16th South Pacific Nurses Forum
21.11.2012
WORKING TOGETHER
“EXCELLENCE WOVEN INTO EXCELLENCE”
By Sr. Seilini Soakai
Presentation Outline
The only Kingdom in the Pacific and its
Population
 Nursing Background in Tonga
 Initiate of the NB-IST Project
 Overview of NB-IST Project in Tonga
 Project Outline
 Conclusion

WELCOME TO THE KINGDOM
OF TONGA
WHERE?
In The Pacific
The Islands of Tonga
Tongatapu
Vava’u
Ha’apai
‘Eua
2
Niuas
176 scattered islands
Population of Tonga in 2011

Total Population – 103,879
Population Distribution
 Tongatapu
–
77928
 Vava’u
–
14118
 Ha’apai
–
6568
 ‘Eua
–
4867
 2 Niuas
1398
Ministry of Health Structure
Minister of
Health
Director of
Health
Administration
Health Planning
and Information
Public Health
Division
Medical Division
Nursing Division
Dental
Department
Nursing Structure
Chief Nursing
Officer
Clinical Nursing
(Matron)
203 Nurses
Reproductive
Health Nurses
Senior Public
Supervising Sister
48 Nurses
Queen Salote
School of Nursing
Principle
11 Staff + 96
Students
Non
Communicable
Diseases
Supervising Sister
20 Nurses
RHNs and CNs Distribution
Islands
No.
Hospital
No. of RH
stations in
each Island
No. of
RHNs
In each
Island
Number of
Clinical
Nurses in
each Island
Tongatapu
1
15
30
203
Vava’u
1
8
8
20
Ha’apai
1
7
7
10
‘Eua
1
2
2
10
2 Niuas
None
2
1
2
JICA Initiative Project
“Strengthening the Need-Based In-Service
Training for Community Health Nurses”



Implemented in:
Fiji
Tonga
Vanuatu
Concept of the project
Pacific
Global
Scale
up
Fiji
National Program
A Model
NB-IST for CHNs
in Central Div.
Tonga
Vanuatu
Adaptation
Regional Training on NB-IST in
Sigatoka August 2012
PROJECT OVERVIEW
The project for
Strengthening the Need-Based In-Service
Training for Community Health Nurses
Technical cooperation project
MOH-Tonga and JICA
Feb 2011 – Jan 2014
Management system of the project
JCC
<Decision making Body>
Project Director
Project Manager
Japanese
advisors
Working group(s)
<Implementation Body>
Project team
Joint Coordinating Committee in
Tonga
Project Director :- Director of Health
 Project Manager:- Chief Nursing Officer
 3 Coordinators:
 Senior Public Health Supervising Sister
 QSSN Principal
 Matron

Japanese Advisors
Project Outline
Overall
goal
Quality of community health
services improves in Tonga
Project
Purpose
The mechanism of the NB-IST
is strengthened
Expected
Outputs
S&C
NB-IST
M&E
Supporting
system
Information
sharing
Supervision and Coaching

A series of day-to-day capacity building
activities that are conducted by a direct
supervisor through identifying the
difficulties/uncertainties in daily practices
and timely providing appropriate advice
and possible solutions
Previous Supervising System
MOH
CNO &
3 senior officers
Training
needs
Supervision
& (Coaching)
Nurses
@
Health Center, RHC, Hospital
NB-IST Impact on Supervising
System
* Enforced the Supervisors to improve the way
they supervised
*Supervise in a regular basis
*Standardize by using the tools that have been
developed
NB-IST Model
Training
needs
MOH
CNO
IST coordinators
Provide training course
Nursing
Supervisors
(nursing sisters, SSN,
senior sisters)
Training
needs
Competency
Assessment
Discussions
Nurses
@
Health Center, RHC, Hospital
Supervision
& Coaching
Previous Trainings
Structured
For the purpose of disseminating
new policies / directives and
standardizing the capacity of the
MOH staff members as a civil
servant (eg. Induction training,
PSC Code of Conduct)
Program base IST
Planned along with specific technical
subject(s), ad-hoc (eg. EPI,HIV)
Upgrade In-service Trainings
for Nurses
Structured
Program-base IST
NB-IST
Need Based In-service Training

Training should be based on the Identified
needs

Needs identified through Supervision,
Coaching and Competency Assessment
Competency Standards for
Competency Assessment
It is only a BENCHMARK
 Passing mark to practice as a nurse
 It is the floor but needs to get to the
ceiling

THAT IS EXECELLENCE WOVEN INTO
EXCELLENCE
Excellence Woven Into Excellence
NB-IST is ex-tented to all nurses in Tonga,
aiming for EXCELLENCE to be WOVEN
into all nurses in Tonga through their daily
activities
 Nurses need to increase weaving
excellence into their nursing care from
each level to a higher level until they get
to Excellent


NB-IST is an Ongoing PROCESS,
therefore, “Excellence Woven Into
Excellence” is also a never ending
PROCESS for ALL NURSES in order for
us to give the BEST QUALITY CARE TO
OUR PEOPLE.
Aim HIGH and DO your BEST then GOD
will DO the REST
for
We can do all things through CHRIST who
STRENGHTHEN us.
Phillipians 4:13
MALO ‘AUPITO