Australia Nursing Board Introduces CBT And OSCE For Foreign Educated Nurses

Nurses and midwives with international qualifications arriving in Australia will be offered the choice of either a bridging course or CBT plus OSCE to register in Australia from October 1, 2019.

A year after the Nursing and Midwifery Board of Australia (NMBA) announced the introduction of a new assessment model for internationally qualified nurses and midwives to attain registration in the country, the board has declared that the new system will come into effect from October 1 this year.

At present, internationally qualified nurses and midwives (IQNMs) who arrive in Australia holding qualifications which are relevant but not substantially equivalent to the Australian qualifications have to undergo a bridging program to attain the registration required to work in the country.

However from next month NMBA will introduce a new assessment model giving candidates the option to choose between the bridging course and the outcomes-based-assessment (OBA) which will be available from January 2020.

“The new model known as outcomes-based-assessment (OBA) will commence in January 2020,” the NMBA said in a statement.

“From January 2020, all IQNMs with relevant but not substantially equivalent qualifications will be referred to the OBA,” the statement reads. There will not be any new referrals to the bridging program from next year.

“The priority of the assessment model is public safety and ensuring that all individuals registered as a nurse or midwife in Australia are meeting the same standards, regardless of where they gained their qualifications,” an NMBA spokesperson tells SBS Malayalam.

“Since 2014, IQNMs wanting to register in Australia have been assessed under an interim model of assessment, while the Board undertook an extensive research project to develop a permanent model of assessment. The new model of assessment is based on the recommendations of that research and international best practice,” NMBA added.

OBA to replace bridging course

From the October 1, IQNMs who arrive in Australia will be offered to opt-out either the bridging course or OBA to work in the country. But those applying from the January 1 2020, will not be offered the choice of two models.

    Those applying from January 1 2020 will only be able to choose OBA, as this will completely replace the current bridging course from 2021.

“Bridging programs are expected to continue until 2021, for IQNMs who hold a referral to bridging. IQNMs will no longer be referred to bridging programs from January 2020,” reads the statement from NMBA.

What is OBA?

The outcomes-based-assessment model or OBA that will replace the bridging course consists of two parts. This includes a multiple-choice exam, followed by an objective structured clinical exam (OSCE), which is currently implemented in many countries.

While the first part is a computer-based multiple-choice cognitive assessment, the second part is behavioural assessment in the form of an objective structured clinical examination (OSCE).

Those applicants who pass the first stage will be able to go through to the second part of the OBA.

Objective structured clinical examination (OSCE)

According to NMBA, the OSCE is used to assess whether an IQNM possesses the knowledge, skills and competence of a graduate-level Australian nurse or midwife.

“OSCE implemented in many countries including the United Kingdom is basically to assess how a nurse or midwife can handle the patients in different scenarios in a simulation environment,” Kunnumpurathu Bijo, the CEO of Melbourne based Institute of Health and Management, tells SBS Malayalam.

“In the OSCE implemented in the UK the IQNMs need to demonstrate their skills in handling a patient in that country,  in the presence of a clinical educator who observes them. It covers every aspect, like their communication to the patient, clinical decision making and practice standards,” says Mr. Bijio.

“However, in the UK, OSCE can only be attempted three times and needs proper training to crack it,” adds Bijo.

Orientation to be completed

Once the two-stage assessment process is completed, all IQNMs will also be required to complete an orientation program consisting of three stages.

While stage one is an online assessment to introduce IQNMs to Australia and the Australian healthcare system, stage two covers the diversity of Australian culture. This will be completed once the IQNMs are registered with the NMBA.

The third stage of the orientation program will be provided by the IQNM’s employer, based on NMBA guidelines.

“All the nurses and midwives arriving in Australia will have to complete this orientation program from next year,” says Jaison Thomas an Education Consultant at Sanjose Consultacy in Melbourne to SBS Malayalam.

“The new model is expected to benefit the applicants financially as the adaptation program in Australia is very expensive now when compared to other countries,” he adds.
Source:https://www.sbs.com.au/language/english/australia-moves-to-new-assessment-model-for-international-nurses

How to Become A Registered Nurse in Australia for Foreign Educated Nurses

Job Opportunities for Nigerian Nurses: Working in Australia. Australia is currently one of the best destinations for registered nurses, not only because the “Registered Nurse” is an occupation in demand in Australia, but also because the opportunities to work in the USA or UK may not be available at this time. This is based on the advice that the USA is currently processing applications which date back to July 2006, and that the UK prefers registered nurses from members of the European Union. There are other work opportunities for nurses to work in the Asian region, however, they do not pay as much as employers in Australia.

 

First of all, you must be a registered Australian nurse to qualify for a working visa or permanent residence as a registered nurse in Australia.

