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RS 0.811.21 European Agreement of 25 October 1967 on Training and Training of Nurses

Original Language Title: RS 0.811.21 Accord européen du 25 octobre 1967 sur l’instruction et la formation des infirmières

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0.811.21

Original text

European Agreement on Training and Training of Nurses

Conclu in Strasbourg on 25 October 1967

Signed by Switzerland on 25 September 1968

Approved by the Federal Assembly on March 18, 1970 1

Instrument of ratification deposited by Switzerland on 19 August 1970

Entered into force for Switzerland on 20 November 1970

(Status 14 March 2006)

The member States of the Council of Europe, signatories to this Agreement,

Considering that the aim of the Council of Europe is to achieve a closer union among its Members, in particular in order to promote social progress and promote the well-being of their populations through appropriate achievements;

In view of the conventions for this purpose which have already been concluded within the framework of the Council, in particular the European Social Charter, signed on 18 October 1961, and the European Settlement Agreement, signed on 13 December 1955 2 ;

Convinced that the conclusion of a Regional Agreement on the Harmonization of Training and Training of Nurses can promote social progress and can ensure a high level of qualifications for nurses, likely to enable them to establish themselves In the territory of the other Contracting Parties on an equal footing with nationals of other Contracting Parties;

Whereas it is necessary to establish minimum standards in this area,

Have agreed as follows:

Art. 1

1. Each Contracting Party will implement or, if the training of nurses is not placed under its direct control, recommend to the competent authority to implement the provisions concerning education and training Nurses listed in Annex I to this Agreement.

2. For the purposes of this Agreement, the term "nurse" refers exclusively to nurses in general care. Excluded are nurses whose training is limited to areas of public health, care for infants and sick children, obstetrical care and care for the mentally ill.

Art. 2

Each Contracting Party shall communicate to the Secretary General of the Council of Europe a list of the authorities or other bodies authorised to certify that the nurses have attained a level of education and training at least Standards set out in Annex I to this Agreement.

Art. 3

1. After the entry into force of this Agreement in accordance with Art. 4, the Committee of Ministers of the Council of Europe, sitting in its reduced composition to the representatives of the Contracting Parties, is entitled to continue the elaboration of the provisions contained in Annex I to the Agreement, as a function of evolution Intervened in this field.

2. Any amendment or extension of the provisions of Annex I, which has been unanimously approved by the Committee of Ministers referred to in the preceding paragraph, shall be notified by the Secretary General of the Council of Europe to the Contracting Parties and Shall enter into force three months after the date on which the Secretary General has been notified by the Contracting Parties that they approve the amendment or extension.

Art. 4

1. This Agreement shall be open for signature by the member States of the Council of Europe which may become Parties to this Agreement by:

(a)
Signature without reservation of ratification or acceptance, or
(b)
Signature subject to ratification or acceptance, followed by ratification or acceptance.

2. Instruments of ratification or acceptance shall be deposited with the Secretary General of the Council of Europe.

Art. 5

This Agreement shall enter into force three months after the date on which three member States of the Council have become Parties to the Agreement in accordance with the provisions of Article 4.

2. For any Member State which subsequently signs it without reservation as to ratification or acceptance, or ratifies or accepts it, the Agreement shall enter into force three months after the date of signature or deposit of its instrument of ratification or Of acceptance.

Art. 6

After the entry into force of this Agreement, the Committee of Ministers of the Council of Europe may invite any non-member State of the Council to accede to this Agreement.

2. Accession shall be effected by the deposit, by the Secretary General of the Council of Europe, of an instrument of accession which shall take effect three months after the date of its deposit.

Art. 7

(1) Any Contracting Party may, at the time of signature or at the time of deposit of its instrument of ratification, acceptance or accession, declare the use of one or more reservations set out in Annex II to this Agreement.

2. Any Contracting Party may withdraw, in whole or in part, a reservation made by it, in accordance with the preceding paragraph, by means of a declaration addressed to the Secretary General of the Council of Europe and which will take effect on the date of its Receipt.

