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NURSING REGULATORY MECHANISMS
BY M.SENTHIL KUMARMSC NURSING II YEARCHRI
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INTRODUCTION
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REGULATION
Regulation is "controlling human or societal behavior by rules or restrictions.“
forms of Regulation : legal regulation: promulgated by a
government authority self-regulation : by an industry, institution
such as through a trade association, social regulation e.g. norms
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REGULATION INFLUENCES:
Educational programmes and institutions (approval, accreditation)
Practitioners (registration, licensure, certification)
Practice (scope of practice)
Health care agencies (accreditation, approval)
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All of those legitimate and appropriate means – governmental, professional and individual – where by order, identity, consistency and control are brought to a profession and its practice.
Styles & Affara for ICN. 1997
PROFESSIONAL REGULATION DEFINED
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Define the profession and its members.
Determine the scope of practice.
Set standards of education and for ethical, competent practice.
Establish some system of accountability.
OUTCOMES OF REGULATION
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TYPES OF SYSTEMS
1. Regulation by the Government
Its focus tends to be on registering and licensing nurses.
2. Regulation by the statutory bodies
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Regulatory Mechanisms
Licensure
Accreditation
Certification
Education
Registration
TYPES OF THE CREDENTIALING MECHANISMS
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REGULATORY MODEL
Regulation includes:
Licensure The granting of authority to practice
Accreditation Formal review and approval by a recognized agency of
educational degree or certification programs in nursing or nursing related programs
Certification The formal recognition of knowledge, skills and experience
demonstrated by the achievement of standards identified by the profession
’
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Education
The formal preparation in graduate or post-graduate programs
Registration
Registration is the listing of an individual name and other information on the official roster of a governmental or non governmental agency
Nurse who are registered are permitted to use the title “ registered nurse”
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LICENSURE
The process by which an agency of state government grants permission to an individual to engage in a given profession , upon finding that the applicant has attained the essential degree of competency necessary to perform a unique scope of practice
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TYPES
Mandatory Anyone who practices nursing must
be licensed Permissive
The title RN is reserved for licensed but the practice of nursing is not prohibited to others who are not licensed or registered[canada]
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MECHANISMS
Two mechanisms Mutual recognition model
Nurses can practice electronically or in person across state lines with one license
Inter state compactAgreement between 2 or more
states to create mutual recognition among the states
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ACCREDITATION
It refers to a voluntary review process of educational programs by a professional organization.
The organization is called an accrediting agency which compares the educational quality of the program with established standard and criteria
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NLNAC [National League for Nursing Accrediting Commission]Accreditation
PURPOSE to provide specialized accreditation for
programs of nursing education, both postsecondary and higher degree, which offer either a certificate, a diploma, or a recognized professional degree (clinical doctorate, master’s, baccalaureate, associate, diploma, and practical).
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GOALS
Promulgate a common core of standards and criteria for the accreditation of nursing programs.
Strengthen educational quality Advocate self-regulation in nursing
education. Promote peer review. Foster educational equity, access,
opportunity, mobility
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BENEFITS OF ACCREDITATION
enhance quality improvement in nursing education.
Provides recognition Assures professional development
opportunity and validation for faculty. Is a gateway to licensure, certification, and
eligibility for entitlement programs. Identifies areas needing development.
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Fosters ongoing self-examination, re-evaluation, and focus on the future.
Aids in student recruitment and retention.
Assists employers seeking graduates who are competent nurses.
Facilitates career and education decision-making.
Promotes professional and educational mobility of program graduates.
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CERTIFICATION
The formal recognition of knowledge, skills and experience demonstrated by the achievement of standards identified by the profession
Certification programmes are conducted by the American nurses credentialing center and by specialty nursing organizations
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CERTIFICATIONCertification programs will:
Follow established testing and psychometrically sound, legally defensible standards
Assess APRN core and role competencies across at least one population focus
Assess specialty competencies separately, if appropriate
Be accredited by a national certification accreditation body
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CERTIFICATION CONT.Certification programs will:
Enforce congruence between the education program and the type of certification.
Provide a mechanism to ensure ongoing competence and certification maintenance.
Participate in a mutually agreeable mechanism
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CERTIFICATION PROGRAMME
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EDUCATION
EducationThe formal preparation in
graduate or post-graduate programs
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Education programs will:
Follow established educational standards
ensure attainment of core, role and population competencies.
Be accredited.
Be pre-approved, pre-accredited, or accredited prior to accepting students.
Ensure that graduates are eligible for national certification and state licensure.
Ensure that the transcript specifies the role and population focus.
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REGISTRATION
Registration is the listing of an individual name and other information on the official roster of a governmental or non governmental agency
Nurse who are registered are permitted to use the title “ registered nurse’
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REGISTRATION IN INDIA
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REGISTRATION IN USA
Eligibility criterion Registered general nurse Minimum one year of experience
Eligibility exams CGFNS[centre for graduate foreign nursing school] NCLEX RN[National Council Licensure
Examination]56
English language The Test of English as a Foreign Language
(TOEFL), the Test of English for International
Communications (TOEIC) the International English Language Testing System
(IELTS)
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REGISTRATION IN CANADA
Eligibility criterionB.sc nursing degreeWith at least 1 year of clinical experience
Eligibility examsCRNE exam[twice a year=feb, june, oct]CRNE conducted by CNA IELTS
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REGISTRATION IN NEWZEALAND
Eligibility criterion International nursing qualification
equivalent to that prescribed in newzealand
English language test IELTSOET
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REGISTRATION IN AUSTRALIA
Eligibility criterionCertificate, diploma or degreeRegistration certificate from the
native country
Eligibility examsOET=> over all pass must be
achieved
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REGISTRATION IN IRELAND
Eligibility criterionGraduate nursing programme/
graduate midwife programme2 year of clinical experience
English exam IELTS : 7 score
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REGISTRATION IN MALAYSIA
Eligibility criterion Certificate in nursing Minimum 2 years of clinical experience Registered with nursing board in
respective countries
English language
IELTS: 6.5
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REGISTRATION IN SINGAPORE
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RENEWAL / REPEAT REGISTRATION
In INDIA: recommended to renewal every 5 years
Practiced in most of the developed countries Renewal of one’s license about every 2 years
with payment of fee each time Other places: granting renewal only when the
applicant has Worked for certain hours in last year Taken no of hours continuing education Passed in exam conducted by nursing
board BCLS certificate latest
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Self-regulation (self governance)
Public involvement in professional self-regulation
Mechanisms for international communication
Collaboration and coordinating
Increased congruence and coherence among regulatory systems
ICN & WHO 2005
21st century professional regulation
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Agreeing on acceptable and feasible criteria for mutual recognition
Portability of qualifications
Providing evidence about competence, qualifications and the fitness of nurses
INTERNATIONAL REGULATORY CHALLENGES
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SUMMARY & CONCLUSION
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THANK YOU