“let us never consider ourselves
finished nurses …. we must be
learning all our lives.”
澳門護理高等教育國際論壇
1-3.12.2011
Florence Nightingale
Dr Susie Lum 林崇綏搏士
President, The Provisional Hong Kong
Academy of Nursing
2/12/2011
“Various hospitals in an attempt to
attract educationally qualified nurses
attempted to solve these problems by
expanding the in-service program to
include continuing education.”
Dr. Esther Lucille Brown (
•
•
•
•
•
2/12/2011
1898-1990)
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KEY RESULT AREA 4
Education of Health Personnel for Nursing and
Midwifery Services
Competent practitioners with appropriate skill
mix are available to deal effectively with the
current and future challenges of practice.
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Effects of the Nursing Shortage on SD
programming
Effects of Salary Increase on SD
Effects of Change in Professional-to-Ancillary
Nursing Staff Ratio on SD
Effects of Increased Technology on Staff
Development
Sheridan D R & O’Grady T (1992)
2/12/2011
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ICN supports a commitment to life long
learning so that nurses can meet current
challenges presented by the expansion of
knowledge, changes in population
demographics and health systems
enhancement and redesign.
Social Anthropologist PhD Yale 1929
Russell Sage Foundation 1930
“The Brown Report”
1948, ''Nursing for the Future''
nursing reconsidered: study of change, Philadelphia, 1970
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4.1 to strengthen the core skills of nursing and
midwifery practitioners in order to meet
changing population and practice needs.
4.1.4 Innovative approaches developed and
disseminated in all aspects of education,
optimizing the use of technology.
4.1.5 Innovative models developed and
disseminated for continuing education of nurses
and midwives, including programs that focus on
quality of care.
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Appropriate Credentials and Roles for Staff
Development
Certification of Nursing Staff Development
Educators
Accreditation of Nursing Staff Development
Programs
Sheridan D R & O’Grady T (1992)
2/12/2011
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Support the change resulting from National
Health Services review and reform;
Maintain quality of care by ensuring the
practitioners acquire the higher skills, knowledge
and expertise they need as key professionals;
Contribute to improved management of the
health services by developing shared values & a
common culture;
English National Board Dec. 1990
2/12/2011
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Ensure value for money in education by
integrating existing education and training within
a comprehensive structure which leads to a
higher professional and academic award;
Support recruitment and retention strategies by
providing opportunities for planned professional
development programmes.
English National Board Dec. 1990
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2/12/2011
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The Nursing Council of Hong Kong
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5. Maintain the agreed standard of practice
5.3 The nurse recognizes the need for lifelong
learning and participates in continuing nursing
education.
5.4 The nurse is active in updating her
knowledge and skills at regular intervals to
enhance professional competence.
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The Nursing Council of Hong Kong
2/12/2011
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enrolment, it is important that nurses continue to update
and develop their knowledge and skills through
continuing education as healthcare work is influenced
continually by advances in science and technology, reorganization of resources, and / or changes in
demographics and societal needs.
• Nursing education is a continuum that does not end with
registration or enrolment.
• It continues as a life-long process and is fundamental in
the development of the profession.
The Nursing Council of Hong Kong
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3. Following their initial preparation for registration or
1. Prior to the implementation of a Mandatory
Continuing Nursing Education (CNE) system, the
Nursing Council of Hong Kong (the Council) is to
implement CNE system on a voluntary basis with
effect from November 2006.
2. All nurses should be personally responsible for
ensuring their own competence in fulfilling the
evolving roles and functions for which they are
entrusted.
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II. PHILOSOPHY OF NURSING
The quality of care is maintained through the
enhancement of professional competencies
via continuous nursing education.
