An Bord Altranais report for years 1984 & 1985.

Item type Report

Authors An Bord Altranais (ABA)

Citation An Bord Altranais, 1986. An Bord Altranais report foryears 1984 & 1985. Dublin: An Bord Altranais.

Publisher An Bord Altranais

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AN BORD ALTRANAIS NURSING BOARD

Report for Years 1984 & 1985

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AN BORD ALTRANAIS

PRESIDENT:

Rev. Sr. Columba McNamara Matron St. Michae/"s Hospital Dun Laoire

PRESIDENT'S REVIEW

This Report covers the activities of AN BaRD ALTRANAIS for the calendar years 1984 and 1985.

The Report is introduced at an historic time in Irish Nursing as the first elections to An Bord Altranais under the Nurses Act 1985 are being held. The present Board took office at a time when the Nurses Bill was imminent and has pursued its activity as the Bill passed through both Houses of the Oireachtasa. This had a certain unsettling effect on the Board, but nevertheless the members undertook their task with diligence. The diligence is reflected in this report by the vast amount of work undertaken in a very short period.

For me as President there have been outstanding highlights. The major one was the production of "The Code for Nurses". The "Code" marked a significant development in Irish Nursing and brought a sharp focus to the importance of An Bord among all nurses. The policy of holding Board Meetings outside Dublin was also successful as it gave members an opportunity to meet nurses in their places of work. An Bord's newsletter is now in its third volume. This also marked a new approach to communications with the profession.

The long awaited Student Index was introduced in 1984. This development will be important in future manpower planning activities. On the education front the increased activity in continuing education culminating in the commencement of the W.K. Kellogg Foundation!Department of Health funded project is noteworthy. The preparation of Regulations for the Implementation of Syllabi and the Criteria for the approval of Nurse Training Schools were important milestones. Research was not forgotten and the undertaking of the "Stress in Nursing" Research Project, funded by the Department of Health, marked another first for the Board. I look forward to the results of this Research in 1987.

An Bord gave considerable time and thought to its financial and accommodation requirements. The financial situation had

been under scrutiny for some time by the management of An Bord and, in addition to the appointment of an Accountant, a re­financing package has been agreed with the Minister for Health.

Accommodation in 11 Fitzwilliam Place and 11 Lad Lane were considered not to be suitable for the long-term needs of a progressive Board and An Bord agreed to participate in a major development in Herbert Street in co-operation with the Health Education Bureau. This development is, at the time of writing, the subject of an appeal to An Bord Pleanala. It is my earnest wish that the appeal will be successful and that work will commence as soon as possible to ensure that an Bord has facilities to enable it to service the nursing profession to the best of its ability. In this respect it is important to note that Phase I of the Computerisation Programme has been implemented.

A growth area in the work of An Bord was the number of cases of alleged Professional/Infamous Misconduct reported to it. A significant number of nurses were removed from the register during the lifetime of the present Board. While An Bord were concerned at the number of cases reported it has also expressed the view that not all cases are reported to An Bord. This gives rise for public concern and it is hoped that th is situation will be the exception rather than the rule thus ensuring that high standards can be maintained within the profession.

The Board of which I am proud to have been President made significant strides in just over two years and I would like to record my thanks and appreciation to the members of An Bord for giving their time and valued advice. They have served nursing well.

Finally, I wish to thank the Chief Executive Officer and staff of the Board at every level for their commitment, efficiency and courtesy.

~ "'" &~, W< 1Ia. • .a..A.

PRESIDENT

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MEMBERSHIP OF AN BORD

PRESIDENT:

Rev. Sr. Columba McNamara Matron Sf. Michael's Hospital Dun LaoiTe

Dr. Richard Horgan Consultant Psychiatrist Sf. Columba's Hospital Sligo

Dr. Peter O'Connor Casualty Department Mater Misericordiae Hospital Dublin 7

Dr. George Henry Master Rotunda Hospital Dublin 1

Mr. Martin Hynes Chief Nursing Officer St. Mary's Hospital Cast/ebar

Mr. P. J. Fitzpatrick Programme Manager Midland Health Board

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MisS Eveleen Higgins Public Health Nurse

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North Eastern Health Board

Miss Nora Moynihan Ward Sister St. Finan 's Hospital Killarney

Dr. Patrick Finnegan Consultant Physician Regional Hospital Galway

Miss Marjorie Deegan Survey Officer (Nursing) Department of Health

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Mr. John Foster F. W.U.I.

Dr. Chantelle McNamara Waterford

Mr. Luke Murtagh Chief Executive Officer North Tipperary V.E.G.

Miss Elizabeth Kelly Matron St. Finbarr's Hospital Cork

Mr. Michael O'Connor Psychiatric Nurse St. Senan 's Hospital Enn;scorthy

Miss Elizabeth O'Dwyer Matron Meath Hospita l Dublin

Miss Anne Lough Matron General Hospital Sligo

Miss Bridget Butler Supl. Public Health Nurse Soulh·Eastern Health Board

Rev. Sr. Antoinette Kelleher Principal Tutor Our Lady's Hospi tal lor Sick Children Crumlin

~ -. 1\ Miss Katherine Redmond Staff Nurse Our Lady's Hospice Harold 's Cross. Dub/in

Miss Mary Barrett Occupational Health Nurse

Dr. Sheila Ryan Director of Community Care Midland Health Board

Rev. Sr. Carmel Walshe Moore Abbey, Monasterevin

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STAFF OF AN BORD

Chief Executive: Noel Daly, MAH.D.E., MI.H.E., MI.ITD. _______ _

Secretary to Chief Executive: Christina McDonald

FINANCE SECTION Accountant: Diarmuid Gahan, AG.A

EDUCATION SECTION Chief Education Off icer: Kathleen Keane, RGN, RM, RNT, DHA

Education Officer: Eithne O'Domhaill, RGN, BTA, RM, RCT, RNT

EXAMINATIONS SECTION Administrative Off icer: Una Doyle

REGISTRATION SECTION Margaret Saunders

RESEARCH SECTION Research Off icer: Bridin Tierney

COMPUTER SECTION Ass istant to Chief Executive: Desmond FA Bell

SERVICE Receptionist: Shiela Talbot

Deputy Chief Executive: Gerard Donnellan, Cerl. Admin.

