0

Working Group

Kan Ching Yee, Eva HKAN fellow (Medicine - Diabetes)

Chan Woon May, Samsonly HKAN fellow (Medicine - Diabetes)

Chan Mei Tai, May HKAN fellow (Medicine - Diabetes)

Cheng Mei Wan, Winnie HKAN fellow (Medicine - Diabetes)

Kwan Yee Mei, Jo Jo HKAN fellow (Medicine - Diabetes)

Leung Siu Kuen, Carmen HKAN fellow (Medicine - Diabetes)

Leung Yat Sze, Annie

Ng Chi Wah, Fanny

HKAN fellow (Medicine - Diabetes)

HKAN fellow (Medicine - Diabetes)

Tong Mei Ling, Maggie HKAN fellow (Medicine - Diabetes)

Shiu Tak Ying, Ann Working group advisor

Hong Kong College of Medical Nursing:

Address: LG1, School of Nursing, Princess Margaret Hospital, 232 Lai King Hill

Road, Lai Chi Kok, Kowloon, Hong Kong

Website: http://www.hkcmn.com

Email address: hkcmn2010@yahoo.com

Endorsed on: 8th May 2016

Hong Kong College of Medical Nursing

Advanced Practice Nursing (Diabetes) Certification Program

Syllabus of Membership Examination

1

Advanced Practice Nursing (Diabetes) Certification Program

Syllabus of Membership Examination

Content Page

1. Introduction 2

2. Learning Hour Requirement 2

3. Expected Competencies

8

4. Learning Experience 11

5. Course Calendar 12

6. Assessment 12

7. Award

8. Reading List

14

15

9. Appendix

10. Roadmap to Fellowship

16

17

11. Abbreviations 18

2

1. Introduction

This Syllabus contains information and guidance to facilitate nurses to apply to become

an ordinary member or fellow member in Diabetes Nursing of the Hong Kong College of

Medical Nursing (HKCMN).

To become an ordinary member, the applicant must be an active associate

member of the HKCMN, and is a currently practicing nurse, holding a valid Hong

Kong Registered Nurse Practice Certificate; has a minimum of 6 years of

post-registration experience in medical nursing including 4 years in diabetes

nursing, produces the evidence of theoretical and clinical practice hours obtained

as required by the Advanced Practice Nursing (Diabetes) Certificate Program, and

passes the MCQ examination.

To become a fellow member, the ordinary member has to pass the exit assessment

by submitting an “advanced practice project” to demonstrate how she contributes

to advance the specialty practice, produce evidence of contributions to nursing,

and to be nominated by the HKCMN to the Hong Kong Academy of Nursing for

consideration of granting a fellowship.

2. Learning Hour Requirement

Entry Requirement to Become an Associate Member of the HKCMN

A nurse has to be an Associate Member of the HKCMN so as to enroll to the

Advanced Practice Nursing (Diabetes) Certificate Program. To be eligible to be an

associate member, the applicant needs to be a holder of Bachelor Degree (Nursing)

and a valid Practising Certificate of Registered Nurse issued by the Nursing Council

of Hong Kong; and with a minimum of 2 years post registration working

experience in Medical Nursing Related specialty.

In addition to attending the Advanced Practice Certification (Diabetes) Program

organized by the HKCMN, candidates can participate in healthcare related specialty

training programs organized by external institutions to ensure the fulfillment of

theory hours. Criteria for accreditation of these external programs:

- The Organizing institutions are CNE providers accredited by the Nursing

Council of Hong Kong or accredited / recognized education providers in Hong

Kong

- The program is structured to map the competency framework of the HKCMN

3

2.1 Advanced Practice Nursing (Diabetes) Certification Program

This program has 2 parts which requires 500 theoretical hours and 500 clinical practice

hours

Part I: Theory

2.1.1 The Generic core is required to cover 167 learning hours to include contents

of Research Application/ Methodology, Healthcare Policy, Healthcare System

Organization, Healthcare Financing, Legal and Ethics, Professional Role

Development, Theoretical Function of Nursing Practice, Human Diversity and

Social Issues, Health Promotion and Disease Prevention.

