Nursing Specialization in the UAE 2013 - GCC... · Oncology nursing Orthopaedic nursing Ostomy...

Nursing Specialization in the UAE

Specialization Committee

Prepared by : Michelle Machon, RN, MSN Presented by: Aysha Al Mehri, RN

Nursing Specialization

Specialization refers to

“the acquisition of a level of knowledge and skill in a particular area of nursing/ patient population which is greater than that acquired during the course of basic nursing education”

(ICN, 2009)

Levels of Specialty

Description Education Qualification

A nurse with experience in a certain area of nursing who is recognized by the employer or licensing authority as “specialized” in the field.

No formal education

RN

Specialty specific certificate short courses e.g. one month wound care course

RN

Specialty nurses without general RN training (e.g. pediatrics, psychiatry, etc.)

3 year “direct entry” degree

RN

Post RN graduate specialty programs focusing on a patient population (e.g. peds, critical care, etc.)

12-18 month post-graduate diploma

Specialty RN

Specialized in a specific patient population/disease process (e.g. Cardiology or Neurosurgery Clinical Nurse Specialist) or in a functional field of nursing (quality, education etc)

Masters level program

Specialty RN or Advanced Practice RN

“Advanced practice” nurse training resulting in autonomous practitioners (Nurse Practitioner/Nurse Anesthetist).

Masters or PhD level

Advanced Practice RN

Possible Specialties worldwide 200 + including: Ambulatory care nursing Advanced practice nursing Burn nursing Camp nursing Cardiac nursing Cardiac catheter laboratory nursing Medical case management Community health nursing Correctional nursing Critical care nursing Emergency and trauma nursing Environmental health nursing Faith community nursing Flight nursing Forensic nursing Gastroenterology nursing Genetics nursing Geriatric nursing Health visiting Holistic nursing Home health nursing Hospice and palliative care nursing

Hyperbaric nursing Immunology and allergy nursing Intravenous therapy nursing Infection control nursing Infectious disease nursing Legal nursing Maternal-child nursing Medical-surgical nursing Mental health or psychiatric nursing Midwifery Military and uniformed services nursing Neonatal nursing Neurosurgical nursing Nursing informatics Nursing management Nursing research Obstetrical nursing Occupational health nursing Oncology nursing Orthopaedic nursing Ostomy nursing Pediatric nursing Perianesthesia nursing

Perioperative nursing Private duty nursing Psychiatric or mental health nursing Public health nursing Pulmonary nursing Quality improvement Radiology nursing Rehabilitation nursing Renal nursing School nursing Space nursing Sub-acute nursing Substance abuse nursing Surgical nursing Telenursing Telephone triage nursing Transplantation nursing Travel nursing Urology nursing Utilization management Wound care

http://en.wikipedia.org/wiki/Ambulatory_care_nursing





http://en.wikipedia.org/wiki/Advanced_practice_nurse

http://en.wikipedia.org/w/index.php?title=Burn_nursing&action=edit&redlink=1

http://en.wikipedia.org/w/index.php?title=Camp_nursing&action=edit&redlink=1

http://en.wikipedia.org/wiki/Cardiac_nursing

http://en.wikipedia.org/wiki/Cardiac_catheter_laboratory_nursing

http://en.wikipedia.org/wiki/Medical_case_management

http://en.wikipedia.org/w/index.php?title=Community_health_nursing&action=edit&redlink=1

http://en.wikipedia.org/w/index.php?title=Correctional_nursing&action=edit&redlink=1

http://en.wikipedia.org/wiki/Critical_care_nursing

http://en.wikipedia.org/wiki/Emergency_nursing

http://en.wikipedia.org/w/index.php?title=Environmental_health_nursing&action=edit&redlink=1

http://en.wikipedia.org/wiki/Faith_community_nursing

http://en.wikipedia.org/wiki/Flight_nurse

http://en.wikipedia.org/wiki/Forensic_nursing

http://en.wikipedia.org/w/index.php?title=Gastroenterology_nursing&action=edit&redlink=1

http://en.wikipedia.org/wiki/Genetics_nursing

http://en.wikipedia.org/wiki/Geriatric_nursing

http://en.wikipedia.org/wiki/Health_visitor

http://en.wikipedia.org/wiki/Holistic_nursing

http://en.wikipedia.org/wiki/Home_health_nursing

http://en.wikipedia.org/w/index.php?title=Hospice_nursing&action=edit&redlink=1

http://en.wikipedia.org/wiki/Hyperbaric_nursing

http://en.wikipedia.org/w/index.php?title=Immunology_and_allergy_nursing&action=edit&redlink=1

