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Activities (2006)

 

   1. Accomplished activities and achievements:

A. Open days

The open day at Specialty Hospital on 15 November 2006

 

 

 

B. Workshops implemented by the Council:

(1) "Mentorship learning program" at Jarash Government Hospital during the period (5-16 March 2006).

(2) "Mentorship learning program" at Ministry of Health hospitals/ Al Mafraq with collaboration of faculty of Nursing at Al al-Bayt University during the period (19-29 March 2006).

(3) "Mentorship learning program" at Directorate of RMS during the period (3-15 Jun 2006) and (7-28 Jun 2006).

(4) "Non Jordanian mentorship learning program" implemented collaboratively by WHO/ Iraq office at Amman and Royal Medical Services during the period (17-28 Jun 2006).

 

C. The First International JNC conference:

- The First International JNC conference was conducted on 25th- 27th of April 2006. The number of conference registrants were (850) participants.

- Evaluation form was distributed at the end of the 3rd day consisted of three general parts including;

·   Evaluation of the conference preparation.

·   Overall evaluation of presentations.

·   Evaluation of conference facilities.

The number of respondents was (297). After analyzing the data it showed that, most of the participants gave positive comments regarding preparation, quality of papers, and facilities. Never the less much effort should be given to the next conference especially on time allocated for paper presentations and coffee breaks.

- The conference recommendation were:

·        Nurses have an important role on operationlizing the Millennium Development Goals MDG’s in order to advocate and improve the quality of people living of our nations.

·        Agree on a global competency concepts of the graduated nurses and assure the integration and implementation of these competencies within the nursing curricula.

·        Create universal standards to assure accountability of nursing practices to wards others.

·        Shortage of nurses is a global issue; countries need to develop interventions that address regulatory issues to balance more workshops and more practice and other considerations in evidence passed practice

D. Rewarding excelling nursing graduates at Jordan Universities

Under the patronage of Her Royal Highness Princess Muna Al-Hussein the excelling nursing graduates from the different Jordan Universities has been rewarded on 9 August 2006.

 

 

 

E. Update the electronic site of JNC: Ongoing process

F. Release the Nursing National Strategy 2006-2010.

G. Use a Computerized system within the council facilities.

H. Launched the Leadership for Change program

Under the patronage of Her Royal Highness Princess Muna Al Hussein the President of the Jordanian Nursing Council, the program of Leadership for Change™ has been opened at the Jordanian Nursing Council on Thursday 14 November 2006, which is being implemented by the International Council of Nurses’(ICN), funded by WHO/EMRO and run collaboratively between the Ministry of Health and JNC. First workshop was held during 11-15 Nov. 2006 and other three workshops shall be conduct during the next coming years.

 

 

I. Accomplishing the nursing human resources plan 2006-2008, in collaboration with the various Jordan Universities, which include the followings:

(1) Psychiatric Care

(2) Mentorship in advance role

(3) Palliative Care

(4) Neonatal Care

(5) Gerontology

(6) Disaster Preparedness

 

J. Design the permanent location of the council

Amman Municipality has granted the Jordanian Nursing Council a land in Al-Jebeha/ behind the University of Jordan to build the permanent location of the council. The structure requirements has been prepared, and sketches of the new building will be prepared with the assistance of College of Engineering / Jordan University of Science and Technology

   2. Participating in activities outside Jordan:

A. Participating the Consultation of WHO/ Geneva 22-24 November 2006, on Nursing and Midwifery Contributions in Emergencies:

Her Royal Highness Princess Muna Al-Hussein, WHO Patron for Nursing and Midwifery in the Eastern Mediterranean Region, addressed the meeting and emphasized that as part of each country's overall plan for disaster preparedness, all nurses must have a basic understanding of disaster science and an awareness of its key components and an understanding of how people behave during a disaster

The objectives of the consultation were to:

·          Discuss roles and functions of nurses and midwives in emergency preparedness and response;

·          Identify the appropriate competencies and skills needed for nurses in emergencies;

·          Develop guidelines for incorporating "health action in crises and emergencies" into the academic curricula of nursing worldwide;

·          Establish priorities for in-service training programs on nursing role and response during emergencies, through use of innovative strategies and technology;

·          Discuss methods for coordinating efforts between nursing, other health professionals as well as other members of the rescue team during emergencies;

·         Identify the role of partners in support of training and deployment of nurses in case of emergencies.

