines
• Guidelines for starting a nurse anesthesia program of
education
• Guidelines for a Master’s program
• Accreditation for Nurse Anesthesia programs
• Recommendations for creating a national organization
New Challenges
• Work on the recognition of Nurse Anesthesia as
Advanced Practice of nursing
• Work on improvment of Nurse Anesthesia education
at Master’s level
• Implement the Accreditation program in order to
facilitate the comparaison of nurse anesthesia
programs and the recognition of equivalences
• Improve the continuing education opportunities for
our colleagues from less developped countries
• Develop some research on nurse anesthesia
internationally
1988
2010
We haven’t changed…
Thank you
Merci
Dank je wel
Gracias
Danke
Kiitos