Annette Dunphy

Assistan t Education Officers: K Maria Neary, RNMH, RGN, RNT, DHHSA

Catherine Shine, RGN, RNT

Breda Smyth, RGN, RM, PHN.

Pauline Wallace

Catherine McDonnell Jennifer Kilcawley Eileen Henebry

Acting Research Officer: Vincent Breheny

Eleanor Finnegan

PorterlDriver: Harry Reilly

Secretary to Deputy Chief Executive: Antoinette Beegan

Brid Tarpey

Course Leader: Noreen Murphy, RGN, RM, PHN.

Support Staff: Erin Fennelly Ann O'Brien Felicity Dunphy

Support Staff: Annette Lawrence Andrea Horan

Porter: Sean Preston

ADDR ESS: 11 Fitzwilliam Place Dublin 2. TEL 01-609788 TELEX: 91212 ABAL EI

COMMITTEES

MIDWIVES COM M IDEE

CHAIRPERSON: Dr. George Henry Master Rotunda Hospital

MEMBERS: Dr. Finian Lynch Gynaecologist Our Lady of Lourdes Hospital Drogheda

Miss Elizabeth Kelly Matron St. Finbarr's Hospital Cork

Miss Eveleen Higgins Public Health Nurse North-Eastern Health Board

Dr. John F. Gallagher Gynaecologist Ardkeen Hospital Waterford

Miss Ena Gurhy Principal Tutor St. Munchins Hospital Limerick

Dr. Aengus O'Rourke General Practitioner Dublin

PENAL CASES COMMITIEE

CHAIRPERSON: Rev. Sr. Columba McNamara

MEMBERS: Miss Elizabeth O'Dwyer Rev. Sr. Carmel Walsh Mr. Michael O'Connor Mr. John Foster Mr. Martin Hynes Dr. Patrick Finnegan Miss Eveleen Higgins Miss Mary Barrett Rev. Sr. Antoinette Kelleher Dr. Peter O'Connor Dr. Richard Horgan

FINANCE AND GENERAL PURPOSES COMMITIEE

CHAIRPERSON: Rev. Sr. Columba McNamara

MEMBERS: Mr. P.J. Fitzpatrick Miss Marjorie Deegan Mr. John Foster Mr. Luke Murtagh Rev. Sr. Antoinette Kelleher M iss Bridget Butler Miss Mary Barrett Miss Katherine Redmond Mr. Martin Hynes Miss Elizabeth O'Dwyer

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MEETINGS OF AN BORD

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There were a total of 12 meetings of An Bord in 1984 and 11 in 1985. Meetings were held outside Dublin in Limerick, Galway and Sligo. The following are the attendance records for each member:

1984 1985

Rev. Sr. Columba McNamara 12 10 Dr. R. Horgan 11 9 Dr. P. Finnegan 10 8 Dr. P. O'Connor 8 2 Miss M. Deegan 11 11 Dr. G. Henry 10 9 M r. J. Fos1er 9 8 Rev. Sr. Carmel Walsh 8 8 Mr. M. Hynes 12 9 Dr. C. McNamara 11 5 Mr. P. J. Fitzpatrick 11 8 Mr. L. Murtagh 12 10 Miss E. Higg ins 12 11 Miss E. Kelly 11 10 Miss N. Moynihan 1 1 10 Mr. M. O'Connor 10 11 Miss E. O'Dwyer 10 10 Sr. Antoinette Kelleher 11 11 Miss A. Lough 12 11 Miss K. Redmond 10 5 Miss B. Butler 5 3 Ms. M. Barrett 8 7 Dr. J. Kiely Resigned in January 1985 12 Dr. S. Ryan Appointed in October 1985 3

PRESIDENTS OF AN BORD 1950 - to date

June 1951 - 1954 Dr. P. Mac Carvill Jan 1953 - Dec 1954

Dr. N. Falkiner Jan 1955 - Dec 1960 Mr. T.C.J. O'Connell Jan 1961 - Dec 1961

Dr. A. Whelton Jan 1964 - Dec 1978 Prof W.F. O'Dwyer Nov 1979 - Dec 1983

Mrs. J. Barlow Jan 1984 - May 1986 Sr. Columba McNamara

VERIFI CATION SENT FROM AN BORD ALTRANAIS

January 1984-December 1984

United Kingdom EEC 539 Overseas Application Section 176 715 EEC Countries other than UK Italy 1 France 13 Holland 2 Belgium 1 17 All Other Parts Albany 60 Arkansas 19 Alberta 4 TOTAL NUMBERS REGISTERED Australian Embassy 1 JAN 1984- DEC 1984 British Colombia 4 East Africa 1 After EEC Reciprocity Others Total

Exam South Africa 12 Germany 1 Harrisburg PA 1 Kenya 9 Louisianna 1

General 1306 142 1 71 19 1,638 Females General 25 7 5 38 Male

Melbourne 1 Psychiatri c 348 29 378 Minnesota 1 Mental Missouri 2 Handicapped 160 2 162 Newfoundland 6 Sick Children 122 4 126 New Zealand 12 Orthopaedic 11 11 Nairobi 5 Midwives 258 147 405 New South Wales 2 Public Heal th 37 37 Nova Scotia 1 Tutors 6 6 Oklahoma 1 Ontario 7

Clinical Teachers

Perth 2 Saskatchewan 1 Grand Total 2,802 Singapore 3 W. Australia 1 Sydney 1 Queensland 4 Philippines 1 Texas 19 Victo ria 4 Saudi Arabia 1 New York 1 Total 189 189 Grand Total 921

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REGISTRATION

VERIFI CATION SENT FROM AN BORD ALTRANAIS

January 1985- December 1985

EXAMINATION STATISTICS

1984 Entered Passed Rejected

Reg istration Part 1 1118 997 121

Registration 1347 1234 113

Sick Children Prelim . 63 63

Sick Chi ldren Final 93 85 8 Mental Handicap Prelim 160 143 17 Mental Handicap Final 179 150 29 Psychiatric Prelim 217 165 52 Psychiatric Final 599 332 267 Orthopaedic 15 15 Integrated General! Sick Children 65 56 9 Integrated General! Psy. Intermediate 10 8 2 Public Health 34 34

