16th South Pacific Nurses Forum

21.11.2012

WORKING TOGETHER

“EXCELLENCE WOVEN INTO EXCELLENCE”

By Sr. Seilini Soakai

Presentation OutlineThe only Kingdom in the Pacific

and its PopulationNursing Background in TongaInitiate of the NB-IST ProjectOverview of NB-IST Project in

TongaProject OutlineConclusion

WELCOME TO THE KINGDOM OF TONGA

WHERE?

In The Pacific

The Islands of TongaTongatapuVava’uHa’apai‘Eua2 Niuas176 scattered islands

Population of Tonga in 2011Total Population – 103,879

Population DistributionTongatapu – 77928Vava’u – 14118Ha’apai – 6568‘Eua – 48672 Niuas - 1398

Ministry of Health Structure

Minister of Health

Administration

Health Planning and Information

Public Health Division

Medical Division

Nursing Division

Dental Department

Director of Health

Nursing StructureChief Nursing

Officer

Clinical Nursing(Matron)

203 Nurses

Reproductive Health NursesSenior Public Supervising

Sister48 Nurses

Queen Salote School of NursingPrinciple

11 Staff + 96 Students

Non Communicable

DiseasesSupervising

Sister20 Nurses

RHNs and CNs DistributionIslands No.

HospitalNo. of RH stations in each Island

No. of RHNsIn each Island

Number of Clinical Nurses in each Island

Tongatapu 1 15 30 203

Vava’u 1 8 8 20

Ha’apai 1 7 7 10

‘Eua 1 2 2 10

2 Niuas None 2 1 2

JICA Initiative Project

“Strengthening the Need-Based In-Service Training for Community Health Nurses”

Implemented in: Fiji Tonga Vanuatu

Concept of the project

A ModelNB-IST for CHNs

in Central Div.

FijiNational Program

Scal

e up

Tonga Vanuatu

Adaptation

PacificGlobal

Regional Training on NB-IST in Sigatoka August 2012

PROJECT OVERVIEW

The project forStrengthening the Need-Based In-Service Training for Community Health NursesTechnical cooperation project MOH-Tonga and JICA

Feb 2011 – Jan 2014

Management system of the projectJCC

<Decision making Body>

Project Director

Project Manager

Working group(s)<Implementation Body>

Japanese advisors

Project team

Joint Coordinating Committee in TongaProject Director :- Director of HealthProject Manager:- Chief Nursing

Officer3 Coordinators:-

Senior Public Health Supervising Sister

QSSN Principal Matron

Japanese Advisors

Project OutlineQuality of community health services improves in Tonga

The mechanism of the NB-IST is strengthened

S&C Information sharing

NB-IST Supporting system

Overall goal

Project Purpose

Expected Outputs

M&E

Supervision and CoachingA series of day-to-day capacity

building activities that are conducted by a direct supervisor through identifying the difficulties/uncertainties in daily practices and timely providing appropriate advice and possible solutions

MOHCNO &

3 senior officers

Nurses@

Health Center, RHC, Hospital

Supervision& (Coaching)

Trainingneeds

Previous Supervising System　

NB-IST Impact on Supervising System

* Enforced the Supervisors to improve the way they supervised

*Supervise in a regular basis

*Standardize by using the tools that have been developed

Trainingneeds

NB-IST Model

Nurses@

Health Center, RHC, Hospital

Supervision& Coaching

Trainingneeds

Nursing Supervisors

(nursing sisters, SSN, senior sisters)

Provide training course

Discussions Competency Assessment

MOHCNO

IST coordinators

Previous TrainingsStructured For the purpose of

disseminating new policies / directives and standardizing the capacity of the MOH staff members as a civil servant (eg. Induction training, PSC Code of Conduct)

Program base IST Planned along with specific technical subject(s), ad-hoc (eg. EPI,HIV)

Upgrade In-service Trainings for Nurses

Structured

Program-base IST

NB-IST

Need Based In-service Training

Training should be based on the Identified needs

Needs identified through Supervision, Coaching and Competency Assessment

Competency Standards for Competency Assessment

It is only a BENCHMARK Passing mark to practice as a

nurseIt is the floor but needs to get to

the ceiling

THAT IS EXECELLENCE WOVEN INTO EXCELLENCE

Excellence Woven Into ExcellenceNB-IST is ex-tented to all nurses

in Tonga, aiming for EXCELLENCE to be WOVEN into all nurses in Tonga through their daily activities

Nurses need to increase weaving excellence into their nursing care from each level to a higher level until they get to Excellent

NB-IST is an Ongoing PROCESS, therefore, “Excellence Woven Into Excellence” is also a never ending PROCESS for ALL NURSES in order for us to give the BEST QUALITY CARE TO OUR PEOPLE.

Aim HIGH and DO your BEST then GOD will DO the REST

for

We can do all things through CHRIST who STRENGHTHEN us.Phillipians 4:13

MALO ‘AUPITO