community nurses

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Framework of Nursing Professionalism
mtrla/13072010
mtrla/19052009/perst.29052009
1
1
• Nurses (all category) - 83,802
* Doctors - 30,573
mtrla/13072010
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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% )
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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
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Planning
Do
Action
Check
Networking
Monitoring
FATHILAH
DIRECTOR
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 InChallenges
2006 – fromFaced
a totalWith
of 11 private owned
Newly Nursing
Appointed
Colleges
Graduates
approved to 36
Colleges.
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8
• INCOMPETENT
• NOT KNOWLEDGEABLE
• POOR COMMUNICATION
• NOT SKILLFULL
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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.
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2. Mentor-mentee programme
Problem Solving / decision making
 Critical thinking
 Communication (including soft skills)
 Assertiveness in the delivery of quality and safe
nursing care.

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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
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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)
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13
3. Tying of Continuos Professional
Development (CPD) to Annual Practicing
Certificate (APC)
• Made mandatory since year 2008.
Effect
• Competent, knowledgeable and skillful.
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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
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15
CHALLENGES MADE THROUGH
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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
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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
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FUTURE CHALLENGES
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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
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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
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Nursing is a holistic profession.
THE FUTURE OF NURSING IS IN OUR HAND …. WHAT WE ARE
DOING TODAY!
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mtrla/13072010
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If we are still sleeping…
Wake Up!!! 2010 now
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