Framework for strengthening nursing and midwifery response to emergencies

The meeting report provided the framework for strengthening the nursing and midwifery response during emergencies, disasters and other crises. The meeting confirmed the essential and unique roles of nurses and midwives and the need to improve the preparation of nurses at both the pre-service and continuing education levels in emergency response. Leadership is needed to ensure that nurses and midwives participate in all levels of emergency preparedness and response, with more action needed to enhance participation in the planning processes, at community, national and international levels. Nursing research in emergencies is also critical, and the meeting identified a global research agenda. The meeting recommendations provide practical strategies for the implementation of the framework. 

Core Competencies for nursing and midwifery

The following domains for nurses were designed to cover all phases of emergencies, disaster and other crises i.e. preparedness, response and recovery. In addition, the domains should be applied using an all-hazards approach that is inter-disciplinary and multi-sartorial.

1- Health policy, organizational and personal planning for emergencies

2- Leadership, coordination, and team work in emergency settings

3- Professional development, accountability, legality and ethics

4- Situation and needs assessment, information sharing, monitoring and evaluation

5- Care provision and management.  The WHO key public health technical priority areas for action in emergency settings are:

a. Mass Casualty Management

b. Maternal Newborn and Child Health

c. NCD including Mental Health / psych-social support

d. Environmental Health including WASH

e. Communicable Disease Surveillance and Control

f. Nutrition

g. Health Care Delivery Services (infrastructure, etc.)

h. Pharmaceuticals and Biologicals

6- Special key concerns

a. Caring for the most vulnerable

b. Gender and gender based violence

c. Security and personal safety

d. Psychosocial issues

Guidelines for pre-service curricula

Detailed guidelines for pre-service curricula based on the competencies identified above should be developed. Endorsement from agencies such as WHO, Nursing Council of Europe, ICN, National Nurses Association will increase the utility of guidelines. Guidelines include practical tips or documents from existing programs and utilize available resources, e.g. government support. Exchange between different institutions, exchange students and faculty.

For 4-year bachelor programmes, it was suggested that the first two years curricula should include: first aid, search and rescue.  More details on emergency preparedness and response should be provided in 3rd and 4th years' curricula. Post graduate programs in nursing in emergencies should be kept for nurses who opt to work in coordination or leadership roles

B. Collaboration with the ICN Observatory on Licensure and Registration:

Apart of its commitment to nursing regulation and supporting the role of regulators, the international Council of Nurses (ICN) established the ICN Observatory on Licensure and Registration.

ICN has long been active in regulatory policies and practices affecting the profession.

In recent years the globalization process, including decision about trade, has impacted increasingly and more directly on nurses, nursing and health care. Consequently the professional regulatory environment has become more complex and dynamic.

The Observatory has around 12 peoples as members and has been chosen because they are leaders in regulatory issues in their region

The Observatory is chaired by the ICN president and the ICN Chief Executive Officer who serve as an ex officio member

The key activities of the Observatory include:

1. Carrying out regular trend scanning.

2. Analyzing the impact of emerging regulatory policies/issues.

3. Identifying priority issues related to licensure and registration which should be addressed by ICN.

4. Assisting ICN to develop sound policy related licensure and registration.

5. Promoting strategic thinking and research on regulation.

6. Promoting collaborative action in the regulatory field.

The fist Observatory meeting was Nov. 2005 included introduction and work on agenda items and forecasting of how regulation will look like in 2015.

The second meeting   was on Nov. 2006included sharing experiences as to the new developments on regulation and registration, participants discussed the professional regulation of the future which included 12 themes, workforce changes, the regulator, political environment, environmental changes, technological advancement, societal change, educational changes, partnership and collaboration, ethics, models of care and changing role of the nurse, these changes are based on the balanced triangle which includes quality, cost and access.

The meeting also included report of the credentialing on specialization and sub specialization and the pressure from consumers to open new specialties.

The discussion included the accountability of the regulators, to whom should they be accountable, for what should they be accountable, how to measure their performance and how can be reported.

The session included also establishing a minimum dataset about regulators and their legislation including increased migration, who are the regulators, what are their powers, are we talking the same language, and where best practice is located.

Then research priorities about regulation were discussed, such as continuing competence, patient safety, prevention of errors, licensure, discipline, regulation of nursing education and others.

