Lian-Hua Huang, RN, EMBA, PhD, FAAN

Board Member, ICN

Vice President, TWNA

Nursing CEO, China Medical University Health Care System

Emeritus Professor, National Taiwan University

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The Role of Nursing Institution in

Inter-professional

Education/collaboration to Support

Health Care Reform

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Greetings from Taiwan

Taiwan: an island on the west of the Pacific rim, the

southeastern coast of mainland Asia.

What is “Inter-professional

Education”?

• Occasions when two or more professions

learn from and about each other to improve

collaboration and the quality of care

• A continuum of Inter-professional

Education throughout qualifying program

and continuing professional development

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Inter-professional Education

• Occurs when two or more professions learn about,

from and with each other to enable effective

collaboration and improve patient outcome.

• Collaborative practice in health-care occurs when

multiple health workers from different

professional backgrounds provide comprehensive

services by working with patients, their families,

carers and communities to deliver the highest

quality of care across settings.

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Why Inter-professional Education

• Develop the ability to share knowledge and

skills collaboratively

• Enable students to become competent in

teamwork

• Decompartmentalize curricula

• Integrate new skills and areas of knowledge

• Ease inter-professional communication

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Why Inter-professional Education

• Generate new roles

• Promote inter-professional research

• Improve understanding and cooperation

between educational and research institutes

• Permit collective consideration of resources

allocation according to need

• Ensure consistency in curriculum design

(WHO, 1988)

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What about the content

• Epidemiology

• Health promotion

• Ethics

• Critical appraisal skills

• Clinical skills

• Decision making

• Care planning

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What about learning method

• Exchange-based learning

• Action-based learning

• Observation-based learning

• Simulation-based learning

• Practice-based learning

• E-learning

• Blended learning

• Received learning

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Patients/

Family

The goal is to provide patient-centered care in a collaborative manner

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(UCSF, Program for Inter-

professional Practice and

Education)

License Renewal Policy

• The license renewal policy for RNs in

Taiwan was incorporated into the Nurses’

Act on January 29, 2007 following many

years of review in the Legislative Yuan.

The policy stipulates that practicing nurses

must complete a required minimum of 150

continuing education credits over a six-

year period in order to renew their

licenses.

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Member Growth by Year TWNA

•

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0

10000

20000

30000

40000

50000

60000

70000

80000

TWNA Membership

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283人

70,083 person

(2010)

50,865 person

(2007)

71,721 person

(2017)

year class person inter-

disciplinary topic

% (topic/class)

2011 103 14,166 52 50.4

2012 140 24,573 67 47.9

2013 168 23,094 99 58.9

2014 146 16,707 77 52.7

2015 144 13,497 66 45.8

2016 124 10,680 57 45.9

2017 109 9,695 52 47.7

Conference, Symposium, Workshop

free registration fee since 2009 13

Chinese Medicine Violence

Prevention

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To meet nurses’ license renewal needs and

to help make various administrative

procedures easier for nurses working difficult

shifts or in remote or rural areas, TWNA

developed the E-learning Web. According to

current regulations, nurses can earn up to 30

continuing education (CE) credits via e-

learning over a six-year period.

E-Learning Involved inter-disciplinary programs

(2011~2018)

Topic hrs

Medicine 12

Psychoanalyst 3

Respiratory Therapist 2

Chinese Medicine 3

Disaster-related 3

Violence-related 2

Nutritionist 2

Social Worker 3

Law & Regulation 10 16

Medical Disputes/Lawyer Forensic Nursing/Police Officer

17

E-Learning Topics and Instructors

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The required CE hours for License Renewal

was revised to 120/6 years

including e-learning and corresponding learning

E-learning complete

A total of 145 have enrolled in and completed training

since 2011.

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TWNA Nightingale Leadership Institute

Social media

management

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Nightingale Leadership Institute

(NLI) • policy making, effectively lobby government

agency leaders and lawmakers, and to

become effective policy advocates.

Policy

making

NLI Training Courses

Nursing and Public Policy

Lobby Strategies

Nursing and Politics

Political Participation

Public

Relationship

Crisis Interventi

on

Power of Influencin

g

Communication

Marketing

Nursing Image

Self Growth

Sustainable Development

Goals

Nursing Professional

ism

Long Term Care

World View

Negotiation

Mass Media

Leadership

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Authors #

MD 21

Government Officer 10

Humanities / Social Science

6

Chinese Medicine 4

Military / Police 4

Educator 6

Nutritionist /OT 3

Social Worker 3

Lawyer / engineer 15

The Journal of Nursing (2011~2018) Feature articles: authors from inter-professional experts

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Compiling Committee

Multidisciplinary Advisors

Feature articles: included

inter-professional topics

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The Journal of Nursing

Feature articles: included

inter-professional topics

OT

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The Journal of Nursing

• The Red Cross Society of the Republic of China

• Taiwan Society of Health Law

• The Joint Commission of Taiwan

• Taiwan Association of Harmony Medicarer and Patient

• Taiwan Society of Tuberculosis and Lung Diseases

Support partner (inter-professional) groups

World No Tobacco Day Fight Antibiotic Resistance

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Global Health Forum in Taiwan (since 2013)

ICN President Annette Kennedy

Speech at 2017

Global Health Forum in Taiwan

ICN President Annette Kennedy visit

Taiwan Vice-President (Oct. 24, 2017)

Support partner (inter-professional) groups

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As board members of inter-professional association

Taiwan Evidence-Based Medicine Association 5

Joint Commission of Taiwan 2

Taiwan Cross-Strait Medical Interchange Association 2

Acta Nephrologica Taiwan Society of Nephrology 15

Taiwan Long-Term Care Professional Association 14

Taiwan Hospital Association 3

Taiwanese Association of Diabetes Educators 2

Taiwan Community Hospital Association 8

Taiwan Alzheimer Disease Association 2

Formosan Medical Association 1

Together

• Together is the word President Annette

Kennedy has chosen as her watchword for her

presidency.

“Coming together is a beginning.

Keeping together is progress.

Working together is success.”

~Henry Ford

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References Barr, H. (2002). Inter-professional Education. Chapter 24.

Educational strategies.

http://www.nvmo.nl/resources/js/tinymce/plugins/imageman

ager/files/20120926_HFDS24boekXX-2002_Barr-

H_Interprofessional

_Education.pdf#page=29

Society for Simulation in Healthcare & National League for

Nursing Symposium (2013). White Paper: Inter-professional

Education and Healthcare Simulation.

UCSF Program for Inter-professional Practice and Education

(n.d.). https://interprofessional.ucsf.edu

WHO Health Professions Networks Nursing and Midwifery

Human Resources for Health. (2010). Framework for Action

on Inter-professional Education and Collaborative Practice.

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