NURSING REGULATORY MECHANISMS

BY M.SENTHIL KUMARMSC NURSING II YEARCHRI

INTRODUCTION

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

REGULATION INFLUENCES:

Educational programmes and institutions (approval, accreditation)

Practitioners (registration, licensure, certification)

Practice (scope of practice)

Health care agencies (accreditation, approval)

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

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

TYPES OF SYSTEMS

1. Regulation by the Government

Its focus tends to be on registering and licensing nurses.

2. Regulation by the statutory bodies

Regulatory Mechanisms

Licensure

Accreditation

Certification

Education

Registration

TYPES OF THE CREDENTIALING MECHANISMS

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

’

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”

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

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]

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

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

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).

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

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.

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.

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

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

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

CERTIFICATION PROGRAMME

EDUCATION

EducationThe formal preparation in

graduate or post-graduate programs

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.

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’

REGISTRATION IN INDIA

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)

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

REGISTRATION IN NEWZEALAND

Eligibility criterion International nursing qualification

equivalent to that prescribed in newzealand

English language test IELTSOET

REGISTRATION IN AUSTRALIA

Eligibility criterionCertificate, diploma or degreeRegistration certificate from the

native country

Eligibility examsOET=> over all pass must be

achieved

REGISTRATION IN IRELAND

Eligibility criterionGraduate nursing programme/

graduate midwife programme2 year of clinical experience

English exam IELTS : 7 score

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

REGISTRATION IN SINGAPORE

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

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

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

SUMMARY & CONCLUSION

THANK YOU