Subedar

South African Nursing Council: 

South African Nursing Council THE NURSING PROFESSION AND HUMAN RIGHTS

South African Nursing Council : 

South African Nursing Council Challenges Facing the Nursing Profession

NURSING AS A PROFESSION: 

NURSING AS A PROFESSION Is the profession responsive to broader social responsibility imperatives? How does Society view the nursing profession? Does the nursing profession fulfill an important social goal?

Societal Challenges Impacting On Nursing Profession : 

Societal Challenges Impacting On Nursing Profession Legislative framework General: Constitution Health: Health & Nursing Acts Education: SAQA & Higher Education Acts Globalisation Millennium Development Goals Health Priorities: HIV & AIDS

Challenges Posed by Health Care System: 

Challenges Posed by Health Care System Quality of health care Competence of health care professionals Primary Health Care Health Care Environment: human and infrastructural

Challenges Facing the Practice of Nursing: 

Challenges Facing the Practice of Nursing Scope of practice Competencies Quality of care Promoting scientific inquiry that contributes to and enhances the practice of nursing Manage health priorities Leadership (clinical & health systems development)

Challenges facing Nursing Education: 

Challenges facing Nursing Education Recruitment Production Quality Continuing professional development

Promotion of Human Rights: 

Promotion of Human Rights Constitution : Bill of Right Patients Rights Charter Batho Pele

Addressing National Health Priorities: 

Addressing National Health Priorities HIV/AIDS Challenges both the Education and Practice of health professionals Practice Core human relationships and interactions Gender issues Beliefs and value systems Behavior Attitudes

CHALLENGE OF HIV/AIDS ON NURSING EDUCATION: 

CHALLENGE OF HIV/AIDS ON NURSING EDUCATION Traditional approaches to education Our understanding of disease profiles and the management thereof Medical Models of Assessment Treatment

Gender Based Health Issues: 

Gender Based Health Issues Sexually Transmitted Infections Management of persons raped/sexually assaulted, victims of violence Termination of pregnancy

Human Rights & Gender Issues: 

Human Rights & Gender Issues Most nurses are women who are themselves marginalized: Personal lives As Health care professionals Lower categories of nurses Promoting human rights and addressing gender issues within this context are often difficult for nurses Importance of addressing Human Rights & gender issues facing both health care users and nurses

NEW LEGISLATION: 

NEW LEGISLATION Nursing Act No 33 of 2005

Intention of the Nursing Act: 

Intention of the Nursing Act Promote professional accountability Transform the regulatory environment applicable to the profession of nursing Create a regulatory mechanism: To introduce new areas of nursing practice For licensing requirements for specified areas of practice To ensure members of the nursing profession remain competent To instill the notion of community service amongst nurses

Slide15: 

IMPACT OF THE NURSING ACT NO 33 of 2005 ON NURSING PRACTICE

 Redefinition of Practice of Nursing Framework: 

Redefinition of Practice of Nursing Framework Informed by a review of Health care delivery needs within the context of the South African Health care system, Existing legislation, Policy documents Human resource reports (Pick Report) Norms of Standards (PHC, District Hospitals) Regulatory frameworks & Scope of nursing practice documents of other countries: UK, Canada, New Mexico, Australian, New Zealand African Countries (ECSACON Regulatory Framework) ICN competency framework for nursing

Slide17: 

Regulate nursing within the context of public protection Align nursing practice to ensure health priorities are addressed Revision of Scope of Practice Review the Education requirements for entry to practice Regulate the standards and competency requirements for nursing practice Implement a continuing professional development programme

FRAMEWORK FOR NURSING: 

FRAMEWORK FOR NURSING CHARTER FOR NURSING PRACTICE

Purpose: 

Purpose Provide parameters that guides the practice of members of the nursing profession to ensure that they: Practice in accordance with national legislative and policy frameworks. Are at all times responsive to the needs of the public; and Provide nursing care that is at all times in the best interest of those they are providing care for. Inform the public of what they can expect from members of the nursing profession: standard of nursing care the knowledge, attitudes and skills required for providing nursing care; and the responsibilities of nurses

