Excursus sull’educazione in ambito pediatrico in Europa e sulle implicazioni per la pratica

1. Excursus sull’educazione in ambito pediatrico in Europa e sulle implicazioni per la pratica Dr Carol Hall RGN, RSCN, RNT, PhD, BSc (Hons) PG DipAd/Ed, FHEA

2. Thank you for inviting me......

3. My work • Childrens Nurse, General Nurse, Registered Nurse Teacher in the UK • Associate Professor,The University of Nottingham UK. • Executive Council Member Fedration of European Nurse Educators (FINE). and Co-ordinator of UK Group • Chair of Education Forum, Royal College of Nursing UK and member representative for international office on EU Education issues . • Member: of UK Nursing and Midwifery Council EU Forum. • Member of expert advisory group for UK Council of Deans for Health on EU Education issues.

4. This presentation will address the following: Nursing education across Europe Paediatric nursing across Europe Official qualification of paediatric nurses and types of education Education for paediatric nurses to work in adult or general field and Education for general nurses to work in paediatric field Advanced  education or continuous education for paediatric nurses The title of ‘paediatric nurse’ across Europe , The ‘paediatric nurse’ as a clinical expert Future perspectives?

5. Influences in Nursing Education across Europe in 2012 • Nursing Priority - Children First = Health needs of children and families locally, Regionally, Nationally, EU wide and Globally • Academic Priority - Nursing study and academic recognition • Professional Priority - Nursing work and professional recognition • Economic Priority - Health Economy costs in country Cannot be separated but currently are......

6. Nursing Priorities - Children and Families First Children and adolescents (young people) have the right to be cared for by appropriately qualified and educated nursing staff. Children and their families/guardians have a right to know that the nurse who cares for their child is specifically educated and competent to do so i.e. one who has successfully completed a recognised course of study and practice experience in the nursing care of infants, children and adolescents / young People. Paediatric Nursing Associations of Europe: Position statement on the Regulation of Paediatric Nurses in Europe (2005) http://www.rcn.org.uk/__data/assets/pdf_file/0008/371357/Regulation_Agreed_October_05.pdf

7. Professional/Legal Concerns • Temporary provision of services • Automatic recognition of professional qualifications • (General Nursing) • Recognition of Professional Experience in certain • activities • The General System (Paediatric Nursing) • http://ec.europa.eu/internal_market/qualifications/index_en.htm National competent authorities (must) decide whether or not to recognise professional qualifications obtained in other EU countries, in accordance with European legislation. EU Directive EC/36/2005 In so doing, they are also expected to follow the common rules set out in a Code of Conduct.. This relates to:-

8. Academic Concerns • To ensure more comparable, compatible and coherent systems of education in Europe. • The European Higher Education Area (EHEA) • Bologna Process (1999) • Copenhagen Process (2002) • European Qualifications Framework - The EQF aims to relate different countries' national qualifications systems • to a common European reference framework.. • TUNING

9. Economic Concerns • Cost of current provision • Cost of change • Benefit to population/professions

10. Paediatric Nursing Education – The Tensions

11. Paediatric Nurse Education in Europe (PNAE, 2007) Variations across Europe in the educational preparation of nurses who care for children and young people are a barrier to mutual recognition and geographical mobility of nurses. They also indicate variability in the quality of care that is provided to child citizens. To address these inequities, paediatric nurse education programmes need to be in place that: • enable the student to achieve the required competencies and academic credits • have the approval of that professional regulatory body, national paediatric nursing association, an education institution and or a combination of these • enable the student completing the programme to register as a paediatric nurse with the professional regulatory organisation of the country; • can be recognised by individual member states to facilitate the registered paediatric nurse to work across Europe.

12. Education Provision for Paediatric Nursing in Europe - PNAE Survey (Smith, 2011)

13. Registration

14. Level of Study

15. In summary - where is Paediatric Nursing Education in the EU in 2012? • Legally separated from General Care Nursing (EC/36/2005) • Continuing Professional differences in preparation across EU– PNAE Survey (2010) • Academic differences across EU Vocational or HE/Diploma, Bachelors or Masters or all of these. • The PNAE Recommendations of 2012 still stand Strong unity and mission focussed on Children and Family Health Needs

16. Questions for Future An ‘official’ qualification for paediatric nurses? • Academic • Professional/Legal • Economic • Children First

17. Questions for the Future What education is possible for paediatric nurses to work in other fields and what education is there for general nurses to work in a paediatric field? • Children First • Academic • Professional/Legal • Economic

18. Questions for the FutureWhat about advanced  education and continuous education for paediatric nurses • Academic • Professional/Legal • Economic • Children First

19. Questions for the FutureWill the title paediatric nurse be acknowledged across Europe , for nurses to work in different country from that in which the student took the title? • Children First • Academic • Professional/Legal • Economic

20. - Questions for the FutureWhat about the pediatric nurse as clinical expert to guide the nursing care of general nurses? • Children First Ensuring and providing expert care wherever children are...... • Academic - Creating Experts Opportunities for expanding and developing practice and theory, Research agenda, clinical specialism and clinical Phd, • Professional/Legal - More complex due to differences in registration • Economic – Difficult to ensure change unless a mass of expertise make paediatric nursing a desirable ‘must have’

21. In Conclusion - Do the Differences Matter? • Level • Competence • Transferability • Partial access • Title • Advanced Practice

22. Discussion - Future perspectives • Children First • Academic • Professional/Legal • Economic

23. Thank You