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Hong Kong Academy of Nursing 向前迈进了一步

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Hong Kong Academy of Nursing 向前迈进了一步 + Moving a Step Forward in Advanced Nursing Practice– Preparation for the Formation of the Hong Kong Academy of Nursing 向前迈进了一步 2nd Nursing Conference on Advanced Practice 21st to 22nd November, 2008 Dr. Susie Lum Chairperson, Hong Kong Academy of Nursing Preparatory Committee + + Hong Kong Nurses Wish, Want, & Will to move forward in Advanced Practice 香港护士许愿，希望，意志和推进 + HK Nurses want recognition & legitimate power for specialization 要承认和合法的 专科化 + 讓激情來燃燒激情 Change can happen 他讓激情來燃燒激情， 讓希望來推动希望， 喚醒冬眠巳久的理想主義， 展現巨大的穿透力。 + 太空一小步創新一大步 + Background Expanded scope of nursing practice Rapid proliferation of nursing specialties International development in advanced practice nursing Hospital Authority career progression model 190 nurse specialists (38 specialties) 530 advanced practice nurses + Hong Kong Academy of Nursing Preparatory Committee established 2006 under (Societies Ordinance Section 5A[1], Chapter 151) Membership Nursing & Midwifery Councils chairmen Department of Health Hospital Authority 19 Professional Associations / Colleges / Societies 4 Universities website: http://www.hkan.hk P.O. Box 91601 Tsim Sha Tsui Post Office + Nurse leaders coming together to create our own preferred future 护士的领导人走到一起创造 我们自己的未来 + Advisors Mr. Anthony WU, Chairman, Hospital Authority Dr Hon CH LEONG, Executive Council member, Chairman, Elderly Commission, and Former President of the Hong Kong Academy of Medicine Prof Grace TANG, President, Hong Kong Academy of Medicine Dr The Hon Joseph LEE, Legislative Council Member (Health Services) Dr PY LAM, Director of Health, Department of Health Prof Thomas KS WONG, Health and Medical Development Advisory Committee member Dr William HO, Chief Executive, Tung Wah Group of Hospitals + Oversea Advisors Prof Frances HUGHES, Former Chief Advisor Nursing, Ministry of Health, currently Professor of Faculty of Medical and Health Sciences and Director of Centre for Mental Health Research, Policy and Service Development, University of Auckland Dr Karen MACDONALD, Chair, American Nurses Credentialing Center Commission on Certification, USA. Dr Angela MCBRIDE, Distinguished Professor and University Dean Emeritus of the School of Indiana University and former Scholar- in-Residence of the Institute of Medicine of the National Academies, USA Dr Mary SMOLENSKI, Director, American Nurses Credentialing Center Certification Program, USA + Honorary Legal Advisors Mr Lester HUANG Mr Mark LAM Honorary Auditor Mr William Wai Hei CHAN + The Hong Kong Academy of Nursing Key functions Regulating the practice and promoting the professional development of advanced practicing nurses in specialty areas. + Advanced Practice Nurses Nurses who work both independently and in collaboration with other health care professionals to provide a wide range of advanced assessment and specialized interventions in response to the actual and potential health needs of the individual, group or family. Their practice encompasses the continuum of health promotion and maintenance, disease prevention and management. + The Hong Kong Academy of Nursing An independent institution with the statutory power to organize, monitor, assess and accredit all nursing specialist training and to oversee the provision of continuing nursing specialist education. Explore the feasibility to establish a Specialty Register under the amended Nurses Registration Ordinance Chapter 164 + TheThe objectivesobjectives ofof thethe HKANHKAN are:are: (1)(1) ForFor thethe publicpublic toto protectprotect thethe publicpublic byby regulatingregulating standardsstandards ofof advancedadvanced nursingnursing practice;practice; toto educateeducate thethe publicpublic regardingregarding thethe valuevalue ofof professionalprofessional nursingnursing specialization;specialization; andand toto promotepromote thethe improvementimprovement ofof healthhealth carecare forfor HongHong KongKong citizenscitizens.. +TheThe objectivesobjectives ofof thethe HKANHKAN are:are: (2)(2) ForFor nursingnursing professionalprofessional developmentdevelopment to promote the advancement of the art and science of nursing; to promote integrity, ethical conduct and standards in the practice of advanced nursing and its specialties; to foster the development of advanced practice nursing education in specialty areas; and to facilitate the exchange of information and ideas in nursing and matters concerning the nursing profession. + Major functions of HKAN set, monitor and enforce the standards of study and practice of specialty nursing in Hong Kong; accredit advanced-practice programmes and education institutions in reference to the set standards; certify and re-certify individuals who have graduated from