Total 3900 3282 618

1985 Entered Passed Rejected

Registration Part 1 1104 1029 75

Registration 1333 1264 69

Sick Children Prelim 42 40 2 Sick Children Final 70 63 7 Mental Handicap Prelim 164 161 3 Mental Handicap Final 163 157 6 Psychiatric Prel im 186 173 13 Psychiatric Final 350 244 106 Orthopaedic 17 1 7 Integrated General! Sick Childrens 49 49 Integrated General/ Psy. Intermediate 5 5 Midwifery 322 292 30 Public Health 37 37

Total 3842 3531 311

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EEC ADVISORY COMMITIEES ON NURSING AND MIDWIFERY TRAINING

An Bord as the Competent Authority under the E.E.C. Directives on General Nurse and Midwife training was represented on the Nursing Advisory Committee by Miss Kathleen Keane, Chief Education Officer (Delegate) and Miss Marjorie Deegan, Department of Health Representative on An Bord (Alternate), and on the Midwifery Advisory Committee by Miss Keane (Delegate) and Mrs Johannah Barlow, former President of An Bord (Alternate).

Arrangements were also made by An Bord to hold elections to select a Delegate and an Alternate to represent training hospitals. I n the case of Midwifery Miss Anna Monaghan, Principal Tutor, Rotunda Hospital, was elected Delegate with Miss Cora McComish, Principal Tutor, National Maternity Hospital, as Alternate. Miss Ita Leyden, Principal Tutor, S!. James's Hospital, Dublin was elected Delegate on the Nursing Advisory Committee,

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and Mr Tom Kennedy, Tutor, S!. Columba's Hospital, Sligo Alternate. On the resignation of Miss Leyden, Miss Annette Donnellan, Principal Tutor, S!. Laurence's Hospital, Dublin was co­opted by An Bord.

In elections held in October, 1985 Mr Kennedy was elected Delegate and M r Joe Mullen, Principal Tutor, Regional Hospital, Galway, Alternate.

(i) E.E.c. ADVISORY COMMITIEE ON TRAINING IN NURSING

During the committee's term of office, one of its Working Groups produced, in February 1984 a Report entitled "Report on Psychi­atric Nursing in the European Community". This report received wide circulation throughout the community and nationally. It reported on the situation as regards the training programmes in the member states of the community which lead to diplomas authorising the practice of psychiatric nursing and the feasibility of mutual recognition by member

states of those diplomas, resulting in freedom of movement for nurses practising this speciality. All countries reported back to the committee on discussions held.

The Working Group on Paed­iatric Nurse Training in the European Community has also produced a report for the main Advisory Committee on the situation as regards the training programmes in member states, which lead to diplomas authorising the practice of paediatric nursing and on the feasibility of mutual recognition by member states of these diplomas resulting in freedom of movement for nurses practising this speCiality. It is intended that this report will be Circulated in 1986. A new Advisory Committee on training in Nursing is due to take up office in 1986.

(ii ) E.E.c. ADVISORY COMMITIEE ON TRAINING OF MIDWIVES

During the committee's term of office which ended in 1985, it discussed the interim report of its Working

Group which had under­taken a detailed study of the different types of training existing in member states. Every criteria, content of theoretical and clinical teaching were examined. The proviso which allows students who do not personally conduct deliveries of a minimum of forty women, to conduct thi rty and assist at twenty, was also examined. As the provisio is currently being used by some countries, the situation is being kept under review by the committee.

A new committee is due to take up office for the years 1986-1989.

(iii) PROPOSED EEC DIRECTIVES FOR PSYCHIATRIC NURSES

I n September 1984, a one day Seminar was held by An Bord Altranais in SI. Brendan's Hospital, Dublin to consider the possible implications of the Report of the European Commission's Advisory Committee on Nursing. This Report concerned itself with the discipline of Psychiatric Nursing and in essence, proposed two options for

the mutual recognition of nursing diplomas with in the member states of the Community.

OPTION 1: there should be mutual recognition of all diplomas giving access to the exercise of the profession of psychiatric nursing, includ­ing those member states where the general care diploma gives access to the profession of psychiatric nursing. OPTION 2: there should be mutual recognition of specific diplomas in psychiatric nursing only.

Speakers at the Seminar included the following :

Ms. Caporale Principal Administrator of the Directorate General for Internal Market and Industrial Affairs of the European Commission.

Mr. Liam Dunbar Group Nursing Administrator, St. James's Hospital, Dublin

Ms. Cora McComish Midwifery Tutor National Maternity Hospital, Dublin

Mr Joseph Casey Chief Nursing Officer Sf. Senan 's Hospital, Enniscorthy

Sr. Nuala Dolan, R.N. T St. Vincent's Hospital, Fairview

Representatives of the Irish delegation to the Advisory Committee also attended.

A wide ranging and in formative discussion took placed during which it clearly emerged that the participants were totally opposed to Option 1 of the report, but in favour of Option 2.

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HOSPITAL INSPECTIONS

The following Hospitals were inspected during 1985:

• National Children's Hospital, Dublin

• Sf. Joseph 's Hospital, Limerick

• John Paull/Centre, Ballybane

• Sf. Joseph 's Hospital, Clonsilla

• Sf. Raphael's Hospital, Celbridge

• Sir Patrick Dun's Hospital, Dublin

• Royal City of Dublin Hospital, Dublin

• Rotunda Hospital, Dublin • National Maternity

Hospital, Dublin • Coombe Hospital, Dublin • St. James 's Maternity Unit,

Dublin • St. James's Hospital,

Dublin • Our Lady's Hospital,

Ennis

Follow up visits to the inspections were carried out in the following hospitals:

• Coombe Hospital, Dublin

• National Maternity Hospital, Dublin

• Rotunda Hospital, Dublin

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• Sf. James's Hospital, Dublin

• Erinville Hospital, Cork

• Our Lady of Lourdes Hospital, Drogheda

• Galway Regional Maternity Hospital, Galway

• Sf. Finbarr's Hospital, Cork

• Sf. Munchin 's Regional Maternity Hospital, Limerick

• Sf. Vincent 's Hospital, Dublin

(i) St. Raphael's Celbridge. An Bord agreed to defer intake of students until the problems in relation to teaching staff are sorted out.

