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Application for accreditation of an educational programme of study

Checklist of completion and inclusion

A ‘programme of study’ is defined as no less than 40 hour’s of educational study and this may be made up of several smaller modules or delivered as an integrated programme of academic study.

Applicant details

Name of organisation/institution/company:

Contact person:

Mailing address:

Business telephone (incl. international code):

Fax number (incl. international code):

E-mail:

Programme details

Title of course/programme:

Language(s):

EONS Individual Member number:

National Society – associated member:

Has the programme received financial sponsorship from a pharmaceutical/product company for these materials?

Yes/No

If yes, please give the name of the sponsoring company:

Who has the copyright of the materials?

I, the undersigned, verify that I have read and fully understand the criteria and guidelines set down by the European Oncology Nursing Society for the accreditation of educational courses and programmes. I agree to abide by the criteria and guidelines. The information I have provided about the educational programme is true and accurate.

Signed: Date:

Educational/faculty development team details

Please provide the following information about the members of the educational development team or faculty. Please give details of multi-professional groups and clinical specialities that have advised or participated on the development of the programme.

(Please complete a copy of these details for EVERY member of the teaching faculty.)

Name:

Title:

Present position:

Please tick the relevant box for professional/educational qualifications

□ Educational qualification

□ Nurse-oncology qualification

□ Palliative care

□ Other

Experience in oncology (if any):

Experience in providing practice-based nurse education (if any):

Target audience

Please indicate the audience for the programme.

□ Post-registration general nurses

□ Post-basic cancer nurses

□ Specialist cancer nurses

□ Advanced nurse practitioners

□ Other (please specify)

Do you have a process of checking student requirements for entry into the programme?

Please specify for each.

Post-registration experience: (months/years)

Previous oncology clinical experience:

Other:

Learning needs analysis

(For help see Section 2 of the FaCET document.)

Please give details of the rationale for the development of the education including the learning needs analysis of the target audience, the process of education development, and adaptations you have made to the course/programme of study.

Describe how you determined the learning needs for this target group.

Describe the results of the learning needs analysis and how this relates to the educational content.

What adaptations have you made from the EONS Post-basic Curriculum to meet local needs?

Delivery pattern for the programme - theory/practice split.

(See Section 4 of the FaCET document.)

Theory: %

Practice: %

Rationale (please specify):

Educational course or programme aim

(Broad aim: no more than 50 words.)

Learning outcomes and competencies

Are learning outcomes and competencies based on?
EONS Post-basic Cancer Nursing Curriculum 2005 modules, OR
Cancer in Older People Curriculum 2006 modules

Please identify the learning outcomes and competencies relevant to the educational module or programme.

Please describe below the learning outcomes and competencies of the long course or programme if different from those of the above.

(For help in writing learning outcomes and competencies see the facilitation document Section 3.)

Learning outcomes:

Competencies:

Provision of programme

Please include two copies of the educational curriculum and programme.

Please indicate which learning strategies are used in the long course.

(For help see Section 4 facilitation document.)

□ Lectures

□ Workshops

□ Skills based

□ Expert Forum

□ Seminars

□ Computer assisted learning

□ Symposia

□ Clinical case based learning

□ Patient focused learning

□ Work based learning

□ Other (please specify):

Learning resources

What learning resources will students have access to as part of the long course or programme?

□ Library

□ Evidence based texts

□ Training guide

□ Web-based materials

□ Skills training laboratory

□ Clinical mentors

□ Other (please specify):

Clinical setting

Please provide information on the clinical setting/ work environment that students will be experiencing, during the course or programme, describing the settings and duration of clinical practice.

What clinical facilitation and clinical supervision will students be provided with during the course or programme?
(Describe the duration and clinical supervision, by whom. For help see section 5 of the FaCET document.)

Will students have a personal development plan (identification of existing knowledge and skills and future goals) to identify personal and professional learning?
(For help see FaCET portfolio section.)

Yes/No

If ‘No’ what other strategies are in place for recognition of existing skills?

Assessments

Please describe student assessment and assessment criteria in relation to the identified learning outcomes and practice competencies.
(For help see Sections 7, 8 & 9 of the FaCET document.)

Quality Assurance

Describe process for external review of student course work and checking of marking.

(Please include information on external examiners, quality enhancement of internal marks and peer review processes.) (For help see Section… of the FaCET document.)

Evaluation

(For help see Section 10 of the FaCET document.)

Describe how the course or programme will be evaluated.

(Please include evaluation criteria.)

Describe how the education team will be responsive to student feedback.

Certificate of attendance/credits

Will you give participants a certificate of attendance?

Yes/No

Will students receive a diploma supplement?

Yes/No

Will participants receive any local academic, ECT or higher education credits for this course?

Yes/No

If ‘Yes’, how many credits?

Please return this form, plus two copies of the curriculum documents, to:

Rudi Brike

EONS secretariat at:

Avenue E. Mounier 83/8

B-1200 Brussels

Belgium