2.1.2 The Advanced practice core is required to cover 167 learning hours to include

contents of Advanced Health Assessment, Philosophy, Psychology, Sociology

and Pathophysiology, Advanced Pharmacology, Evidence-based Practice,

Clinical Teaching & Research, Team Collaboration and Communication.

2.1.3 The Specialty core is required to cover 167 learning hours to include contents

that categorized in 8 sections: i) Diabetes and complications, ii) Clinical

management of diabetes including lifestyle management: medical nutrition

therapy, physical activities management, pharmacologic therapy, and care of

special populations and situations; iii) Psychosocial and behavioural Issues; iv)

Therapeutic diabetes (patient) education; v) Community awareness,

promotion and prevention; vi) Advanced practice in Diabetes nursing and vii)

New technology and direction of Diabetes management; viii) Assessment and

management of common acute and chronic conditions other than Diabetes.

The detailed topic outline of the 8 sections is as below:

2.1.3.1 Section One: Diabetes and Complications

I. Pathophysiology, diagnosis, classification, and presentation of diabetes

II. Diabetic emergencies (diabetic Ketoacidosis , hyperglycaemic hyperosmolar

syndrome and lactic acidosis)

III. Hypoglycaemia

IV. Macrovascular and microvascular complications in Diabetes

Diabetic retinopathy

Diabetic neuropathies

Diabetic nephropathy

Cerebrovascular disease in Diabetes

4

Cardiovascular disease in Diabetes

Diabetic foot and peripheral vascular disease

Sexual health (erectile dysfunction) in Diabetes

V. Monitoring of diabetes and complications

VI. Pancreatic disease and Diabetes

VII. Liver disease and Diabetes

VIII. Diabetes and metabolic syndrome

IX. Obesity

X. Diabetes and hypertension

XI. Diabetes and dyslipidemia

XII. Diabetes and infection

XIII. Skin and dental problems in diabetes

2.1.3.2 Section Two: Clinical Management of Diabetes

Lifestyle management

I. Medical nutrition therapy for Diabetes

II. Exercise /physical activities in diabetes management

Pharmacologic therapy

III. Pharmacologic therapy for diabetes

Oral therapy

Insulin therapy

Non-insulin therapy

IV. Pharmacologic therapy for hypertension and dyslipidemia

V. Pharmacologic therapy and nutritional supplements in the treatment of obesity.

VI. Insulin pump therapy

VII. Traditional Chinese Medicine and alternative medicine

Care of special populations and situations

VIII. Diabetes and pregnancy

IX. Gestational diabetes

X. Diabetes in elderly

XI. Diabetes in children and adolescents

XII. Management during illness and surgery

XIII. Sleep disorders

XIV. Peritoneal dialysis or haemodialysis

2.1.3.3 Section Three: Psychosocial and Behavioural Issues

I. Psychosocial and behavioral approaches in chronic disease management

II. Diabetes and related psychological / psychiatric problems

5

III. Reaction and adjustment to chronic illness and complications (adults)

IV. Reaction and adjustment to chronic illness and complications (children and

adolescents)

V. Psychopathologies in diabetes: depression, sleep disorder …

2.1.3.4 Section Four: Therapeutic Diabetes (Patient) Education

I. Chinese culture and diabetes

II. Role of diabetes education and diabetes educator /nurse

III. Adult learning principles and application

IV. Education and counseling models and skills

V. Family-based intervention for diabetes

VI. Diabetes self-management education (DSME)- group vs individual education

VII. Patient empowerment: philosophy and application

VIII. Education materials / program development

IX. Education for special populations, e.g. groups with low literacy, advanced

complications, low socioeconomic status, elderly, psychiatric illnesses or different

ethnics

2.1.3.5 Section Five: Community Awareness, Promotion and Prevention

I. Prevention of diabetes and health promotion in community

II. Community assessment and intervention

III. Concepts and implementation of primary, secondary and tertiary prevention and

care

IV. Diabetic resources in community and diabetic associations

2.1.3.6 Section Six: Advanced Nursing Practice in Diabetes Nursing

I. History and philosophy of diabetes nursing (global and local)

II. Diabetes care model

III. Diabetes shared care model

IV. Advanced nursing practice in Diabetes

V. New technologies for insulin injection and blood glucose monitoring (such as CGMS

and SMBG)

