Hallmarks of a profession

Hallmarks of a profession

1. educational background

   • nightingale influence
     • 3 months training
       • Nightingale Training School for Nurses (St Thomas' Hospital)
     • 1860's notes on nursing: laid down principles of nursing (careful observation and sensitivity to patients needs
   • 3 year degree

2. having a code of ethics

   • NZNO Code of Ethics, 2010
     • basis to explore ethical beliefs and a guide to explore the detail of individual situations arising in nursing practice
     • Autonomy
     • beneficence
     • non-maleficence
     • justice
     • confidentiality
     • veracity
     • fidelity
     • guardianship of the environment & its resources
     • being professional
     • Relationships: Nurse-client; nurse-colleuge; nurse-organisation; nurse-societal

3. autonomy and self regulation

   • self regulation through Health Practitioners Competency Assurance Act (HPCAA) 2003
     • Midwifery and nursing separate
     • Health Practitioner's Disciplinary tribunal: provided independent entity for discipline of professionals.
     • Purpose: "protect the health and safety of members of the public by providing mechanisms to ensure that health practitioners are competent and fit to practice their professions.
     • Enables registration as a nurse
       • Is fit for registraion
       • Has the quilifications perscribed for scope of practice
       • Is competent to practice within scope
       • Has made a written application ina form containing information, and supporting evidence determined by the authority and payment of registration fee.
         • portfolio that shows you are competent
       • Annual Practicing Certificate (APC) 3 yearly
         • provides you with the right to practice within your scope
         • recertification requirements:
           • Evidence of professional practice (60 days, or 450hrs in the past 3 years, or last practiced 3-5yrs ago
           • evidence of professional development hours (60hrs in past 3yrs
           • evidence of assessment competence against relevant compentencies for SOP: Self-assessment; assesment by senior nurse; peer review
   • NCNZ
   • Autonomy: NPs

4. Continuing education and competence

   • postgraduate

5. participation in a professional organisation

   • NZNO

6. community service

   • community boards

7. use of theory, dev & evaluation to inform practice

   • Kai Tiaki
   • involved with models of care and new theory

8. research development

   • growing numbers of PHDs