Members on Council term 2020-2022

SEYCHELLES NURSES AND MIDWIVES COUNCIL

COUNCIL MEMBERS -TERM OF OFFICE 2020-2022

 

 

NAME

 

PLACE OF WORK

 

REPRESENTING

1

Ms Gylian Mein

Chief Nursing Officer,

P.S Secretariat, MOH

Nursing Directorate

2

Ms Eveline Moumou

Intensive Care Unit

Nurses in Hospital services(chairperson)

3

Ms Lindy Lucas

Maternity Ward

Midwives in Hospital services

4

Mrs Maryline Lucas

NIHSS

Head of Nursing Training Institution

5

Mr. Jimmy Helene

Maternity Ward

Midwives in Hospital services

6

Mrs Fiona Paulin

Occupational therapy

Other Health Professionals

7

Ms Pamla Dubignon

Anse Aux Pins H/ Centre

Midwives in Community health services

8.

Ms Shamla Mangroo

English River H/Centre

Nurses in Community Care

9.

Ms Barbara Betsy

Les Mamelles Health Centre

Nurses in Community services

10

Ms Rosie Morel

Private

Nurses/Midwives from  Private sector

11

Ms Slyvia Hoareau

NATCOF

Consumer of Nursing/ midwifery  Services

12

Mr Darius Jolicoeur

Staff Nurse/Pupil midwife

Nurses in Hospital services

13.

Rosie Bistoquet

NARS Chairperson/N.Assembly

NARS representative

A Reflection on Evolution of Nursing Regulation

Nurses’ Day 2021

A Reflection on Evolution of Nursing Regulation

Nursing regulation is one of the powerful pillars of the nursing profession worldwide and can be valued as the engine to transform the nursing and midwifery professions.  History of nursing regulation shows evidence that  our  predecessors had to face many controversies and struggles before the idea to establish an Act to regulate nursing and midwifery practice could be accepted, despite the fact that it would mark nursing as a profession. Florence Nightingale the founder of modern nursing did not join in the advocacy with other great nursing leaders of her time, to promote this innovative idea. She could not guarantee that the law could ensure that nursing qualities like compassionate care could be preserved.   However, the first Nursing Act was eventually passed in December, 1919, under the leadership of Royal College of Nurses in Great Britain.

In Seychelles the registration of nurses started in 1926, and the first Nurses and Midwives Act, was passed in 1929, and this law was repealed in 1950, in favor of two new legislations which were The Nurses ordinance 1950 and The Midwives ordinance, 1950. These were be replaced in 1985, by the existing Act, which is the Nurses and Midwives Act, 1985. The Nursing and Midwifery Council ( SNMC) is the functioning arm of the Nurses and Midwives Act, 1985 and Nurses and Midwives Regulation, 1989.  The mandate of the regulatory body is to protect the public by ensuring that they receive safe nursing and midwifery care by the professionals registered under the Nurses and Midwives Act. It also protects the Title ‘Nurse’ and ‘Midwife’ which are legally binding.  The regulatory body has a responsibility to maintain a register of Nurses and Midwives, as such control the practice of nurses and midwives, establish standards, promote and maintain discipline in the professions. The required educational level and competence to practice the profession are also regulated by the Act.   All Nurses and Midwives have to abide to the professional code of practice and ethics   in Seychelles, when offering nursing and midwifery care. However, similar to other pillars in nursing, evolution in nursing regulation over the decades has been fueled by the different changes in the trend of health care, such as disease pattern and the psychosocial milieu.

Nursing regulation, continuously scans the environment of practice and education, so as to remain relevant, with the dynamics in health landscape. During the past decades nursing Council has achieved, a position for a full time nurse-midwife registrar to function in secretariat of the Council which would ensure continuity in the introduction of new development in regulatory elements. In 2009, a proposal for practice license renewal was put to the nurses of Seychelles in the biennial Nurses Association meeting and this gained the unanimous support of nurses and midwives.  The introduction of practice license renewal, brought significant changes in the credibility of the nursing and midwifery professions in Seychelles, which can be compared favorably with countries regionally and internationally.

