Supplementary education for nurses educated outside the EU/EEC - decentralised Programme description

In 2017, OsloMet – Oslo Metropolitan University, on assignment from the Ministry of Education and Research, developed a complementary education programme for persons from refugee backgrounds who have an education in nursing from a country outside the EU/EEA. Nurses without refugee backgrounds can also be accepted to the programme if there are vacant places.

In 2019, Nordland County Municipality took the initiative to collaborate with OsloMet - metropolitan university to develop a decentralised offer for nurses educated outside the EU and the EEA. The collaboration led to the establishment of decentralised supplementary education which will be implemented as a project from 2021 in the municipalities in Nordland.

The students must have received a decision from the Directorate of Health stating that they must complete the programme in order for their education to be deemed equivalent to Norwegian nursing education. The programme includes all additional requirements that are necessary to be granted authorisation as a general nurse; see https://lovdata.no/dokument/SF/forskrift/2016-12-19-1732.

The complementary education is intended to compensate for these shortcomings so that those who have taken a nursing education can be granted authorisation in Norway and thereby use their expertise and find work faster.

The programme description is updated in accordance with the Regulations on National Guidelines for Nursing Programmes and the programme description for the Bachelor’s Programme in Nursing at OsloMet.

The programme description consists of courses that we deem necessary for persons who have taken their education outside the EU/EEA in order to bring their education on a par with the Norwegian education.

All teaching, coursework and assessments will be in Norwegian.

The target group for the programme is primarily persons residing in Nordland County Municipality and who have taken nursing education in a country outside the EU/EEA. The programme may also be relevant to nurses in other parts of Norway who ca participates in study collection and clinical practise in Nordland.

The target group must have had their applications for Norwegian authorisation rejected in a decision from the Norwegian Directorate of Health, and been informed that they must take complementary education for nurses as part of a qualification measure to be granted Norwegian authorisation.

Admission requirements:

• Administrative decision from the Directorate of Health dated after 1 June 2015 stating that complementary education must be taken in order to achieve an equivalent nursing education as a measure towards being granted authorisation as a nurse in Norway.
• Completed education as a nurse from a country outside the EU/EEA
• Meet Norwegian language requirements (B2) as stipulated in the Regulations concerning Admission to Higher Education

Additional points

• 2 additional points are awarded to applicants who can document an employment relationship at a municipal or state health trust in Nordland county.

Applicants who are admitted to the programme must submit a transcript of police records, cf. the Regulations for admission to higher education Chapter 6.

The use of clothing that covers the face is incompatible with taking the programme. During the programme’s periods of clinical training, the students must comply with the clothing regulations in force at all times at the institution where their clinical training is taking place.

After completing and passing the complementary education for nurses who have completed an education outside the EU/EEA, the candidate is expected to have achieved the following overall learning outcomes defined in terms of knowledge, skills and competence:

Knowledge

The student

• has knowledge of the importance of science and history to general nursing knowledge
• has knowledge of discipline criticism and research ethics
• has knowledge of various methods of collecting and processing data
• has knowledge of ethical theory and different views on values, perspectives on humanity and beliefs
• has knowledge of professional ethical values and principles
• has knowledge of communication and relations-building between professionals and users
• has knowledge of intercultural communication
• has knowledge of the health and social welfare sector and decision-making processes at the municipal, regional and national levels, health and socio-political priorities and the relationship between public and private healthcare
• has knowledge of laws, regulations and agreements that regulate matters that fall under the health and social welfare sector, case processing and funding of services
• has knowledge of cultural diversity in the Norwegian health services
• has knowledge of drug administration
• has knowledge of disorders and illnesses relating to different groups of patients in different contexts
• has insight into relevant academic and professional ethical issues and can apply professional ethical guidelines for nurses

Skills

The student

• can use knowledge of ethical dilemmas to practise ethical reflection
• can apply interdisciplinary cooperation and communication in groups and organisations, including with patients, next of kin and employees from other cultures
• can read research reports and make use of research results in professional practice
• can observe, assess, plan, conduct, evaluate and document the provision of care to patients and next of kin
• can provide sound drug administration
• can plan and provide patient-centred supervision, counselling and instruction to patients, next of kin and health personnel about problems that arise in connection with illness, suffering and death

Competence

The student

• can communicate important theories, issues and solutions in the field, both orally and in writing
• can share professional opinions and experience to contribute to the development of sound nursing practices
• has insight into service development, innovation and creativity, and how technology can influence service provision
• can demonstrate a socially critical and analytical approach to the health service
• can reflect on how legislation is applied in the health services

OsloMet emphasises a good and developing learning environment that the students can thrive in. The work and teaching methods have been developed on the basis of a socio-cultural view of learning, where the overriding principle is to make use of your own thoughts, knowledge and experience. The student’s own efforts, individually or together with others, are decisive for good learning outcomes. Students are expected to prepare ahead of organised teaching activities. Varied work methods are used both in theoretical subjects and in clinical training and these can be carried out physically on campuses or on digital platforms. Since this study is partly web-based, it is expected that the student is open to developing their digital competence.