VI. Research, EBP and CQI in Diabetes care

2.1.3.7 Section Seven: New Technology and Direction of Diabetes Management

I. New drugs treatment for Diabetes

II. Stem cell therapy in Diabetes

III. Islet/pancreatic transplantation

6

IV. Gene therapy

V. Surgical approach

VI. Renal replacement therapy (Haemodialysis, Peritoneal Dialysis, or kidney

transplantation …)

2.1.3.8 Section Eight: Assessment and Management of Common Acute and Chronic

Conditions other than Diabetes

I. Unstable mental status: epilepsy, violence, suicidal, dementia, etc.

II. Renal conditions such as acute and chronic impairment / failure and replacement

therapies

III. Cardio-pathological conditions such as acute coronary syndrome, congestive heart

failure and cardiac interventions

IV. Respiratory conditions such as asthma, chronic obstructive pulmonary disease and

sleep apnoea.

V. Critical respiratory and respiratory complications and the invasive and non-invasive

interventions.

VI. Infectious disease such as TB, HIV, H1N1...

VII. End of life care

VIII. Common liver diseases such as hepatitis and complications such as liver cirrhosis,

gastrointestinal bleeding, functional gastro-esophageal diseases and Crohn’s

disease

IX. Biological therapy, chemotherapy; radiotherapy and management of

complications.

Part II: Clinical Practice

A minimum of 500 hours of clinical practice is required. All clinical learning

experiences are to be carried out in various healthcare institutions accredited by

the HKCMN.

2.1.4 Direct supervised practice: this experience should contain a minimum of 250

hours (50%) of exposure to clinical encounters under the direct supervision of a

designated mentor who is an Academy Fellow in current practice in the training

site.

As such, the mentees usually engage in activities under the categories of Clinical

management and education (2.1.4.1 to 2.1.4.6), patient education (2.1.4.7 to

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7

Clinical experience in the following areas is required and should be evidenced in

the Clinical Log Book.

Clinical management and education

2.1.4.1 Patients with acute complications including but not limited to:

- HHS

- DKA

- Severe hypoglycemia

2.1.4.2 Patients with advanced chronic complications including but not

limited to:

- CKD receiving CAPD and insulin therapy

- Stroke or IHD

- Diabetic foot with amputation

2.1.4.3 Patients with other co-morbidities including but not limited to:

- Acute infections e.g. pneumonia, anal abscess

- Morbid obesity

- Pancreatectomy

- Psychiatric illness

2.1.4.4 Patients with various types of diabetes including but not limited to:

- Newly diagnosed type 1 diabetes

- Newly diagnosed type 2 diabetes

- OAD failure type 2 diabetes

- GDM

- Diabetes with pregnancy

- Diabetes in paediatric and adolescents

2.1.4.5 Patients with special needs including but not limited to:

- Impaired cognitive ability

- Elderly

- Different ethnic

- Low literacy

- Low social economic status

2.1.4.6 Metabolic risk assessment and education

- Perform assessment

- Interpret risks and complications parameters and educate patients

- Refer patients as needed

Patient education

2.1.4.7 Group diabetes self-management education

8

2.1.4.8 Education to in-patients

2.1.5 Indirect supervised practice: refers to work placement experience where

there is no on-site designated mentor to supervise the experience in the

mentee’s site. Such experience is recognized if there are explicit learning

objectives, evidence of learning as assessed by the mentor(s). Candidates are

expected to perform at least two activities listed below to constitute a maximum

of 250 hours (50%) of the total practice experience. Both the process and

outcome of the learning should be reviewed and evaluated by the mentor and

logged in the log book. These activities can include:

2.1.5.1 A reflective paper on clinical case management (10 hours@)

2.1.5.2 A patient care study (10 hours@)

2.1.5.3 A community health promotion program (10 hours@)

2.1.5.4 A paper presentation in local or international conference (30 hours@)

2.1.5.5 A critical review of the clinical service (30 hours@)

2.1.5.6 A new project / program in practice (30 hours@)

3. Expected Competencies

Upon completion of the program, candidates are expected to demonstrate the

following competencies:

Domain 1 Managing clients with complex health conditions

1 Manages complete episode of care for complicated health cases and refers

aspects of care to own and other professions.

2 Provides case management services to meet multiple client health care needs.

3 Plans and implements diagnostic strategies and therapeutic interventions to help

clients with unstable and complex health care problems regain stability and

restore health in collaboration with the client and multidisciplinary health care

team.

4. Rapidly assesses client's unstable and complex health care problems through

synthesis and prioritization of historically and immediately derived data.

5. Selects, may perform, and interprets common screening and diagnostic

laboratory tests to guide patient education / intervention.

6. Diagnoses and manages acute and chronic diseases while attending to the illness

experience.

7. Diagnoses unstable and complex health care problems utilizing collaboration and

consultation with the multidisciplinary health care team as indicated by setting,

9

specialty, and individual knowledge and experience.

8. Reviews medication regimen and counsels clients concerning drug regimens,

drug side effects and interactions, and makes recommendations.

9. Assesses and adjusts plans for continuous management of client's health status

by monitoring variation in wellness and illness.

10. Refers clients to specialist care.

11. Monitors client data base for follow-up, consultation, referral, and outcomes.

12 Provides effective individual therapeutic patient education.

13 Provides effective group education for patients

Domain 2 Therapeutic nurse-client relationship

14 Demonstrates skills in promoting therapeutic interaction to effect clients’ change

in health behaviour.

15 Provides guidance and counseling to promote disease adaptation and provides

symptom management.

16 Provides emotional and informational support to clients and their families.

17 Uses human skills to enhance effectiveness of relationship.

18 Applies principles of self-efficacy/empowerment, adult learning and behavioral

change theories in promoting behaviour change.

19 Monitors and reflects own emotional response to client interaction for enhancing

therapeutic interaction.

20 Facilitates staff to debrief on overwhelming emotion and grief associated with

nurse-client relationship.

21 Communicates a sense of "being present" with the client.

Domain 3 Effective leadership and team work

22. Coordinates human and environmental resources necessary to manage rapidly

changing situations.

23 Leads hospital/community health promotion activities.

24 Empowers staff to assume increasing responsibilities for complicated client care

with delegation, support and supervision.

25. Provides leadership in the interdisciplinary team through the development of

collaborative practices or innovative partnerships.

26. Demonstrate effective leadership skills and be able to exert influence in a group.

27. Provides leadership in professional activities.

28 Leads patient education in the diabetes team

Domain 4 Quality assurance and improvement

10

29. Participates and contributes to the on-going process of setting and revising

guidelines, protocols, standards and contingency plan of diabetes care and

management.

30 Develops a tracking system within the practice to ensure that clients receive

appropriate care and management.

31 Monitors peers, self and delivery system through quality safety assurance.

32 Manages complaints and monitors malpractice.

33 Develops various care programs with outcome measures and advises on clinical

management or recommend review of intervention as indicated.

34 Initiates and implements quality improvement strategies and clinical audits in

collaboration with various health disciplines from primary to tertiary care

settings.

Domain 5 Managing and negotiating innovative and effective approaches to care

delivery

35 Employs appropriate diagnostic and therapeutic interventions and regimens for

diabetes clients with attention to safety, cost, acceptability, efficacy and

cost-effectiveness.

