Nursing education in Belgium Hilde Boucqué Berte De Cnijf Het zal je maar overkomen, je bent 86, hebt heel je leven gewerkt – een leuke job – voor partner, kinderen en kleinkinderen gezorgd – enkele hobby’s… Een mooi afbetaald huis en dan… om één of andere reden moet je naar een WZC of ziekenhuis – gaat alles niet meer zo vlot als eerst – vertoon je storend gedrag en word je vastgebonden, kun je niet meer krabben aan je neus, kun je niet meer aan je drinken, lig je te roepen op Rosa om je te komen helpen. Maar Rosa is er niet meer want zij is vorig jaar overleden. Omdat je blijft roepen geven ze je een kalmerende spuit (voor je veiligheid) , val je in een diepe slaap waar je pas ‘s anderendaags ‘s middags uit ontwaakt… Niemand die je begrijpt -, niemand die je helpt… je krijgt decubitus, je blijft maar vastgebonden… Maar met een beetje geluk word je niet vastgebonden, geven ze je geen spuit, weten ze je te kalmeren op een begripvolle wijze, wordt er naar je geluisterd en gezocht naar oplossingen voor je storend gedrag. Iemand wist dat je een fervent kaarter bent geweest en haalt een spelletje 52 boven… We gaan even dieper in op storend gedrag en een niet - farmacologische aanpak. We gaan zeker geen protocol toveren en pasklare oplossingen bieden. Waar we het wel over hebben zien jullie in volgend overzicht.

Belgium, at the heart of Europe http://www.visitflanders.us/discover/flanders 4/20/2017

Educational system: structure 4/20/2017

Educational system: structure 4/20/2017

Educational system: structure 4/20/2017

Associations in Higher Education in Flanders 12 university colleges 80,000 students (40% market share) 4/20/2017

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HUB - KAHO 4/20/2017

HUB- KAHO Brussels Aalst Ghent Sint-Niklaas 4/20/2017

HUB- KAHO 4/20/2017

Types of nurses in Belgium Different categories of nurse in Belgium: Qualified nurses Bachelors in nursing Masters in nursing 4/20/2017

Nursing education in Flanders The education of BACHELORS IN NURSING is organized by 15 high schools The education of QUALIFIED NURSES is organized by the 4th grade of the secondary schools 4/20/2017

Qualified nurses undertakes practical nurse training in the fourth grade of secondary school after completing the normal three grades (3x2 years) secondary school studies the training is largely based on practice this type of nurse students are not ‘specialist nurses’ but can in their third year of training follow either a “hospital” route or “psychiatric” nurse or “geriatric” nurse 4/20/2017

Bachelors in nursing graduates from the “high schools” their education is at a higher level (higher education) these nurses have undertaken professional nursing education which is a three year course resulting in a diploma and are considered to be “general” nurses. admission criteria are similar to those for entry into university 4/20/2017

Bachelors in nursing (1) the split into these two main types of nurses is not reflected in the rules defining the scope of activity of nursing, which makes no distinctions between types of nurses and the functions that they can perform. all nurses can undertake specialized and complementary training as for example: surgery, imaging and radiotherapy, operating room, palliative care, care for elderly, … functions: executive, administrative, management, health promotion, … 4/20/2017

Nurse choise options The Belgian Federal law offers some options for basic nursing in Belgium: hospital nurse pediatric nurse mental health and psychiatry nurse public health nurse geriatric nurse Vanaf wanneer spreken zorgverleners van probleemgedrag? Een bejaarde die smeert, roept of aan zijn incontinentiemateriaal plukt en daardoor nat ligt in bed of zetel? Het vraagt wat meer werk – we pakken het aan en verder geen gemor daarover. 4/20/2017

Post-basic specialized nurse The only legally recognized post-basic specialized nurse currently in action are: the intensive care and emergency care nurses the nurses with geriatric postgraduate diploma the nurses with oncology postgraduate diploma Pediatric nurse Palliative nurse 4/20/2017

Registration requirements Once nurses have finished their studies they must register in order to be able to practice as a nurse For this purpose Belgium is divided into ten provinces all applying the same rules In order to register the nurses must present their diploma or certificate and pay a small fee Foreign nurses who wish to practice in Belgium must apply to the Ministry of Public Health in order for their qualifications to be recognized 4/20/2017

Trajectories for bachelor students Students can choose from 2 study trajectories: MODEL STUDY TRAJECTORY: 60 credits 2 semesters normal situation INDIVIDUAL STUDY TRAJECTORY: combining studying with … specific problems or learning difficulties early acquired competences or early acquired qualifications study time can be more or less than usual 4/20/2017

Nursing education in HUB – KAHO Basic competence based Evidence based a central place skills learning Optional choises: hospital nurse (WAAS – CDM) paediatric nurse (WAAS – CDM) mental health and psychiatry nurse (WAAS) public health nurse (WAAS) geriatric nurse (CDM) General (HUB) Multi-professional education 4/20/2017

Nursing education in HUB – KAHO Post-basic specialized nurse the intensive care and emergency care nurses (CDM) Palliative nurse (HUB) 4/20/2017

Competence Profile of Bachelor of Nursing The nurse as a Person The nurse as Clinical Judge and Care Taker The nurse as Organizer and Coordinator The nurse as Professional The nurse as a Member of a Team The nurse as Member of society 4/20/2017

Academic Calendar The academic year consists of two semesters: the first semester runs from the second half of September to the end of January the second semester runs from the beginning of February to the end of June Each semester: 13 weeks of courses, followed by an examination session 4/20/2017

Curriculum 3 years education 180 credits (1 credit = 26 hours) 2 basic years 1 orientation year 50% theory 50 % practical training Practical training 9 weeks in the first year 14 weeks in the second year 16 weeks in the final year Following the European Guideline of 4600 h (2300 theory-2300 practical training) 4/20/2017

Curriculum Conceptual educational plan Integrated skills education & Human sciences Biomedical sciences Organization of Health Care Scientific sciences Domain related sciences Integrated skills education & Professional development Nursing Practice & work placement Personal Development 4/20/2017

Number of colleges / week total study time: 1600 hours / year ca. 24 hours/week colleges (theory) seminars (exercises, decision making and reasoning skills) nursing skills (teaching of technical and social skills) Nursing Practice & work placement 4/20/2017

Some goals Making theory concrete: integrated skills education more and more emphasis on complex nursing care theoretical education through case based learning attention for personal development Innovative educational methods 4/20/2017

Theory + demonstration Skillslab training Theory + demonstration Technical nursing skills and communication through practice 4/20/2017