ms t manganye - progress estblishment cpd system · pdf file2015 anec date: 04 september 2015...

2015 ANEC

DATE: 04 SEPTEMBER 2015

VENUE : OLIVE CONVENTION CENTRE, DURBAN

PRESENTER: MRS T MANGANYE

Excellence in professionalism and advocacy for health care users 1

Excellence in professionalism and advocacy for health care users

PRESENTATION OUTLINE

1. Introduction

2. Collaboration

3. Draft 2 CPD Framework

4. Pilot Study

5. SANC Service Delivery Improvement Plan

6. Conclusion

2

INTRODUCTION

The South African Nursing Council (SANC) is developing a

Continuing Professional Development (CPD) system for nurses

and midwives within the mandate of the Nursing Act (Act 33 of

2005).

Enabling sections : 39 and 59, proclamation of Nursing Act, 2005

in 2007 and finally in 2008.

The 14th Council whose term of Office was from 2008 to 2013

identified the need to include development of CPD in the 5 Year

Strategic Plan

Due to funding challenges, only the initial aspects of the drafted

Project Plan was implemented (AP Funding )


COLLABORATION

Around 2012, the African Health Professions Regulatory

Collaboration (ARC) was established and countries were invited

to participate through the Ministry of Health. Funded through

PEPFAR and supported by the ARC Faculty (Emory University)

and Secretariat (Commonwealth Nurses and Midwives

Federation)

ARC’s aim is to strengthen Nursing and Midwifery in the African

Continent

Introduced the concept of a QUAD(four pillars of nursing)

African Countries through the guidance of ARC developed CPD

Toolkit


COLLABORATION Cont…

Council established a 12 member CPD Technical Working Group

consisting of members nominated based on the QUAD model with

some moderation

Representation from Council, Professional Association, Labour

(Cosatu and Fedusa affiliates) , Employer both Public and

Private(NDOH, Provincial representatives and HASA), FUNDISA,

CPAS and PHEPSA, CPD Researchers

Extended TWG was responsible for the drafting of the CPD

Framework draft 0 in August 2013. The four days’ workshop was

facilitated by an expert from the Commonwealth Nurses and

Midwives Federation



Over and above desktop research, benchmark exercise with the

Health Professions Council of South Africa (HPCSA), South

African Pharmacy Council (SAPC) and Engineering Council of

South African (ECSA) was conducted

During the ARC meetings collaboration with Countries which were

in the process of establish CPD took place. Over ten countries

were conducting some form of project related to CPD.



International benchmark exercise was conducted in the USA,

Washington state, met with the Nursing Commission and Nurses

'Association in March 2014.

Lessons learnt, led to drafting of CPD Framework Draft 2

Consultative Provincial roadshows were conducted , a feasibility

study was conducted in all nine provinces between November

and December 2013. A report was generated and feedback

meetings were held in February /March 2014.


Sections of Draft 2 CPD Framework

Section 1 : Introduction

Section 2 : Definition

Section 3 : Purpose

Section 4 : Principles

Section 5 : Mandate

Section 6 : Requirement

Section 7 : Scope


Section of CPD Framework

Section 8 : Recognition of CPD Providers and Activities

Section 9 : Documentation

Section 10 : Compliance

Section 11 : Non-Compliance

Section 12 : Exemptions

Section 13 : Monitoring

Section 14 : Evaluation


Section 1 : Introduction

• Outlines the role of SANC in terms of Nursing Act, 2005, which are to serve and

protect the public in matters involving nursing and midwifery services and to

uphold and maintain professional conduct, ethics and practice standards.

• The purpose of CPD is to promote and maintain professional standards.

• Implementation of the CPD System will be preceded by a Pilot Study which will

be conducted as from August/September 2015 to January/February 2016.

• A commitment to lifelong learning is one way nurses and midwives can

demonstrate to the public that they are constantly updating their knowledge and

skills which positively influences attitudes.