36. Implements evidenced-based practice and facilitates changes.

37. Uses evidence and rationale to leverage senior and others on decision making.

38. Contributes and develops overall care delivery system and adopts appropriate

nursing models in system to achieve optimal outcomes.

39. Re-engineers the work process.

40. Establishes detailed implementation schedules, resources planning, achievement

indicators, and monitoring mechanism to support the service development plan.

41 Envisions change impacts. Be prepared to take reasonable risk to facilitate

change and open to innovations.

Domain 6 Enhancing professional attributes of general and advanced practice

42 Applies principles of epidemiology and demography in clinical practice.

43 Promotes and fosters ethical practice and advocacy for clients.

44. Applies/develops a theory-based conceptual framework to guide practice.

45. Attains self-advancement professionally through initiating and involving in

evidence based practice and research activities.

46. Masters the application of advanced health care technology in specific area and

shows knowledge on the evidence found.

47. Critically evaluates and applies research studies pertinent to client care

management and outcomes.

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48. Conducts research studies pertinent to primary care and/or specialty practice

management.

49. Demonstrates expertise on area(s) of nursing. Be a resource person.

50. Reflects on own professional strengths and roles related to clients, peers and

colleagues.

51. Acts as a role model and sets exemplary standard of professional behaviours.

52. Supports socialization, education, and training of novice practitioners by serving

as a preceptor, role model and mentor.

53. Motivates and supports staff to be self-developing and achieve higher

professional goals.

54. Markets the advanced practice nurse role to the public and health care

professionals.

55. Participates in legislative and policy-making activities which influence advanced

nursing practice and health services.

56. Analyzes situation critically and draws relationship among issues.

Domain 7 Enhancing personal attributes

57. Maintains active membership in related professional organizations.

58 Contributes to the development of (diabetes) nursing through participation in

professional organization activities.

4. Learning Experience

This Advanced Practice Nursing (Diabetes) Certificate Program is designed to equip

nurses with the competencies listed in item 4. Below indicates how the specialty core

syllabus items match with these competencies.

Theory

learning

Direct

supervised

practice

Indirect

supervised

practice

Domain 1

Managing clients with complex health

conditions

2.1.3 2.1.4.1

to

2.1.4.8

2.1.5.1

to

2.1.5.3

Domain 2

Therapeutic nurse-client relationship

2.1.3 2.1.4.1

to

2.1.4.8

2.1.5.1

to

2.1.5.3

Domain 3

Effective leadership and team work

2.1.1

2.1.2

2.1.5.1

to

12

2.1.5.6

Domain 4

Quality assurance and improvement

2.1.1

2.1.2

2.1.5.1

to

2.1.5.6

Domain 5

Managing and negotiating innovative and

effective approaches to care delivery

2.1.1

2.1.2

2.1.3

2.1.4.1

to

2.1.4.8

2.1.5.1

to

2.1.5.6

Domain 6

Enhancing professional attributes of general

and advanced practice

2.1.1

2.1.2

2.1.3

2.1.4.1

to

2.1.4.8

2.1.5.1

to

2.1.5.6

Domain 7

Personal attributes

2.1.1

2.1.2

2.1.3

2.1.4.1

to

2.1.4.8

2.1.5.1

to

2.1.5.6

5. Course Calendar

The College:

Accepts the application for Associate Membership in the month of March every

year

Accepts the application for Ordinary Membership in the month of April every year

Conducts Membership Certificate Examination (MCQ Examination) in the month of

July every year

Conducts Fellow Exit Assessment in the month of October every year

Accepts the application of Fellow Membership in the month of November every

year

6. Assessment

6.1 For Ordinary Membership

6.1.1 Clinical practice

Candidates are expected to cover all the required clinical activities in the Clinical

Log Book together with the mandatory items, discuss with the designated

mentor(s) in obtaining mentor’s signature to evidence completion of the

experience.