(ii) Our Lady's Hospital, Ennis. An Bord agreed to implement Section 53(?) of the Nurses Act 1950, that is to seek the approval of the Minister for Health to withdraw recog­nition of Our Lady's Hospital, Ennis as a training school.

THIRD LEVEL EDUCATION

An Berd approved the following:

- Bachelor of Nursing Studies University College Dublin

- Diploma in Nursing University College Galway

- Diploma in Nursing Social Care and Mental Health University College Galway

A special committee of An Bord is studying the impact of th ird level education on nursing. The committee will issue its report in May 1986.

REVIEW OF PSYCHIATRIC NURSE TRAINING

In 1984 a Committee was Established with the following terms of reference:

To prepare syllabus/ curriculum which will enable the student nurse on completion of his/ her training to be competent to practice as a psychiatric nurse in the acute care areas, long stay care areas and the community.

The Committee has now completed its work and arrangements are being made to introduce a new syllabus in 1986/87.

RESEARCH

A Major study on Stress in Nursing was commenced In the Spring of 1985, and the results will be available in early 1987. Miss Bridin Tierney, Research Officer is assigned fulltime to this project.

A detailed assessment of the educational needs of psychiatric nursing personnel was undertaken in the light of the findings of the recently published report - The Psychiatric Services, Planning for the Future. This assessment was carried out through the organisation of seminars.

An evaluation of the Nursing Process as practised in four hospitals was undertaken. As a direct result of this, an assessment of the extent of the use of the Process was undertaken and it is hoped that the combined results of both these activities wi ll soon be published. A discussion document on the nursing Process is being prepared for consideration.

An evaluation of the post basic training programme in behaviour modification for psychiatric nurses as

organised by St. Conal's Hospital, Letterkenny, was undertaken. The results of that evaluation were accepted by An Bord and approval has been given to continue with the course. Work on the development of the Library continues. Fifty journals are now received regularly and increasing access and information facilities are available to nurses. Audio-visual material is also being acquired for use by nurses.

Research Appreciation Courses have been organised in three centres:-

DUBLIN - in co-operation with City of Dublin V.E.C. CORK - in co-operation with University Col lege Cork. GALWAY - in co-operation with University College Galway.

and it is intended to further expand on this network.

PROFESSIONAL DISCIPLINE

Sections 45, 46, 47 and 48 of the 1950 Act deal with the area of Professional Discipline and part IV of the Nurses Rules, 1953 sets out in detail how the system is

to operate. A Penal Committee consisting of twelve members of An Bord has been established under Rule 15 (Nurses Rules, 1953). A "Code for Nurses" was published in April, 1985. The Code dealt with the responsibilities of nurses to patients, colleagues and the community and also the approach to be adopted towards research.

The complaint against all the nurses who were involved in industrial action at a particular hospital, which had been awaiting a decision by An Bord from 1983, was dismissed in 1984. The members of An Bord have subsequently decided that as part of any review of the code consideration should be given to the publication of a policy statement on the position of nurses during an industrial dispute.

A total of eleven complaints against nurses were received in 1984. One complaint, relating to the theft of patients and colleagues' money led to the nurse's name being removed from the Register. Three nurses were repri­manded and seven

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complaints were dismissed. In 1985 seventeen complaints were received. Of these two led to the nurses having their names removed from the Register. One related to the misapp­ropriation and misuse of drugs and the other to sexual assualt of a patient. Eleven of the complaints were dismissed and four were not finalised at the end of the year.

NURSING -A GUIDE

NURSING- A GUIDE a Bord Altranais booklet, sponsored by Allied Irish Banks, was formally launched by Barry Desmond, T.D., Minister for Health and Social Welfare on December 2nd, 1985 at Allied I rish Banks Head­quarters, Bankcentre, Ballsbridge.

The aim of this guide is to provide post-primary school pupils, career guidance counsellors, and parents, with information concerning:

• General Nursing • Paediatric Nursing • Psychiatric Nursing • Mental Handicap Nursing • Midwifery • Current list of Nurse

Training Schools

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• Educational Requirements for Entry to Nursing

• How to Apply

The guide features five student nurses who give insights into their training programmes. The five chosen were Louise Byrne, St. Michael's Hospital, Dun Laoire; Marie Scallon, Our Lady's Hospital for Sick Children, Crumlin; Patrick Conroy, St. Vincent's Hospital, Fairview; Ann McCarthy, Moore Abbey, Monasterevin; and Maighread O'Connor, Rotunda Hospital.

FINANCE

An Bord has been operating at a deficit for several years. The accumulated deficit to date has been partly covered by funds provided by the Department of Health, the remainder being funded by bank overdraft.

The entire financing of An Bord has been given careful consideration, and at present, the financing arrangements are being restructured to provide a solid financial framework from which An Bord can continue to provide and expand its services.

The audit for the years 1982 and 1983 were completed by the Local Government Auditor in 1985.

COMPUTERISATION

The Computer System was installed in November 1984. The greater part of 1985 was spent testing the system and developing the Registration and Accounts programmes.

On 1 December 1985 these two programmes went live. All applications for registra­tion after that date were computerised.

It is proposed that the computerised Student Index system shou ld be in place and fully operational by June 1986. Following this, work will commence on the Examination System.

The computerisation programme has been fu nded totally by the Department of Health. The Hardware for the system was provided by Perk in­Elmer and the Software has been specially developed with the assistance of FBD Computer Services.

OVERSEAS DEVELOPMENT PROGRAMME

The Overseas Development Programme involves the provision of nurse training in Ireland for students from overseas or the provision of in-country training consult­ancy. The origins of An Bord's involvement in this area go back to the late 70's when Irish doctors working in the Middle East referred nurses from that area to An Bord to arrange training in Ireland. Training for Irish registration was provided for students from Bahrain and Qatar in the late 70's, and on-the-job training was provided for Arabs who were trained as nurses in their own country. An Bord is a member of DEVCO, which is the semi­state body charged with co­ordinating overseas development co-operation by Irish semi-state bodies. Early in 1983 a decision was taken to actively market abroad the nurse training facilities available in Ireland, and a detailed brochure was prepared by An Bord and this was used on visits undertaken by officers of An Bord to various countries.

