Australian Nursing Standards and Practice

This assignment requires an analysis of different Australian nursing standards documents like the Nurse Practitioner Standards for Practice Australia. Students need to explore how these standards are developed, implemented, and their influence on nursing practice in Australia. The focus includes comparing specialty nurse standards with registered nurse standards, understanding the challenges faced by international graduates in meeting English proficiency requirements, and examining the role of continuing professional development for midwives. The assignment also delves into the alignment of learning experiences and assessments with research skills development frameworks in midwifery programs.

Running head: ROLE OF NMBA AND ANMF
Role of NMBA and ANMF
Name of the student:
Name of the university:
Author note:

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ROLE OF NMBA AND ANMF
Table of Contents
1....................................................................................................................................... 2
The role of NMBA:........................................................................................................2
The role of ANMF:........................................................................................................2
2....................................................................................................................................... 2
Registration standard: continuous professional development:.....................................3
Registration standard: criminal history:.........................................................................3
Registration standard: English language:.....................................................................3
Registration standard: profession indemnity:................................................................3
Registration standard: Recency of practice:.................................................................4
Enrolled nurse standards for practice:..........................................................................4
Part B:...........................................................................................................................4
1. Immediate actions:..............................................................................................4
2. Learning needs:.................................................................................................. 5
3. Learning activities:.............................................................................................. 5
References:......................................................................................................................7

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ROLE OF NMBA AND ANMF
1.
The role of NMBA:
The nursing and midwifery board of Australia was established in the year of 2009
by the Australian Health Workforce Ministerial Council in order to monitor all the aspects
of the nursing and midwifery practice in the NSW and the territory regions. The
functions of NMBA board abide by the health practitioner regulation national law in all of
the NSW states and territory. There are 5 core areas of function that is performed by the
NMBA, registration of the nursing and midwifery students, development of the practice
standards, code of conduct, and guidelines for nurses and midwives, handling the
disciplinary complaints and investigations, assessment of the non-citizen practitioners
and approval of accreditation standards in nursing and midwifery practice (Savarese et
al., 2010).
The NMBA plays a pivotal role in the direction and understanding of the policy
design and implementation within the scope of practice for nurses and midwives in
Australia as well. The NMBA in collaboration with Australian health practitioner
regulation agency or AHPRA set the policies and practice guidelines and actively
oversee the compliance of these policies.
The role of ANMF:
ANMF stands for Australian nursing and midwifery federation, which can be
defined as the union for the registered and enrolled nurses, midwives and nursing
assistants who are practicing in any of the NSW state and territory within Australia. The
ANMF had been established in the year of 1924 in the name of Australian nursing
federation, which was later changed to ANMF and presently comprises of 249000
members all throughout Australia. The primary role within the context of health care
provided by the nursing professionals, ANMF contributes in advancement of industrial,
political and professional status of the members of this union. The mission statement of
the ANMF had been to avoid the American style payment system in the health care and
keep the health care provided as accessible and cost effective as possible.
Along with that, the roles of the ANMF also extend to safeguarding the best
interests of the nursing professionals practicing in Australia, such as employment,
workload, shifts, training and skill enhancements and any other challenges faced by the
nurses or midwifery professionals practicing in Australia. Lastly the ANMF plays a
profound role in monitoring and evaluating the practice conditions of the nursing or
midwifery health professionals, attempting to improve health care services for both the
patients and the professionals who provide the care (Scanlon et al., 2012).
2.