Section 2 : Definition of CPD

• A purposeful statutory process, personal commitment, to

engage in a range of learning activities to maintain and improve

knowledge, skills, attitudes and professional integrity, to keep up

to date, in order to practice safely, competently, and legally within

their evolving scope, resulting in providing quality care


Section 3 : Purpose

• To maintain Professional standards of excellence

• To ensure up to date and relevant knowledge

• To promote life long learning, safe, ethical and professional

growth

• To strengthen accountability of nurses and midwives to

themselves, employer, health care users and communities

• To promote health, protect the public interests and deliver quality

nursing care


Section 4 : Principles

Some of the principles are as follows

CPD is :

• Based on the values of accessibility, availability, affordability and

quality

• Based on individual nurse/midwife learning needs

• Self-directed, reflective and relevant

• Based on adult learning principles, both formal and informal

learning activities

• Inclusive of clinical and non-clinical roles (broad areas to cover

where nurses are practicing)


Section 5 : Mandate

• SANC’s mandate to protect the public in matters involving nursing

and midwifery in terms of the Nursing Act, 2005

• Participation is mandatory for renewal of annual practicing

certificate (APC)

• It will be administered by SANC CPD Section

• Council will exercise oversight through relevant Committee


Section 6 : Requirement

• A minimum of 15 CPD points per year will be required to qualify

for renewal of annual practicing certificate

• The weighting of the CPD point is work in progress

• Employers, professional association and societies, unions and

providers should assist to create an enabling environment for

attainment of CPD points

• CPD should be relevant to current and future needs


Section 7 : Scope (1)

CPD activities are divided into four themes for all categories of

nurses,

(a) ethical and legal; refers to legislations and policies governing

and influencing nursing

(b) area of practice; refers to field of practice in which the nursing

practitioner is working. e.g. clinical, occupational, education and

training, management, policy formulation etc.

(c) leadership / management and

(d) teaching/ research, refers to transfer of knowledge and skills

to colleagues or health care users as well as conducting and/or

utilisation of scientific research


Section 7 : Scope (2)

• For now the following categories are identified namely: Registered

Nurse, Registered Midwife; Enrolled Nurse and Enrolled Nursing

Auxiliary


CPD GRID

Themes for Delivery

Nursing

Category

Ethical and

Legal

Area of

Practice

Leadership

/Managemen

t

Teaching

/Research Total CPD Points

R/N 4 6 3 2 15

R/M 4 6 3 2 15

E/N 3 9 1 2 15

E/N/A 3 10 1 1 15


Section 8 : Recognition of CPD Providers

and Activities

• SANC will be responsible to determine criteria for recognition of

CPD providers and activities.

• Existing structures such as Nursing Education Institutions,

Professional Societies and Organisations may be considered for

recognition as providers.

• SANC has developed criteria and guidelines

• Not all CPD Providers will need accredited, e.g. work place

activities, self-directed learning although the activities will be

recognised as CPD activities.

• SANC may need to validate certain accredited bodies


Section 9 : Documentation

• Each nurse and midwife to keep documentary evidence of CPD

activities undertaken as a portfolio of evidence

• The Structure/format of the portfolio of evidence will be

determined by SANC.

• Nurse/Midwife to keep the portfolio of evidence to be kept for a

period of 3 years

• CPD Providers keep a register of attendance

• Employer/supervisor to keep record

• A declaration indicating the number of CPD points acquired

designed by SANC to be submitted by end of June of each year

to SANC using an electronic route yet to be determinedExcellence in professionalism and advocacy for health care users 20

Section 10 : Compliance

• Declarations referred to in section 9 to be submitted by end June

of each year

• SANC may conduct an audit of up to 10% sample of nurses and

midwives between July and December

• Extensions/Exemptions in case of extenuating circumstances may

be granted.

e.g, illness, national duties etc

• Permission to be granted by Council


Section 11 : Non-Compliance

• A nurse or midwife who has not acquired the required number of

CPD points will be considered non-compliant.

• Contact with the nurse or midwife will be initiated to indicate that

they are non-compliant.