 

Working visas to Australia for all occupations was discussed in a separate paper entitled, “Do You Qualify for a Working Visa?” Before you pay a single cent in any ‘offer for a working visa’ you must verify with the Department of Immigration and Citizenship (DIAC) whether your proposed sponsoring employer has been approved as sponsor. You also need to determine whether the proposed position, task and workplace where you will be assigned, satisfy the current migration policy criteria.

 

Pitfalls of Working Visas

Many have fallen victim to recruiters who claim they are authorised to recruit for positions of Caregiver, Assistant in Nursing (AIN) or Residential Care Officer (RCO). Migration policy has changed over the years and continues to change. At present:

 

Assistant in Nursing and caregiver are not in the list of qualifying occupations for working visa.

 

A Residential Care Officer may no longer be assigned to work in nursing homes and care for the aged because, according to a recent case decided by the Policy Section of DIAC in Canberra, it is outside the RCO ASCO definition to provide care and supervision for children or disabled persons in group housing or government institutions.

 

A Disability Services Officer (DSO) may likewise no longer be allowed to provide personal care in nursing homes if DIAC is to strictly enforce the DSOASCO definition to provide education and community access to people with intellectual, physical, social and emotional disabilities.

 

Nurse Registration in Australia

Currently, there is a plan to unify the requirements for Australian nursing competency assessment and registration in 2010. Until that time, nursing registration is through the nursing registration board of any of the Australian States and Territories. They vary in their registration process, costs and requirements.

 

Once registered as registered nurse in any state or territory of Australia, your tourist, non-working visa or student visa may be changed to a working visa for a period of one year up to four years under certain conditions, provided there is no visa condition of no further stay on your existing visa.

 

NSW Nurse Registration for Overseas Registered Nurses

Under the 2008 guidelines, the NSW Nursing Board will consider, among other matters:

o The rank or classification of your educational institution in the Country Education Profile of the country of your education

o your overseas registration

o your grades in your transcript of records

o your experience, if any

 

The NSW Nursing board will determine whether your qualifications meet certain standards:

The standard of your educational institution must be comparable to the standard of an Australian tertiary institution and

 

The level of your nursing degree must be comparable to the level of an Australian Bachelor degree not an Australian Diploma level; and

 

The course content of your overseas Bachelor degree in Nursing must be comparable to the course content of the Australian Bachelor in Nursing degree.

 

If your qualifications meet the standard of an Australian Bachelors degree in Nursing you will be referred to complete the College of Nursing Assessment for registered nurses. If not, you may be referred for assessment as an enrolled nurse. If you pass the assessment, you will be eligible for registration as registered nurse or enrolled nurse as the case may be.

 

Registration as enrolled nurse will not qualify you for permanent resident visa because it is not listed in the Skilled Occupations List (SOL) but will qualify you to apply for a working visa.

 

The other two accredited pathways for registered nurse registration in New South Wales are:

 

A three year Australian Bachelor in Nursing degree

 

A two-year graduate entry Bachelor in Nursing degree course at the University of Technology Sydney or University of Western Sydney.

In all cases, you will be required to pass an English test at varying levels, unless exempted.

 

Permanent Resident Visa Application While Working Overseas

If you are currently working as registered nurse in the UK, USA, Ireland, Canada or New Zealand, you may be granted registration without having to undertake an English test and nursing competency test under certain conditions. After you obtain Australian registration you may qualify for permanent residence in Australia under certain conditions while you continue to work in the UK, USA, Ireland, Canada or New Zealand.

 

If your permanent resident visa is approved before your overseas contract expires, you can still validate your respective visas by entering Australia with those included in your visa application. You may return to the UK, USA, Ireland, Canada or New Zealand to complete your employment contract the next day and your family members can either remain in Australia, or leave for the Philippines or elsewhere, provided each of you return to live in Australia within 5 years from visa grant.

 

Which Family Members Can You Bring?

You are allowed to include your entire family (spouse and dependent children below 25 years old) your widowed parent, single aunt or uncle who have lived with you and are dependent on you, as part of your family in your permanent resident visa application under certain conditions. Once you get your permanent resident visa, you will qualify to sponsor your brothers, sisters, nephew, nieces and other relatives.

 

Written By Imelda Argel

Nursetogether

CELBAN Review: Test Format, Test Preparation, Registration and Practice Materials

CELBAN just like IELTS is a four module English proficiency test that is required for International nurses to upgrade their nursing degree or diploma in Canada. It is accepted by all licensing bodies all over Canada. It is especially designed in Canada. The CELBAN Test is entirely from the medical background nurses take this test as it requires the test of English for medical report writing, medical vocabulary and interaction with patients for treatment. All the modules of the test are based on medical topics.The assessment test is taken in 4 parts. These are as follows:
1. Speaking
2. Listening
3. Reading
4. Writing


Listening, Reading and writing are taken together as a group test whereas, speaking test is taken separately one by one. The English language levels required for nurses entering in Canadian Nursing Profession are

*Speaking: CLB Level 8
*Listening: CLB Level 10
* Reading: CLB Level 8
*Writing: CLB Level 7

Listening, Reading and Writing sections are assessed together as a group test, whereas speaking test is taken separately. Both parts of the test may fall on the same day and speaking test may fall a day after. Group test is taken first. To pass the test you have to get pass bands from each section and if you do not qualify any one section of the group test, you have to take the whole group test again.

