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Nursing regulatory mechanisms

Nursing Management-Nursing regulatory mechanisms
Accreditation, Licensure and Renewal

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Nursing regulatory mechanisms

  2. 2. REGULATION  Regulation refers to the processes used to designate that an individual, programme, institution or product have met established standards set by an agent (governmental or non-governmental) recognised as qualified to carry out this task.- Styles & Affara, 1997,
  3. 3. GOALS OF REGULATION Define the profession and its members Determine the scope of practice Set standards of education Set standards of ethical and competent practice Establish systems of accountability Establish credentialing processes
  4. 4. REGULATORY BODY  Public authority or Government agency
  5. 5. DEFINITION  “Regulatory body is the formal organization designated by a statute or an authorized governmental agency to implement the regulatory forms and process whereby order, consistency and control are brought to the profession and its practice.” - ICN,1997
  6. 6. IMPORTANCE OF REGULATORY BODIES To provide quality health care service to the public. To support and assist professional members. Set and enforce standards of nursing practice.
  7. 7.  Monitor and enforce standards for nursing education.  Set the requirements for registration of nursing professionals.  To exercise legal control over institution within their respective area.
  8. 8. NURSING REGULATORY MECHANISMS Main functions  To protect patient or society  To define the scope of nursing practice  To identify the minimum level of nursing care that must be provided to clients
  9. 9. The regulatory bodies that define the laws and regulations in nursing practice by the nursing councils at the international, national and state levels  International council of nurses  Indian nursing council  State nursing council
  10. 10. ACCREDITATION  “Accreditation is the process whereby an organization or agency recognizes a college of university of programme of study as having met certain predetermined qualifications of standards” - Selden, 1962
  11. 11.  A process of review and approval by which an institution, programme or specific service is granted a time-limited recognition of having met certain established standards beyond those that are minimally acceptable. -ICN
  12. 12.  Organization or agency recognizes a college or university or a program of study as having met certain predetermined qualifications and standard  voluntary review process of educational programs by a professional organization
  13. 13. PURPOSES OF ACCREDITATION  For the maintenance of adequate administration requirement.  Maintaining a uniform standard for nursing education and nursing service.  Stimulation of institutional self-improvement by evaluation and inspection.
  14. 14.  It safeguards the institution from social education and political pressures.  It helps in the registration of nurses.  It prescribes the syllabus.  It grants recognition to school and colleges.  It guides the school/college of nursing, according to recommendation and criteria.  It also services to prepare the competent to serve the public.
  15. 15. FUNCTIONS OF ACCREDITATION  It aims to protect the autonomy of various health service programmes.  It preserves the quality of nursing education.  It protects the public from ill prepared nurses.  It protects the institutions unsound and unsafe political pressure.  It helps the practitioner for the broad scope of nursing practice.
  16. 16. TYPES OF ACCREDITATION AGENCIES  i. National accrediting agency  ii. National professional accrediting agency  iii. State accrediting bodies
  17. 17. NATIONAL AGENCIES  Concerned with appraising the total activities of the institutions of higher learning, and with safe guarding the quality of liberal education, the foundation of professional programs in colleges and universities.  Each agency establishes criteria for the evaluation of institutions in its region it reviews those institutions periodically, and it publishes from time to time a list of those agencies which it has accredited.
  18. 18.  Central advisory board of education  All India council for Elementary education  All India council for secondary education  University grants commission  All India council for technical education  National assessment and Accreditation council
  19. 19. NATIONAL PROFESSIONAL ACCREDITING AGENCY  Aim to foster research, to improve service to the public and the number of individuals admitted to the profession.
  20. 20.  Medical Council of India  Indian Nursing Council  Dental council of India  Pharmacy council of India  Central council of Indian system of Medicine  Indian nursing council, (INC) is the official accrediting agency for all programs of nursing, which include Diploma (GNM), Bsc Nursing (both basic and post basic), Msc N /M.phil (Masters) and PhD (Doctoral programs in Nursing)
  21. 21. INDIAN NURSING COUNCIL AIMS  To establish uniform standard of training throughout the state  Prohibit training centre, which are inadequate  Prohibit practice of nursing by non –qualified nurses.
