Excursus sull’educazione
in ambito pediatrico in
Europa e sulle implicazioni
per la pratica
Dr Carol Hall
RGN, RSCN, RNT, PhD, BSc (Hons)
PG DipAd/Ed, FHEA
Thank you for inviting me......
My work
•
Childrens Nurse, General Nurse, Registered Nurse Teacher in the UK
•
Associate Professor,The University of Nottingham UK.
•
Executive Council Member Fedration of European Nurse Educators
(FINE). and Co-ordinator of UK Group
•
Chair of Education Forum, Royal College of Nursing UK and member representative
for international office on EU Education issues .
•
Member: of UK Nursing and Midwifery Council EU Forum.
•
Member of expert advisory group for UK Council of Deans for Health on EU
Education issues.
This presentation will address the following:
•Nursing education across Europe
• Paediatric nursing across Europe
•Official qualification of paediatric nurses and types of education
• Education for paediatric nurses to work in adult or general field and Education for
general nurses to work in paediatric field
• Advanced education or continuous education for paediatric nurses
• The title of ‘paediatric nurse’ across Europe ,
• The ‘paediatric nurse’ as a clinical expert
• Future perspectives?
Influences in Nursing Education across Europe in
2012
•
•
•
•
Nursing Priority
families locally, Regionally,
Academic Priority Professional Priority Economic Priority
-
Children First = Health needs of children and
Nationally, EU wide and Globally
Nursing study and academic recognition
Nursing work and professional recognition
Health Economy costs in country
Cannot be separated but currently are......
Nursing Priorities - Children and Families First
Children and adolescents (young people) have the right to be cared for by
appropriately qualified and educated nursing staff. Children and their
families/guardians have a right to know that the nurse who cares for their child
is specifically educated and competent to do so i.e. one who has successfully
completed a recognised course of study and practice experience in the
nursing care of infants, children and adolescents / young
People.
Paediatric Nursing Associations of Europe:
Position statement on the Regulation of Paediatric Nurses in
Europe (2005)
http://www.rcn.org.uk/__data/assets/pdf_file/0008/371357/Regulation_Agreed_October_05.pdf
Professional/Legal Concerns
National competent authorities (must) decide whether or not to recognise
professional qualifications obtained in other EU countries, in accordance with
European legislation. EU Directive EC/36/2005
In so doing, they are also expected to follow the common rules set out in a
Code of Conduct..
This relates to:•Temporary provision of services
•Automatic recognition of professional qualifications
(General Nursing)
•Recognition of Professional Experience in certain
activities
•The General System (Paediatric Nursing)
http://ec.europa.eu/internal_market/qualifications/index_en.htm
Academic Concerns
To ensure more comparable, compatible and coherent systems of
education in Europe.
•The European Higher Education Area (EHEA)
•Bologna Process (1999)
•Copenhagen Process (2002)
•European Qualifications Framework - The EQF aims to relate
different countries' national qualifications systems
to a common European reference framework..
•TUNING
Economic Concerns
•
•
•
Cost of current provision
Cost of change
Benefit to population/professions
Paediatric Nursing Education – The Tensions
Generalist ?
Paediatric Nurse Education in Europe
(PNAE, 2007)
Variations across Europe in the educational preparation of nurses who care for children
and young people are a barrier to mutual recognition and geographical mobility of
nurses. They also indicate variability in the quality of care that is provided to child
citizens. To address these inequities, paediatric nurse education programmes need to be
in place that:
• enable the student to achieve the required competencies and academic credits
•
have the approval of that professional regulatory body, national paediatric nursing
association, an education institution and or a combination of these
•
enable the student completing the programme to register as a paediatric nurse with
the professional regulatory organisation of the country;
•
can be recognised by individual member states to facilitate the registered paediatric
nurse to work across Europe.
Education Provision for Paediatric Nursing in
Europe - PNAE Survey (Smith, 2011)
Registration
Level of Study
In summary - where is Paediatric Nursing
Education in the EU in 2012?
•
Legally separated from General Care Nursing (EC/36/2005)
•
Continuing Professional differences in preparation across EU– PNAE Survey (2010)
•
Academic differences across EU Vocational or HE/Diploma, Bachelors or Masters
or all of these.
•
The PNAE Recommendations of 2012 still stand
Strong unity and mission focussed on
Children and Family Health Needs
Questions for Future
An ‘official’ qualification for paediatric nurses?
•Academic
•Professional/Legal
•Economic
•Children First
Questions for the Future
What education is possible for paediatric
nurses to work in other fields and what
education is there for general nurses to work in
a paediatric field?
•
Children First
•
Academic
•
Professional/Legal
•
Economic
Questions for the Future
What about advanced education and
continuous education for paediatric nurses
•Academic
•Professional/Legal
•Economic
•Children First
Questions for the Future
Will the title paediatric nurse be acknowledged
across Europe , for nurses to work in different
country from that in which the student took the
title?
•
Children First
•
Academic
•
Professional/Legal
•
Economic
- Questions for the Future
What about the pediatric nurse as clinical expert
to guide the nursing care of general nurses?
•Children First Ensuring and providing expert care wherever children are......
•Academic - Creating Experts Opportunities for expanding and developing
practice and theory, Research agenda, clinical specialism and clinical Phd,
•Professional/Legal - More complex due to differences in registration
•Economic – Difficult to ensure change unless a mass of expertise make
paediatric nursing a desirable ‘must have’
In Conclusion - Do the Differences Matter?
1.
2.
3.
4.
5.
6.
Level
Competence
Transferability
Partial access
Title
Advanced Practice
Discussion - Future perspectives
•
Children First
•
Academic
•
Professional/Legal
•
Economic
Thank You