Nurse Education in the Tertiary Sector

Minutes of the Meeting held 14 & 15 April 2005

At 83 Fairlie Terrace Victoria University, Wellington

Meeting commenced Thursday 9:15am.

Chair:Kathy Holloway am Thursday, Alison Dixon pm Thursday

Present: Marg Adamson (UCOL), Cathy Andrew (CPIT); Heather Baker (Auck University), Michael Bland (WINTEC), Julie Body (Massey PN), Angela Bradley (CPIT), Jane Dancer (NMIT), Alison Dixon – (Otago Polytechnic), Maurice Drake (UNITEC), Willem Fourie (ManukauIT), Heather Gray (CH CH Medicine), Thomas Harding (UNITEC), Kathy Holloway, (Whitireia), Judi Honeyfield (WINTEC); Susan Jacobs (EIT), Maureen Kelly (Waiariki IT) Judy Kilpatrick (Auck University), Linda Kinniburgh (Otago Polytechnic); Mary MacManus (AUT), Rose McEldowney (VUW), Carol McVeigh (Ch Ch School of Medicine), Mary Miles (Ch Ch School of Medicine), Paddy O Launaigh (WITT); Janet Olliver (UCOL), Jill Parsons (SIT); Jan Pearson, (Plunket), Jill Phillips (Unitec), Linda Polascheck (Plunket), Leanne Pool (Whitireia), Susan Ritchie (WITT), Wendy Scott (Whitireia), Deb Spence (AUT), Rachael Stevenson (Otago Polytechnic), Kerene, Strochnetter (Northland); Rachel Vernon (EIT);

Apologies: Both days: Denise Irvine (WINTEC), Jo Walton (AUT), Bert Teekman (Massey PN), Paddy O Launaigh (WITT), Bev Burrell (Ch Ch SM), Julie Body (Massey PN), Julianne Hall (AUT),Jane Collins (SIT), Ruth Crawford (EIT), Kate Milligan (CCPIT), Debbie Pennington (Manakau), Jill Phillips (Unitec), Linda Polascheck (Plunket), Denise Wilson (Wharangi Ruamano & Massey Albany)

Thursday: Mary Miles (Ch Ch School of Medicine), Heather Baker (am)

Friday: Kathy Holloway, Leanne Pool, Wendy Scott (Whitireia Graduation)

Resignations:Denise Dignam from Massey Albany

Movements:Denise Wilson from Massey Wgton to Massey Albany

New appointmentsMaureen Kelly, Waiariki

Welcome:Cathy welcomed new members to the meeting.

Confirmation of the Minutes of the previous meeting 19 & 20 October 2004

The minutes of the previous meeting were passed as true and correct:

Moved. Maurice Drake/Leanne PoolCARRIED

Matters Arising

Seeding money for Nurse Educators Conference – guidelines still to be written
Oral History – ongoing
J & J – ongoing. MOH still in conversation with J & J
HPAC Act – Maurice reported from a legal discussion about the Issue related to ‘Fitness for Registration’ in the Act HPCAA
Re: Section 16(g)(i)

No applicant for registration may be registered as a health practitioner of a health profession if:

(g) he or she – (i) is subject … an order of an educational institution accredited under section 12(2)(a) … and (ii) does not satisfy the responsible authority that that order does not reflect adversely on his or her fitness to practise as a health practitioner of that profession

Discussion with Claire Prendergast from NCNZ and legal advisor at own institution.

Remember key principle of the HPCAA is Public safety
Two parts to this section – (i) and (ii) i.e. the individual is under an order of an educational institution AND does not satisfy the responsible authority that that order does not reflect adversely on his or her fitness to practise as a health practitioner of that profession
Suggested that the order would have to meet the threshold of seriousness, namely in regards to compromising client safety
Regarding issues of academic misconduct, again the issue is in regard to seriousness. Discussed issues of veracity, honesty, professionalism etc regarding plagiarism etc. Nevertheless, the issue/circumstance would have to meet the threshold of seriousness.
Could be a problem if an institute’s disciplinary committee does not have health professional representation on it and a continually offending student was allowed to continue on the programme. This then might cause an issue.

Suggested management:

Know this clause is in legislation just in case
Remember the threshold of seriousness and principle of compromising client safety
Be proactive and ensure for health practitioner programmes that the professional voice is either heard or represented in regards to disciplinary issues. Reminded people to read Sec 16 G (i). many definitions of the word “Order” – threshold – serious - client safety

Health Practitioners on Internal Committee

Financial Report

Alison tabled the financial report and spoke to the outgoings. Current balance $2829.32, Term Deposit $20,889.03. It was moved Ali/Rachel that the report be approved. Carried.