The programme also prepares students for the labour market’s requirement of lifelong learning. Students are therefore expected to take ownership of their own learning process throughout the period of study, during which they will both learn how to ‘become a nurse’ and ‘learn how to learn’. Students are also expected to contribute to creating a good learning environment for their fellow students through active participation in the different teaching activities.

Self-study and student cooperation

The attainment of the learning outcomes requires a high degree of self-study. Self-study entails both individual work and cooperation with fellow students, as well as an awareness of how you best learn. It is recommended that students take the initiative to form study groups.

Group work

Group work means working with other students. In the groups, students will discuss each other’s contributions and share knowledge and perspectives. They will gain experience of cooperation and of assessing, developing and disseminating relevant literature. The students will give and receive feedback from others.

Digital learning resources

Digital learning resources include publications on the website bokskapet@oslomet.no, or video clips, podcasts, games, academic texts, articles and interactive assignments used as part of the learning methods. Digital co-writing tools are used in some courses for the purpose of sharing knowledge and producing texts together. Digital self-corrected tests (quizzes) provide an opportunity for the students to practise and test their knowledge of the course content. Students receive an immediate response, which can serve as a basis for their continued learning.

Skills training and simulation

The goal of the simulation and proficiency unit (SF unit) is to enable students in the nursing profession to learn and practise different skills and procedures to be prepared to meet the field of practice, both as a student and as a qualified nurse, and to prepare for the trade exam.

Lectures

Lectures are used either to gain an overview of the course’s content or to delve into a specific topic. Lectures are used particularly when introducing new subject matters.

Flipped classroom

Through the flipped classroom, students work on digital learning resources before they attend joint lectures. During teaching sessions, students work on problem-solving activities, often in the form of group work or seminars.

Seminar/workshop

Here, students practise using professional terminology, expressing their own opinions and reflecting on their own attitudes and actions, in addition to presenting and discussing subject matter and assessing other students' academic presentations.

Posters

Posters are a visual presentation where different types of projects are presented in a short and systematic manner.

Interprofessional cooperative learning (TPS)

Interprofessional cooperative learning comprises all ways of working where students participate in clinical training arenas that entail cooperation with professionals from other fields.

Students are expected to prepare ahead of each clinical training period. I løpet av hele utdanningen har studenten 16 uker med pasientnær praksis i helse- og omsorgsektoren i ulike kommuner i Nordland. In preparation for each period, teaching sessions will be held at the university. The preparatory theory for this group of students in particular will emphasise:

• Communication in clinical training with patients, next of kin and colleagues
• Ledelse
• Fagspesifikke emner
• Sykepleieprosedyrer
• How the learning outcomes for the clinical training can be specified

Supervision

Clinical training is supervised. This means that a supervisor from the university/ supervisor from the professional field.

Specification of learning outcomes

In the course of the first few weeks of each clinical training period, the students must specify the learning outcomes for the clinical training period/course in relation to their own preconditions for learning and the framework at the clinical training establishment in question. This must be approved by the clinical training supervisor and supervisor at the university. These learning outcome descriptions must be concrete, relevant, realistic and measurable.

Written assignments and logs

During the course of the clinical training period, the students must write two assignments, as well as logs or equivalent methods of reflecting on their clinical training. The assignments and logs are submitted in the electronic learning platform to the supervisor at the university and form the basis for supervision meetings. The students will receive written or oral feedback. The assignments and logs are an integrated part of clinical training and form part of the assessment of the student¿s knowledge/competence.

Shifts

Attendance at clinical training totals an average of 30 hours a week. Shifts are to be planned for these periods. Study days must be evenly distributed over the course of the clinical training period. Depending on the clinical training establishment and period, the student should do shifts during the day, evening, night and weekend during the period, and he/she should primarily follow the clinical training supervisor's shift arrangements, where possible. The shift plan functions as a contract and cannot be changed without the approval of the supervisor at the university and the clinical training supervisor.

Compulsory attendance and absence from clinical training

Students' clinical training can only be assessed if their attendance is sufficiently high. It is the student's responsibility to ensure that their absence from clinical courses does not exceed the permitted amount. The rules are as follows:

• Less than 10% absence: The student can complete the clinical course as normal
• 10 - 20%: If possible, the student can make up for the clinical training missed. This must be agreed with the clinical training supervisor and the supervisor at the university
• More than 20% absence: The student must re-take the whole clinical training course

Illness during clinical training periods

If students fall ill and their absence from a clinical course exceeds 20%, a medical certificate is required for all days of absence in excess of 10%. The absence will then be deemed to be valid, and the student will have to re-take the clinical course in its entirety. This will lead to delayed progress in the programme.