The license renewal brought two new standards in the regulation of nursing and midwifery practice. These are the practice standards and the continuous professional development standard (CPD). It is mandatory to attain the standards every three years to ensure nurses and midwives can practice safely, as they have to upgrade their knowledge and skills, thus promoting patient confidence in the professions. In line with this standard a National CPD framework was also developed for the first time and is being implemented. Further to that the Nurses and Midwives of Seychelles through the regulatory body has been able to secure sponsorship from the commonwealth of learning (COL) for on-line CPD on the World Continuing Education Alliance Platform (WCEA). 

This came at an appropriate period in the history of nursing when internationally World Health Organization (WHO) and International Council of Nurses (ICN) declared the year 2020, as the year of the Nurse and Midwife. More so, it was the year that Seychelles started to experience the effect the Covid-19 pandemic. What a coincidence for Seychelles nurses and midwives to be able to access on-line CPD at this point in time when lock down and restraints imposed to curtail mobilization and gatherings. The on line CPD, can be accessed from any location with no additional cost. At the end of the Year 2020 over 500 nurses had accessed the on-line CPD and the COL agreed to extend the sponsorship for another year. Congratulation to the practicing nurses and midwives in Seychelles.

 The Seychelles nurses and midwives Council found it necessary to adjust its strategies and encourage nurses and midwives to be more technologically oriented during this pandemic.  The Council has therefore significantly minimized face to face encounters and increased the utilization of on line interaction with nurses and midwives. They have found  it necessary to update their personal email address whereby giving feedback and maintaining contact is now more accessible.  The Covid-19, pandemic somehow helped us to think more broadly in the achievement of our goals to maintain quality nursing and midwifery care.

The Seychelles Nurses and Midwives Council was de-linked from Ministry of Health in 2012, and secured financial assistance from a government budget in 2013.  This increased the financial autonomy of this regulatory body. Attendance to virtual regional workshops and meetings are amongst the new normal which the SNMC members have experienced similar to other agencies, Ministries and departments, so there is a need to ensure that available technology is standardized.   

The emergence of the African Health Regulatory Collaboration for Nurses and Midwives, which emerged in 2011, lasted for a four year period. This moment involved the four representatives of the nursing pillars from the East, Central and southern African Region for regular meetings and professional exchanges. The representative of the four pillars were given the opportunity to submit grant proposal for financial support once they have identified the appropriate regulatory element they wanted to develop. The Seychelles team comprising of the four nursing pillars submitted three proposals which were successfully considered for grants. This seed money from the grant was very helpful to initiate the revision of the Nurses and Midwives Act, 1985, the National CPD framework, and the HIV/AIDS program at advanced Diploma level together with its scope of practice.

Nursing regulation continues to function in line with its mandate, by keeping abreast with current situation, adapting and adjusting its approaches to ensure public protection through safe practice. Nursing regulation calls for close collaboration with all nursing pillars to reflect on the future of nursing .

Prepared and Submitted by:

 Winifred Agricole (Mrs)

Registrar, Seychelles Nurses and Midwives Council

12th May 2021

10 E.N.B characteristics

  • Accountability

Ability to exercise professional accountability and responsibility, reflected in the degree to which the practitioner uses professional skills, knowledge and expertise in changing environments, across professional boundaries, and in unfamiliar situations.

  • Clinical Skills

Specialist skills, knowledge and expertise in the practice area where working, including a deeper and border understanding of client/patient health needs, within the context of changing health care provision.

  • Use of Research

Ability to use research to plan, implement and evaluate concepts and strategies leading to improvements in care.

  • Team Work

Team working, including multi professional team working in which the leadership role changes in response to changing client need, team leadership and team building skills to organise the delivery of care.

  • Innovation

Ability to develop and use flexible and innovative approaches to practice appropriate to the needs of the client/patient or group in line with the goals of the health service and the employing authority.

  • Health Promotion

Understanding and use of health promotion and preventative policies and strategies.

  • Staff Development

Ability to facilitate and assess the professional and other development of all for whom responsible, including where appropriate learners, and to act as a role model of professional practice.

