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Governance Framework for Advanced Scope of Practice Roles and Extended Scope of Practice Roles.

The Office of Professional Leadership, which includes the Nursing and Midwifery Office, the Allied and Scientific Health Office and the Office of the Chief Medical Officer, in consultation with SA Health sites and services, have developed a Policy Directive for the Governance Framework for Advanced Scope of Practice Roles and Extended Scope of Practice Roles (AESOPR) in SA Health.

The Governance Framework was developed to ensure a consistent, systematic approach to the decision-making planning, implementation, and evaluation/monitoring of these roles across SA Health professions.

The aim is to:

  • Assist the growth and development of a flexible and responsive workforce based on a culture of innovation, learning and continual improvement;
  • Support health service planning and integration of new models of care;
  • Resolve barriers that prevent the workforce from realising their full potential;
  • Provide a framework for continuous quality improvement, which supports evaluation of health services provided by AESOPR;
  • Improve the capacity of the SA Health system to provide consistent healthcare, enhance patient outcomes, improve patient safety, and improve efficiencies in health care delivery; and
  • Ensure that AESOPR are able to practice to the full extent of the capacity at which they are educated, authorised, legislated, and competent to perform.

The endorsed Policy Directive for the Governance Framework for Advanced Scope of Practice Roles and Extended Scope of Practice Roles in SA Health, which describes the roles, responsibilities, systems and processes to optimise our workforce to provide best practice models of care to the full scope of the practitioner’s regulatory requirements, knowledge, skills and abilities. This Policy Directive will contribute to the achievement of a flexible, sustainable, responsive and adaptable workforce that delivers quality clinical and safe patient outcomes.

To access:

  • The the Policy Directive click here.
  • Information Sheets for Nursing and Midwifery click here.

The Advanced Skills Enrolled Nurse Project

The Nursing/Midwifery (SA Public Sector) Enterprise Agreement 2010 provides for the introduction of the Advanced Skills Enrolled Nurse (ASEN) position in the South Australian nursing and midwifery career structure, operative from 1 st December 2011. The ASEN position is a merit based appointment as determined and required by individual health services/units.

The Advanced Skills Enrolled Nurse is an Enrolled Nurse who will either:

  • Hold an Advanced Diploma of Enrolled Nursing and have three years full time equivalent experience in the relevant clinical areas; OR
  • Have five years full time equivalent experience in the relevant clinical area and have demonstrated advanced skills and knowledge in client/patient assessment, care management and leadership responsibilities.

SA Health has worked in conjunction with representatives from health services and the ANMF (SA Branch) in developing a ‘Toolkit for Implementation of the ASEN role in South Australia’.

The Toolkit provides a framework for health services/units to undertake strategic service planning to determine and establish the ASEN role if relevant to the health service/unit. The guiding principles have been developed with stakeholders to assist Nursing and Midwifery Leaders in the establishment of consistent processes in the strategic planning, determination and implementation of the ASEN role across SA Health sites. Four stages for the integration of the ASEN role have been identified as:

  • Initiation ‘Establishing the need’
  • Strategic Service planning
  • Implementation; and
  • Evaluation.

The ‘Toolkit for Implementation of the ASEN role in South Australian’ is now available
Access the Toolkit below:

- ASEN Toolkit
- ASEN Service Planning Template
- ASEN Business Change Template
- Generic ASEN JP&S Template
- Example Questions for Interview Panels

For more information:

Employees should contact their line manager, or local Human Resources department, or Director
of Nursing/Midwifery, or the local ANMF worksite representative/organiser for further information about the Advanced Skills Enrolled Nurse role in South Australia.

Click here to access the ‘Advanced Skills Enrolled Nurse (ASEN) Frequently Asked Questions and Role example.

ASEN Information Sessions

Information sessions are currently being delivered across SA Health Local Health Networks (LHN) to support nursing and midwifery leaders in considering the Advanced Skills Enrolled Nurse (ASEN) role. The session is being presented in collaboration with Tafe SA and provides information about Enrolled Nurses educational preparation and the resources available to assist with the determination and successful implementation of the ASEN role across public sector health services. The following presentations are available to view and access:

If you would like further information or to arrange an information session you can contact the ASEN Implementation Working Group members.

Click here
to access the contact details for the members of the ASEN Implementation Working Group.

The Nursing and Midwifery Capability and Self Development Framework

SA Health in the commitment to ensuring a responsive workforce has, in conjunction with health services and the ANMF (SA Branch) produced a Nurisng and Midwifery Capability and Self Development Framework as outlined in the Nursing and Midwifery (SA Public Sector) Enterprise Agreement 2010. The Framework establishes the processes and systems to be used by health services and the public sector nursing and midwifery workforce in developing knowledge skills and competencies that will meet the needs of clients now and into the future.  

The purpose of the Nursing and Midwifery Capability and Self-Development Framework is to:

  • Guide nurses and midwives at all levels to continue their professional development within the context of life long learning.
  • Guide health service organisations in their development of appropriate and relevant strategies of workforce and professional development.
  • Provide direction and supporting structures to enable the planning and implementation of staff professional development opportunities for career enhancement

The Framework has been developed by the members of the Nursing and Midwifery Enterprise Agreement 2010 Capability Development Framework Working Party.  The Working Party comprised of nurses and midwives from health units across SA Health, educators, representatives from the Department of Health including the Nursing and Midwifery Office and the ANMF (SA Office).

Nursing and Midwifery Capability and Self Development Framework is now available.

click here to access the framework.

Implementation at Health Units

The Director of Nursing and Midwifery in your health service is responsible to oversight the
implementation of the Framework. The Framework will be placed on the Quarterly Professional
Development Forums as a standing item as a requirement of the Professional Development
Clause 4.8.7, N&M Enterprise Agreement 2010.

For more information

Employees should contact their line manager, or local Human Resources department, or Director
of Nursing/Midwifery, or the local ANMF worksite representative/organiser for further information about the Framework.

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