6.1.2 MCQ examination

Candidates should submit evidence of completion of the Advanced Practice

13

Nursing (Diabetes) Certification Program: Generic Core (167 hours) & Advanced

Practice Core (167 hours) of a Master Degree in Nursing and Diabetes Specialty

Core (167 hours); and 500 hours in diabetes clinical practice (from the clinical log

book) to apply for MCQ examination.

The MCQ examination consists of 150 questions, with about 70% on diabetes and

30% on general advanced medicine. Each item is a 4-choice question. Candidates

are expected to complete the paper in 3 hours. The passing mark is 70%.

Questions are set to test cognitive ability of candidates at 3 levels, 20-30% on

recall questions, 20-30% on apply questions, and 40-50% on critical thinking

questions.

6.2 For Fellow Membership

The candidate should continue practice in the diabetes specialty under the

guidance of a mentor whom should be consulted during the period.

During the period, the candidate should also submit an “Advanced Practice

Project” to demonstrate how she contributes to advance the specialty practice in

order to apply for fellow membership.

6.2.1 Criteria for the “Advanced Practice Project”

The project should be able to demonstrate:

innovativeness / originality of the work

an impact to the practice of diabetes nursing

a contribution to improve current practice in diabetes patient care and

education

a contribution to research / new knowledge development in diabetes

nursing

6.2.2 Project example

Evidenced-based practice project

Guidelines development

Initiation of a change in practice

Leading a community project

6.2.3 The Process

Candidates should:

Submit a project proposal and get consensus from the mentor before the

initiation of the project.

14

Contact with mentor for advice on a regular basis during implementation.

Demonstrate the learning process and submit an original.

Submit a comprehensive report with detailed background, process,

outcomes and impact of the project.

6.2.4 Assessment

An assessment panel will be formed with one HKCMN council, one external

endocrinologist and one nursing academic professional or diabetes fellow

to review the report submitted.

A “PASS” will be awarded according to the marking scheme of the project

assignment (appendix 1)

7.0 Award

7.1 Ordinary Member

Upon passing the MCQ examination, the Associate Members are accepted to be

Ordinary Members of HKCMN. He/She will be recommended to the Hong Kong

Academy of Nursing to be recognized as Ordinary Member of the Hong Kong

Academy of Nursing.

Title designation

- Ordinary Member – Hong Kong College of Medical Nursing (Diabetes)

- MHKCMN (Medicine – Diabetes)

- Ordinary Member – Hong Kong Academy of Nursing (Medicine – Diabetes)

- MHKAN – (Medicine – Diabetes)

7.2 Fellow Member

With a PASS in the “Advanced Practice Project”, together with the evidence in

contributions to nursing, the candidate can be recommended by 2 diabetes fellow

members to the College for consideration of nomination to the Hong Kong

Academy of Nursing for fellow membership.

Title designation

- Fellow Member – Hong Kong Academy of Nursing (Medicine – Diabetes)

- FHKAN – (Medicine – Diabetes)

*application for fellow membership should occur within 3 years after obtaining

ordinary membership.

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8. Reading List

1. Mensing, C., Cornell, S. and Halstenson, C. (2014). The art and science of

Diabetes self-management education desk reference. (3rd Ed.). Chicago:

AADE.

2. Miller, S. K. (2016). Adult-gerontology nurse practitioner certification

review guide. (6th Ed). Burlington, MA: Jones & Bartlett Learning.

3. Holt, R. I. G., Cockram, C., Flyvbjerg, A., and Goldstein, B. J. (2010).

Textbook of Diabetes (4th ed.). UK: Wiley-Blackwell.

4. Leslie, R. D. G., Lansang, M. C., Coppack, S. and Kennedy, L. (2012).

Diabetes. London: Manson Publishing.

5. Wass, J. A. H., Stewart, P. M., Amiel, S. A. and Davies, M. J. (2011).

6. Oxford textbook of endocrinology and Diabetes (2nd Ed.) Oxford: Oxford

University Press.