The Chief Executive Officer was a member of the Health Services Export Co­ordinating Committee which reported to the Minister for Health in July, 1984.

The Deputy Chief Executive Officer visited Bahrain, Qatar, Saudi Arabia and Kuwait in 1985, and Mr. Vincent Breheny, Act ing Research Officer particip­ated in a Coras Trachtala Trade Mission to a number of African countries, as part of An Bord's on-going marketing of Irish nurse training and consultancy services. M iss Kathleen Keane, Chief Education Officer visited I raq and Bahrain.

During 1984 and 1985 there were students from Bahrain and Qatar undertaking nurse training programmes in Ireland. The income from the provision of this training, accommodation was £35,000 approximately.

NEWSLETIER

As part of its programme of improving communications with the profession a newsletter was introduced in 1984. Five thousand copies of the newsletter are circulated on a quarterly

basis. It is in tended to expand this circulation.

SCHOLARSHIPS

Commencing in 1985 Perkin-Elmer/ FBD Computer Services agreed to provide two scholarships per year for three years to An Bord Altranais to enable nurses to study the impact of computers on nursing. The scholarships are tenable at California State University and the first award winners in 1985 were Jackie Conlon, A.C.N.O., St. Brigid's Hospital, Ardee and Helene Corkery, Staff Nurse, Royal Hospital, Donybrook. Both will commence their studies in California in July 1986.

STAFF DEVELOPMENT

An act ive programme of staff development for all grades of staff was pursued in 1984 and 1985. In addition to in­house training staff particip­ated in specialist courses in the Irish Management I nstitute and the I nstitute of Public Administration. It is intended to continue with this policy of active encouragement of continu­ing education.

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MIDWIVES' COMMITIEE

The Midwives' Committee was established by Section 26 of the Nurses Act 1950. The number of members on the committee is eight and the composition is defined by the Act. The committee met on eleven occasions between May, 1984 and April, 1986.

Under the Act the committee is the profess­ional disciplinary body for midwives and during the period a considerable amount of time was devoted to a protracted investigation of a complaint against a Domiciliary Midwife, result­ing finally in the complaint being dismissed.

Members of the committee were involved in the inspection of Midwifery Training Hospitals and reports on the four Dublin hospitals were considered by the committee and forwarded to An Bord.

The committee monitored the Midwifery examination system and considered

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periodic reports in this area and in relation to the new two year Midwifery training programme.

The Nurses Bill, 1984 and the fact that it did not contain provision for a statutory Midwives' Committe was debated by the committee and concern was expressed to An Bord.

A joint meeting between members of the committee and the executive of the Midwives' Section of the Irish Nures Organisation was held at their request to discuss areas of mutual interest. The committee also had a joint meeting with a sub-committee set up by An Bord to consider Community Nursing.

BACK TO NURSING

An Bord Altranais organised courses for nurses who trained and registered in the United Kingdom prior to the implementation of the E.E.C. Directives in General Nursing and who did not comply with these directives in order to register with An

Bord Altranais. On completion of this course, registration was given. Some nurses who are already registered with An Bord availed of this course as a refresher.

Th is cou rse was of two weeks' duration and consisted of theory and practice. The practical experience was obtained in the ward setting. The hospitals involved were St. Vincent's Hospital, Elm Park; General Hospital, Sligo; Mater Misericordiae Hospital; Dublin and Galway Regional Hospital.

A total of seventy nine nurses attended these course in 1984-'85.

THE PSYCHIATRIC SERVICES-PLANNING FOR THE FUTURE

An Bord welcomed this report and as an immediate response:

In September 1985 a series of five Workshops were organised to consider the educational and training

implications of the recently published Report - "the Psychiatric Services -Planning for the Future".

The Workshops were held in:-

1 DUBLIN

2 BALLINASLOE

3 SLIGO

4 WATEFORD

5 CORK

A total of 513 personnel attended.

An Bord was assisted at each session by Professor Mary Anne Dolen of the Orvis School of Nursing, Reno, Nevada and Dr. Dolores Middlebrooks of the Truckee Meadows Community College, Reno, Nevada in this exercise.

A total of seven educational and training needs were identified and these are classi fied under the following headings:

a Skills and knowledge related to management

b Skills and knowledge related to nursing assessment

c Skills and knowledge related to group therapy

d Skills and knowledge related to mental health

e Skills and knowledge related to crisis intervention

f Skills and knowledge related to community management

9 Skills and knowledge related to teaching

h Skills and knowledge related to nursing research

Skills and knowledge related to interpersonal communications

In addition to the above it was also recognized that a gross deficit existed as regards nurses abilities and opportunities to work in such specialist areas as:

- substance abuse - alcoholism treatment - child psychiatry - forensic psychiatric - behavioural psychotherapy

An Bord considered the reports from the Workshops and is conti nuing with the development of educational packages to meet the needs identified.

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COURSES AND SEMINARS 1984

The following courses and seminars were conducted: Seminar on "Professional Discipline in Nursing" Seminar on "The Art of Assess ing and Interviewing student nurses and student midwives" . "Research appreciation course for nurses" (held in Dublin. Cork and Galway) "Back to Nursing" refresher course held twice in 1984 "Modern Day Care of the Diabetic" seminar in conjunction with Becton Dickinson and Fannin & Co. Ltd. "Paediatric Seminar" in conjunction with the Association for the Welfare of Children in Hospital Seminar on "Care of the Elderly" Seminar "Refresher course for Public Health Nurses" "Occupational Health Nursing Course" 1984/85 Public Health Nursing Course" 1984/85 Seminar "Education Update" Seminar " the Non­Residential Approach for the Mentally Handicapped Person"

Seminar "Communications and the Nursing Process" Seminar "Teaching and Learning in the Clinical Setting"

COURSES AND SEMINARS 1985

The following courses and seminars were conducted:-

Seminar on "Examinations­The Issues" Seminar on "Meeting the Psychophysiological Needs of the Elderly" "Appreciation Course in Research Methods for Nurses" Refresher course for Occupational Health Nurses National Conference for Student Nurses to mark International Youth Year Refresher course for Publ ic Health Nurses I nternational Conference "Professional Nursing Practice" Occupational Health Nursing Course 1985/86 Public Health Nursing Course 1985/ 86 Community Psychiatric Nursing Course Community Mental Handicap Nursing Course Seminar "Teaching and

.1- k't- ~..,...~~--.. ____ i/

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Learning in the Clinical Setting"

DEVELOPMENT OF PREMISES

F ollowi ng a review of its current accommodation and future requirements An Bord decided to accept the invitation from the Depart­ment of Health to participate in the proposed new development in Herbert Street. This development would provide An Bord Altranais and the Health Education Bureau with new headquarters with shared conference and library facilities. The proposed development is currently the subject of a planning appeal to An Bord Pleanala.