Framework For Nursing: 

Framework For Nursing Mandate: Nursing profession Commitment of Nursing Profession Rights of Health care users Rights of nurses Ethical code of practice Code of Conduct

Nursing Profession: 

Nursing Profession Mandate

Slide22: 

Do not discriminate on the grounds of race, colour, creed, gender, religion, culture, politics, social status, personal attributes or the nature of the health problem Promote, maintain and restore health and alleviate suffering Recognise the health needs and vulnerability of the community and individual healthcare users Create and maintain an environment that fosters safety, compassion and caring for nursing practice Provide care which is accessible to the community, free of neglect and malpractice and free of harassment and intimidation Promote the continuity of health care

Slide23: 

Continuously develop their professional knowledge and skills Respect and maintain the nationally accepted Patient’s Rights Charter Respect and promote the principles of an accessible, acceptable, affordable, equitable and efficient health care service for the healthcare user or family or group or community, from conception to death. Take appropriate action to safeguard healthcare users when their care and safety are endangered by any person or circumstance.

NURSING PROFESSION: 

NURSING PROFESSION Commitment

Slide25: 

Recognise that nursing and nurses only exist because people require nursing services Nursing is a caring profession providing a service to humanity Nurses must not permit considerations of religion, nationality, race or social standing to influence the quality of the care they render Nurses must maintain the utmost respect for human life at all times Nurses must be educated and remain competent through life-long learning Nurses must respect, uphold and safeguard the right of healthcare users to privacy, confidentiality and dignity

Slide26: 

Nurses must respect the right of health care users to receive nursing care in accordance with their needs Nursing is based on a relationship of trust between the profession, society, the individual nurse and the healthcare user The relationship of trust between society and the nurse must be based on the nurse’s professional knowledge, competence and conduct characterised by a willingness to be accountable for his/her actions and a commitment to serve mankind Nursing is an essential element in meeting the health needs of society A nurse is able to contribute to the provision of comprehensive health care Nursing practice must be based on the science of nursing, and must be directed by professional norms, values and philosophies of nursing and research

RIGHTS: 

RIGHTS HEALTH CARE USERS

Slide28: 

Consideration and respect Privacy and confidentiality Unconditional acceptance as a human being Safe and adequate nursing care in accordance with his or her specific needs Continuity of nursing in accordance with his or her specific needs Informed, voluntary decision making regarding consent and refusal Confirmation of his or her identity for purposes of diagnosis, care and treatment Protection against exposure to potentially harmful conditions

Slide29: 

Correct labelling of his or her - Person Possessions Specimens for investigation purposes Records, including visual, diagnostic and monitoring records and reports His/her body, in the case of death Reasonable expectations regarding his/her treatment and nursing Protection against cross-infection and communicable diseases, including protection against a nurse who is a carrier or suffering from an infective condition Receive prescribed treatment and nursing Die with dignity.

PROFESSIONAL RIGHTS: 

PROFESSIONAL RIGHTS NURSES

Slide31: 

Support nurses to provide health care in accordance with scope of practice and the ethical rules that govern the profession Means of ensuring improved service to health care users. To enable nurses to provide safe and adequate nursing.

Slide32: 

Practise in accordance with the scope which is legally permissible A safe working environment which is compatible with efficient health care user care and which is equipped with at least the minimum physical, material and personnel requirements Proper orientation and goal-directed in-service education in respect of the modes and methods of treatment and procedures relevant to his/her situation Negotiate with the employer for such continuing professional education as may be directly or indirectly related to his/her responsibilities

Slide33: 

Equal and full participation in such policy determination, planning and decision making as may concern the treatment and care of the health care user, in the case of a registered person Advocacy for and protection of health care users and personnel for whom he/she has accepted responsibility Conscientious objection, provided that: The employer has been timeously informed in writing It does not interfere with the safety of the health care user and/or interrupt his/her treatment and nursing

Slide34: 