The Nursing Council of Hong Kong
2/12/2011
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The Nursing Council of Hong Kong
2/12/2011
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優質醫護服務
的需求日益殷切
有關醫護的
最新知識和技巧
續領執業證明書的必要條件
持續護理教育採用學分制計算
提交自我聲明書
註冊護士：>= 45 個持續護理教育學分
登記護士：>= 30 個持續護理教育學分
在為期 3年的持續護理教育周期內完成
強制性持續護理教育
2/12/2011
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因為修改法例需時, 護士管理局通過
2010年開始自願呈報持續護理教育
在執業證明書續期申請時申報過去三
年的持續護理教育學分(CNE)
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HA COC (N) meeting
29.11.2007
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Service Demands
Settings
GOPC
Community
SOPC
Hospital
Follow up /rehabilitation care
Patient empowerment and education
Self-management program
Telephone consultation
Specialized care home/outreach care program
Ageing population
Mental health education
Multiple diagnoses
Family focused nursing
Change of lifestyle pattern
Integrative care across health &
Change of family structure
social system
Decrease acuity of problems
Gate-keeping
Problems
Increased chronic illness
Long waiting list
Disease management program
Complication screening
Changing disease pattern
Unplanned readmission
A&E attendance
Specialized skills assisted with
medical technologies
Self-directed and professionally
accountable nursing teams
Discharge planning
New nursing roles
Proficient
Provide more
self-directed and
professionally
accountable care
Case manager
Community Provide pathway-base care
Educator & counselor
GOPD
Carer support
SOPC
Discharge planner
Provide
care based on
Hospital
evidence and critical
thinking and assisted
by new technology
Specialty nurse
Advanced
Advanced Expert
Lead clinical
advancement in
Provide complex care
specialty
Complex case manager
Link disciplines
Care coordinator
and services
Develop care protocol
development
Develop clinical pathway
across care
Triage role in line with
spectrum
and complimentary to
Develop care model
doctor work reform
Develop standards for
Nurse clinic
advanced level skills
Research
Training
APN
Modernized titles
Nurse consultant
Improve quality of life indicators
Reduced clinic waiting time
Reduced patients’ sessions with doctors
Reduced hospitalizations
Reduced unplanned readmission
Reduced A&E attendance
Decreased cost
Patient Care
Application of technical skills and knowledge
Therapeutic and caring relationship
Disease & care management
Counseling & patient education
Clinical decision making and analytical skills
Discharge planning & care coordination
Patient advocacy and empowerment skills
Modernize the roles of nursing
Update career pathways
Prepare nurses to lead in a changed health
care system
Enhance competency-based training
Revamp Specialty training program
Management
Quality and risk management
Resources management
Leadership and influencing skills
Conflict and change management
Strategic decision-making
Develop a competent and flexible nursing
workforce
Research Skills
Proposed career progression model for nurses
(Current)
CGMN
GMN
Progression Pathway
Enhance roles and responsibilities
Achieve required specialties competency
Incentive system
Modernize titles
Additional increment
Promotion
Job stability
DOM
WM/NS/NO
Clinical
(New)
Management
Nurse
Consultant
Department
Operation
Manager
Advanced
Practice Nurse
Ward/Unit
Manager
Specialty Nurse
RN
Endorsed in May 2008
CGMN
GMN
Restrictive
Liberal
Practice Nurse
(Pre-Specialty)
Practice Nurse
(Beginner)
Modernizing titles
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14/2/2011
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Practice
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to promote the advancement of the art and science of
nursing;
to foster the development of continuing nursing education;
to promote integrity, ethical conduct and standards in the
practice of nursing and its specialties;
to promote the improvement of health care for Hong Kong
citizens;
to foster a spirit of collaboration among nursing and
healthcare practitioners;
to facilitate the exchange of information and ideas in nursing
and matters concerning the nursing profession.