http://en.wikipedia.org/w/index.php?title=Intravenous_therapy_nursing&action=edit&redlink=1

http://en.wikipedia.org/w/index.php?title=Infection_control_nursing&action=edit&redlink=1

http://en.wikipedia.org/w/index.php?title=Infectious_disease_nursing&action=edit&redlink=1

http://en.wikipedia.org/wiki/Legal_nurse_consultant

http://en.wikipedia.org/wiki/Maternal-child_nursing



http://en.wikipedia.org/wiki/Medical-surgical_nursing



http://en.wikipedia.org/wiki/Psychiatric_and_mental_health_nursing

http://en.wikipedia.org/wiki/Midwifery

http://en.wikipedia.org/wiki/Military_nurse


http://en.wikipedia.org/wiki/Neonatal_nursing

http://en.wikipedia.org/w/index.php?title=Neurosurgical_nursing&action=edit&redlink=1

http://en.wikipedia.org/wiki/Nursing_informatics

http://en.wikipedia.org/wiki/Nursing_management

http://en.wikipedia.org/wiki/Nursing_research

http://en.wikipedia.org/wiki/Obstetrical_nursing

http://en.wikipedia.org/wiki/Occupational_health_nursing

http://en.wikipedia.org/wiki/Oncology_nursing

http://en.wikipedia.org/wiki/Orthopaedic_nursing



http://en.wikipedia.org/wiki/Ostomy_nursing



http://en.wikipedia.org/wiki/Pediatric_nursing

http://en.wikipedia.org/wiki/Perianesthesia_nursing



http://en.wikipedia.org/wiki/Perioperative_nursing

http://en.wikipedia.org/wiki/Private_duty_nursing


http://en.wikipedia.org/wiki/Public_health_nursing

http://en.wikipedia.org/w/index.php?title=Pulmonary_nursing&action=edit&redlink=1

http://en.wikipedia.org/wiki/Quality_improvement

http://en.wikipedia.org/w/index.php?title=Radiology_nursing&action=edit&redlink=1

http://en.wikipedia.org/w/index.php?title=Rehabilitation_nursing&action=edit&redlink=1

http://en.wikipedia.org/w/index.php?title=Renal_nursing&action=edit&redlink=1

http://en.wikipedia.org/wiki/School_nursing

http://en.wikipedia.org/wiki/Space_nursing

http://en.wikipedia.org/w/index.php?title=Sub-acute_nursing&action=edit&redlink=1



http://en.wikipedia.org/w/index.php?title=Substance_abuse_nursing&action=edit&redlink=1

http://en.wikipedia.org/wiki/Surgical_nursing

http://en.wikipedia.org/wiki/Telenursing

http://en.wikipedia.org/wiki/Telephone_triage_nursing

http://en.wikipedia.org/w/index.php?title=Transplantation_nursing&action=edit&redlink=1

http://en.wikipedia.org/wiki/Travel_nursing

http://en.wikipedia.org/w/index.php?title=Urology_nursing&action=edit&redlink=1

http://en.wikipedia.org/wiki/Utilization_management

http://en.wikipedia.org/wiki/Wound_care

NMC Proposed Nursing Specialization Model for the UAE

Specialty RN Education The SRN will have completed not less than one year of study (or equivalent) in their specialization, either a specialty diploma or non-clinical masters. Requirements for entry to a specialty nurse program would stipulate that the student would be a Registered Nurse already licensed in the UAE. Additionally, UAE graduates would have completed the Graduate Nurse Internship (GNI) program. Practice The SRN will ideally work in that area of specialty practice after completing the specialty education. The SRN will have advanced knowledge and clinical expertise in the specialty field and can support other nurses in decision making within the specific patient population. Registration The SRN will have the specialization “noted” on the GRN license in the form of a “recordable qualification”. The GRN who has recently completed specialty education, will come to the council to obtain a new title on the register, and not to obtain a new license.

