Framework of Nursing Professionalism mtrla/13072010 mtrla/19052009/perst.29052009 1 1 • Nurses (all category) - 83,802 * Doctors - 30,573 mtrla/13072010 mtrla/13072010/malaysia 2 2 STATISTIC TOTAL NO. OF NURSES IN MALAYSIA NO CATEGORY PUBLIC PRIVATE TOTAL 1 REGISTERED NURSES (U29-U54) 41,184 14,414 55,598 2 3 COMMUNITY NURSES 18,147 - 18,147 ASSISTANT NURSES 1,855 7,711 9,566 4 MIDWIVES 491 - 491 TOTAL 61,677 22,125 83,802 TOTAL NUMBER (U29-U54) WITH POS BASIC 21,276 ( 38.27% ) mtrla/13072010 mtrla/13072010/malaysia 3 3 Total ANNUAL PRACTISING CERTIFICATE ISSUED 90000 80000 70000 60000 42,836 50000 40000 30000 20000 11,753 10000 5,076 0 2006 58,742 47,426 52,180 15,395 16,636 19,420 4,907 4,616 4,403 2007 ASSISTANT NURSE REGISTERED NURSE 2008 Year mtrla/13072010 2009 COMMUNITY NURSE 4 Temporary Practising Certificate / Issued 1600 1412 1400 1054 1200 857 1000 800 740 TPC 600 Elective Training Certificate 400 200 54 8 14 10 0 2006 2007mtrla/13072010 2008 2009 5 mtrla/13072010 6 Planning Do Action Check Networking Monitoring FATHILAH DIRECTOR mtrla/13072010 7 InChallenges 2006 – fromFaced a totalWith of 11 private owned Newly Nursing Appointed Colleges Graduates approved to 36 Colleges. mtrla/13072010 mtrla/13072010/malaysia 8 8 • INCOMPETENT • NOT KNOWLEDGEABLE • POOR COMMUNICATION • NOT SKILLFULL mtrla/13072010 9 STRATEGY Entry Qualification • 1. Strengthen entry qualification for basic nursing training from 3 credit to 5 credits in SPM. • Aptitude test – during application and for the appointment. mtrla/13072010 10 2. Mentor-mentee programme Problem Solving / decision making Critical thinking Communication (including soft skills) Assertiveness in the delivery of quality and safe nursing care. mtrla/13072010 mtrla/13072010/malaysia 11 11 REMEDIAL ACTIONS • 2006 - Initiation of Mentor – Mentee Programme in collaboration with Northumbria Uni.,UK • 2006 – Workshop on Mentoring for senior nurses and nurse tutors was jointly organized by NBM University Northumbria, UK - Create awareness mtrla/13072010 mtrla/13072010/malaysia 12 12 • 2006 – Set – up technical committee to prepare module : - How to mentor - Guidelines on Being A Good Nurse (based on 7 concept ) - Nursing Practice Guidelines (25 discipline) - Training of Trainers (zoning – 3 Peninsular + 2 East Malaysia) mtrla/13072010 mtrla/13072010/malaysia 13 13 3. Tying of Continuos Professional Development (CPD) to Annual Practicing Certificate (APC) • Made mandatory since year 2008. Effect • Competent, knowledgeable and skillful. mtrla/13072010 mtrla/13072010/malaysia 14 14 • 4. Specialization • Encourage nurses after 3years clinical to go for advance course • By equipping nurses with the desired knowledge and relevant core competencies and skills in highly specialized care disciplines, hence, making today’s nurses more flexible and responsive to the needs of the environment and consumers. mtrla/13072010 mtrla/19052009/perst.29052009 15 15 CHALLENGES MADE THROUGH mtrla/13072010 16 Service Sector • Upgrading Nurses from Support group to Professional (2006) • Restoration of Nursing Division • Appointment of Director of Nursing • Incentives for Pos-basic Courses • Retirement age increased to 58 years old. 17 mtrla/13072010 mtrla/13072010/malaysia 17 17 EDUCATION Upgrading from school to college Upgrading college to university Upgrading from certificate to diploma Upgrading community nurses to staff nurses Upgrading Midwives to Community Nurses mtrla/13072010 18 FUTURE CHALLENGES mtrla/13072010 19 Meeting client’s needs now and in the future Making good contributions to Patient safety Sustain quality and productivity Building skills and competency of nurses mtrla/13072010 20 SUCCESS mtrla/13072010 21 Proposal for the Future of Nurses with Tertiary Education Ministry of Health Malaysia Nurse with degree U29/32/36 Nurse with Degree U41/42 Educator Nurse with Degree U44 Clinical Nurse Specialist U48 Hospital Intensive Care, Medical, Paediatric, Surgical,Obs&Gyn,Perioperative,Cardiology,Orthopaedic, Neonatal,Anesthesia, Emergency, Trauma, Haematology, Nephrology,Oncology, Neurology ,Opthalmology, Otorinolaringologi, Management U48 Management U52 Public Health - Maternal Child Health, Primer Clinical Nurse Specialist U52 Clinical Nurse Specialist U54 Clinical Nurse Specialist JUSA C Management U54 Management Jusa C 22 22 OUR WAY FORWARD / FUTURE CHALLENGE Upgrading diploma Nursing programes to degree Increase the number of nurses with Specialization Upgrade basic Nursing training from Diploma to Degree mtrla/13072010 23 Nursing is a holistic profession. THE FUTURE OF NURSING IS IN OUR HAND …. WHAT WE ARE DOING TODAY! mtrla/13072010 24 mtrla/13072010 25 If we are still sleeping… Wake Up!!! 2010 now mtrla/13072010 26 mtrla/13072010 27 mtrla/13072010 28