Licensure at APN level proposed by
The Provisional HK Academy Of Nursing Limited
臨時香港護理專科學院有限公司
October 2011
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1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
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34
Hong Kong College of Medical Nursing
Hong Kong College of Surgical Nursing
Hong Kong College of Community & Public Health Nursing
Hong Kong College of Cardiac Nursing
Hong Kong College of Critical Care Nursing
Hong Kong College of Emergency Nursing
Hong Kong College of Perioperative Nursing
Hong Kong College of Mental Health Nursing
Hong Kong College of Paediatric Nursing
Hong Kong College of Gerontological Nursing
Hong Kong College of Midwives
Hong Kong College of Education & Research in Nursing
Hong Kong College of Nursing & Health Care Management
Hong Kong College of Orthopaedic Nursing
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PHKAN Council 董事會
Council Members
1 member nominated from each Institutional Member (14)
3 members elected by Institutional Members at AGM (3)
2 Non-Members are appointed by the Council (2)
The Council of the
Provisional Hong Kong
Academy of Nursing
Members shall act in personal capacity and accountable to all
Members
Council Members shall elect among themselves
Secretariat
Office
Accreditation
Committee
2/12/2011
Registration /
Membership
Committee
Professional
Development
Committee
Promotion and
Public
Relations
Committee
A President
Up to 4 Vice- Presidents
An Honorary Secretary
An Honorary Treasurer
Fund Raising
Committee
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Term of office – 2 years, initial 3 years, up to 6 consecutive
years, one with longest service shall retire first
Meeting – at least once every 3 months
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Ordinary Members 普通会員
Specialist College recognized by the Council
Fellow Members 院士会員
Ordinary member completed courses & training, and passed exam
recognized by the Institutional Member; or
RN in specialized practice > 15 years & within 2 years of the
establishment of PHKAN
Honorary Members 荣譽院士
Any person whose academic achievement, prominence or
contribution as recognized by the Council
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If a registered nurse / a registered midwife has
specialised and practised in a branch of nursing for
15 years or more within 2 years of the
establishment of the PHKAN and has demonstrated
significant contributions to specialty services
development, and in the opinion of the Council, the
conduct of his/her practice was consistently good
throughout such years.”
RN nominated by Institutional Members
Institutional Members 學院会員
2/12/2011
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Generic competence framework with 7 domains and 54
statements
Theoretical hours 500 hrs. + Clinical hours 500 hrs.= 1000 hrs.
15 years in specialty area
the15 years that are relevant to the Academy College
accumulated since nursing/midwife registration
Significant contribution in the specialty area with
documentation proof: e.g.
Theoretical Hours
1/3 in generic postgraduate content (e.g. evidence-based practice,
health economics, legal and ethical aspects)
1/3 in core APN content (e.g. health assessment, pathophysiology)
1/3 in specialty APN content (e.g. diabetic-related assessment,
planning, implementation & evaluation of care)
In leadership position of specialty-related activities (such
as work groups, committees)
Invited member in local and / or international initiatives
Demonstrated contribution in practice and service
development
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COMPETENCIES - APN 应具備的才能
Graduate Core
Advanced Practice
Core
Specialty Core
Structured courses
at postgraduate
level
(60% - 100%)
Structured courses
provided by
Specialty Course
Providers
(0% - 40%)
TOTAL
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CASE STUDIES
STUDENT PORTFOLIO
(LEARNING PROGRESS REVIEW)
REFLECTIVE PAPER
PRACTICE PROJECT
NURSE ROUND
(ON-SITE /SIMULATION)
GROUP PROJECT
(SHOULD COMPOSE LESS THAN 10% OF THE
TOTAL MARKS)
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1/3 of 500 hours
1/3 of 500 hours
1/3 of 500 hours
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The 500 hours should not be attained in more than 4
years’ time span.
100% under supervision or with some (at most 50%)
in work placement situations.
50%-100% supervised practice (on-site designated appointed
mentor who is an Academy Fellow in current practice)
0%-50% work placement (no on-site designated appointed
mentor)
45
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11/05/10
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Option A (for the Academy Colleges that do not have
subspecialties)
100% (for generic specialty)
Option B (for the Academy Colleges that have
subspecialties)
20%-30% test items are generic
70%-80% test items are specific to subspecialties
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Thank You
48