Focus areas for UAE Ambulatory care nursing Advanced practice nursing Burn nursing Camp nursing Cardiac nursing Cardiac catheter laboratory nursing Medical case management Community health nursing Correctional nursing Critical care nursing Emergency and trauma nursing Environmental health nursing Faith community nursing Flight nursing Forensic nursing Gastroenterology nursing Genetics nursing Geriatric nursing Health visiting Holistic nursing Home health nursing Hospice and palliative care nursing Hyperbaric nursing

Immunology and allergy nursing Intravenous therapy nursing Infection control nursing Infectious disease nursing Legal nursing Maternal-child nursing Medical-surgical nursing Mental health or psychiatric nursing Midwifery Military and uniformed services nursing Neonatal nursing Neurosurgical nursing Nursing informatics Nursing management Nursing research Obstetrical nursing Occupational health nursing Oncology nursing Orthopaedic nursing Ostomy nursing Pediatric nursing Perianesthesia nursing

Perioperative nursing Private duty nursing Psychiatric mental health nursing Public health nursing Pulmonary nursing Quality improvement Radiology nursing Rehabilitation nursing Renal nursing School nursing Space nursing Sub-acute nursing Substance abuse nursing Surgical nursing Telenursing Telephone triage nursing Transplantation nursing Travel nursing Urology nursing Utilization management Wound care


http://en.wikipedia.org/wiki/Advanced_practice_nurse

http://en.wikipedia.org/w/index.php?title=Burn_nursing&action=edit&redlink=1

http://en.wikipedia.org/w/index.php?title=Camp_nursing&action=edit&redlink=1

http://en.wikipedia.org/wiki/Cardiac_nursing

http://en.wikipedia.org/wiki/Cardiac_catheter_laboratory_nursing

http://en.wikipedia.org/wiki/Medical_case_management

http://en.wikipedia.org/w/index.php?title=Community_health_nursing&action=edit&redlink=1

http://en.wikipedia.org/w/index.php?title=Correctional_nursing&action=edit&redlink=1

http://en.wikipedia.org/wiki/Critical_care_nursing

http://en.wikipedia.org/wiki/Emergency_nursing

http://en.wikipedia.org/w/index.php?title=Environmental_health_nursing&action=edit&redlink=1

http://en.wikipedia.org/wiki/Faith_community_nursing

http://en.wikipedia.org/wiki/Flight_nurse

http://en.wikipedia.org/wiki/Forensic_nursing

http://en.wikipedia.org/w/index.php?title=Gastroenterology_nursing&action=edit&redlink=1

http://en.wikipedia.org/wiki/Genetics_nursing

http://en.wikipedia.org/wiki/Geriatric_nursing

http://en.wikipedia.org/wiki/Health_visitor

http://en.wikipedia.org/wiki/Holistic_nursing

http://en.wikipedia.org/wiki/Home_health_nursing

http://en.wikipedia.org/w/index.php?title=Hospice_nursing&action=edit&redlink=1

http://en.wikipedia.org/wiki/Hyperbaric_nursing

http://en.wikipedia.org/w/index.php?title=Immunology_and_allergy_nursing&action=edit&redlink=1

http://en.wikipedia.org/w/index.php?title=Intravenous_therapy_nursing&action=edit&redlink=1

http://en.wikipedia.org/w/index.php?title=Infection_control_nursing&action=edit&redlink=1

http://en.wikipedia.org/w/index.php?title=Infectious_disease_nursing&action=edit&redlink=1

http://en.wikipedia.org/wiki/Legal_nurse_consultant








http://en.wikipedia.org/wiki/Midwifery



http://en.wikipedia.org/wiki/Neonatal_nursing

http://en.wikipedia.org/w/index.php?title=Neurosurgical_nursing&action=edit&redlink=1

http://en.wikipedia.org/wiki/Nursing_informatics

http://en.wikipedia.org/wiki/Nursing_management

http://en.wikipedia.org/wiki/Nursing_research

http://en.wikipedia.org/wiki/Obstetrical_nursing

http://en.wikipedia.org/wiki/Occupational_health_nursing

http://en.wikipedia.org/wiki/Oncology_nursing







http://en.wikipedia.org/wiki/Pediatric_nursing




http://en.wikipedia.org/wiki/Perioperative_nursing

http://en.wikipedia.org/wiki/Private_duty_nursing


http://en.wikipedia.org/wiki/Public_health_nursing

http://en.wikipedia.org/w/index.php?title=Pulmonary_nursing&action=edit&redlink=1

