Creating synergy in paediatric nursing through networking

Creating synergy in paediatric nursing through networking

PNAEPaediatric Nursing Associationsof EuropeThe voice of nursing in the UKCreating synergy inpaediatric nursing throughnetworking – achievementand challengesFiona SmithAdviser in Children’s & Young People’s Nursing, Royal Collegeof Nursing, United KingdomCo-ordinator Paediatric Nursing Associations of Europe

Content• Establishment, goals and purposes ofPaediatric Nursing Associations of EuropeNetwork (PNAE)• Challenges, opportunities, outputs andimpact of collaborative working acrossEurope• Work in progress and future work planned• Learning from each other - potential crossborder and international activity?2

PNAEPaediatric Nursing Associations of EuropeEstablished 2002• a regional grouping of the International Associationof Paediatric Nursing• brought together professional nursing organisationsfor nurses working with children and young peoplein Europe• adopt the same goals and purposes as IAPN andapply them in Europe3

PNAE32 counties across Europe have joined …. E.g.Slovenia, Belgium, Netherlands, Croatia, UK, Ireland,Sweden, Romania, Greece, Poland ….Some countries do not have a nationalpaediatric nursing association.…….- In this case a group of paediatric nurses in acountry linked to their national nursing associationcan participate in the networkLinks also established with associations beyondEurope4

Paediatric NursingAssociations of EuropeNetwork – who and what arewe and how do we operate?5

The Associations (PNAE) ……• Meet twice a year and hold congresses• Rotate meeting places, includes visit to children’shospital/centre• Members lead on particular work items andcommunicate by email, teleconference and skype• Communication updates sent every 12 months to allProfessional Nursing Associations across Europeand organisations we link with i.e. EFN, ICN6

We seek to……….• to ensure that children, young people andfamilies across Europe are guaranteed thequality of nursing care they have a right toreceive• Establish and communicate a clear vision forpaediatric nursing across Europe• Promote common standards in paediatricnursing practice, education, managementand research7

Activities………• Defined a paediatric nursing education &competence framework• Raised the profile of paediatric nursing andchildren’s healthcare in Europe• Lobby to ensure transferability of qualificationsacross Europe• Share information and resources, such as-Standards for practice-Recommended staffing ratios in paediatricwards/units-Educational curricula and learning resources8

Position statements- Definition of a paediatric nurse- Regulation of paediatric nurses across Europe- Paediatric nurse education across Europe- Staffing levels in paediatric and neonatal areas- Paediatric and Neonatal Service and Clinical Quality Indicators- Reducing medication errors- Ethical & professional practice for the European Paediatricnurse- Re-registration and Continuing Professional Developmentrequirements of Paediatric Nurses in Europe9

Paediatric and Neonatal Service andClinical Quality IndicatorsDeveloping a position statement• Survey undertaken November 2007- February2008• The aim was to- agree a statement about service and clinicalquality indicators- to facilitate sharing of best practice andexamples of audit and patient satisfactiontools currently used across Europe

Nurse staffing & Skill mixEvidence clearlylinks safe staffinglevels and safe skillmixto improvedpatient outcomes‘More nurses meanfewer avoidabledeaths. More nursesmean better care’Dr Peter Carter, Chief Executive andGeneral Secretary• Respiratory tract infections• Gastrointestinal tractinfections• Central line infections*• Bloodstream nosocomialinfection*• IV infiltrations*• Medication errors*• Parent/family complaints*• Child trained* / agency*12

Who cares for children?19 countries have specific paediatricnurse education15 Post-graduate education (after completing ‘General Nurse’ training)5 Direct entry – Austria, Germany, Ireland, Italy and United Kingdom8 Nurses caring for children are qualified solely as generalnurses – Cyprus, Denmark, Finland, Iceland, Romania, Malta,Slovenia, Switzerland13

Education ProgrammeLevel• Certificate – 3• Diploma – 8• Degree – 7• Masters - 6Length• 1 module (ECTS 30)• 1 year (post registration) (90credits, 3 semesters)• 2 years (post registration–incl. Masters)• 3 years• 4 years14

Content – theoretical & practicalHours = varied (100-2,300 hours)Knowledge of• nursing, paediatric nursingand nursing and healthsciences• natural sciences andmedicine• humanities and socialsciences• Hours varied (120-2,300)Student placements• Neonates• Maternity• Maternal and infantprotection (communityhealth)• Paediatric wards• Mental health• law, politics and economics15

A paediatric nurse is….A nurse who hassuccessfullycompleted arecognised courseof study andpractice experiencein the nursing careof infants, childrenand adolescents /young peopleA nurse is a person who hascompleted a nursingeducation programme and isqualified and authorised inher or his country to practiseas a nurseInternational Council of NursesDemonstrates agreed levelof- practical competence- theoretical knowledgeand appropriate values andattitudes 16

Re-registration and continuingprofessional developmentDeveloping a position statement• Survey undertaken during 2011• The aim was to establish an agreed set ofminimum statements concerning reregistration,revalidation and continuingprofessional development to ensure safe andup to date practitioners18

The Regulation of PaediatricNurses in Europe (2005)The PNAE position statement states:• Children and adolescents (young people) have theright to be cared for by appropriately qualified andeducated nursing staff.• Children and their families/guardians have a right toknow that the nurse who cares for their child isspecifically educated and competent to do soi.e. one who has successfully completed a recognised course of studyand practice experience in the nursing care of infants, children andadolescents / young people19

Registration of nurses?In your country is there a nationalregister of nurses held by a regulatoryor professional body?YES = 22 NO = 2Specific register for paediatric nurses?Yes = 5 No = 1720

Continuing professionaldevelopment• Nurses required to provide evidence ofprofessional development andmaintenance of knowledge, skills andcompetences in order to re-register andcontinue to practice as a nurse?YES = 13 NO = 10 YES/NO = 121

Minimum standards• A national register for nurses, including paediatric nurses mustbe in place in each country across Europe• There must be a mechanism to distinguish paediatric nurses ona national register if there is not a specific register forpaediatric nurses• Members of the public must be able to search the nationalnursing register to see if a paediatric nurse is on the registerand qualified to practice• Paediatric nurses must be required to re-register at periodicintervals – each country should determine the frequency butthis should be as a minimum every 5 years22

Minimum standards cont.• Paediatric Nurses must be required to complete aspecified number of hours theoretical updatingrelevant to your practice in order to re-register –each country should determine the number of hoursbut this should be a minimum of 50 hours over 5years• Paediatric nurses must be required to complete aspecified number of hours in practice in order to reregister– each country should determine thenumber of hours but this should be a minimum of500 hours over 5 years23

Benefits of European andInternational alliances• Ability to influence and shape policy,education, service provision and practice inown countriesExamples:• Belgium – laws, regulation & protection oftitle• Eastern European countries – paediatricspecific nurse education programmesemerging24

“We all facethe biggestleadershipchallenge of allof ourcareers.”25

More to do……• So what other issues and work items should we be tackling?• Is there scope for potential cross border and internationalactivity?Information about PNAE can be found at:

Thank youContact details:Fiona SmithRCN HQ, 20 CavendishSquare, LondonW1G 0RNTel: + 44 (0)20 7647

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