  22. 22. FUNCTIONS AND ROLE OF INC  Prescribing Syllabus  Inspection
  23. 23.  NATURE OF INSPECTION BY INC  First Inspections  Re Inspection  Periodic Inspections
  24. 24. STATE ACCREDITING BODIES  A state nursing councils, which is called reciprocity, was possible only if uniform standards of nursing education were maintained.  Providing the registration to the nurses  Maintains a register of names of professional nurses  All degree holding nurses also have to get the registration in state council.
  25. 25. LICENSURE/REGISTRATION  Licensure is defined as the “process by which an agency of state government grant 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”(NCSBN,2004).
  26. 26. A document issued by a body charged with the exclusive right to determine eligibility for practice in a specified profession, or field in the profession. It is generally used within a regulatory system that prohibits practice without a license. -ICN
  27. 27. PURPOSE:-  Licensure offers protection to the public  It ensure minimum competency among professional.  It ensures minimum standard among the professionals.  It help to prevent malpractice.  It helps to regulate the professional conduct.
  28. 28.  Licensing permits a person to offer special skills and knowledge to the public in a particular jurisdiction when such practice would otherwise be unlawful. A particular jurisdiction or area is covered by the license.
  29. 29.  In India all nurses are required to be licensed to work in any part of the country, for that they have to be registered in any of the state nursing council. All over India each state running their own nursing council.  Registration councils are functioning in all states of India and they are affiliated to INC.
  30. 30. NURSING LICENSURE  The process, sanctioned by the law, of granting exclusive power or privilege to persons meeting established standards, which allows them to engage in a given occupation or profession, and to use a specific title.-ICN
  31. 31. CURRENT LICENSURE ACTIVITIES  Nurses are required to apply for licensure in each state in which they practice  Nurses will be responsible for following the laws and regulations of those states
  32. 32. COMPONENTS OF NURSING PRACTICE ACTS  Two essential components 1. To protecting the health and safety of the public 2. Protection of the title of RN  Nursing practice act describes the requirements for licensure  Registered nurse, is reserved for those meeting the requirements to practice nursing in the state.
  33. 33. PROCESS OF REGISTRATION  It is the process by which individuals are assessed and given status on a registry attesting to individual’s ability and current competency. Its purpose is to keep a continuous record of the past and current achievements of an individual.
  34. 34. TNMC REGISTRATION  Process of Providing Authority to use an Exclusive Title to those persons to enter in the "State Register" Maintained under the Law of the State.
  35. 35. TAMILNADU CANDIDATES (PRIMARY)  Register the Qualification in the concern State. Primary Registration means the candidates who obtain Recognized Qualification within Tamil Nadu and Registering the same Qualification in Tamil Nadu Nurses and Midwives Council as per the Act.
  36. 36.  1) Candidates may apply in person or by Postal with the required documents to this Council for Registration  2) Bulk Registration may be done through the Head of the Institution for all the Candidates
  37. 37. TAMILNADU CANDIDATE’S (PRIMARY) ADDITIONAL QUALIFICATION  Registration of Additional Qualification done by this Council for the Candidates who has Obtained Nursing Qualification after Registering their Basic Qualification in Tamilnadu Nursing Council.
  38. 38. OTHER STATE CANDIDATES (SECONDARY)  Register the Qualification in the concern State where you have trained. Subsequently Registering the same Qualification once again in Other State within India where you would like to practice nursing/do higher education is Secondary Registration.
  39. 39.  After surrendering your parental Registration Certificate at your Council and should obtain a NOC from the Parental Council to Registration in Tamilnadu to practise the profession within Tamilndau.
  40. 40. GENERAL INSTRUCTIONS  (1) For Bulk Registration, along with the above procedure, Candidate's Colour Photo (Passport Size) to be submitted & write the Candidate Name behind the photo. One photo to be fixed in the Application form and Do Not Staple. And also CD to be submitted with Scaned Photo and it has been Saved in file name as Candidate Name (Photo file size 20 to 40 kb in .JPG format only).
  41. 41.  (2) Other State Trained Candidates should surrender their Concerned State Nursing Council´s Registered Nurse & Midwife Certificates to the parent Council where ever they have Registered.  (3) Two Xerox copies of parent Council's RN and RM Certificates should be enclosed.
  42. 42.  (4) Other State Candidates after surrendering their parent Council's RN, RM certificates they should obtain NOC from the parent Council to Register in TNNMC.  (5) For Dispatching the Bulk Registration Certificate, Self addressed Envelope along with Necessary Stamp to be sent.