LISTENING.
Listening is one of the modules of CELBAN Testing. There are multiple choice questions. You have 30 seconds to read the questions and 30 seconds to check the answers. You are not given headphones, so make practice without headphones. There are a lot of people in the room so be prepared.
1. There are five video scenarios
2. There are four audio scenarios
Time: 45 Minutes
Listening section includes scenes in a clinic, home, hospital or medical office in different settings. The scenes include communication between nurses and the patient, doctor and patient, phone call between family members and nurse, nurse shift to shift report or nurse reporting the doctor.
You will be given 30 seconds to preview the questions. Read the questions thoroughly during that time and if time permits, read the answer choices. In listening multiple choice questions are given. Each question has 4 choices.
In listening tests the conversation is very fast and all nationalities, sex and age people are included. So in order to pass the test you need to pay a lot of attention.
You need to relax and listen wholeheartedly with full concentration. Do not let the thoughts interrupt.

READING.

Reading test in CELBAN is also very important part of the test. The Reading test consist of 2 parts:

Skimming and scanning(5-8 minutes).
Reading comprehensions and gap fills.

In skimming and scanning you are given a patient’s transfer/referral/admission from which you need to scan thoroughly and skim the information given in the text booklet. In this section only 5-8 minutes are given and the main objective is to take out accurate information at a given time. (Limited time)

In the second part of reading you get 2 reading comprehension and one paragraph for gap fills. From the reading comprehension, you have some multiple choice statement question answers and you are required to mark the correct answer. Please use your time wisely and do not spend more than 15 minutes in solving any passage.

In the passage with gap fills you have 4 answer choices for each gap and you are required to fill them with the correct word.


WRITING

Writing plays a very important part of day-to-day activities in healthcare industry in Canada.
The writing test consists of 2 parts

Part 1:-
Form filling: 10 minutes.
There will be an interview – Doctor – Patient or Nurse – Patient or a related clinic scene.
You will be given a Nurses record sheet and a video scene regarding talk between a Patient and a Nurse or Doctor and Nurse in a hospital setting.
You will have a minute to preview the assessment record sheet.
You have to record whatever is asked with supporting details in the point form.

Part 2:-
Part 2 in writing sections incident report writing. You have to write a report taking the information provided in the question. The incident report is a record of incident, problems and events at the time of admission of patients and afterwards.

In this test we have to be very focused on grammar, spelling, word choice and other communication vocabulary. You must include information precisely answering questions like who, what, when, why and how. You need some efforts and practice to write good reports.

SPEAKING

Speaking module of CELBAN is conducted individually and takes approximately 20-30 minutes. There are 2 assessors who carry out assessments. It is always recorded and you are assessed on the basis of your use of language (word choice), grammatical accuracy, narrating, supporting the opinion, the use of strategies for synthesizing, stating and describing.

Your language proficiency is judged from your interaction with the patient. Most importantly your confidence is judged from your fluency in asking questions and answering the patient’s queries. In speaking, you should make use of paraphrasing, self-correcting, confirming and maintaining rapport with the patient.

Speak in, simple as well as complex sentences and accomplish the task of introducing and concluding the topic. Your language should be easily understood and you should answer the patient’s queries and satisfy him. You should have a proper flow of language and correct pronunciation in a comfortable manner.

There is no assessment of the general questions regarding your introduction.

Describing questions:

The examiner asks you 3-4 questions in order to judge your language for describing the facts.They may ask you the questions to compare and contrast from general topics like Canadian culture, transport, weather, problems attached with immigration, your role as a nurse or any other topic of their choice and so on.

Role play:

In role play one of the examiners enacts as a patient and you as a nurse. You are given a form and are required to fill the information on that form by asking question a given topic. They assess your language proficiency for your response to the queries of the patient and your ability to ask proper, relevant and correct questions on the given points.

At the end you are given a sheet of some clues and you are asked to give teachings to the patient at the time of discharge (discharge instructions)

KEYS TO SUCCESS

GRAMMAR- It plays an eminent role to pass the test. So, Practice extra grammar exercises
REVISE Thoroughly:
All tenses, Parts of speech as Noun, Pronoun, Verb, Forms of verbs, Adverb, Adjective, Prepositions, Conjunctions, Punctuations, Clauses, articles and active passive voice.
STUDY SKILLS
• Study 3 hrs. /Day minimum of three months.
• Listen & watch English news daily.
• Go through the details of all common diseases.
• Revise medical vocabulary.
• Make short notes on all disease.

