Page 45 - Nursing Education in Malaysia

3/ tHE status of NursiNg iN Malaysia

iv. Nursing programmes should be conducted within its own faculty that is,
Faculty of Nursing.

2. Nursing Practice

The inclusion into nursing practice, the Nursing Process Model as a basis for building
a strong background in critical thinking and problem solving in its effort to provide the
highest quality care, better understanding of the research process and for achieving nursing
autonomy.

(h) The composition of the nursing profession in Malaysia be shared between
Registered Nurses of two levels: Level 1 with Bachelor of Nursing to be known
as Profesional Nurses and Level 2 with Diploma in Nursing to be known as
Diploma Nurses. The roles of both levels will differ in both the functions as
well as responsibilities.

(i) The degree-diploma nurse ratio by 2020 be at least 60:40 to ensure (a) the
provision of the highest quality of profesional care to clients through the
implementation of the Nursing Process Model, (b) Maximum possibility
of being classified into the profesional status within the government service
structure; and (c) the achievement of nursing autonomy through the provision
of care based on nursing orders (over and above doctors’ orders), throughout the
system.

(j) Nurses’ extended role to be regarded as part of routine profesional nursing
activities, in the care setting and these include providing information to clients,
patient/health education, counseling, discharge planning and follow-up care,
and participating in research. Accordingly, they must be prepared to assume
such roles.

(k) Standards for clinical nursing practice which focus directly on standards of care,
must constitute the Nursing Process Model, which outlines six important steps:
Health assessment, nursing diagnosis, outcomes identification, planning of care,
implementation of care plan and evaluation of care.

(l) Standards for profesional performance which focus on quality of care, education,
ethics, areas of accountability, research, resource utilization etc. must be spelt
out, enforced and evaluated.

(m) Quality improvement (QI) initiatives must be carried out through outcomes
management at two levels: (a) at a single client’s plan of care level which looks
at the effectiveness of interventions and whether expected outcomes are met;

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