the accredited programmes (and comparable others) for advanced practice; sponsor and conduct educational activities that enable advanced practice nurses to maintain currency in areas of expertise; support and foster development of advanced nursing practice e.g. through recognition of excellence, through analyses of future needs; and educate the public regarding the roles and benefits of specialization in nursing. + Proposed structure of the HKAN (1) Council President 2 Vice-presidents Secretary Treasurer Representatives from nursing specialties Six elected members Two co-opted members + Proposed structure of the HKAN (2) Committees Registration Committee Education and Accreditation Committee Professional Development Committee Secretariat + Education and accreditation of advanced nursing practice + Term of Reference To derive a generic competence framework for advanced practice nurses (APN)*通用能力框架 To specify key elements that need to be present in curriculum that prepares APNs To propose strategies for accreditation of APNs for new comers and those who are already in practicing APN positions. *APN is used here as an umbrella term to include nurses who practice at advanced / specialty level. It is not used here to present a title for position nor a title of membership that will be granted by the Hong Kong Academy of Nursing. + Key questions to ask Are our APNs fit for practice? How do we know? How do we let others know? What is fit for practice? What are the measures indicating ‘fit for practice’? What is the purpose of making the measures explicit? + Hong Kong International + APN Curriculum At postgraduate level 研究生 Theoretical component Practical component + Theoretical curriculum Converging (common core, generic to postgraduate students and all APNs) 会聚（共同的核心，一般以研究生和所有APNs ） Diverging (subjects addressing specific specialty content) 发散（科目处理具体的专业内容） + Reference to American Association of Colleges of Nursing + ModelModel ofof MasterMaster’’ss NursingNursing CurriculumCurriculum Graduate Nursing Core (All master’s degree nursing students) Administration APN Clinical Core Community Health (All master’s degree (All master’s degree nursing students nursing students prepared to provide prepared to provide direct client care) population-based care) Speciality Curricula CNM CRNA NP CNS Primary Care NP Acute Care NP + American Association of Colleges of Nurse (1996) The essentials of master education for advanced practice nursing. Washington, DC: AACN. Graduate core (e.g. research, health policy, leadership, ethical / legal issues and heath care delivery system) Advanced practice core (e.g. advanced assessment, pharmacology, pathophysiology, decision making, advanced nursing therapeutics and health promotion) Specialty core (content not been specified in the AACN documents) + Specialty core National Association of Clinical Nurse Specialist (NACNS) 3 key spheres of influence patient/client nurse/nursing system/organization Gouldreau K.A., Clark A., Lyon B. & Rust J.E. (2007) + NACNS Essential core content areas for developing CNS competencies 1. Theoretical foundation for CNS practice 2. Phenomenon of concern 现象的关注 3. Design and development of innovative nursing interventions 4. Clinical inquiry/critical thinking using advanced knowledge 临床调查/批判性思维 Gouldreau K.A., Clark A., Lyon B. & Rust J.E. (2007) + NACNS Essential core content areas for developing CNS competencies 5. Technology, products and devices 6. Teaching and coaching 7. Influencing change 8. Systems thinking 9. Leadership for transprofessional collaboration Gouldreau K.A., Clark A., Lyon B. & Rust J.E. (2007) + NACNS Essential core content areas for developing CNS competencies 10. Consultation theory 11. Measurement 12. Outcome evaluation methods 13. Evidence-based practice and translation of research 14. Developing content areas Gouldreau K.A., Clark A., Lyon B. & Rust J.E. (2007) + Basic Requirement A mean number of 416.2 clinical hours A range of 41.4 to 52.2 theoretical credit hours 57 clinical nurse specialist programmes in 139 different schools surveyed in the United States by Walker et al. (2003) + Mechanism of approval to practice 审批机制的实践 Nursing practice acts护理实践行为 professional regulations专业法规 certification认证 institutional guidelines (approval)体制准则 （批准） standards标准 + http://www.nursingworld.org/ancc/cert/index.html + APN – local and global trend A generic competence framework for advanced practice nurses + Six domains of the competence framework for advanced practice nurses (A total of 54 statements) 六个领域 Domain 1 Managing clients with complex health conditions Domain 2 Enhancing therapeutic nurse-client relationship Domain 3 Demonstrating effective leadership and team work Domain 4 Enhancing quality assurance and improvement Domain 5 Managing and negotiating innovative and
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