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PORTFOLIO COMMITTEE ON HEALTH
Nursing Colleges in South Africa02 August 2009By SA Mchunu-Acting Registrar
Regulate the nursing and midwifery professionsto ensure safe and quality practice
PRESENTATION FORMAT
1. Context of nurse training & education2. Differentiation of Nursing Education
Institutions( NEIs)3. The brief: The number of nursing colleges /NEIs Funding of Nursing Colleges/NEIs Accreditation & Registration of NEIs4. Conclusion
Regulate the nursing and midwifery professionsto ensure safe and quality practice
1. Context of nurse education & training
Located within nursing education institutions (NEIs)
Accreditation by the Nursing Council Categories of NEIs Universities –nursing science units Universities of Technologies Nursing colleges Nursing Schools-public & private
Regulate the nursing and midwifery professionsto ensure safe and quality practice
Context (contd)
Offered programs lead to awarding of Short course certificates One-two year certificates Diplomas-both pre-and post-graduate Degrees all levels Offering dependant on nature of NEI Higher Education Institution(HEI)or Further Education & Training Inst.
Regulate the nursing and midwifery professionsto ensure safe and quality practice
Differentiation of NEIs
Nursing colleges Post-secondary education institutions Not defined as Higher Education Inst. May be declared as HEIs Cooperative agreements –universities Own councils and senates Provincial competencies-Health Dept. Offer any programme except degrees
Regulate the nursing and midwifery professionsto ensure safe and quality practice
Differentiation(contd)
Universities/of Technology Established or deemed as HEIs National competency Budget-National Dept. of Education Can offer all nursing programs and
award certificate to degree
Regulate the nursing and midwifery professionsto ensure safe and quality practice
Differentiation (contd)
Public Nursing Schools Hospital administration including
budget Under nursing service managers Private Nursing Schools Entities of hospital groups or Individual or groups of persons Both become juristic persons
Regulate the nursing and midwifery professionsto ensure safe and quality practice
Numbers of Colleges/ NEIs
Universities/of technology=21 Nursing colleges =34 campuses Public Nursing Schools =88 Private Nursing Schools =81 Total of active schools =224Table below provides breakdown
according to provinces Total of inactive schools =????177
Regulate the nursing and midwifery professionsto ensure safe and quality practice
Breakdown per provinceGP KZN L MP NW FS EC WC NC TOTA
L
Universities
7 3 2 0 2 1 3 3 0 21
Colleges
6 11 3 1 3 3 5 2 1 34
Nursing schools
4 15 16 16 8 9 14 6 0 88
Private Nursing Schools
28 30 0 4 2 4 3 10 0 81
TOTAL
45 59 21 21 14 17 25 21 1 224
Regulate the nursing and midwifery professionsto ensure safe and quality practice
Funding Of Nursing Colleges
Various models depend on province: College budget- Provincial DoH-
personnel, operations, affiliation/agency agreements
Bursary system for students Stipend-salary or remnant of bursary Self-funding of post-grad. Students Private-Public Partnership(private sector
students) Regulate the nursing and midwifery professions
to ensure safe and quality practice
Accreditation & Registration
Previously sole mandate of Council Currently managed by: Different laws-(complementary/
conflicting) Several strategic partners-different
legal mandates Processes –overlapping, complex Cooperation critical –education& health
Regulate the nursing and midwifery professionsto ensure safe and quality practice
Overarching Legislation
Constitution of the RSA Act Right to provisioning of education Responsibility to maintain standards National Health Act, 2003 Delegated function to regulate
nursing profession-set standards for nursing education
NB Health Care System(Health Ministry)
Regulate the nursing and midwifery professionsto ensure safe and quality practice
Core Legislation Nursing act,2005 – Council may:√ Accredit institutions as nursing
education institutions√ Accredit nursing programs√ Withdraw or suspend accreditation of
NEI for failure to comply with prescribed requirements
SANC responsible for standards and quality of nursing education & training
Regulate the nursing and midwifery professionsto ensure safe and quality practice
Other Legislation (Education Ministry)
South African Qualifications Authority Act, 1995- SAQA as powerhouse
(National Qualifications Act,2008) One National Framework for all
qualifications in SA Generation, registration of all
qualifications by SAQA Professional Bodies(Councils) & SETAs
as quality assurance bodies Regulate the nursing and midwifery professions
to ensure safe and quality practice
Other legislation (contd)
Higher Education Act, 1997 (Amendment Act, 2008) Council on Higher Education (CHE) All statutory responsibility for higher
education (all 12 learning fields- health, engineering, science etc.)
Accreditation of institutions and programs, including nursing.
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Other Legislation(contd)
Further Education &Training Act,1998 (Amendment Act , 2008) Council for FET- Umalusi Overall responsibility for education in
FET-all learning fields Nursing schools fall in this category
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Strategic Partners For Accreditation
Regulate the nursing and midwifery professionsto ensure safe and quality practice
SANC
CHE NEIs UMALUSI
DOE (private)
Registration of NEIs
Not for public nursing colleges and schools
Only for private institutions Additional accreditation criteria Accreditation by CHE & Umalusi, then Registration with Department of
Education
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Process of Accreditation
Application in writing Self –assessment by NEI Information & Documentation Site visit to institution Site visit to practical learning sites Overall evaluation of capacity Granting or not, of Accreditation
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Role of other DoE Councils
Require compliance with own criteria by institutions
Require accreditation reports of SANC Request registration with DoE on
compliance with both above FUTURE Process to be outlined in line with
2008 legislation and changed roles
Regulate the nursing and midwifery professionsto ensure safe and quality practice
CONCLUSION
Nursing affected by education legislation of the country
Affected same way as other non-education learning filelds
Colleges face unique challenge- offer mixed bag of higher and further education qualifications
One leg in HE and another in FET
Regulate the nursing and midwifery professionsto ensure safe and quality practice
THANK YOU
Regulate the nursing and midwifery professionsto ensure safe and quality practice