Art. 8

The Annexes to this Agreement shall form an integral part thereof.

Art.

(1) Any Contracting Party may, at the time of signature or at the time of deposit of its instrument of ratification, acceptance or accession, designate the territory or territories to which this Agreement shall apply.

2. Any Contracting Party may, at the time of the deposit of its instrument of ratification, acceptance or accession, or at any other time thereafter, extend the application of this Agreement by declaration addressed to the Secretary General of the Council of Europe, in any other territory designated in the declaration for which it is responsible for international relations or for which it is entitled to stipulate.

(3) Any declaration made under the preceding paragraph may be withdrawn, in respect of any territory designated in that declaration, under the conditions laid down in Article 10 of this Agreement.

Art. 10

(1) This Agreement shall remain in force without limitation of duration.

2. Any Contracting Party may, as far as it is concerned, denounce this Agreement by sending a notification to the Secretary General of the Council of Europe.

The denunciation shall take effect six months after the date of receipt of the notification by the Secretary General.

Art. 11

The Secretary General of the Council of Europe shall notify the member States of the Council and any State which has acceded to this Convention:

(a)
Any signature without reservation of ratification or acceptance;
(b)
Any signature subject to ratification or acceptance;
(c)
The deposit of any instrument of ratification, acceptance or accession;
(d)
Any date of entry into force of the amendments or extensions referred to in s. 2 of the art. 3;
(e)
Any date of entry into force of this Agreement in accordance with its art. 5;
(f)
Any communication received pursuant to the provisions of s. 2;
(g)
Any notification received pursuant to the provisions of Art. 7;
(h)
Any statement received pursuant to the provisions of s. 9;
(i)
Any notification received pursuant to the provisions of Art. 10 and the date on which the denunciation takes effect.

In witness whereof, The undersigned, duly authorized to that effect, have signed this Agreement.

Done at Strasbourg, on 25 October 1967, in English and French, both texts being equally authentic, in a single copy which shall be deposited in the archives of the Council of Europe. The Secretary General of the Council of Europe shall transmit certified copies to each of the signatory and acceding States.

(Suivent signatures)

Annex I

Minimum Standards for Training and Training of Nurses

Chapter I

Definition of the General Care Nurse's duties

1. The general care nurse shall, in accordance with the regulations in force in his country, perform the following essential functions:

(a)
Providing competent nursing care to persons whose condition requires it, taking into account the physical, emotional and spiritual needs of the patient in a hospital setting, at home, at school, at work, etc.;
(b)
Observe physical and emotional conditions or conditions that have a significant effect on health, and communicate these observations to other members of the health team;
(c)
Train and guide the auxiliary staff necessary to meet the needs of the nursing service of any health institution.

2. In this role, the nurse must determine at any time the nursing care that each patient requires and assign the appropriate staff.

Chapter II

Level of instruction to require candidates to nursing schools

Candidates for nursing education should normally be of an intellectual and cultural level corresponding to at least the tenth year of general education. As a result, they should have a school title that will sanction such a course of study or have met a formal admission examination of an equivalent level.

Chapter III

Duration and content of the curriculum

The number of hours of basic nursing education shall be set at a minimum of 4600. The proportion to be devoted to clinical teaching (traineeships) (see B below) must account for at least half of the time devoted to total education. However, the number of hours of theoretical and technical courses (see A below) shall not be less than one third of the time spent on the whole training.

Education and technical education

Education must cover all aspects of nursing, including disease prevention, health education, medication use and action, and food and dietary problems, rehabilitation, and care Of first emergency, resuscitation and the theory of blood transfusion.

Theoretical and technical education and clinical teaching must be coordinated.

Materials to be included in the program can be grouped under two headings:

1. Nursing

-
Professional guidance and ethics
-
General Principles of Health and Nursing
-
Nursing Principles for:
-
General medicine and medical specialties
-
General surgery and surgical specialties
-
Periculture and pediatrics
-
Hygiene and maternal and newborn care
-
Mental health and psychiatry
-
Care for the elderly and geriatrics.