• Guidelines will provide details regarding dealing with non-

compliance


Section 12 : Exemptions

• Nurses or Midwives on extended leave

• Military assignments

• Undergoing formal education and training


Sections 13 & 14 :Monitoring and Evaluation

• Monitoring will be done at different levels

• At individual; employer; providers, SANC levels

• Evaluation

• CPD Framework may be evaluated every three to five years

• Random survey of nurses, employers, CPD Providers


Aim of the CPD Pilot

To test Draft 2 CPD Framework, to assess potential improvements to the framework prior to rolling out of CPD.


Where is the Pilot Conducted?

Gauteng Province(Urban) : Johannesburg Sub-districts B and C

Mpumalanga (Rural) : Nkangala District at Emalahleni and

Thembisile Sub-Districts

For a period of 6 months

All categories of nurses in the selected health facilities are asked

to participate in the pilot


Pilot Cont…

Participants will be asked to follow the CPD framework to collect 7

CPD points (half) over the 6 month pilot period

At the end of the pilot, all participants will be asked to submit a

declaration stating how many points were accumulated

Submission appreciated regardless of whether CPD points

were completed

If exempt, can make exemption statement on declaration

Can provide feedback on the form


Pilot Expectations: CPD Accrual

CONTINUING PROFESSIONAL DEVELOPMENT GRID

NURSING CATEGORY THEMES FOR DELIVERY AND REQUIRED CPD POINTS

Ethical and Legal domains Area of Practice Leadership/

ManagementTeaching/Research Total CPD Points

Registered Nurse 2 3 1 1 7

Midwife 2 3 1 1 7

Enrolled Nurse 1 4 1 1 7

Auxiliary Nurse 1 4 1 1 7


Pilot Expectations: Definitions of Thematic Areas (1)

THEME DEFINITION EXPLANATORY NOTE

Ethical and Legal domains

Legal domain refers to “legislation and policies governing and influencing nursing”

Ethical domain refers to “codes of practice that guide and influence the practice of nursing.” Ethical and legal must pull through as a theme in all aspects

Examples include, but are not exclusive to – Nursing Act, 2005 (Act No. 33 of 2005). National Health Act, 2003 (Act No. 61 of 2003). Scope of Practice Regulations and Code of Ethics for Nursing Practitioners.

Area of Practice

Refers to the “field of practice in which the Nursing Practitioners are working.” E.g. clinical nursing, occupational nursing, education and training, management regulatory, policy formulation

Should include essential competencies related to field of practice.


Pilot Expectations: Definitions of Thematic Areas (2)

THEME DEFINITION EXPLANATORY NOTE

Leadership/Management

Leadership refers to a “process of social influence which maximizes the efforts of others towards the achievement of a goal”

Management refers to a “process of reaching organizational goals by working with or through people and other organizational resources”

Should be relevant to the practitioner’s position in area of practising.

Teaching/Research

Teaching refers to “skills required to transfer knowledge to colleagues and/or health care users”

Research is an “endeavour to discover new or collate old facts by conducting and/or utilising scientific study”

All categories of nurses have a teaching role be it colleagues or health care users. Practitioners are encouraged to take part in evidence based practice activities.


SANC Service Delivery Improvement Plan

SANC has embarked on a Project referred to as eBusiness Transformation

Revamping of the ICT System

Involves automation of a number of services

Include improving the issuance of APCs

To be up and running as from December 2015

A communique will go out soon to inform stakeholders about these

developments and payment of 2016 annual fees. You are all encouraged to

wait for the communiqué to direct you what to do.

Practitioners to submit updated contact details including correct ID Numbers


Acknowledgements

I-TECH for providing much needed financial and technical support

The CPD Technical Working Group (TWG)

ANEC Organising Team for affording SANC a slot to make a

presentation


Conclusion

Contact details for CPD :

[email protected]/[email protected]

General Information

[email protected]/012 420 1000/ fax 0860 231 9094


mailto:[email protected]/[email protected]

mailto:[email protected]/012%20420%201000/

ms t manganye - progress estblishment cpd system · pdf file2015 anec date: 04 september 2015...

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