To be discussed on Friday 3 areas of allocation of funds

Following discussion on Friday

Susan/Willem moved that we buy professional advice from Rob Allen to lobby politicians on the Nurse Practitioners Act, spending up to an initial $6000.00 with potential for a further $4000.00. Carried. It was further moved Maurice/Jill that up to $1000.00 be allocated for transport of Susan & Judy & Ali to Wellington to consult with him. Carried

Correspondence October to April

NPAC newsletter #7
Oct Newsletter form ITP NZ
Oct copy of guidelines for specialist health services of older people
Oct HPCA update from MOH
26 Oct letter from Nursing Council re continuing competency requirements
27 Oct letter from pharmacy council re new statutory organisation post HPCA
9 Nov Letter from TEC re Qualification supply analysis (emailed to members)
8 Nov letter from Raewyn Dalziel, University of Auckland re salaries for educators post MECA
9 Nov Letter from Neil Barnes NMIT re salaries for educators post MECA – Ali reported that the Institution Heads are using information NETS provided as an example
9 Nov Letter from Neil Barnes NMIT re Qualification supply analysis
10 Nov NNO minutes
10 Nov NPAC-New Zealand newsletter
11 Nov Letter from Julia Quince, Massey re salaries for educators post MECA
24 Nov Letter from HWAC re Qualification supply analysis
30 Nov Letter from David Skeggs Otago University re Qualification supply analysis
Dec newsletter from ITP NZ
22 Dec Letter from HWAC re Qualification supply analysis
22 Dec Letter from HWAC re nursing applications
Invite to relocation celebration for the Centre for Postgraduate nursing studies Christchurch 18 Feb
10 Feb Denise Dignam change of address
24 Feb Invoice Rosemary Collier – archivist
10 March NZNO letter re agenda for HOD meeting April
7 April HWAC re Promoting Maori & Pasifika into Health, Science & Technology symposium (4 March) outcomes
1

. National Coordinator activities since last meeting

NNO 10 November (Minutes to be sent out to members)
want more statistics – HWAC perhaps funding a research person to create and upkeep database?
Clarification of ideas and how resourced to be sought
Request to send letter to DHBNZ & CTA re new grad funding ACTION Jan & Judy to draft Jan to send ASAP
Meetings with 3D creative re poster - still in progress
Phone calls with Rosemary Collier re archives work – almost finished Rosemary needs a copy of the minutes for AGM 1996 and July 1997, if anyone has them please forward to Jan
Submission re workforce analysis
Meeting with NENZ 18 March
Need for Nurse Execs to become more informed about constraints and possibilities of education sector
NENZ advised to have staff/be active members of “Advisories” and use this forum to influence curricula etc
Realignment Nurse Execs reps attending both meetings where boundaries overlap
NNO meeting 23 March

Matters arising from the previous the Minutes
Strategic plan update
Actions Jan to update and sed out (Kathy Holloway to put on website with minutes)

2.Feedback/ reports from representatives as per list below

Group / Timeframe / Representative / Notes
Aust/New Zealand College of Deans / 2003 / Jan Duke/ Judy Kilpatrick /

Feb Mtg mostly for 30yr celebration
Nurse Practitioner
Competency

Magnet NZ / Ongoing / Jan Duke / Mtg 14 April Jan P to contact Christine Payne re NETS input
NNO / Ongoing / Jan Pearson / Attended 23 March
2nd NETS member to be selected
Nurse Practitioner Advisory group / Ongoing / Susan Jacobs,
Jean Ross / No recent action
Website / Ongoing / Kathy Holloway & Paddy O’Luanaigh / Updated 6mths ago please send Kathy H updates of changes
NZNO/student loans / 2003/04 / Cathy Andrew /

Nothing has happened with group
Letter to be sent to CTA/MoH supporting new grad programme
Judy to send out copy of doc received

30 year celebration / 2003/04 / Jan Pearson / Poster completion in sight
Primary Health Care MOH / Ongoing / Jan Pearson /

After hours project
Economic models in PHC primary focus Mtg held – positive
Best Practice for Remote Rural Nurses (from Aust) –A group NZising it
South Island RepKate Baldwin

ACC Nursing Rep appointed
Mental Health workforce group / 2004 / Barbara Lowen Otago Poly / Final draft gone to MoH to be released in May
Ali to ask Barbara for progress report
TEC MOH / Feb 2004 / Heather Baker
Mary MacManus / Ali to organize meeting with Shona Butterfield
Orientation and support of new HOD’s / Debbie Penlington / In action for new HOD’s
Cultural Safety Development / Rose McEldowney / Cultural Safety Research Unit (WUV) archive materials – please send any research documents to be lodged as a resource for unit
Forum 26-28 May at Waiariki

Strategic Plan Update

1.3.Objectives: finish the sentence at the word “registration”

1.5Action Plan: Compile data base of Pacific Educators – individual schools with PI educators to talk with them and send names to Wendy Scott at Whitireia Community Polytechnic so she can compile database

1.62nd bullet Action Plan add “develop guidelines for reps. Moved Judy/Mary MacM that a paper be developed on expectations of NETS reps on National Bodies. Carried

2.12nd bullet Timeframe – not unless membership request it

3.12nd bullet Jan to check date for 2006.

