Embracing collaboration in Primary Healthcare Education amp Leaving no one behind Bongi Sibanda 2nd IPECP Africa Nairobi Kenya 2 nd of August 2019 Objectives To provide an African and Global update on APNM developments with a focus on PHCUHC ID: 1010020
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1. Family Nurse Practitioner - A Regional Curriculum Framework ProposalEmbracing collaboration in Primary Healthcare Education & “Leaving no one behind”Bongi Sibanda 2nd IPECP Africa - Nairobi, Kenya2nd of August 2019
2. ObjectivesTo provide an African and Global update on APN/M developments with a focus on PHC/UHC. Explore possible strategies for consideration in the development of an Afrocentric FNP curriculum Framework.Discuss how different health & social care professionals, regulators, health systems and academic institutions can work together towards the development of FNP roles in Africa and help inform the ICN APN Network policy work (African perspective).
3. Advanced Practice updatesICN APN Draft DefinitionUpcoming Conferences/Events : Halifax- Canada, ?Johannesburg –AfroPHC/APNWHO 2020 Year of the Nurse & MidwifeAnglophone Africa APN Coalition Proposal (Recommendations 1-7)Other disciplines: Radiography, PharmacyAfrican APN programmes
4. ICN APNN –Singapore Congress UpdatesDraft ICN Guidelines on Advanced Practice Nursing “Advanced Practice Nursing : An Advanced Practice Nurse (APN) is a qualified nurse who has acquired, through a master’s degree, the expert knowledge base, complex decision-making skills and clinical competencies for advanced nursing practice, the characteristics of which are shaped by the context of which they are credentialed to practice. Nurse Practitioner : A Nurse Practitioner (NP) is an Advanced Practice Nurse who integrates nursing and medical skills in order to assess, diagnose and manage patients with undifferentiated and undiagnosed conditions in primary care and acute care populations. Clinical Nurse Specialist : A Clinical Nurse Specialist (CNS) is an Advanced Practice Nurse who provides expert clinical advice and care related to differentiated diagnoses in specialized fields of practice along with a systems approach in practicing as a member of the healthcare team. A full guidance paper with assumptions, descriptions and characteristics will be available one finalised” Reproduced with permission from Dr Melanie Rogers - ICN APNN Chair
5. The “4 Pillars” of APN
6. Licensure, Accreditation, Certification & Education - LACE Model – An Adaptation for Africa?Consensus Model for APRN RegulationJuly 2008Completed through the work of the APRN Consensus Work Group & the National Council of State Boards of Nursing APRN Advisory Committee ( Key Players - ANA, NONPF, NCSBN, AACN )Licensure -granting of authority to practice (legal- protected title)Accreditation -formal review and approval by a recognized agency of educational degree or certification programs in nursing or nursing-related programs. Certification - formal recognition of the knowledge, skills, and experience demonstrated by the achievement of standards identified by the profession. Education -formal preparation of APRNs in graduate degree or post-graduate certificate programs
7. FNP/APN African ScanCountries: LACE?BotswanaEswatini (Formerly Swaziland)GhanaKenyaMalawiNigeriaRwandaSouth AfricaTanzaniaUgandaZimbabweOther countries?
8. Clinical Practice/Supervision: Who is doing similar work in Africa?Medical practitionersClinical Officers/Clinical Associates Clinical Nurse SpecialistsNurse Practitioners (Family Nurse Practitioners)Pharmacists (to an extent)
9. AFRO Primary Health CareProf. Shabir Moosa
10. World Café Method Embedding IPECP in the development of Family Nurse Practitioner roles in AfricaAdvocacy & Policy - Table 1Higher Education & Accreditation – Table 2Regulation – Table 3Clinical Practice – Table 4
11. Advocacy & Policy - Table 1Which professional bodies should National Nursing Associations(NNAs) consider partnering with to advocate and inform policy in the development of a regional Family Nurse Practitioner Curriculum Framework at:Country level Regional levelInternational level
12. Higher Education & Accreditation – Table 2What can Academic Institutions and Accreditation bodies do to facilitate the development of competent and safe Family Nurse Practitioners in the region?
13. Regulation – Table 3The ICN’s new definition draft proposes a Masters degree entry to APN practice. There are FNPs trained at Diploma and BSc level in the region. a)What are the implications for regulatory bodies?b) Which body must regulate APN/M practicec) Which professional body is well placed to provide accreditation for Family Nurse Practitioner Programs/Recertification
14. Clinical Practice/Health Systems – Table 41.APN programs are clinical focused and require specific number of supervised clinical practice hours/competencies. What measures should be applied to:a)Bridge the gap between academic and clinical practice?b) Ascertain quality supervision/assessment in clinical practice?2.What can be done to retain highly qualified and experienced nurses/midwives in clinical practice?
15. If you want to go fast, go alone, if you want to go far, go together – African ProverbAsante, Thank you.