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ROLE OF NMBA AND ANMF
Registration standard: continuous professional development:
This registration standard focuses on the minimal requirements needed for
continuing the professional development applicable for all enrolled nurses, registered
nurses and the midwives. This standard applies to all enrolled nurses that are
associated in either full-time or part time practice in paid or unpaid setting. This
registration standard facilitates continuous professional development for enrolled nurses
by the means of maintaining, improving and broadening the scope of knowledge and
also helps in enhancing their expertise and competence. Overall, the enrolled nurses
can develop their personal and professional qualities all throughout their professional
lives in accordance to the protocols of this registration standard (glew, 2013).
Registration standard: criminal history:
This is an essential body of legislation that decides the factors the national
employment authorities will consider while deciding whether the criminal records or
history of the health care professional will be relevant to the practice or performance
standards. This registration standard is based on the Health Practitioner Regulation
National Law and applies to all applicants for registration and registered health
professionals; hence it only applies to the enrolled nurses who have already applied for
registration. This standard is focused on the safety and competency of the health care
facility and the patients seeking care in it. The registration standard takes into
consideration the nature or gravity of the crime, timeframe, conviction evidence,
sentence imposed, age and mental health of the professionals and behavioral and
characteristic traits of the alleged professional.
Registration standard: English language:
This registration standard enables the nursing professionals to demonstrate their
competency in speaking and communicating in English and whether their expertise in
English is sufficient for their respective scope of practice. This registration standard
applies to registered professionals or applicants for registrations, for enrolled nurses,
the professional must provide evidence or a yearlong practice in pre-registration
program approved by the recognized authorities. Along with that the enrolled nurse will
also have to give evidence for a 5 year long education program accessed in English to
access this standard (glew, 2013).
Registration standard: profession indemnity:
This registration standard is associated with the professional indemnity insurance
applicable for the registered nurses, enrolled nurses, and midwives. In order to access
this standard the enrolled nurses must hold personal or third party PII arrangements
that are in accordance with the requirements of this standard. This registration standard
ensures that the nursing professionals that are practicing their profession in complete
safety and they are not participating in any practice action that lacks professional
indemnity insurance for the professional in case of any unfortunate mishap.

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ROLE OF NMBA AND ANMF
Registration standard: Recency of practice:
This registration standard ensures that the nursing professional is maintaining
adequate connection and expertise associated with the recent practice norms and
standards within their scope of practice. This registration standard applies to all enrolled
nurses, registered nurses and midwives; although meeting the minimal requirements of
this NMBA standard is not equivalent to the satisfying the ethical professional
responsibilities of the nursing practitioner, however, this standard affectively serves to
help the professionals maintain their competency at providing effective and safe care
(Keast, 2016).
Enrolled nurse standards for practice:
The enrolled nurse’s standards for practice are the core practice standards that
provides the framework that can be used to evaluate or asses the enrolled nurse scope
of practice and performance. This standard are used to develop nursing curricula,
assess newly graduate students, assess the nurses educated abroad who are wishing
to work in Australia and assess ENs who rejoining practice after a considerable break.
This standard helps the enrolled nurses to provide direct and indirect care to the
patients, engage in reflective practice, and demonstrate professional and collaborative
practice (Cashin et al., 2015).
Part B:
1. Immediate actions:
Nasogastric tube can be explained as a feeding tube which is used for patients
who are unable to feed on their own. It is a plastic tube that is inserted through the
nostrils of the patient, through the nasopharynx and into the stomach of the patient.
Despite this being an abundantly used technique for providing nutrition to critical
patient, there are various challenges that arise when using this particular technique,
and blockage of nasogastric tube is a very common one. In the case study
represented in the assignment, the patient under consideration also is suffering with
a nasogastric tube blockage and is in need for immediate declogging activity.
However, the enrolled nurse under consideration had been untrained in the
complicated procedure of declogging and in such cases the decision making
framework of the NMBA can be utilized (Savarese et al., 2010).
According to the decision making frameworks, the very first action for a
nursing professional in the time of any emergency that is above the nursing training
or expertise that the nurse might have include, identification of the client needs and
benefits, reflection on the scope of practice according to the nursing practice
standards, contextual organization or practice support consideration and selection

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ROLE OF NMBA AND ANMF
of the appropriate or competent personnel to carry out the interventional activity
needed by the patient.
2. Learning needs:
The learning needs of a nursing practitioner must be identified and acted upon at
any point during their professional practice as and when the learning opportunity or
requirement is encountered by the nursing professional in question. The nursing
and midwifery board of Australia sets out the legal requirements and protocol aiding
in the identification of the learning needs and execution of the needs by the
registration standard in the name of continuous professional development. It has to
be understood that there are various risks associated with nasogastric tube insertion
and extraction. Declogging procedure is complex and it mandates extreme care to
be taken while handling the required tools for critical patients. Hence the first
learning need in accordance with the continuing professional Development Plan of
an NMBA is a professional training procedure that helps the nurse understand the
physiology associated with feeding tubes and how it is operated. According to the
most of the author the first step to declogging a feeding tube is to flush with warm
water but it is extremely important to be careful while the tube is extracted from the
patient. The combination of action of pancreatic enzyme and sodium bicarbonate is
the most recommended solution when nasogastric feeding tube is blocked by
nutritional formulas while feeding the patient. The pancreatic enzyme that is
recommended for the off-label usage while declogging a feeding tube is Viokase.
However the enrolled nurse will have to carry out extensive professional
development procedure to get the skills required for a successful declogging
procedure involving viokase(Terry et al., 2017).
3. Learning activities:
It must not escape notice that the need for continuous professional development
is paramount in case of any profession. And for a profession in health care industry,
where the responsibility of maintaining, facilitating, and ensuring the optimal health
and welfare of a patient is upon the professional, the importance of continuous
recency of practice and continuous professional development is unavoidable. The
practice standards of the nursing practice as per the directions of the nursing and
midwifery board of Australia, the professional standards of registration of recency of
practice and continuous professional development apply to the aforementioned
scenario represented in the cases study selected for this assignment. Both the
legislative standards imply that a nursing professional must undergo continuous
professional development and must also equip herself with the recent practice
standards to ensure evidence based practice and optimal and safe patient centred
care.
Hence, the activities that the enrolled nurse will have to undertake include
applying for continuous professional development program in place in the health
care facility that she had been working. Being an enrolled nurse the nursing