At the third day we discussed position statement of ICN regarding, cultural and linguistic competence, nature and scope of practice of nurse midwife, delegation and supervision, unlicensed personnel

C. Collaboration with the American Nurses Credentialing Center (ANCC)

 

On October 2006, the Secretary General of JNC has attended the first meeting of The American Nurses Credentialing Center (ANCC):

Council Members

1. Jean Floyed, the Chairperson of the ICI, USA

2. Fadwa Affara, ICI Co- chair, UK

3. Cecelia Mulvey. ICI Co-Chair, USA

4. Linda Aiken, USA

5. Rosemary Briant, Australia

6. Frances Husghes, Newzeland

7. Norilo Katada, Japan

8. Mariam Ovalle, Spain

9. Da’ad Shokeh, Jordan

10. Bente Sivertsen/ Denmark

The purpose of the ICI is to advise the board of directors of American Nurses Credentialing Center on international matters

The Responsibilities will be attending face-to-face meeting and holding teleconferences three times a year

The main Board consists of chairs of  1- commission and 2- institutes

The ANCC consists of commission and institutes, two consumers (solicitation and specialist knowledge) and 6 members of American Nurses Association( ANA).

1- Commission

a. Commission on accreditation which

- Accredits continuing education

- Accredits schools of nursing

- Business offering CE

- Accredits association for CE

- Authorize certain groups to approve program to service area

- Accreditation expanded such as offering conference, to bring about communities of creditors

- Accrediting hospitals

b. Commission on Certification: Largest Certification Corporation which includes certification of individuals.

There are three types of certification:

- Generalist Certification in on of the specialties

- Advanced Certification, instead of licensure, certification operates internationally

- Interdisciplinary Certification.

c. Magnet Commission: Grew out of research, right now there are 216 institution designated the Magnet, it is standard of excellence.

2- Institutes: are basically structures that provide support for programs such as:

- Magnet conference

- Publication

- Support for the accreditation program

- Research, Institute for credentialing research, which is responsible for research credentialing

- Institute for credentialing international, which is support from international perspective to provide world wide

Magnet:

Applying Magnet at international level with being culturally transferable is possible. The education system has to be considered as well as the health care system. Magnet is innovative not prescriptive.

There will be gap analysis at the unit level

Magnet have 14 forces, these are

1- Quality of nursing leadership

2- Organizational structure

3- Management style

4- Personnel policies and programs

5- Professional Models of care

6- Quality of care

7- Quality improvement,

8- Consultation and resources

9- Autonomy

10- Community of the hospital

11- Nurses as teachers

12- Image of nursing

13-  Interdisciplinary relationships

14- Professional development

Eligibility requirements:

Health care organization must meet the following

1- The organization exists

2- There will be more than one nursing setting with a single governing authority and one individual serving as the chief nursing officer who will be ultimately responsible for all areas in which nursing is practices and on the highest governing decision making and strategic planning body.

3- CNO must possess a Maters’ degree in nursing and being there for at least one year and should be there for the entire appraisal period.

4- Scope and standards for nurses administration must be currently implemented.

5- In the 5 years preceding application, the applicant nursing service must not have committed unfair labor practice as determined in a  fully and finally adjudicated arbitration proceeding or before national labor relations.

6- Applicant for Magnet recognition are required to participate in a national database that bench marks nurse sensitive indicators at the unit level.

 The importance of such committee to Jordan

1- Start  of the Journey towards Magnet in Jordan

2- Being accredited by the ANCC to accredit providers of continuing nursing education.

3- Being able to be the liaison for certification by the ANCC.

D. The WHO Aid of the Age-friendly cities project:

The benefits of the Age-friendly cities project:

For WHO:

To identify concrete indicators of an age-friendly city and produce a practical guide to stimulate and guide advocacy, community development and policy change to make urban communities age-friendly.

For participating cities:

To increase awareness of local needs, gaps, and good ideas for improvement in order to stimulate development of more age-friendly urban settings.

An age-friendly city:

·        Recognizes the great diversity among older persons

·        Promotes their inclusion and contribution in all areas of community life

·        Respects their decisions and lifestyle choices, and

·        Anticipates and responds flexibly to aging-related needs and preferences.

The Age-Friendly City project explicitly adopts a locally-driven and "bottom-up" approach that starts with the lived experience of older persons regarding what is, and what is not, age-friendly, and what could be done to improve their community's age-friendliness.  The knowledge and experience of public, voluntary and commercial service providers in the local community is then combined with the information from older persons to provide a more complete picture of the community's strong points and barriers in regard to age-friendliness.  This local assessment is communicated by project leaders to the public, older persons and decision-makers as the starting point for actions to make the community more age-friendly.

For participating cities, there are two major Phases to the project:

·        community assessment by focus groups:  August 2006 - February 2007

·        local dissemination of results:  April 2007 - June 2007

The implementation of the project within each country will require distinct competencies in overall project management, qualitative research and communications/public relations. Depending on his/her own availability and competencies, the project leader may wish to have one or two associates with particular skills to perform certain roles.