Jan suggested that she disseminate info to NETS
Check where meeting being held – traditionally 2 in Nth Is 1 on Sth Is believe it to be Southland Poly
Jan to initiate dialogue with National Maori Nurse Council
2nd bullet Action Plan – Representation on Nat Council – NETS Nat Co-ordinator plus one other this person to serve on a two year rotation
2nd bullet Action Plan to read meet with NZNO Joy Bickley at NETS July Mtg, Joy to supply a discussion paper prior to meeting
Timeframe to read June/July Nurse Practitioner
Polytechnics offering degrees – PBRF – NETS to formulate a response. Suggestion that Dr Margaret Southwick Whitireia Community Polytechnic address July Mtg.

TEC – PBRF 2006 Quality Evaluation Assessment Framework Consultancy. Doc available on web at hhtp//:w.w.w.tec.govt.nz/downloads/a2z_publications/pbrf2005-assessmentframework-consultation.pdf Consultation closed, release date for definitive document late May 2005. Indications are that it will look much like the consultation document (according to TEC).

Meeting Dates for 2006

30/31 March

20/21 July

2/3 NovThese dates have been confirmed by VUW

Result of New Grad questionnaire

Only a 50% response. Request for the questionnaire forms to be put on the website. Agreed

Clinical hours pre – registration discussion re difference between Aust/NZ hours Trans Tasman agreement is Government to Government and not negotiable

Competency Assessment PDRP Idea that a national NETs PDRP for nurse educators be developed

Future Nurse Leaders Coaching Programme – letter to be sent to Denise Irvine thanking her for her paper – at this stage not deemed to be an urgent need

NNO Meeting 25 July a further representative from NETS on a 2 year term to attend with Jan - Action: nominations to Jan and Exec to decide

TEC – PBRF strategy Considered unlikely that Polys/IT’s can stay put side future processes ACTIONS:

1)Meeting with Shona Butterfield

2)Invite relevant persons to come to NETS in July eg chair of panel, Marg Southwick, Jonathon Boston

Presentation from Rob Allen Four Winds communication about lobbying strategies

Meeting ended 4.15pm

Friday 15th April

Undergrad group went to Student Nurse meeting

Postgrad group discussed Nurse Practitioners Act lack of progression

Visitor:Pauline Cook from MoH

Pandemic – late 2004 MoH put out National Health Emergency Plan on website

Core plans for Infectious disease management On website

Flow on effects from this not really explored – protective clothing, immunisation status etc

Appointment of Chief Nurse Advisor – advertisements put out in late Dec – not a good response

-short list drawn up interviews probably May

-nursing interests that were in the pipeline still progressing

J&J update – J&J wanted to launch poster, website, bumper stickers in March – NC advised against this

-still not launched in Australia

-suggest July/Aug launch at Australasian Nurses Conference in Dunedin

Magnet - tool kit ready to launch details on MoH website from May

Primary Health Care Scholarships – Applications closed last week

$150,000 available in 2nd semester
approval of applicants 1st week in May

Rural Nurse Practitioners Scholarships – 8 given in 2005

ACC funded Nurse Practitioners Scholarship – 6 given in 2005

Prescribing – Pauline undertook to push NC to get the document out. Concern at delay and risk to NP prescribing with election looming etc.

NETS letter drafted to send to NC if doc not out by 22nd

Nurse Practitioners - from last week they are able to access Community Laboratories

Website – has the network of Primary Health Nursing Groups – look at it and give any alterations to Pauline.

Nursing sector update – put on website

Visitor:Rob Allen – met with Jan, Ali, Susan, Judy to discuss NP strategy

Visitor:Nursing Council – Annette Huntington, Marion Clark, Carolyn Reed ( new Education Adviser)

Prescribing – document out next week for consultation of 6 weeks duration.

Will be on website by the end of next week.
Submissions to brief and pertinent
When analysed sent to New Prescribers Advisory Committee 2 weeks after close of submissions

Competencies – NC expect all to be in place by 2007. Education Standards, if possible by 2006. Competencies to be used for pract certs from mid 2006

4th May meeting not required.

Approved Assessors – external of approved Nursing Schools

-PDRP – NC to streamline this

Audit timeline – need for adequate panel members

-delays often because not enough information included in application

-Handbook to be updated with regional consultation process

NC suggested that NETS members should write to the New Prescribers Advisory Committee members, Karen Poutasi, Judy Glackon, Margaret Horsburgh Gillian Durham.

Also suggested NETS members could lobby GP’s who support NP practicums to write in support