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Models of initial training and pathways to registration: a selective review of policy in professional regulation

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fealy g.m., carney m., drennan j., treacy m., burke j., o'connell d., howley b., clancy a., mchugh a., patton d. & sheerin f. (2009) Journal of Nursing Management17, 730–738

Models of initial training and pathways to registration: a selective review of policy in professional regulation Aim 

To provide a synthesis of literature on international policy concerning professional regulation in nursing and midwifery, with reference to routes of entry into training and pathways to licensure. Background 

Internationally, there is evidence of multiple points of entry into initial training, multiple divisions of the professional register and multiple pathways to licensure. Evaluation 

Policy documents and commentary articles concerned with models of initial training and pathways to licensure were reviewed. Item selection, quality appraisal and data extraction were undertaken and documentary analysis was performed on all retrieved texts. Key issues 

Case studies of five Western countries indicate no single uniform system of routes of entry into initial training and no overall consensus regarding the optimal model of initial training. Conclusions 

Multiple regulatory systems, with multiple routes of entry into initial training and multiple pathways to licensure pose challenges, in terms of achieving commonly-agreed understandings of practice competence. Implications for nursing management 

The variety of models of initial training present nursing managers with challenges in the recruitment and deployment of personnel trained in many different jurisdictions. Nursing managers need to consider the potential for considerable variation in competency repertoires among nurses trained in generic and specialist initial training models.
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Keywords: midwifery; nursing; policy; regulation; review; training

Document Type: Research Article

Affiliations: 1: Associate Professor, School of Nursing, Midwifery & Health Systems, University College Dublin (UCD) 2: Associate Professor, School of Nursing & Midwifery, Royal College of Surgeons in Ireland Dublin 3: Lecturer, School of Nursing, Midwifery & Health Systems, UCD 4: Professor, School of Nursing, Midwifery & Health Systems, UCD 5: Lecturer, St Angela’s College Sligo 6: Senior lecturer, School of Nursing & Midwifery, Trinity College Dublin, Ireland

Publication date: 01 September 2009

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