Innovative study programs in nursing education in Germany
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1 FINE European Federation of Nurse Educators with the RCN Education Forum International Conference October Cardiff, City Hall, Wales, UK Innovative study programs in nursing education in Germany combining the vocational education and a bachelor s degree in nursing Prof. Dr. phil. Andrea Thiekötter, Professor for Nursing Management, Fliedner Fachhochschule Düsseldorf, University of Applied Sciences, Germany
2 Background I Since 1989 academic programs in nursing do exist focusing on nursing leadership and teaching in Germany. But Germany has failed to integrate general nursing into academic education at the same time. In the meanwhile, the education of nurses should be carried out as an academic education at universities and universities of applied sciences in every EU-country conformable with the Bologna declaration.
3 Background II Shortage of nurses New challenges and tasks in nursing Chronical diseases are increasing Focus on nursing the elderly based on the demographic development Science council recommends reflective practitioners educated at universities (10-20% academic qualified general nurses) Government initiated a B-L work commission concentrating on academic nurses education
4 So what situation do we have in Germany right now?
5 Vocational education in nursing 3-years vocational education Ending with an exam Carried out at nursing schools at hospitals Specialization in general nursing, children s nursing or nursing the elderly Meaning of the exam for working as a nurse ca nurses are educated per year
6 Vocational education in nursing Nursing schools at hospitals Hospital Theory and practice
7 Academic education in nursing Started at the beginning of the 1990ties More than 50 different study programs at Universities and Universities of Applied Sciences (BA-/MA-programs) Nursing Science (PhD Program) Combined study programs in nursing (Bachelor s degree including vocational education)
8 Innovative study programs in nursing combining vocational and academic education
9 Model of acknowledgement Model of supplement Models of study programs in general nursing Model of interconnection Model of substitution See analysis of Moers et al. 2012
10 Model of acknowledgement Vocational education (exam as a nurse) is required. Vocational education will be considered within academic education so this academic study program will only last 2 years.
11 Model of acknowledgement Nurses University BA-degree
12 Model of acknowledgement Type of university University Witten/ Herdecke Study program Duration Exam as a nurse Innovative nursing practice BA after 2 years Is required University of applied sciences Hannover Nursing BA after 2 years Is required See analysis of Moers et al. 2012
13 Model of supplement Focus first on vocational education. During the vocational education, the academic education starts partly too. The exam as a nurse is a prerequisite for getting a BA-degree.
14 Model of supplement Nursing schools at hospitals Hospital University Theory & practice in vocational education ending with an exam as a nurse Theory in academic education ending with the B.Sc.
15 Model of supplement Type of university Study program Duration Exam as a nurse 15 universities of applied sciences Nursing Nursing (dual) Health and nursing General nursing B.Sc. after years After 3-4 years exam as general nurse or children s nurse or nurse for the elderly Nursing science University Halle/ Wittenberg Health and nursing sciences B.Sc. after 4 years After 3-4 years exam as general nurse or children s nurse or nurse for the elderly University of applied sciences Hamburg (online university) Health care studies B.Sc. after 4 years After 3 years exam as general nurse or children s nurse See analysis of Moers et al. 2012
16 Model of substitution Theoretical lessons are only carried out at the university. Thereof, the vocational education is transferred into the university. Students are at university level educated.
17 Model of substitution University Hospital Theory (vocational & academic education) Practice
18 Model of substitution Type of university Study program Duration Exam as a nurse 2 Universities of applied sciences Bachelor of Nursing Nursing B.Sc. after 4 years After 3 years exam as general nurse or children s nurse or nurse for the elderly See analysis of Moers et al. 2012
19 Model of interconnection Actually it s the real dual education based on 3 players: Nursing school, university, and hospital. All three players are involved within the academic education from the beginning.
20 Model of interconnection University Nursing school Hospital Theory Practice
21 Model of interconnection Type of university Study program Duration Exam as a nurse 5 Universities of applied sciences Nursing Nursing and health Dual program in nursing science/ nursing management B.Sc. or B.A. after years After years exam in general nursing or children s nursing or nursing the elderly See analysis of Moers et al. 2012
22 Which model is to prefer? Model of acknowledgement: as a special education for those who are already nurse but have no academic background. Model of supplement: vocational and academic education at the same time. Model of substitution: theory only offered at the university. Model of interconnection: Hospital, nursing school and university are working together.
23 Problems What will happen to the nursing schools and to all nurses teachers? The vocational education will not disappear, we need different types of educated nurses. Problem of accepting the new students in practice by vocational educated nurses. In which field do the academic educated nurses work afterwards?
24 Problems The Question of financing the academic education for nurses: Health care system (insured people) vs. educational system (state). Occupational laws should be changed by the government, of course.??
25 Thank you
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