HOW TO IMPROVE LISTENING SKILLS IN CELBAN:

Listening is training your ears, so, do not watch native programs on TV. Listen & watch English programs all time
• Daily practice listening for 3 months minimum to pass the test.
• Prepare well in advance. Take some professional guidance.
• Please do not get nervous.
Great listeners are strong receivers, so try to recollect and write whatever you watch & listen at the same time during practice sessions.Watch English movies (American English Movies)Listen to English music and try to understand the lyrics. Make native English speakers as friends.Give thoughtful attention to the speaker in a curious, open minded and non-judgmental manner. Pay full attention to the speaker.Watch body language.Create your interest in the scenery and enjoy it.

Just before the test:
Relax and think positive. Always remember the motto “You can win”. Drink water and stay calm. Arrive early before the exam and do not get nervous.Take a deep breath before the exam.
While taking tests:
. READ INSTRUCTIONS AND QUESTIONS VERY CAREFULLY!!Focus is most significant
Before listening video or audio starts, read all questions thoroughly in giving time for question reading. If time permits then read the answer choices.Four answer choices are given for each question, from which two answer choices are always wrong, look for the exact answer from other two choices. If you don’t find any answer, or you distract your attention, move on.Don’t get panic, otherwise you will lose your concentration and miss many questions.Do not lose your confidence at any cost. Believe in yourself.
READING STRATEGIES
Work quickly and take care of the spellings. Always read the questions thoroughly and look for the possible answer. Read each blank or phrase. Read the whole sentence and look for the missing part of speech and tense used in the sentence.
For comprehension, first of all read the heading and subheading properly to know what the topic is about.DO not read the whole passage otherwise you will not finish on time. Skim and scan the passages to find main information. Go back and forth, try to get most important concept given in passage in your mind. Scan and read first, middle & last sentence of each stanza.

Note and flag keywords in the passage. Then read the questions properly one by one and pick the answer from answer choices. Try to answer the easier questions first.Timing is very essential. Don’t spend more than 15 minutes on any passage

For gap fills you are required to read every sentence and look for the missing word from answer choices. The best way to get the answer is taking into consideration the tense used in the given sentence and looking for the missing part of speech in the sentence.
Reading tips
1. Read without pronouncing each word (quiet reading)it increases the rate of skimming.
2. Determine what you need to know from the content. So knowing the heading is most important. It makes reading purposeful.
3. Do not read the whole content & read with understanding.
4. Do close reading to focus your mind.
Practice under testing conditions of timing (40minutes).


WRITING STRATEGIES:

1.There is a video scenario from which you have to fill up a form. Don’t miss any point
2. Take care of spellings and make points.
3. Look for the main points and supporting details in a precise way.
4. Write in short phrases, don’t make sentences and write in boxes only.

Writing 2
INCIDENT REPORT WRITING:
1. Read the topic carefully and include all given points in your report.
2. Look for your grammar, structure and tenses & punctuation.Use good vocabulary, synonyms and don’t repeat words.
3. Write the report in proper sequence and make use of simple as well as compound sentences.
1. Write report in past tense & passive speech.
2. Mention location, time address and date.
3. Answer all the questions like who, what, when,where and how in the report.
4. Don’t use awkward phrases and don’t make stories. Mention condition of the patient at last in present tense.
Good knowledge of grammar is the key to pass the test.DO take out some time for proof reading for sure. Do not exceed the word limit and do not make a rough draft.Practice at least 20 incident reports at various situations. Handwriting should be readable and make proper sentences. Good vocabulary, correct use of tense, correct spellings, right sequence of events is very important.

SPEAKING STRATEGIES:
Good speakers are good listeners. Listen the question. Speak in a rich and full voice. Stay calm and relaxed. Be careful of your body language. Make eye contact with the patient and speak with confidence.Be comfortable with the patient. Give your introduction impressively
Rehearse and make your video recording. Watch it. Be confident. The First impression is the last impression.Face is the index of your mind so, keep smiling.Use good vocabulary. Smile and make a good rapport with the patient. Use correct pronunciation and correct use of verb tense is very important. Do thank the patient for his co-operation. Do not forget to say “Thanks for your time” at the end.
How to take a test?
• Language is a great barrier when an individual moves from one place to another. In these cases. Most people give up before difficulties. Language learning is a time taking process. Conversation with local residents of that area helps a lot to overcome the language barrier along with learning through books or television shows. These language proficiency tests need perfecting and learning is a slow process. Prepare yourself to face challenges and believe in yourself.