Pro­fes­sion­al Stan­dards of Remote Prac­tice: Nurs­ing and Midwifery

As part of the project Path­way to Remote Prac­tice’ the Pro­fes­sion­al Stan­dards were reviewed in June 2014.

There are nine stan­dards, each with a set of criteria. 

The Pro­fes­sion­al Stan­dards were devel­oped to pro­vide a bench­mark for con­sis­ten­cy and expect­ed lev­el of prac­tice for nurs­es and mid­wives seek­ing employ­ment or work­ing in the remote and iso­lat­ed health services.

These Pro­fes­sion­al Stan­dards pro­vide guid­ance and direc­tion for nurs­es and mid­wives to prac­tice com­pe­tent­ly, capa­bly and pro­fes­sion­al­ly to meet the health needs of all peo­ple liv­ing in remote and iso­lat­ed areas across Australia. 

CRANAplus Clin­i­cal Gov­er­nance Guide

This Guide was devel­oped by CRANAplus under an Aus­tralian Gov­ern­ment Depart­ment of Health Grant with the prime objec­tive to enhance gov­er­nance, trans­paren­cy and account­abil­i­ty in deliv­er­ing safe, qual­i­ty health care to remote and iso­lat­ed communities.

The pur­pose of this Guide is to be a ref­er­ence and resource for clin­i­cal ser­vice man­agers and clin­i­cians so they will be able to dis­cern their respon­si­bil­i­ties in apply­ing the recent­ly intro­duced Nation­al Safe­ty and Qual­i­ty Health Ser­vice Stan­dards to their work­place and in their prac­tice. This Guide looks at the com­po­nents and process­es of clin­i­cal gov­er­nance and qual­i­ty improve­ment for remote and iso­lat­ed health ser­vices. It is based on the Nation­al Safe­ty and Qual­i­ty Health Ser­vice Stan­dards, specif­i­cal­ly Stan­dard 1: Gov­er­nance for Safe­ty and Qual­i­ty in Health Ser­vice Organ­i­sa­tions with ref­er­ence to Stan­dard 2: Part­ner­ing with Consumers . 

Remote Nation­al Stan­dards and Cre­den­tial­ing Project

In address­ing pro­fes­sion­al issues CRANAplus under­took Nation­al Stan­dards and Cre­den­tial­ing Project (20122013) sup­port­ed by the Aus­tralian Gov­ern­ment Depart­ment of Health. This inno­v­a­tive project com­mis­sioned a nation­al and inter­na­tion­al lit­er­a­ture review on the best prac­tice stan­dards for the pro­vi­sion of health care for remote and iso­lat­ed health services.

Exec­u­tive Sum­ma­ry Nation­al Stan­dards and Cre­den­tial­ing Project

The Exec­u­tive Sum­ma­ry with rec­om­men­da­tions of the Final Report: Nation­al Stan­dards and Cre­den­tial­ing Project pro­vides a way for­ward in address­ing pro­fes­sion­al issues relat­ing to remote health care practices. 

Lit­er­a­ture Review Nation­al Stan­dards and Cre­den­tial­ing Project

This review seeks to define what stan­dards are, iden­ti­fies what the lit­er­a­ture says about remote and iso­lat­ed com­mu­ni­ties, defines best prac­tice, and exam­ines qual­i­ty and safe­ty in the con­text of stan­dards devel­op­ment. Impor­tant­ly, clin­i­cal gov­er­nance and its intrin­sic rela­tion­ship to work­force are also reviewed, to clar­i­fy the strong con­nec­tions they have with stan­dards, and qual­i­ty and safety. 

Fol­low­ing an exten­sive exam­i­na­tion of the lit­er­a­ture spe­cif­ic to devel­op­ment and par­tic­u­lar expe­ri­ences in devel­op­ing, pub­lish­ing, and mea­sur­ing per­for­mance against stan­dards for remote and iso­lat­ed con­texts, it became clear that there is lit­tle rep­re­sent­ed in the pub­lished lit­er­a­ture on stan­dards that are exclu­sive­ly used for remote and iso­lat­ed health ser­vices. To address what appears to be a sig­nif­i­cant gap in report­ed knowl­edge and prac­tice in this area, stan­dards applic­a­ble to oth­er health juris­dic­tions have also been exam­ined for pos­si­ble rel­e­vance and applicability. 

RAN Com­pe­ten­cy Standards

The RAN Com­pe­ten­cies that have been devel­oped in this doc­u­ment are not a check­list of skills or a series of spe­cif­ic per­for­mance indi­ca­tors. This was not the team’s brief. Although these Com­pe­ten­cies may over­lap with those expect­ed of any com­pe­tent prac­ti­tion­er, they are con­stant­ly ground­ed in the com­plex­i­ty and vari­ety of the remote area con­text. As such they will pro­vide oppor­tu­ni­ty for the devel­op­ment of accred­i­ta­tion cri­te­ria and per­for­mance indi­ca­tors appro­pri­ate to the many roles per­formed by Remote Area Nurs­es. No doubt such devel­op­ments will shape and inform cur­ricu­lum devel­op­ment designed to enhance remote area practice. 

This copy of the RAN Com­pe­ten­cy Stan­dards has been pro­duced to com­ple­ment the video Remote Area Nurs­ing: The Chal­lenge of Com­pe­tence’. It is intend­ed that both resources stim­u­late dis­cus­sion and bring to life the RAN Com­pe­ten­cy Stan­dards at the local level. 

Tele­health Guide­lines & Standards

The Tele­health Stan­dards for Nurs­es & Mid­wives and the Guide­lines for Tele­health Con­sul­ta­tion are now avail­able as a pdf below. 

These doc­u­ments were devel­oped through the Com­mon­wealth fund­ed Tele­health Nurs­ing & Mid­wifery Consortia. 

The Stan­dards for Reg­is­tered Nurs­es & Mid­wives are for­mat­ted against the Aus­tralian Nation­al Com­pe­ten­cy Stan­dards and pro­vide addi­tion­al cues spe­cif­ic to Tele­health in its broad­est application. 

Note that the Nurs­ing & Mid­wifery Tele­health Con­sor­tia Guide­lines are broad in nature and in ref­er­ence to Video con­sul­ta­tions only and in rela­tion to the Tele­health Med­ical Ben­e­fits Schedule. 

Hard copies are also avail­able through the CRANAplus office in Ade­laide con­tact membership@​crana.​org.​au

If you have any spe­cif­ic inter­est in this area and would like to know more about the project please con­tact Geri Mal­one at geri@​crana.​org.​au.

Clin­i­cal Standards

Aus­tralian Com­mis­sion on Safe­ty and Qual­i­ty in Health Care.

CRANAplus is pleased to endorse the fol­low­ing Standards;

Fur­ther rel­e­vant Guide­lines and Stan­dards can be found below