2. Basic Science

-
Anatomy and physiology
-
General Pathology
-
Bacteriology, virology and parasitology
-
Biophysics and Biochemistry
-
Hygiene:
-
Prophylaxis
-
Health education.
-
Social Sciences:
-
Sociology
-
Psychology
-
Principles of administration
-
Teaching principles
-
Social and health legislation
-
Legal aspects of the profession.

B. Clinical Nursing Education (Internships)

Clinical education must address all aspects of the nursing role in nursing, including disease prevention, health education, as well as primary care, resuscitation and transfusion Blood.

It must include:

-
General medicine and medical specialties
-
General Surgery and Surgical specialities
-
Child and Pediatric Care
-
Hygiene and Maternal and Newborn Care
-
Mental health and psychiatry (where possible in specialist service)
-
Care of the elderly and geriatrics.

In determining the training grounds, the following factors must be taken into account:

1. All practical nursing education must have an educational value, which is why:

-
There must be sufficient qualified staff to ensure a satisfactory quality of nursing care;
-
There must be satisfactory conditions for premises and equipment, used for the care of the sick.

2. In all services in which nursing students are assigned during their practical training, there must be at least one registered nurse at all times who can provide supervision, and sufficient staff of others Categories to prevent the student from being assigned tasks with no educational value for her.

The registered nurses of the approved services as a field of traineeship must contribute to the supervision and training of the pupils under the supervision of the instructors of the school.

Chapter IV

Conditions for the organisation of schools of nurses

To ensure that the proposed program for the training of nurses is delivered in an appropriate manner, the organization and operation of the school must meet certain conditions, namely:

A. School of Nursing Directorate

The School Directorate must be assigned to a physician or nurse, who is responsible for teaching and administration.

B. Teachers

Education must be given to qualified teachers: doctors, nurses and specialists in the various disciplines. Each school must have at least one registered nurse who has been trained for at least one year who has qualified her for teaching nursing.

C. School Finance

The appropriations available to deal with expenditure directly attributable to the training of nurses, for example the salaries of instructors and the cost of teaching materials, must be readily identifiable.

Chapter V

Education Sanctions

A. It shall be established for each pupil a "school book" whose authenticity is guaranteed by the competent authority and comprising:

-
Enumeration of internships completed
-
Results of tests and examinations
-
An assessment of the personal and professional skills that the student has shown during his or her studies.

B. The final examination must include written, practical and oral tests, and its success should be certified by the issuance of an appropriate document.


State 11. July 2006

Annex II

Each Contracting Party may declare that it reserves:

(1)
Derogate from the provisions of the Chap. II of Annex I by stipulating that candidates may be of an intellectual and cultural level corresponding to eight years of general education;
(2)
Derogate from the provisions of the Chap. II of Schedule I by providing that candidates may not be in possession of a school title;
(3)
Derogate from the provisions of the Chap. III of Annex I by providing for a number of hours of theoretical and technical courses different from that provided for in this Chapter;
(4)
Derogate from the provisions of the Chap. III of Annex I:
(i)
As optional subjects of the program and practical training, maternity, mental health and psychiatry, and care for the elderly and geriatrics, or
(ii)
By not carrying out clinical teaching on mental health and psychiatry.

Recommendations

I. Minimum age required for admission to schools of nurses

The minimum age for admission to nursing schools does not seem to be rigidial. In countries where there is general education in the curriculum, the age of entry into nursing schools is much lower than when this knowledge is initially required. In addition, maturity depends on social and climatic conditions.

In general, students should not be in contact with the sick and the hospital before age between 17 and 19 years, depending on the country.

II. Level of instruction to require candidates to nursing schools

(cf. Accord, Annex I, Chap. II)

The duration of ten years of general education is not compulsory, provided that the same intellectual and cultural level can be achieved at a lower level of education.

III. Duration and content of the curriculum

(cf. Accord, Annex I, Chap. III, first paragraph.)