It strongly advised that a local project team be established comprising the project leader and associates as well as other persons and groups who can volunteer their expertise, networks and time to the project.  The local project team should include representatives of older persons' organizations and involve them in all aspects of the project.

E. Participation in other institution’s regular meetings:

- 59th World Health Assembly adopts resolution on strengthening nursing and midwifery

HRH Princess Muna Al Hussein addressed Committee A at the WHA  in May 24th and called upon member states to increase commitments and to recognize the centrality of human resources in particular midwives and nurses to better support health systems and promote effective operation in courtiers .the nurses and midwives attending the resolution felt very proud to be a  nurse or midwife and thanked HRH for taking time to advocate for nurses and midwives at the international forum.

 

The draft resolution was proposed by number of delegation including Jordan. Resolution WHA59.27 urges member states to confirm their commitment to strengthen nursing and midwifery, and providing support for the collection and use of nursing and midwifery core data as a part of national health information systems.

 

The strategic directions for nursing and midwifery services (2002-2008), developed by WHO and its partners provide a framework for collaborative action to support countries in enhancing the nursing and midwifery services that contribute to aching both national health goals and the health related Millennium Development Goals (MDGs) of the United Nation system

The main strategic areas are:

 

- Health panning, advocacy and political commitment.

- Management of health personnel for nursing and midwifery services.

- Practice and health systems improvement.

- Education of health personnel for nursing and midwifery services.

- Stewardship and governance.

 

F. Participating at the Global Alliance for Nursing and Midwifery Communities of Practice (GANM).

(a). HRH Princess Muna Al Hussein launched the Global Alliance on Nursing and Midwifery Communities of Practice (GAMN) through a video conference on 11 September 2006 at 1400 at the center of Environmental Health

7 countries across 6 regions where connected including Delhi, India, Amman Jordan, Manila, Philippines, Pretoria, south Africa, WHO Geneva, Switzerland Glasgow, United Kingdom, and Baltimore, USA

The forum was on Leadership for Action: The Contribution of Nurses and Midwives to Health and the Achievement of the Millennium Development Goals

The purpose of the link was to link with nursing and midwifery leaders around the globe to launch the Global Discussion Forum for Nursing and Midwifery through virtual communities of  practice on leadership for action- The Contribution of Nurses and Midwives to Health and the Achievement of Millennium Development Goals

In the launching the WHO Representative Jordan Dr. Hashim E Elmousaad hosted the video conference welcoming each site to the video conference and introducing the host Dr. M.Z. Khan Director of CEHA

Dr Manuel Dayrit, Director of Human Resources for Health welcomed participants on behalf of WHO and briefly outlined the purpose and then introduced the moderator Dr. Rowaida Al Maaitah

HRH Princess Muna Al Hussien addressed the participants and welcomed them all and pointed to the importance of using appropriate technology to network with colleagues from around the globe, to share their experiences, knowledge and expertise so that to learn from each other about each ones achievement sand how to address the challenges that is facing nursing and midwifery professions to improve the health of individuals, families and communities.

The moderators introduced Dr. Jean Yan, Chief Scientist, Nursing and Midwifery as the Chair of GAMN who summarized key issues discussed and the launch the GANM online Global Discussion Forum

The GANM has grown now to 1,100 members from 112 different countries.  There are many nurses and midwives who need someone to talk to, someone to collaborate with, and someone to learn from.

(b). On December 12, 2006 the GANM held an online session on Nursing Workforce Migration. We had 20 different sites connected for this session, many of whom were then broadcasting to numerous participants within their sites.

Countries represented were: India, USA, Switzerland, Tanzania, Kenya, Uganda, Brazil, Scotland, the Philippines, Thailand, and Jordan. Global experts presented and dialoged with participants.

Guest speakers included Dr. Jean Yan, Chief Nurse Scientist – WHO; Dr. Josefina Tuazon, Dean of the School of Nursing in Manila, Philippines; Dr. Marilyn Lorenzo, UPM-NIH & University of Philippines -Manila School of Public Health, Professor Richard Ganga-Limando, Aga Khan University, Kenya; and Senator Dr Rowaida Maaitah & Mrs  Daad Shokeh from the Jordanian Nursing Council.

The meeting lasted approximately 1.5 hours, Participants discussed the issue of migration from various perspectives, after the presentations from various countries; one fundamental issue was to take into consideration two rights, the right of the individual to migrate and the right of population for quality care.

Main recommendation from global perspective:

1. Collect data

2. Continuing networking

3. Consider ethical and socially acceptable issues in migration

Recommendation at national level:

1. Bilateral agreement between source and recipient countries

2. Establish committee or commission on Migration

3. Establish mechanism for retention 

 

 

 

 

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