  • Resource Management

Ability to take informed decisions about the allocation of resources for the benefit of individual clients and the client group with whom working.

  • Quality of Care

Ability to evaluate quality of care delivered as an on-going and cumulative process.

 

10. Management of Change

Ability to facilitate, initiate, manage and evaluate change in practice to improve quality of care.

The Use of Social Media in Nursing and Midwifery -Fact sheet

Seychelles Nurses and Midwives Council

The Use of Social Media in Nursing and Midwifery -Fact sheet

During the last Council meeting it was voiced out that nurses and midwives are expressing professional concerns over social media. The Council is taking this accusation seriously as this can be destructive to the profession especially when non-nurses are involved.

As part of the SNMC’s mandate to monitor standard of practice and education it has been found necessary to release this position statement relating to exchange of information in the profession, so as to remind nurses and midwives of their professional responsibilities. As registered nurses and midwives our professional code of practice and conduct as well as the rules and regulation which govern our practice bind us to the profession.

The code contains different statements which when put together signifies good nursing and midwifery practice. Nurses and midwives are reminded that we are therefore accountable to any breach of professional conduct and ethics.  With the increase in the use of social media, due consideration should also be taken in the light of our responsibility so as to avoid putting our registration and license at risk. It is also important to realize that there is limitation to privacy once connected online.

Please find the attached position statement released by the Seychelles Nurses and Midwives Council which is aimed to raise awareness on possible risks of online communication using the different social media.

 

Position of The Seychelles Nurses & Midwives Council

Communication in Nursing - The Social Media

Communication is a fundamental element in the provision of care as the nurse/midwife has to exchange information with colleagues, patients and the multidisciplinary team. However, nurses and midwives have a professional responsibility which binds them ethically and legally, wherever they function.  Since the different modes of communication have evolved over the years, nurses have to be aware of possible risks, if they act unlawfully or unethically.

 Electronic devices when used effectively to exchange information, whether spoken, written or digitally can be beneficial in care provision at all levels, but on the other hand inappropriate usage can have negative impact on the caregiver, the patient, relatives and the profession. It is reminded that our responsibility as professionals have not changed whether we are communicating physically or by electronic means as the same rules and regulation will apply.

Nevertheless, intimidating others, sharing of confidential information and pictures, on social media are not the acceptable standards of communication in nursing and midwifery. It is reminded that, The Nurses and Midwives Regulation, Part IV, Rules of Conduct, Section 13(b) states that, it shall be the duty of every nurse to uphold and enhance the good reputation of the profession.  It is important, therefore, that individual nurses and midwives acquaint themselves with the current channel of communication to settle their dismays and grievances. This applies whether you are employed in private or government services, as our accountability as a registered nurse or midwife does not change.

The Council encourages nurses/ midwives to review their codes of ethics, conduct and the rules governing the practice of nursing and midwifery and seek further guidance as and when necessary. The Council will have to investigate cases of allegation where there is evidence of any breach of professional code of practice and conduct.

Nurses and Nurse-midwives day

Firstly, on behalf of Seychelles Nurses and Midwives Council, may I wish you all a Happy Nurses Day. It is also a time for us to reflect on our profession individually and collectively, so it remains relevant within the health and social milieu. We have seen how visible nurses have been lately due to the effectiveness of their services as front line health workers, during the Covid-19 pandemic. Nurses have selflessly contributed to the well-being of those they have vouched to serve. For this we are grateful and commend you all for your devotion and compassionate care.

In 2020, it was on the brink of nurses' day celebration that the health authority imposed restrictions due to the emergence of covid-19 pandemic in our country, however this year we have been caught in the surge. Nevertheless despite the challenges of the moment, we still have to remember our nurses on this special day. We also have special thought for those who have left this world and observe a moment of silence as a sign of respect.

With these few words I will share a few words of reflection on Nursing Regulation as a nursing pillar of the profession in Seychelles.

Bon Courage, and accept heart felt appreciation for all that you do to bring better health care in your chosen profession as a nurse. Keep safe!

Winifred Agricole(Mrs)

Registrar, Seychelles Nurses and Midwives Council

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