Increasing Accessibility to Advanced Increasing Accessibility to Advanced Practice Nursing Education: An Practice Nursing Education: An

Approach of Faculty of Nursing, Burapha Approach of Faculty of Nursing, Burapha University, ThailandUniversity, Thailand

Wannee Deoisres, R.N., Ph.D.Wannee Deoisres, R.N., Ph.D.Associate ProfessorAssociate Professor

Faculty of Nursing, Burapha Faculty of Nursing, Burapha University, Chon Buri Province, University, Chon Buri Province,

ThailandThailand

PURPOSEPURPOSE

To describe the educational programs of To describe the educational programs of Faculty of Nursing, Burapha University, in Faculty of Nursing, Burapha University, in responding to the needs of registered responding to the needs of registered nurses holding a master degree in nurses holding a master degree in nursing (non-APN graduate degrees) and nursing (non-APN graduate degrees) and in related fields (non-nursing graduate in related fields (non-nursing graduate degrees) so that they are qualified for degrees) so that they are qualified for advanced practice nurses. advanced practice nurses.

OUTLINE OF PRESENTATIONOUTLINE OF PRESENTATION

The development of APN in Thailand.The development of APN in Thailand. Nursing education at the master degree Nursing education at the master degree

level in Thailand.level in Thailand. The advanced practice nursing education The advanced practice nursing education

programs of Faculty of Nursing, Burapha programs of Faculty of Nursing, Burapha University.University.

THE DEVELOPMENT OF APNTHE DEVELOPMENT OF APNIN THAILANDIN THAILAND

Thailand Nursing Council promulgated Thailand Nursing Council promulgated the regulation concerning advanced the regulation concerning advanced practice nursing in 1998 .practice nursing in 1998 .

The certificate to advanced practice The certificate to advanced practice nurses was issued for the first time in nurses was issued for the first time in 2003.2003.

National Standard for APN Education has National Standard for APN Education has been set by Thailand Nursing Council been set by Thailand Nursing Council since 2003.since 2003.

Why APN?: ThailandWhy APN?: Thailand

Complex Health Problem Explosion of knowledge and technology Increase cost of Care Increase specialization in medicine National Health Care Reform Universal Health Care Coverage with

acceptable quality and reasonable cost Expanded scope of nursing practice

(Hanuchareaonkul, 2002)

APNs in Thailand

CNSCNS• Pediatric NursingPediatric Nursing• Adult NursingAdult Nursing• Maternal and Maternal and

Child NursingChild Nursing• Gerontological Gerontological

NursingNursing• Mental Health Mental Health

and Psychiatric and Psychiatric NursingNursing

NPNP• Community NPCommunity NP• Family NPFamily NP• Occupational NPOccupational NP

AdvancedAdvanced Nurse-MidwiferyNurse-Midwifery

Currently, there are 306 advanced practice Currently, there are 306 advanced practice nurses in Thailand.nurses in Thailand.

The present numbers of advanced practice The present numbers of advanced practice nurses are still far behind the target set by the nurses are still far behind the target set by the National Commission of Nursing Education of National Commission of Nursing Education of Thailand.Thailand.

NN urse practitioners and clinical nurse specialists urse practitioners and clinical nurse specialists are expected to produce in the numbers of are expected to produce in the numbers of 800800/y/y ear and ear and 500/500/ year respectively during the years of year respectively during the years of

2005-20092005-2009

Master Degree ProgramMaster Degree Programin Nursing in Thailandin Nursing in Thailand

M.S.N.: Non-APN ProgramsM.S.N.: Non-APN Programs• Aimed at providing advanced knowledge for practicing Aimed at providing advanced knowledge for practicing

nurses, nurse administrators, and nurse educatorsnurses, nurse administrators, and nurse educators

M.S.N.: APN ProgramsM.S.N.: APN Programs• Prepare advanced practice nursesPrepare advanced practice nurses• Standard Curriculum set by Thailand Nursing Council in Standard Curriculum set by Thailand Nursing Council in

20032003

Qualifications for APN Certificate Examination

BSN APN CertificateExamination

MSN (APN Program)& Clinical Experience

of 3 Years or more

MSN (Non-APN Program)or Master degree (related fields)

Additional education

Qualifications for APN Qualifications for APN Certificate ExaminationCertificate Examination

Advanced practice roles developmentAdvanced practice roles development• 1 credit1 credit

Health system & policyHealth system & policy• 2 credits2 credits

Nursing theoryNursing theory• 2 credits2 credits

Advanced Nursing SpecialtyAdvanced Nursing Specialty• 12 Credits12 Credits

MSN. ProgramsMSN. Programs• To prepare APNs.To prepare APNs.

