Facilitator : Morag Henry RN, RM, BSc NP(Hons)

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1 Facilitator : Morag Henry RN, RM, BSc NP(Hons)

2 WE BELIEVE that nurses and midwives have key and increasingly important roles to play in society s efforts to tackle the public health challenges of our time, as well as in ensuring the provision of high-quality, accessible, equitable, efficient and sensitive health services which ensure continuity of care and address people s rights and changing needs. WHO Munich Declaration, 2000

3 A unanimous decision was reached that nursing and nurses in FBiH would be strengthened by: Forming a federal level nurses chamber (secondary school and graduate nurses). Supporting and strengthening the existing federal nursing association. Achieving this would involve a great deal of work by nurses within FBiH and would require support from ProSes.

4 In order to protect the interests of the profession fulfill professional and personal needs ensure conditions for organized representation protect the public nurses with all educational levels are obligatorily organized in chambers of nurses and technicians while midwives are organized in chambers of midwives. The structure and the scope of the work of the chambers from paragraph 1 of this Article are regulated by the provisions on healthcare, unless defined differently with this Law, as well as with the provisions on gender equality.

5 In order to preserve and protect the interests of the profession, fulfill professional and personal needs, ensure conditions for organized representation of health professionals of the same group of professionals, as well as for the protection of the public, health workers are obligatorily organized in the following respective chambers as professionals organizations: doctors chamber, dentists chamber, chambers of masters of pharmacy, chamber of medical biochemists, chamber of midwifes, chamber of graduate nurses and technicians, chamber of health engineers of all profiles.

6 The Chamber has the status of a legal entity and it is entered in the register of the competent court. The Chambers are formed as professional organizations in the territory of the cantons and the Federation Depending on whether it is cantonal or federal level that the chamber is formed at, the name of the canton, i.e. the Federation, is contained in the title of the chamber..

7 To be employed as a nurse within Bosnia it is a legal requirement to be registered with and hold a current license issued by the Federal Nurses Chamber. Nursing and Midwifery Law June 2013 Article 17 Conditions to practice are following: Diploma from a faculty of health studies, high health school higher or secondary medical school of general courses, pediatric, psycho-geriatric and midwifery courses acquired in BiH, or a validated diploma acquired abroad in accordance with educational legislation; Certification exam passed, BiH citizenship, License issued by the competent chamber.

8 sets the common criteria for licensing defines the content and the form of the register of licensed members of the Chamber keeps a single register of the licensed members defines the content for professional development, time-limits and procedures for evaluation of the competencies gained through professional education;

9 keep a register of their members; adopt deontic and ethical code, oversee and follow-up its application, and take adequate actions in case of its violation; provide protection to the public when realizing their rights regarding the quality, content and type of healthcare services provided; by right of office, issue, renew and revoke licenses to their members on the basis of common criteria of the competent federal chamber.

10 The Federal Ministry oversees the operation of the Federal Chamber, while the cantonal ministry oversees the work of the cantonal chamber.

11 Nursing and Midwifery Council UK Singapore Nursing Board b/en.html

12 Keep a register of qualified nurses Issue licenses to practice as a nurse Keep a register of nurses holding a current license Develop standards of practice and conduct Regulate fitness to practice Regulate professional development (continuing education)

13 The Chamber s statute obligatorily defines: the formation, scope and organization of work; the competencies of the Chambers and modes of financing; the content, time-limits and procedures for professional development of the Chamber s members; the procedures for issuing, renewing and revoking licenses; the manner for keeping the register of licensed members of the Chamber; the limitations, modes and other issues related to the realization of the public authority described in Article 221 of this Law; the elaboration of the modes for performing other tasks defined in Articles 221 and 222 of this Law.

14 Registration Regulations - develop statute Process interim process Logistics (9,500 nurses in FBiH) Licensing Develop statute for issuing, renewing and revoking Professional development and continuing education Appeals procedures Standards and codes of practice Develop standards Awareness campaign Fitness to practice Complaints, discipline and sanctions

15 Definition of nursing and nurses within FBiH context Initial registration Trained in Bosnia Trained in other country Maintenance of register Fee Data recorded Funding, logistics, staffing, training Access to register Different parts of register e.g. graduate nurse section Appeals procedures Removal from register Transitional arrangements

16 Nursing encompasses autonomous and collaborative care of individuals of all ages, families, groups and communities, sick or well and in all settings. Nursing includes the promotion of health, prevention of illness, and the care of ill, disabled and dying people. Advocacy, promotion of a safe environment, research, participation in shaping health policy and in patient and health systems management, and education are also key nursing roles.

17 The nursing profession implies provision of health/ nursing care (hereinafter: health care). Health care encompasses autonomous and collective care for individuals of all ages, families and groups in the community; for healthy and sick individuals in all environments. Health care encompasses health promotion, preventing of diseases and care for the sick, weak and dying, and persons with disabilities; advocacy, promotion of safe environment, research and participation in the design of health policies and educational system for health workers

18 The American Nurses Association (ANA) states nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations Royal College of Nursing UK Nursing is the use of clinical judgement in the provision of care to enable people to improve, maintain, or recover health, to cope with health problems, and to achieve the best possible quality of life, whatever their disease or disability, until death..

