Recent changes to the Health Practitioner Regulation National Law (the National Law), passed by the Queensland Parliament, will mean that nursing and midwifery will be recognised as two separate professions, regulated by the Nursing and Midwifery Board of Australia (NMBA). The NMBA is pleased with this change as it formally acknowledges the distinction between the professions of nursing and midwifery within the National Law.
Last month the NMBA published the new Code of conduct for nurses and Code of conduct for midwives which take effect on 1 March 2018. The new codes share four domains of conduct and you can find out more about the second domain, ‘practise safely, effectively and collaboratively,’ in this newsletter.
Associate Professor Lynette Cusack RN
Chair, Nursing and Midwifery Board of Australia
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The NMBA has published the new Code of conduct for nurses and Code of conduct for midwives (the codes), which take effect for all nurses and midwives in Australia on 1 March 2018. The codes apply to you even if your employer also has a code of conduct.
The codes share four domains of conduct, and the second domain in the new codes is 'practise safely, effectively and collaboratively.' This domain is underpinned by two principles and their value statements.
For nurses, the principles of 'practise safely, effectively and collaboratively' are:
For midwives, the principles of 'practise safely, effectively and collaboratively' are:
The principles of 'person-centred practice' and 'woman-centred practice' give guidance for nurses and midwives around decision-making, informed consent, adverse events and open disclosure.
'Cultural practice and respectful relationships' sets out the expectations for nurses and midwives in relation to important issues such as bullying and harassment, so that we can all work towards safe care. Culturally safe and respectful practice requires having knowledge of how a nurse’s or midwife’s own culture, values, attitudes, assumptions and beliefs influence their interactions with people and families, the community and colleagues.
For more information and to view the Code of conduct for nurses and the Code of conduct for midwives in full, please visit the NMBA website.
Each month the NMBA meets to make decisions on the regulation of nursing and midwifery in Australia.
The NMBA met in Canberra in September and took the opportunity to hold an information forum for nurses and midwives at Canberra Hospital about the role of the NMBA in upholding the standards of the professions, and the new codes of conduct. The Chair of the ACT Board, Emma Baldock, joined the NMBA meeting and reflected on the valuable experience that this opportunity provides in better understanding the National Board’s overarching governance and policy setting responsibilities.
The NMBA stays in touch with the diverse roles of nursing and midwifery in Australia in a number of ways. NMBA members have diverse experience in nursing and midwifery, and in the community. The NMBA also engages with nurses and midwives at information sessions in hospitals and other workplaces, and at meetings and conferences for specific areas of practice.
This month the NMBA and its policy team attended the 2017 CATSINaM Professional Development Conference, with the powerful theme of 'Claiming our Future' with the aim to work towards an integrated approach to improving the outcomes for Aboriginal and Torres Strait Islander Australians. The conference also highlighted the very real difference being made in Aboriginal and Torres Strait Islander health by CATSINaM members.
The NMBA and its policy team also participated in the National Enrolled Nurse Association Conference in Hobart, the CRANAplus Conference to stay in touch with the latest developments in the remote and isolated health workforce of Australia, and the Australian College of Mental Health Nurses Conference.
To see the September decisions on approved programs of study leading to registration and endorsement, please view the communiqué:
The NMBA together with the Australian and New Zealand Council of Chief Nursing and Midwifery Officers (ANZCCNMO) have released a discussion paper on prescribing.
The purpose of the paper is to begin the conversation to develop an approach to registered nurse (RN) and midwife prescribing. The NMBA and ANZCCNMO encourage feedback to the paper, especially from service delivery leaders in nursing and midwifery, on how RN and midwife prescribing could improve health service delivery for better health outcomes.
To view the discussion paper and have your say please visit the current consultations section of the NMBA website.
The NMBA and the Australian College of Nursing (ACN) are hosting the inaugural National Regulation Seminar in Melbourne on 15 November 2017: ‘2030 and beyond: the future of nursing regulation.’
This seminar will feature a keynote presentation by the United States National Council of State Boards of Nursing (NCSBN) Chief Executive Officer David Benton. David Benton will then be joined by NMBA Chair Associate Professor Lynette Cusack, ACN President Professor Christine Duffield FACN, Australian Health Practitioner Regulation Agency (AHPRA) Chief Executive Officer Martin Fletcher and Commonwealth Chief Nursing and Midwifery Officer Adjunct Professor Debra Thoms FACN (DLF) for a panel discussion.
Come along to be informed by our high profile panel presenters, have your say on nursing regulation and enjoy networking with nurse leaders from around the country over a three course meal.
The seminar will be held at Rydges Melbourne, 186 Exhibition Street, at 6.30pm on Wednesday 15 November 2017. More information including registration details are available on the ACN website.
Final-year students who will soon complete their studies can go online now to apply for registration with the NMBA before they graduate.
Graduates need to be registered with the NMBA before they start practising and must meet the registration requirements to be an enrolled nurse, registered nurse and/or midwife.
For more information, please read the news item.
The NMBA recently published a policy on mothercraft nursing. In September’s newsletter we incorrectly linked to a fact sheet on mothercraft nursing.
You can view the mothercraft policy on the NMBA website.
A Victorian woman has pleaded guilty to claiming to be a registered nurse when she was a student and a second woman has pleaded guilty of supporting her to do so.
AHPRA, on behalf of the NMBA, has prosecuted a student nurse for claiming to be a registered nurse when she was not and a registered nurse for playing her part in supporting the student nurse to do so.
This is the first case where AHPRA has prosecuted an individual for holding another person out as a registered health practitioner.
For more information read the news item.
The Health Practitioner Regulation National Law and Other Legislation Amendment Bill 2017 has been passed by the Queensland Parliament and has received royal assent. This Bill contains amendments to the National Law that will apply in all states and territories except Western Australia (South Australia also needs to make a regulation to give effect to the amendments). The Legislative Assembly of the Parliament of Western Australia has also passed a corresponding amendment Bill (the Health Practitioner Regulation National Law (WA) Amendment Bill 2017) which will now be considered by the Legislative Council.
The passing of the Bill in Queensland marks a significant day for health practitioner regulation as these are the first legislative amendments to the National Law since the start of the National Scheme in 2010. The changes to the National Law will enable the Paramedicine Board of Australia to be established with the appointment of inaugural board members by health ministers in the near future. Also, new measures that strengthen public protection will be introduced and there will be formal recognition of nursing and midwifery as two separate professions regulated by the NMBA.
The amendments include:
Decisions about proposed amendments to the National Law are made by health ministers and the governments of all states and territories, with the changes progressed through the Queensland Parliament (as the host jurisdiction of the National Law), and the Western Australian Parliament. AHPRA will work with National Boards, governments, health departments, professions and consumer representatives to support the implementation of the changes to the National Law into daily operations.
While the Queensland Bill has received royal assent, many of the changes to the National Law are likely to occur in a staggered process over the coming months.
The Health Practitioner Regulation National Law and Other Legislation Amendment Act 2017 as passed by the Queensland Parliament can be accessed on the Queensland Parliament website.
More information on the regulation of paramedics under the National Scheme is available on the AHPRA website.
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