Special Training Programs Special Training Programs • To prepare nurses holding master degree To prepare nurses holding master degree

(non-APN program) to be qualified for APN (non-APN program) to be qualified for APN certification examination.certification examination.

Educational ProgramsEducational Programsat BUU for APNat BUU for APN

Training Programs at BUUTraining Programs at BUU

APN Role Development Course:APN Role Development Course:• A Three Days Conference ModelA Three Days Conference Model• 18 Credit of CNEU = 1 Credit of formal 18 Credit of CNEU = 1 Credit of formal

educationeducation

Nursing Theory Course:Nursing Theory Course:• 8 days workshop = 32 Credit Hours8 days workshop = 32 Credit Hours

Advanced Nursing Specialty Course:Advanced Nursing Specialty Course:• 4 modules for a period of 4 months4 modules for a period of 4 months• 2 modules for theory courses (6 credit hours)2 modules for theory courses (6 credit hours)• 2 modules for practicum (6 credit hours)2 modules for practicum (6 credit hours)

APN Role DevelopmentAPN Role Development

• A Three Days A Three Days ConferenceConference

Concept of APNConcept of APN APN RoleAPN Role Best Practice Model of Best Practice Model of

APN in a variety areas APN in a variety areas of specialty and setting of specialty and setting of practice by of practice by APNsAPNs

July 13-15, 2005July 13-15, 2005• 201 participants201 participants

June 21-23, 2005 June 21-23, 2005 OutcomeOutcome• 100 participants100 participants

OutcomeOutcome• Overall satisfaction Overall satisfaction

mean scores = 4.16 mean scores = 4.16 (1-5 rating scale)(1-5 rating scale)

Conference on APN Role DevelopmentConference on APN Role Development

Nursing Theory WorkshopNursing Theory Workshop Offered on 8 weekend Offered on 8 weekend

daysdays Lecture on selected Lecture on selected

theories for 4 days theories for 4 days (Saturdays-Sundays)(Saturdays-Sundays)

Participants applied a Participants applied a select theory for their select theory for their practicepractice

Presentation of using Presentation of using theory in practice on theory in practice on the last 4 days the last 4 days (Saturdays-Sundays)(Saturdays-Sundays)

11stst Workshop: Workshop:• Sept, 2005Sept, 2005

22ndnd Workshop: Workshop:• August, 2006August, 2006

Outcome:Outcome:• Overall satisfaction Overall satisfaction

mean scores = 4.33 (1-mean scores = 4.33 (1-5 rating scale)5 rating scale)

Nursing Theory WorkshopNursing Theory Workshop

Nursing Theory WorkshopNursing Theory Workshop

Advanced Nursing Specialty Advanced Nursing Specialty TrainingTraining

• 4 modules for a 4 modules for a period of 4 monthsperiod of 4 months

• 2 modules for 2 modules for theory courses (6 theory courses (6 credits)credits)

• 2 modules for 2 modules for practicum (6 practicum (6 credits)credits)

Currently there are Currently there are 2 specialty 2 specialty trainings:trainings:• One for adult One for adult

nursing specialtynursing specialty• One for mental One for mental

health and health and psychiatric nursingpsychiatric nursing

Lesson Learned fromLesson Learned fromOur ApproachOur Approach

Additional training program for nurses Additional training program for nurses with master degree in non-APN program with master degree in non-APN program is essential to increase the numbers of is essential to increase the numbers of APNs in health care system.APNs in health care system.

The training should be held on Saturdays The training should be held on Saturdays and Sundays so that nurses could and Sundays so that nurses could participate in the training.participate in the training.

Lesson LearnedLesson Learned

Continuing education for APNs in a Continuing education for APNs in a variety of topics is needed e.g., variety of topics is needed e.g., Evidence-based practice.Evidence-based practice.

To date there is a few continuing To date there is a few continuing educational program for advanced educational program for advanced practice nurses.practice nurses.

Thank You for Your AttentionThank You for Your Attention

Flower of Faculty of NursingBUU

Flower of NursingThailand