Coursework requirements are all types of work/activities/compulsory attendance that are conditions for being permitted to take the exam. The course descriptions specify which coursework requirements apply to each course. The deadline for submitting coursework is set by the person responsible for the course or lecturer.

The purpose of the coursework requirements is to:

• promote progress and academic development in the programme
• encourage students to seek out and acquire new knowledge
• facilitate cooperation and communication on nursing issues

Coursework requirements and compulsory activities in clinical training

All clinical training have different mandatory activities and tasks in the implementation. See chapter on Clinical training. In some clinical courses, there may also be requirements for work requirements and activities that must be approved before a final assessment of the subject can be made.

Assessment of coursework requirements

The required coursework is assessed as approved/not approved by the person responsible for the course/lecturer. Fellow students can also participate in providing feedback on some of the coursework.

Validity of required coursework

If more than one academic year passes between when a student¿s required coursework is approved and the exam in the course in question, the faculty can require the student to retake the coursework before being permitted to take the exam.

Not approved coursework

Normally, students are given three attempts to have coursework approved. If a piece of required coursework is not approved, this may lead to delayed progress in the programme.

As far as possible, the second attempt will be given before the ordinary exam, unless otherwise stated in the course description. The student must agree with the person responsible for the course/lecturer in each individual case.

If a second attempt is impossible due to the nature of the coursework requirements (e.g. attendance requirements or taking a first aid course that is only held once), the person responsible for the course/lecturer will consider whether alternative coursework can be set.

Such alternative work has in the past been set in the form of a written assignment, a video recording or similar to demonstrate that the student possesses the knowledge specified in the coursework requirement.

A third and final attempt is normally given before resit and rescheduled exams.

Valid absence documented by e.g. a medical certificate does not exempt students from meeting the coursework requirements.

Different forms of assessment are used in the programme that are adapted to the learning outcomes of the different courses. The forms of assessment used are intended to support learning and document that the students’ competence is adequate in relation to the applicable learning outcomes. The students will receive advice and supervision and have their performance assessed during the programme. It is important and necessary to assess students’ knowledge and skills often, so that the students receive feedback on whether their performance is in line with the programme’s requirements and whether they have achieved the learning outcomes.

The assessment of exams and clinical training is carried out in accordance with the applicable rules set out in the Act relating to Universities and University Colleges, the Regulations relating to Studies and Examinations at OsloMet – Oslo Metropolitan University, and the Guidelines for Appointment and Use of Examiners at OsloMet – Oslo Metropolitan University.

Passing the trade exam is one of the conditions for being granted authorisation as a general nurse. On 5 June 2019, the Directorate of Health decided that students who complete the programme at OsloMet meet this additional requirement by taking SKOMPD3000.

Exam papers and coursework must be written in Norwegian or another Scandinavian language.

Assessment

The grades used are pass/fail or a grade scale with letter grades from A to F, where A is the highest grade, E is the poorest pass grade and F is a fail. In connection with group exams, all students in the group are awarded the same grade.

Transcript of grades All grades will be included in the transcript of grades. An overall grade will not be awarded. The practical examination in nursing must be completed in order to pass the programme and be awarded 60 credits.

Resit and rescheduled exams Resit and rescheduled exams are carried out in the same manner as the ordinary exam unless otherwise specified in the course description. In special cases, resit and rescheduled exams in courses with group exams may be held as individual exams.

Appeals against grades Grades awarded for written exams can be appealed. It is not possible to appeal the grades awarded for oral and practical exams. In connection with group exams, the result of an appeal will only have consequences for the candidate(s) who submitted the appeal. The other students will keep their original grade.

Suitability assessment

The suitability assessment is a continuous overall assessment that takes place throughout the study programme. If a student shows signs of posing a potential threat to patients’ and/or colleagues’ physical and mental health, rights and safety, questions must be raised about whether the person is fit to practise the profession. Staff from the university, the professional field and fellow students may all submit a notification of doubt. Students must be informed as soon as possible that the notification has been submitted. They will be given supervision and advice on how to improve or be advised to leave the programme.

The aim is to assess whether the students have the professional and personal qualifications required to work as a nurse. More detailed provisions about the assessment of suitability can be found in the Regulations relating to Suitability Assessment in Higher Education (2006).

https://student.oslomet.no/skikkethetsvurdering

Faculty of Health Sciences

Approved by the Vice-Dean on 1. July 2020

Justert etter behandling av heltidsstudiet i Utdanningsutvalget HV 14. oktober 2020.