7. AADE (2016). Quick guide to medications (5th Ed). Chicago: AADE

8. Franz, M. J. and Evert, A. (2012). American Diabetes Association guide to

nutrition therapy for Diabetes. (2nd ed.). Alexandria, Virginia: ADA

9. Colberg, S. R. (2013). Exercise and Diabetes: a clinician's guide to

prescribing physical activity. USA: Versa Press.

10. Young-Heyman, D. and Peyrot, M. (2012). Psychosocial care fo r people

with Diabetes. USA: Versa Press.

11. Katsilambros, N., Kanaka-Gantenbein, C., Liatis, S., Makrilakis, K. and

Tentolouris, N. (2011). Diabetic emergencies: diagnosis and clinical

management. NJ: Wiley-Blackwell.

12. Shaw, K. M., Cummings, M. H. (2012) Diabetes: chronic complications. (3rd

ed.). UK: Wiley-Blackwell.

13. Weinger, K. and Carver, C. A. (2009). Educating your patient with diabetes.

New York: Humana Press.

14. Scobie, I. and Samaras K. (2012). Diabetes Mellitus: Diabetes and

pregnancy (4th ed). Abingdon, Oxon: Health Press.

16

Appendix 1

Hong Kong College of Medical Nursing

Marking Scheme for Project assignment

(version 1: July 2016)

Before engaging in a project, the candidate must submit the project outline to seek the

consensus of the mentor. To demonstrate the learning process, an original project has to be

submitted The project could be one of the followings: 1) an evidenced based practice project,

2) a clinical guideline development or 3) an initiation of a change in practice.

Word limit: 4000 words

The project should demonstrate a minimum two of the following criteria with the first one as

the critical criterion:

1. Innovativeness/ originality of the work

2. An impact to the practice of specialty nursing

3. A contribution to improve current practice in patient care / education

4. A contribution to research/ new knowledge development in related specialty nursing.

Criteria Meets expectation Does not meet expectation

Innovativeness/

originality of the work

Demonstrates good understanding of

the topic and argument supports the

innovativeness/ originality of the work.

Poor integration of materials

with little support from the

literature. The project fails to

show the innovativeness/

originality of the work.

An impact to the

practice of specialty

nursing

The key impact(s) is identified and

supported, drawing on own observation

and conclusion.

Fails to highlight the impact to

the practice of specialty

nursing.

A contribution to

improve current

practice in patient

care/ education

The key issues are identified and

pursued, the contribution to improve

current practice in patient

care/education are well deliberated

Fails to bring out the

contribution to improve

current practice in patient

care/ education.

A contribution to

research/ new

knowledge

development in

related specialty

nursing

The relevant resource materials and

information are critically analyzed and

well integrated to provide evidence in

support of the contribution to research/

new knowledge development in related

specialty nursing

Fails to link the contribution to

research/ new knowledge

development in related

specialty nursing.

7. Roadmap to Fellowship

17

Registered Nurse with

2 years post-registration experience + Currently in medical clinical practice

Apply to be an associate member in HK College of Medical Nursing

Complete the

Advanced Practice Nursing (Diabetes) Certification Program which

composes of the Generic Core (167 hours) & Advanced Practice Core (167

hours) of a Master Degree in Nursing; Diabetes Specialty Core (167 hours);

and 500 hours in diabetes clinical practice

Attend the MCQ Examination

Recommendation by the College to Academy of Nursing for Ordinary

Membership

Ordinary Membership granted

Exit Assessment

Advanced practice project

+

Evidence in contributions

(within 3 years after obtaining ordinary membership)

Recommendation by the College to Academy of Nursing for Fellow

Membership

Fellow Membership granted

10. Abbreviations

18

Chronic kidney disease CKD

Continuous quality improvement CQI

Diabetes self-management education DSME

Diabetes self-management support DSMS

Diabetic ketoacidosis DKA

Evidence-based practice EBP

Gestational diabetes GDM

Haemodialysis HD

Hyperosmolar hyperglycemic state HHS

Ischaemic heart disease IHD

Oral anti-diabetic drug OAD

Peritoneal dialysis PD