19 Nursing profession can be performed only by nurses, in the manner and under the conditions laid out with this law, and specific regulations on health care.

20 Nurses trained in Bosnia (Nursing and Midwifery Law Article 17) Aproved education program / transcipt from training school ( list of approved schools and programs) Certification examination Time since qualified Character reference /Fitness to practice from training school Good health and good character (personal declaration or criminal record check) BiH citizenship Nurses trained in another country (Nursing and Midwifery Law Article 18,20) Qualification equivalancy Language requirements

21 Duration of license Requirements : Registration as a qualified nurse Continuing education Hours of professional practice Fitness to practice Proof of personal liability protection Maintenance of register Fee License card /number Funding, logistics, staffing, training Access to register Procedures for : cancellation refusal to issue re-instatement of licenses Appeals procedures Transitional arrangements Age limit

22 59% of regions had specific requirements for demonstrated hours of practice continuing education and/or continuing competence. Renewal periods varied from annually to every six years. One or two year timeframe was identified as the most usual. Fee was payable for re-licensure

23 To maintain your registration with the NMC, you need to declare you have completed: 450 hours of registered clinical practice in the previous three years and 35 hours of learning activity (Continuing Professional Development) in the previous three years. The practice standard can be met through administrative, supervisory, teaching, research and managerial roles as well as providing direct patient care.

24 . Nurses have the right and obligation for continuous professional development in order to maintain and improve the quality of health care and needs of the patients. Continuous professional development form paragraph 1 of this article implies renewing of acquired knowledge and acquisition of new knowledge, skills and attitudes in line with the latest developments and knowledge in the field of nursing, and is done in the form of seminaries, courses and professional meetings.

25 It is essential that individual practitioners recognise the importance of maintaining and improving their knowledge, skills, ethical awareness and competence throughout professional life use all opportunities to improve the quality and standard of nursing care accept this responsibility as being an integral part of their personal accountability for professional practice

26 Continuous education includes: professional meetings (congresses, symposiums and conferences) courses, study tours with mentor publications (professional journals, editor in publications, authorship, coauthorship, editor in books or book's chapters, reviewer of the book) independent e-learning on-line courses and on-line professional meetings.

27 Licence to practice nursing is granted for a limited period of 7 years and can be renewed on the basis of submitted documents demonstrating professional competence An important requirement for a renewal of the licence is continuing education, which must cover the following topics during the 7-year period: modern trends in nursing and midwifery care, basic resuscitation procedures, professional ethics, health legislation. Continuing education can take the following forms: participation in professional meetings (active or passive); publication of professional papers in professional literature training in a health care institution or other organization

28 System of approval of on-going education courses/programs

29 Ethical and Deontic code Standards of care Fitness to practice Code of ethics and conduct for European Nurses ICN Code of ethics NMC UK The code: Standards of conduct, performance and ethics for nurses and midwives Croation Nursing Council Code of Ethics

30 Procedure for making complaint Procedure and timeline for Chamber to investigate complaint Possible sanctions Implications for current or future license % of regulatory bodies have powers to: remove, revoke or suspend licenses order retraining issue a warning require a registrant to undergo counselling ICN International Comparative Study 2009)

31 The competent chamber revokes the license for independent practice to the nurse in cases defined with special regulation on healthcare, and the statute of the competent chamber. Cessation of the right to practice Article 29 Nurses no longer have the right to practice if: They lose BiH citizenship Lose fitness to practice (Article 30) Become permanently disabled to practice in terms of health Have been prohibited to practice Have lost the license, and consequently, the right to practice with a disciplinary measure issued by the competent chamber

32 Organisation Committees, membership, election, terms of office Functions, Accountability, Transparency Mission statement Definition of nursing Finances Income - Fees Expenditure Logistics Manpower/Material resources Communication with members and stakeholders

33 Committees (functions) Committee officers- lay members other professions Elections Terms of office Accountability Funding Administration

34 Please add here Mission statements of: Chamber of Tech of Tuzla Graduate nurses chamber

35 We are the nursing and midwifery regulator for England, Wales, Scotland, Northern Ireland and the Islands. We exist to safeguard the health and wellbeing of the public. We set standards of education, training, conduct and performance so that nurses and midwives can deliver high quality healthcare consistently throughout their careers. We ensure that nurses and midwives keep their skills and knowledge up to date and uphold our professional standards. We have clear and transparent processes to investigate nurses and midwives who fall short of our standards.

36 The Singapore Nursing Board (SNB) is the regulatory authority for nurses and midwives in Singapore. Its scope and functions are defined in the Nurses and Midwives Act (Chapter 209) for the purpose of registration and enrolment of nurses, the registration of midwives and the certification of Advanced Practice Nurses and related matters. Vision World-Class Nursing for a Healthy Nation Mission To Uphold Professional Nursing Standards and Honour the Public Trust Values Compassion Commitment Integrity Professional Excellence Respect Transparency

37 Nurses Employers Other healthcare workers Public

38 Registration Licensing Standards and Codes of Practice Structure Logistics Awareness

We are the nursing and midwifery regulator for England, Wales, Scotland, Northern Ireland and the Islands.

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