The following sketch outlines the proposed development:

COMPUTER COURSES FOR NURSES

Recognising the rapid development of technology in health care and the present programme of computerisation in the health services An Bord organised a series of specialised Computer Courses for Nurses. The courses placed a special emphasis on the practical use of computers in nursing. To-date eight courses have been held with eighty nurses having undertaken the programme. Dublin was the centre for the first series and plans are now advanced for the holding of the courses at provincial centres.

INTERNATIONAL CO­CO-OPERATION

The period under review has witnessed extensive activity in this area. Representatives of an Bord have participated in major international nursing events as well as establishing new contacts of benefit to An Bord. The PreSident and Chief Executive visited New Zealand and Australia in 1984 and studied at first hand the transfer of nurse

education from the hospital system to third-level education. The Chief Education Officer sub­sequently participated in a W.H.O. Workshop in Finland devoted to the same topic.

Working relations were established with the Departments of Nursing in the University of Reno, Nevada, California State University and Columbia University, New York. The latter and An Bord's Education section held a joint conference in Killarney in August 1985. Further co­operation in the field of nurse education are being explored.

The close working relation­ship which has existed between An Bord and similar bodies in the United Kingdom was recognised by the hosting in Dublin in 1985 of a meeting involving the Chief Executive Officers of the National Boards in England, Scotland, Wales, Northern Ireland, the U.KC.C., and An Bord Altranais. The Chief Executive Officers will continue to meet on a regular basis thus ensuring maximum co-operation at all times.

PUBLIC RELATIONS

An Bord is conscious of its responsibility to the public and is anxious to have its activities receive the widest possible coverage.

In the period under review the coverage was generous and An Bord would like to express its sincere thanks to those members of the press, radio and television who took an interest in and reported on the affairs of An Bord.

2 1

COMMITIEES OF AN BORD

Code for Nurses Committee Membership:

Chairperson:

Rev. Sr. Columba McNamara Matron, Sf. Michael's Hospital Dun Laoire

Dr. Patrick Finnegan Consultant Physician Regional Hospital Galway

Miss Eveleen Higgins Public Health Nurse N.E.H.B.

Dr. Richard Horgan Consultant Psychiatrist Sf. Columba's Hospital Sligo

Mr. Martin Hynes Chief Nursing Officer St. Mary's Hospital Castlebar

Sr. Antoinette Kelleher Principal Tutor Our Lady's Hospital for Sick Children Crumlin

Mr. Michael O'Connor Sf. Senan 's Hospital Enniscorthy

Miss Elizabeth O'Dwyer Matron Meath Hospital Dublin

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COMM ITIEE REVIEW­ING DEGREE COURSE IN BACHELOR OF NURSING STUDIES, UNIVERSITY COLLEGE DUBLIN

Membership: Chairperson: Sr. Columba McNamara Matron St. Michael's Hospital Dun Laoire

Dr. Patrick Finnegan Consultant Regional Hospital Galway

Mr. Martin Hynes Chief Nursing Officer St. Mary's Hospital Castlebar

Sr. Antoinette Kelleher Our Lady's Hospital for Sick Children Crumlin

Mr. Luke Murtagh Chief Executive Officer North Tipperary VE.e.

Miss Elizabeth O'Dwyer Matron Meath Hospital Dublin

CONTINUING EDUCATION PROJECT

An Bord has secured funding from the W.K Kellogg Goundation of America and the Depart­ment of Health to initiate a continuing education project for nurses. The project will initially be based in three pilot centres - Ardkeen Hospital, Waterford, Regional Hospital, Galway and St. James's Hospital, Dublin. Learning Resource Centres are currently being established in these hospitals. The philosophy of the project is that nurses should have access to educational opportunities to realise their potential as professionals while remain­ing employed.

The project will have access to the distance education learning materials and methodologies of the Statewide Nursing Program of California State University.

COMMUNITY NURSING

A special committee was established in 1984 to examine the training of nurses for working in the community. The committee

in an Interim Report to An Bord recommended the organisation of a Special Course for Psychiatric Nurses and Mental Handicap to provide them with skills to enable them to work in The Community. A feature of the course, which was held in 1985, was that the Psychiatric Nurses and Mental Handicap Nurses were integrated with trainee Public Health Nurses for a section of the course. A report on the course is currently being evaluated.

REGULATIONS FOR THE IMPLEMENTATION OF THE SYLLABI OF TRAINING

BASIC NURSING PROGRAMME ­THREE YEARS These regulations were published in 1985. They contain general and specific details pertaining to all three year basic nursing programmes. These take effect for all students who entered training from January 1 st, 1986. POST-REGISTRATION NURSING PROGRAMME­EIGHTEEN MONTHS The regulations for the

implementation of the syllabi of training for post­registered student nurses take effect for student nurses who entered training from 1 st April, 1986.

"NURSING USES OF COMPUTERS AND INFORMATION SCIENCE"

An Bord are hosting the Third International Symposium on Nursing uses of Computers and Inform­ation Science, from 21-24th June, 1988. The Symposium is being held under the auspices of the International Medical Informatics Association (IMIA). The theme of the Symposium is the use of technology to improve enhance and facilitate nursing practice using the nursing process model. The Symposium will be held in Trinity College, Dublin. Previous symposia were held in London (1982) and Calgary (1985).

23

CRITERIA FOR APPROVAL AND I NSPECTION OF SCHOOLS OF NURSING/ MIDWIFERY

An Bard developed the following Criteria which has been circulated to all Schools of Nursing/ Midwifery.

1. DEFINITIONS For the purpose of this document the following definitions are used. The word "nurse" means a woman or man whose name is entered in the register and includes a midwife and nursing includes "midwifery" .