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professional will need to provide prove of undertaking a valid educational degree in
nursing while accessing the education in English language. In the continuous
professional development procedure the enrolled nurse can undertake seminars
and workshops to acquire the skills required (Xu, 2011).

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ROLE OF NMBA AND ANMF
References:
Andrew Scanlon, D. N. P. (2015). Doctor of nursing practice: Australia. Journal of
Doctoral Nursing Practice, 8(1), 98.
Cashin, A., Buckley, T., Donoghue, J., Heartfield, M., Bryce, J., Cox, D., ... & Dunn, S.
V. (2015). Development of the nurse practitioner standards for practice
Australia. Policy, Politics, & Nursing Practice, 16(1-2), 27-37.
Edmonds, L., Cashin, A., & Heartfield, M. (2016). Comparison of Australian specialty
nurse standards with registered nurse standards. International nursing
review, 63(2), 162-179.
Glew, P. J. (2013). Embedding international benchmarks of proficiency in English in
undergraduate nursing programmes: Challenges and strategies in equipping
culturally and linguistically diverse students with English as an additional
language for nursing in Australia. Collegian, 20(2), 101-108.
Gray, M., Rowe, J., & Barnes, M. (2014). Continuing professional development and
changed re-registration requirements: Midwives' reflections. Nurse education
today, 34(5), 860-865.
Keast, K. (2016). Taking enrolled nursing into a new era. Australian Nursing and
Midwifery Journal, 23(8), 20.
Nursing, A., & Council, M. A. (2012). National guidelines for the accreditation of nursing
and midwifery programs leading to registration and endorsement in Australia.
Ossenberg, C., Henderson, A., & Dalton, M. (2015). Determining attainment of nursing
standards: The use of behavioural cues to enhance clarity and transparency in
student clinical assessment. Nurse education today, 35(1), 12-15.
Pretorius, L., Bailey, C., & Miles, M. (2013). Constructive Alignment and the Research
Skills Development Framework: Using Theory to Practically Align Graduate
Attributes, Learning Experiences, and Assessment Tasks in Undergraduate
Midwifery. International Journal of Teaching and Learning in Higher
Education, 25(3), 378-387.
Savarese, J. J., McGilvra, J. D., Sunaga, H., Belmont, M. R., Van Ornum, S. G., Savard,
P. M., & Heerdt, P. M. (2010). Rapid Chemical Antagonism of Meeting Abstracts
by l-Cysteine Adduction to and Inactivation of the Olefinic (Double-bonded)
Isoquinolinium Diester Compounds Gantacurium (AV430A), CW 002, and CW
011. Anesthesiology: The Journal of the American Society of
Anesthesiologists, 113(1), 58-73.
Scanlon, A., Cashin, A., Watson, N., & Bryce, J. (2012). Advanced nursing practice
hours as part of endorsement requirements for nurse practitioners in Australia: A

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definitional conundrum. Journal of the American Association of Nurse
Practitioners, 24(11), 649-659.
Terry, K., Stirling, C., Bull, R., & Fassett, D. (2017). An overview of the ways nurses
understand and utilise the existing Australian Competency Standards for
Registered Nurses. Collegian, 24(2), 109-116.
Xu, Y. (2011). A comparison of regulatory standards for initial registration/licensure of
internationally educated nurses in the United Kingdom, Australia, Canada, and
the United States. Journal of Nursing Regulation, 2(3), 27-36.