  43. 43. REQUIREMENT FOR REGISTRATION BASIC B.SC., NURSING REGISTRATION PARTICULARS OF B.SC(N) - ORIGINAL CERTIFICATE 1 Filled Application form (Application can be downloaded from Council Website “www.tamilnadunursingcouncil.com”) 2 Xerox copy of 12th Mark sheet (1 No.) or its Equivalent 3 Xerox copy of Transfer of Certificate (1 No.) 4 B.Sc(N) Provisional / Original Certificate 5 Xerox copy B.Sc(N) Provisional / Original Certificate (1 No.) 6 Original Certificate of Course Completion Certificate 7 Xerox copy of Course Completion Certificate (1 No.) 8 Final year Mark Sheet - Original (1 no.) Xerox Copy 9 Rs.2000/- Demand Draft Drawn in favour of “The Registrar, Tamilnadu Nurses and Midwives Council, Chennai” payable at Chennai Branch and also. 10 CD to be Submitted with Scanned Photo to be Saved the file name as Candidate name (Photo file size 20 to 40 kb in jpg format only).
  44. 44. REQUIREMENT FOR REGISTRATION M.SC., NURSING REGISTRATION PARTICULARS OF M.SC(N) - ORIGINAL CERTIFICATE 1 Filled Application form (Application can be downloaded from Council Website “www.tamilnadunursingcouncil.com”) 2 Xerox copy of 12th Mark Sheet (1 No.) or its Equivalent 3 Xerox copy of Transfer of Certificate (1 No.) 4 M.Sc(N) Provisional / Original Certificate 5 Xerox copy M.Sc(N) Provisional / Original Certificate (1 No.) 6 Original Certificate of Course Completion Certificate 7 Xerox Copy of Course Completion Certificate (1 No.) 8 Final year Mark Sheet - Original (1 no.) Xerox Copy 9 Xerox Copy of Registered Nurse & Midwife of this Council (Each 1 No.) 10 Rs.1000/- Demand Draft Drawn in favour of “The Registrar, Tamilnadu Nurses and Midwives Council, Chennai” Payable at Chennai Branch and also. 11 CD to be Submitted with Scanned Photo to be saved the file name as Candidate Name (Photo file size 20 to 40 kb in jpg format only).
  45. 45. RENEWAL OF LICENSURE  The process for periodic reissuing of the legal authority to practice.  Renewal system in a proper way it will help to improve the professional competencies in nursing.  In TNMC instructed that all the nurses renew their registration every 5 years for that they need a specific(150) credit hours.
  46. 46. JOURNAL REVIEW  The attitude of health care professionals towards accreditation: A systematic review of the literature  Done by:- Abdullah Alkhenizan and Charles Shaw1  Retrieved from Journal of Family Community Med. 2012 May-Aug; 19(2): 74–80.  Aim:- To systematically review the literature of the attitude of health care professionals towards professional accreditation.
  47. 47.  Study design:- This was a systematic qualitative review of the literature of the attitude of health care professionals towards accreditation. A comprehensive updated search of four electronic bibliographic databases including Medline from 1996- January 2011, Cinhal, from 1982-January 2011, Embase from 1980-January 2011, and Health Star from 1980-January 2011 was done. Here included the physicians, nurses and allied health personnel.
  48. 48. ATTITUDE OF PHYSICIANS In a qualitative Australian study (n = 72) doctors were generally unaware of accreditation and skeptical of it. Their concern was on how quality of care was to be measured. Doctors felt accountable within a professional framework, to themselves, the patient and family, their peers and to their profession; but not to accreditation bodies.In a cross- sectional questionnaire of consultant radiologists, 87% of radiologists favored accreditation for virtual colonoscopy.
  49. 49. ATTITUDE OF NURSES  In the large randomized controlled trial, the (QAP) nurses’ overall perceptions of care (n = 1048), at the accredited hospitals increased significantly (59% to 61%), compared to the control hospitals (declined from 61% to 57.In a large rigorous survey conducted in Lebanon (n = 1048), nurses perceived a significant improvement of results in quality in hospitals as an outcome of accreditation.
  50. 50. CONCLUSION  Several studies have shown that health care professionals were skeptical about accreditation because of concerns about its impact on the quality of health care services. Concerns raised about the cost of accreditation programs by health care professionals especially in developing countries were consistent. Healthcare professionals (especially physicians) have to be educated on the potential benefits of accreditation. It is also necessary to conduct a rigorous, independent evaluation of the cost- benefit analysis of accreditation of health services.