The words "student nurse" means a person pursuing an approved training course leading to registration and whose name is entered on the Student Index main­tained by An Bard Altanais.

The word "Hospital" or "institution" referred to in the Nurses Rules 1953 is hereby defined as a school of nursing/midwifery and it encompases all areas approved by An Bard Altranais suitable for student nurse/ midwife training and education.

The word "hospital" includes

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"centres" and "areas" which apply to nurse training.

The word "clinical" will be used to cover all clinical experience areas. I n this definition the clinical experiences are viewed as complimentary to the theoretical instruction given in the classroom.

The words "theoretical instruction" refers to instruction in the classroom and clinical areas.

2. REQUIREMENTS FOR APPROVAL AS A SCHOOL OF NURSING (a) For Approval • The School of Nursing should be of sufficient size to support the training of the number of students approved by An Bard Altranais after inspection.

• The number of candidates in each school shall be maintained in accordance with the numbers approved by An Bard Altranais and shall not deviate from the minimum or maximum agreed.

• All schools must be in a position to fully implement and adhere to the syllabus of training, the regulations, directives, circulars and

requirements of An Bard Altranais.

• Schools of nursing may not accept or allocate students on secondments without first obtaining approval from An Bard Altranais.

• Additional directives and/or requirements arising from inspection must be adhered to and implemented within the specified time span.

• Any alteration(s) to the initial approval granted to a training school must be notified to and approved by An Bard Altranais.

(b)APPROVAL OF CLINICAL TRAINING

• Statistical data (bed occupancy, number of beds, clinical statistics, etc.) will be considered when assessing suitability of clinical areas.

• The clinical areas of experience as stated in the current Syllabi and Regulations must be available and these clinical areas must meet with the approval of An Bord.

• Theory and practice must be co-ordinated throughout the clinical training.

• There must be liaison between nursing service in clinical areas and tutorial staff.

• Clinical instruction must take the form of supervised in-service training in hospital departments or other health services including home nursing and community. • For each clinical area there must be set learning objectives and they must be revised as needed and explained to students and staff. The objectives should be devised, monitored and assessed by ward/ department in conju nction with tutors and clinical teachers.

• All qualified nursing staff involved in training and assessing of students, should receive instruction in the art of assessing and teaching.

• Student nursing staff involved in training and assessing of students, should receive instruction in the art of assessing and teaching.

• Student nurses must receive experience working with male and female patients/ mentally handi­capped residents both in the hospital and in the community.

• The medical and nursing care and the faCilities available must be of the required standard so as to cater for all the needs of the people being cared for, to include, the physical, psychological, social, emotional and safety aspects - with the general principles of normalisation being considered.

• The inherent dignity of the person in care must be at all times be seen to be respected.

• The provision of care must not be overly dependent on the services of student nurses.

• The supervision of student nurses in training must be by a regi stered nurse over each span of duty.

(c) APPROVAL OF THEORETICAL INSTRUCTION AND FACILITIES

• There must be a total planned programme for each group entering training, for the relevant duration of that training.

• The record of a student's training must be kept.

• Sufficient lectures and tutorials must be given to implement the syllabus of training.

• A school of nursing must have an Education Committee

• The minimum acceptable ratio of teaching staff to students must be 1 :25.

• All teaching staff should be registered as nurse tutors or cli nical teachers with An Bord Altranais and have the appropriate nursing/ midwifery qualifica­tion for teaching the discipline.

• Clerical assistance should be provided for tutorial staff and be commensurate to the size of the school.

• All buildings, space and equipment must be of a standard conducive to good nursing education and practice.

• There must be a good library available.

25

3. INSPECTION PROCEDURES (a) An Bord Altranais may at any time inspect approved schools of Nursing, but will, as a matter of routine, inspect a school at least once every five years. (b) The inspection will be carried out by such Board Members and Officers of an An Bord as may be decided from time to time.

(c) The duration of the inspection will depend on the size of the school of nursing and the investiga­tions to be carried out.

(d) Documentation, which An Bord Altranais will require prior to the inspection must be furnished by the hospital as prescribed.

MINIMUM EDUCATIONAL STANDARD FOR ENTRY TO BASIC NURSE TRAINING

An Bord has decided on a new minimum educational standard for entry to basic nurse training. No student entering training after the effective date will be allowed

26

to enter An Bord's examina­tions unless he/she possesses the minimum standard.

Effective date: 1 st October, 1986 Minimum standard: Leaving Certificate subjects Irish English Mathematics Science subject· Any two others • From Department of Education approved list.

Grades Grade C in higher level papers in any two subjects and Grade D in ordinary level papers in the other four.

The above Grades may be accumulated over two consecutive sittings of the Leaving Certificate. Entry Test: For those who do not meet the minimm standard An Bord will organise a special entry test (details to be announced later). Mature Students: Applications to undertake basic nurse training, from persons aged 24 years on 15th October of the year of entry to training, who do not possess the minimum

standard, may be considered on an individual basis.

STUDENT INDEX

An Bord decided with the approval of the Minister for Health to set up a Student I ndex for all students commencing any nurse training course. Every student is required to complete a Student Index form and return it to An Bord within 14 days of commencing training.

The date certified on the Student I ndes form by the Matron or Chief Nursing Officer and the Principal Tutor is the official date upon which the student is deemed to have commenced training. If a student discontinues training An Bord has to be notified of this fact by the Matron or Chief Nursing Officer. This notification should state the date training ceased and the reason for the student leaving.

THIRD LEVEL EDUCATION COMMITIEE

Membership: Chairperson :

Sr. Columba McNamara Matron St. Michael's Hospital Dun Laoire County Dublin

Ms. Mary Barrett Occupational Health Nurse Digital Galway

Miss Bridget Butler Supt. Public Health Nurse S.EH.B.

Dr. Patrick Finnegan Consultant Physician Regional Hospital Galway

Dr. George Henry Master Rotunda Hospital Dublin

Miss Eveleen Higgins Public Health Nurse N.EH.B.

Mr. Martin Hynes Chief Nursing Officer St. Mary's Hospital Castlebar

Sr. Antoinette Kelleher Principal Tutor Our Lady's Hospital for Sick Children Crum/in

Miss Elizabeth Kelly Matron St. Finbarr's Hospital Cork

Miss Ann Lough Matron General Hospital Sligo

Miss Nora Moynihan St. Finan 's Hospital Killarney

Mr. Luke Murtagh Chief Executive Officer North Tipperary VEC.