Refusing to carry out a task reasonably regarded as: outside the scope of practice and for which he/she has insufficient training or insufficient knowledge and/or skill Withholding participation in unethical or incompetent practice Written policy guidelines and prescriptions concerning the management or his/her working environment Refusing to implement a prescription or to participate in activities which, according to his/her professional knowledge and judgement, are not in the interest of the health care user Disclosure to him/her of the diagnosis of health care users for whom he/she accepts responsibility especially if the diagnosis may place the well-being of the nurse at risk

Slide35: 

A working environment which is free of threats, intimidation and/or interference A medical support or referral system to handle emergency situations responsibly. In addition to the above, the nurse is entitled to his/her rights in terms of the Constitution and relevant labour legislation, provided that the exercising of such rights does not put at risk the life or health of health care users.

PRACTICE FRAMEWORK  FOR NURSING: 

PRACTICE FRAMEWORK FOR NURSING

Scope of Practice: 

Scope of Practice Defines and sets the parameters for the scope of practice for the profession of nursing in terms of: Scope of the Profession Scope of Practice of each category of nurse

Slide38: 

Scope of the Profession of Nursing & Midwifery Clear distinction of the scope of practice of each category: Professional Nurse: Comprehensive nursing care Staff Nurse: Basic nursing Nursing Auxiliary: Elementary nursing The scope of practice is divided into: Professional and ethical Practice Clinical Practice and Quality of practice. Each category is an independent practitioner responsible and accountable for his/her own area of practice

REVISED SCOPE OF PRACTICE: 

REVISED SCOPE OF PRACTICE SUMMARY

Scope Cont/: 

Scope Cont/

PRACTICE STANDARDS: 

PRACTICE STANDARDS Fundamental definitions of nursing and the level of performance against which practice is evaluated 10 Practice Standards

Competency Framework: 

Competency Framework

Competency Framework for Nursing Practice: 

Competency Framework for Nursing Practice A Professional Ethical Practice A.1 Legal Framework A.2 Ethical Practice A.3 Accountability B Clinical Practice B.1 Care Provision B.2 Care Management C Quality of Care C.2 Continuing Education C.3 Professional Enhancement C.1 Quality Improvement C.4 Research  

Competencies for Nursing: 

Competencies for Nursing Theoretical Competencies Clinical Competencies Occupational Competencies

Theoretical Competence: 

Theoretical Competence Expression of what the health professional has to know about & know why Mainly cognitive in nature linked to a general & universal understanding of various subjects Instrumented through theory and practice

Clinical Competencies: 

Clinical Competencies Competencies within clinical interventions and actions based on values & theories Independent of persons and context Based on experience Handed over and instrumented by participation in practice

Occupational Competencies: 

Occupational Competencies Expression of what the health professional takes care of & is responsible for Competencies within the role & the functions Connected to knowing, how to make things happen in an organisational structure Instrumented through professional performance

Competencies for Ethical Practice: 

Competencies for Ethical Practice Practises in a manner that conforms to the SANC code of ethics. Demonstrate ethical behaviour in own practice. Engages effectively in ethical decision making Acts in an advocacy role to protect human rights as prescribed in legislation and policy frameworks. Respects the health care users right to access to information. Ensures confidentiality and security of written and verbal information acquired in a professional capacity. Respects the health care users right to informed choice and self determination in nursing and health care. Appropriately intervenes in health care that could compromise the safety, dignity and privacy of health care users. Identifies unsafe practice and takes appropriate action.

Competencies for Ethical Practice: 

Competencies for Ethical Practice Recognises one’s own beliefs and values and how these may influence care giving. Respects the values, spiritual beliefs and practices of health care users. Provides culturally sensitive care. Demonstrates understanding of the challenges to ethical decision-making and care prioritisation in war, violence, conflict and natural disaster situations. Illustrate a balance between professional responsibilities and personal and employment rights.

Implementation of the Revised Practice Framework: 

Implementation of the Revised Practice Framework Regulations for revised scope of practice Regulate Educational requirements & register qualifications aligned to the revised scope on the NQF Transitional arrangements for bridging the gap between current scope and revised scope Upgrading of current practitioners