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ZAMBIA UNION OF NURSES ORGANISATION (ZUNO) By Thom D. Yung’ana PRESIDENT. TO THE SANNAM CONFERENCE AND WORKSHOP HELD FROM 2 ND TO 5 TH OCTOBER 2007, PRETORIA, SOUTH AFRICA. CONTENTS :.
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ZAMBIA UNION OF NURSES ORGANISATION (ZUNO) By Thom D. Yung’ana PRESIDENT. TO THE SANNAM CONFERENCE AND WORKSHOP HELD FROM 2ND TO 5TH OCTOBER 2007, PRETORIA, SOUTH AFRICA.
CONTENTS: • Brief back ground of the Zambia Nurses Association (ZNA) and the General Nursing Council of Zambia (GNC). • GNC Role as a Regulatory Body • Regulatory Elements • Shift from ZNA to ZUNO • Impact on membership • Conclusion.
BRIEF BACKGROUND: • ZNA (formerly; Northern Rhodesia Nurses Association and now called the Zambia Union of Nurses Organization (ZUNO)) was formed in 1950 as an authoritative voice for nurses and the nursing Profession. • ZNA became ICN full member in 1953: as first African member state with Congo. • It played an active role in matters of professional regulation (in addition to its primary functions for continuous education, advocacy and lobbying for professionalism and Socio-Economic Welfare among nurses). • Because of the need to regulate Nursing Practice, ZNA played an active role resulting in the enactment of the Medical and professional allied Act (1965), then subsequently the Nurses and Midwives Act 1970 (amended 1997). • As a result of its initial role, up to now, unfortunately, some sections of our society still think that ZNA is there to regulate the nursing profession, therefore, can not be transformed into a trade union.
NURSING REGULATION IN ZAMBIA • Through ZNA’s active advocacy and lobbying: • The General Nursing Council of Zambia (GNC) was born, through an Act of parliament, The Nurses and Midwives Act of 1970, and amended in 1997. • Therefore, GNC is the nurses’ regulatory body, while ZUNO is the nurses’ representative body. • Nursing in Zambia is not self regulating, it is regulated by an Act of Parliament.
RELATIONSHIP BETWEEN GNC AND ZNA (Now ZUNO) • The relationship is extremely good: • The GNC representative seats on the ZUNO National Council meetings, and • The ZUNO representative also seats on the GNC Board meetings. • Respect, mutual trust, and consultation between ZUNO and GNC are the key values for our success as a nursing profession in Zambia.
GNC’s Role as a Regulatory Body • Regulation of the nursing profession: • Regulates nursing practice by putting in place a nurses’ professional code of conduct. • Regulates education and training through development and reviewing of the curriculum. • Sets nursing standards to promote patient safety.
GNC’s Role Cont….. • Registers Nurses and Midwives and keeps a register • Registers training colleges for Nurses and Midwives • Registers and regulates nursing homes and agencies • Enforces the professional code of conduct
THE ROLE OF ZUNO IN NURSING REGULATION: • ADVOCANCY AND LOBBYING • INFLUENCING PARLIAMENTARIANS AND GNC TO CONTINUOSLY UPDATE NURSING REGULATIONS. • TO PROVIDE CHECKS AND BALANCES TO GNC ON ADHERANCE TO THE NURSING ACT.
ZNA TO ZUNO Cont.. • the Zambian nurses socio-economic welfare is lower than want is expected, but zna could not intervene since intervention in such matters is a preserve of trade unions and not associations. • hence the transformation of zna into zuno which is both a professional organization and a trade union for nurses in Zambia.
IMPACT OF TRANSFORMATION ON MEMBERSHIP: • AMONG OTHER STRATEGIES SUCH AS THE ZUNO/NNO HIV/AIDS PROJECT, POINT OF PAY MEMBERSHIP SUBSCRIPTION DECDUCTIONS APPROACH, THE TRANSFORMATION OF ZNA INTO ZUNO HAS GREATLY CONTRIBUTED TO INCREASED MEMBERSHIP.
IMPACT ON MEMBERSHIP Cont… • MEMBERSHIP STATUS WAS AS FOLLOW OUT OF APPROX. 10,000 NURSES: • 2002 - 832 members (ZNA) • 2003 - 1500 (ZNA Transformation begins) • 2004 - 5000 members (ZNA) • 2005 (1st Q) 200 members (Govt. policy chg) • 2006 - 4000 members (ZNA) • 2007 (2/3rd Q) 5000 members (ZNA) • 2007 (3rd Q) 2000 members (ZUNO M/bers)
CONCLUSION: • Nursing regulation is at different levels, in different forms with different impact on nurses and other stakeholders. • Therefore, regulations are inseparable with nursing and nursing institutions, the only challenge lies in identifying the right regulations at the right time for the right group of people. • THE FIGHT FOR THE NURSES AND PATIENTS’ RIGHTS AND SAFETY REMAINS OUR PRIORITY IN ALL OUR ACTIVITIES.
SHIFT FROM ZNA TO ZUNO AS A MATTER OF NEED AND NOT WANT. • Relevance of any body that claims to represent and empower its members is greatly influenced by the legal frame work in which it operates. • The legal framework should be responsive to the members’ need, otherwise leaders risk being accused for being ineffective even on matters leaders have no legal authority to execute.
THANKYOU ZAMBIA UNION OF NURSES ORGANISATION (ZUNO)