If the total number of hours of teaching is greater than 4600, the proportions indicated must be met in relation to the minimum hourly rate.

IV. Internship site

(cf. Accord, Annex I, Chap. III, B)

(a)
The traineeships must be proposed by the principal of the school and approved in each country by the competent authority.
(b)
Practical teaching should be organised by the school principal and supervised by the school's instructors.
(c)
The provision appearing in n O 2 and providing "enough staff in other categories to prevent the student from being assigned tasks with no educational value for her", to ensure that nursing students will not be employed in non-teaching jobs In the course of their teaching and in the care of another category of staff.
(d)
To the extent possible, nurses referred to in n O 3 must have received training in the teaching of care and administration.
(e)
Consideration should also be given to:
-
The number of patients,
-
The variety of clinical cases presented by patients,
-
The organisation of services,
-
The existence of periodic education in employment for nurses,
-
The number of students fixed for each service,
-
The teaching methods used.

Conditions for the organisation of schools of nurses

(cf. Accord, Annex I, Chap. IV)

(a)
School of Nursing Directorate The direction of the school should normally be assisted and advised by a body of nurses prepared for nursing education and representatives from other disciplines such as medicine, education General administration, social sciences.
(b)
Teachers The coordination of theoretical and practical instruction in its application must be entrusted to instructors. The instructor is a nurse educator trained to provide theoretical and practical instruction and supervision of clinical placements. It contributes to the education and vocational training of female students. The relationship between the number of monitors and the number of pupils must be such as to ensure adequate education and supervision. The number of 15 students per instructor seems to be possible.
(c)
School Development Spacious enough space will be provided for the number of students in the school, including: classrooms and demonstration rooms, small rooms for group work, library and laboratory. Individual offices should be provided for full-time management and teaching staff.
(d)
Teaching material The equipment should be such that it allows for a broad use of modern teaching methods. Special emphasis will be placed on the use of audio-visual equipment.

VI. Documents to be submitted by the nurse

A. A title (diploma, certificate or other) validated by the government of the country in which it is issued or by the authority of that country responsible for ensuring its authenticity.

B. An excerpt from the school book

This excerpt includes:

-
Marital status,
-
Traineeships,
-
The results obtained.

C. A Certification of Language Knowledge

Scope of application December 14, 2005 1

States Parties

Ratification Signature without reservation of ratification (If)

Entry into force

Germany *

February 8

1973

9 May

1973

Austria *

9 November

1972

10 February

1973

Denmark

25 October

1967 If

7 August

1969

France

3 September

1974

4 December

1974

Ireland

7 December

1971 If

8 March

1972

Italy

7 June

1974

8 September

1974

Malta *

6 May

1969

7 August

1969

Poland *

30 January

1996

1 Er May

1996

Romania

28 November

2002

1 Er March

2003

United Kingdom *

21 December

1967 If

7 August

1969

Switzerland *

19 August

1970

20 November

1970

*

Reservations and declarations.

Reservations and declarations, with the exception of those of Switzerland, are not published in the RO. The texts in English and French can be consulted at the Council of Europe website: http://conventions.coe.int/treaty/FR/cadreprincipal.htm or obtained in the Directorate of Public International Law (DDIP), Treaty Section International, 3003 Berne.

Reservations and declarations

Switzerland 2

The agreement shall be approved subject to the right conferred by its art. 7, to depart from:

1.
To the provisions of chap. II of Annex I by stipulating that candidates for nursing education may be of an intellectual and cultural level corresponding to eight years of general education;
2.
To the provisions of chap. II of Schedule I by providing that candidates for nursing education may not be in possession of a school title;
3.
To the provisions of chap. III of Annex I by providing for a number of hours of theoretical and technical courses different from that provided for in this chapter.

1 A version of the updated scope of application is published on the DFAE website (http://www.eda.admin.ch/eda/f/home/foreign/intagr/dabase.html).
2 Article 2 of the AF of 18 March 1970 (RO 1970 1205)


State 11. July 2006