http://en.wikipedia.org/wiki/Quality_improvement

http://en.wikipedia.org/w/index.php?title=Radiology_nursing&action=edit&redlink=1

http://en.wikipedia.org/w/index.php?title=Rehabilitation_nursing&action=edit&redlink=1

http://en.wikipedia.org/w/index.php?title=Renal_nursing&action=edit&redlink=1

http://en.wikipedia.org/wiki/School_nursing

http://en.wikipedia.org/wiki/Space_nursing




http://en.wikipedia.org/w/index.php?title=Substance_abuse_nursing&action=edit&redlink=1

http://en.wikipedia.org/wiki/Surgical_nursing

http://en.wikipedia.org/wiki/Telenursing

http://en.wikipedia.org/wiki/Telephone_triage_nursing

http://en.wikipedia.org/w/index.php?title=Transplantation_nursing&action=edit&redlink=1

http://en.wikipedia.org/wiki/Travel_nursing

http://en.wikipedia.org/w/index.php?title=Urology_nursing&action=edit&redlink=1

http://en.wikipedia.org/wiki/Utilization_management

http://en.wikipedia.org/wiki/Wound_care

Functional Masters

“Functional” (non-clinical) nurse specialists

Those nurses with non-clinical nursing specialties (post-graduate diploma or graduate-level qualification in leadership, education, research, quality, etc.) are considered specialists in the theory and practice of nursing systems/ health policy and are noted in the register as such (Specialist Registered Nurses).

RN/APRN/MD Practice

RN/ SRN Practice

Physician Practice

Advanced Nursing Practice

APRN

APRN is an umbrella term for different types of expert nurses depending on the roles that the APRN takes

- Clinical Nurse Specialist

- Nurse Practitioner

- Nurse Anesthetist

• Different APRNs have different roles: some can prescribe, some can administer anesthesia while some see patients independently.

• The APRN provides nursing leadership in the coordination of multidisciplinary healthcare for integrated delivery of patient care services and participates in local and national policy making, in concert with professional organizations, to influence equitable healthcare and the maintenance of the advanced practice role.

Definition: Advanced Practice Nursing

• Nurse Practitioner/Advanced Practice Nurse is a registered nurse who has acquired the expert knowledge base, complex decision-making skills and clinical competencies for expanded practice, the characteristics of which are shaped by the context and/or country in which s/he is credentialed to practice. A master's degree is recommended for entry level.

International Council of Nursing Nurse Practitioner/Advanced Practice Network

(ICNNP/APN)

The Problem • A recent survey among 18 countries, conducted by the

International Nurse Practitioner/ Advanced Practice Nursing Network (INP/APNN) of the

International Council of Nursing identified:

– 14 different titles existed for the APN role

– Majority (75%) had formal recognition of the APN role

– 58% had formal APN education programs

– 52% had licensure requirements, showcasing developing acknowledgement of the APN as an official advanced role for nursing practice

Advanced Practice Nurses Education

APRN education will be conducted at the graduate level in UAE nursing educational institutes with appropriately qualified faculty. Education will be at the Masters, PhD or Doctoral level.

Practice

The APRN provides clinical leadership for all staff in the planning, assessment, implementation and evaluation of care including having the authority to be the recognized point of contact for clients, provide treatment and refer clients to other professionals.

The APRN will be expected to implicitly understand his/her own accountability but also work collaboratively with other clinicians to secure the best care for each client/patient.

Registration

The APRN will have a different license from the GRN/SRN license. The GRN/SRN who has recently completed advanced practice education can apply to the council to obtain the additional Advanced Practice license.

Specialization: Looking Forward

Specialty Nurses: SRN Scope of Practice being finalized now. Working with the Emirates Nursing Association (ENA) Professional Practice Groups, Specialty Performance Criteria will be created. Institutes of Higher education can create courses to meet the needs of the specialty nurses and a licensing process can be put in place to appropriately recognizes these nurses.

Advanced Practice Nurses: In collaboration with the relevant authorities, employers, payers and professional colleagues, discussions about supervision, collaboration or independent practice as well as prescribing rights (e.g. through a special permit or privileges given to the APRN) will be needed as the model for advanced practice continues to be developed.

• Questions?

Date post:	20-Apr-2018
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