Mr. Michael O'Connor St. Senan's Hospital Enniscorthy

Dr. Peter O'Connor Consultant Mater Misericordiae Hospital Dublin

Miss Elizabeth O'Dwyer Matron Meath Hospital Dublin

Miss Katherine Redmond Staff Nurse Our Lady's Hospice Harolds Cross Dublin

Sr. Carmel Walsh Matron Moore Abbey Monasterevin

COMMUNITY NURSING COMM ITIEE

Membership: Chairperson :

Miss Bridget Butler Supt. Public Health Nurse S.EH.B.

Miss Eveleen Higgins Public Health Nurse N.E.H.B.

Dr. Jim Kiely Director of Community Care Mid Western Health Board Limerick

Mr. Michael O'Connor St. Senan's Hospital Enniscorthy

Miss Elizabeth O'Dwyer Matron Meath Hospital Dublin

Sr. Carmel Walsh Matron Moore Abbey Monasterevin

Mr. P.J. Fitzpatrick Programme Manager Midland Health Board

27

COMMITIEE TO REVIEW PSYCHIATRIC NURSE TRAINING

Membership: Chairman: Mr. Martin Hynes Chief Nursing Officer St. Mary's Hospital Cast/ebar

Mr. Joe Casey Chief Nursing Officer St. Senan's Hospital Enniscorthy

Sr. Nuala Dolan Tutor St. Vincent's Hospital Fairview Dublin

Mr. Finn Gallagher Chief Nursing Officer St. Loman's Hospital Mullingar

Mr. Anthony Harmon Chief Nursing Officer 51. Loman's Hospital Palmerstown Dublin

Dr. Richard Horgan Consultant Psychiatrist St. Columba 's Hospital Sligo

28

Miss Nora Moynihan Ward sister St. Finan 's Hospital Killarney

Mr. Michael O'Connor Staff Nurse 51. Senan 's Hospital Enniscorthy

Miss Elizabeth O'Dwyer Matron Meath Hospital Dublin

Mr. Martin Philpott Tutor Our Lady's Hospital Cork

"STRESS IN NURSING" RESEARCH PROJECT ADVISORY COMMITIEE

Chairman: Mr. Noel Daly Chief Executive An Bord Altranais

Prof. Penny Prophit University of Edinburgh

Miss Marjorie Deegan Department of Health

Dr. Eunice McCarthy University College Dublin

Dr. Richard Horgan 51. Columba's Hospital Sligo

Miss Kathleen Keane Chief Education Officer An Bord Altranais

ANALYSIS OF STUDENT INDEX 1984

VOLUNTARY/ FEDER­ATED HOSPITALS ANALYSIS

HEALTH BOARD HOSPITALS ANALYSIS

Number on Student Numer on Student Number on Student Index: 1818 Index: 1316 Index: 502 Number of students with 2 C's or Higher in Leaving Certificate: 1096

Number of Students with 2 C's or Higher in Leaving Certificate: 786

N umber of Students with 2 C's or Higher in Leaving Certificate: 310

Percentage of Total Number:

Percentage of number Percentage of number in 60% in category: 60% category: 62%

ANALYSIS BY NURSING DISCIPLINE

0 G P S.C M.H. M

Number on Index: 7 1124 202 74 169 242 2C's or Higher: 5 717 95 65 81 133 % in category: 71% 64% 47% 88% 48% 55% Average age: 24 19 20 20 19 24

0 = Orthopaedic G = General P = Psychia tric S.C. = Sick Children 's M.H. = Menta l Handicap M. = Midwifery

ANALYSIS OF GENERAL STUDENT INDEX

Number on Index: 2 C's or Higher: % in category: Average Age:

Voluntary/ Federated

824 512 62%

19

Health Board

300 205 68%

19

29

ANALYSIS BY COUNTY OF ORIGIN

County Number Percentage to nearest %

1 . Dublin 306 17% 2. Cork 288 16% 3. Galway 128 7% 4. Tipperary 99 5% 5. Mayo 80 4% 6. Limerick 73 4% 7. Wexford 73 4% 8. Kerry 70 4% 9. Kilkenny 65 4% 10. Donegal 52 3% 11 . Kildare 46 3% 12. Westmeath 45 2% 13. Laois 43 2% 14. Carlow 42 2% 15. Meath 41 2% 16. Waterford 41 2% 17. Clare 39 2% 18. Sligo 39 2% 19/ Cavan 37 2% 20. Roscommon 37 2% 21. Wicklow 34 2% 22 . Louth 34 2% • Other includes: 23. Offaly 32 2% Hong Kong 1 24 . Longford 30 2% Enegu 1 25. Monaghan 26 1% Qatar 1 26. Leitrim 13 0.7% England 1

Other 5 0.3% Tyrone 1

30

REPRESENTATION

Conference

World Midwifery Conference

W.H.O. Seminar on Third-Level Education

XI International Congress on Occupational Health

10th International Conference on Health Education

I nternational Conference on Health Education in Nursing, Midwifery and Health Visiting

International Applications of Distance Learning for Statewide Nursing Program

Annual Conference of Joint Comm ittee of Mental Health Nursing Organisations

Annual Conference of the British Psychological Society

National Conference on Primary Health Care

International Congress in Medical Informatics

2nd International Symposium on Nursing Use of Computers and Information Science

I nternational Conference in Nursing Law and Ethics

RCN Nursing Research Conference

Dept. of Nursing, University of Manchester, Anniversary Conference

2nd International Congressof Nursing in Child Health

Representative

Rev. Sr. Columba McNamara President

Miss E. Kelly

Miss K. Keane

Miss K M. Neary

Miss K Keane Mrs. E. 0 Donnell

Miss B. Smyth

Mrs. E. O'Donnell

Mr. V. Breheny

Mr. V. Breheny

Miss E. Higgins

Mr. N. Daly

Mr. N. Daly

Rev. Sr. Columba McNamara Mr. M. Hynes Mr .. G. Donnellan

Miss B. Tierney

Miss B. Tierney

Sr. Antoinette Kelleher

3 1

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