Advanced Practice Nursing in Samoa

Snapshot

APN Role Exists in Country Today:
Yes

Title:
Nurse Specialist

Nationally Certified:
Uncertain (Nationally Registered)

Recognize Foreign Licensure:
Uncertain

Treatment Authority:
Uncertain

Prescribing Authority:
Uncertain

Practice Autonomously:
Uncertain

Contact:
Samoa Ministry of Health

Role

The role of Advanced Practice Nurses (APN) in Samoa is identified by the Nurse Specialist role (Joel, 2013).  Registered nurses in Samoa can be cross-trained as midwives as well (Samoan Ministry of Health, 2006a).  At this time, there is insufficient information on the scope of this role, but the response of the advancement of nursing practice in Samoa appears to be related to a shortage of healthcare professionals in the current health system.  To date, the register of healthcare providers in Samoa is available online with more than 200 professionals in their system providing care of the 188,000 people in the country (World Bank, 2012).  Of these, in 2006 there were reported only 14 general practitioners in the country (Samoan Ministry of Health, 2006a).

According to the Samoan Ministry of Health (2006b), a specific shortage in mental health professionals is desired to be met with an increasing number of Mental Health Nursing Specialists by 2018.  Additionally, as the population has been increasing, there is encouragement to increase the number of skilled nurses trained as midwives by 2018 as well (Samoan Ministry of Health, 2006).

Education and Certification

An individual is required to have a year of postgraduate education to become a Nurse Specialist in Samoa (Joel, 2013).  Basic nursing education is provided at the bachelor level at the National University of Samoa.  Of note for education in Samoa is also the Oceania University of Medicine, which has a medical program that greatly encourages nurses to become physicians.  While this school has been under scrutiny due to corruption since 2011 and the future of the school is uncertain, such educational opportunities greatly influence the availability of health care professionals in the country (Hazelman-Siona, 2013).  Registration is necessary to practice in any healthcare role by the Ministry of Health in Samoa.

Specialties

Nursing Specialists in Samoa work in mental health nursing (Samoan Ministry of Health, 2006b).  Other specializations may well exist, but there is insufficient available information on the specialties practiced in Samoa.

Have information to add to this page?

References:
International Council of Nurses/Advanced Practice Nursing Network (2013).  Contact information sheet: Western Pacific, Fiji.  Retrieved from: http://www.icn.ch/details/17/116.html

Hazelman-Siona, N. (2013, May 8).  O.U.M.’s future still undecided.  Samoa Observer.  Retrieved from: http://www.samoaobserver.ws/education/4749-oums-future-still-undecided

Joel, L.A. (2013).  Advanced Nursing: Essentials of Role Development [3rd ed.; Electronic Book]. F.A. Davis.  Retrieved from: http://books.google.com/

Samoan Ministry of Health (2006a). Health Sector Plan 2008-2018.  Retrieved from: http://www.health.gov.ws/Portals/189/HEALTH%20SECTOR%20PLAN.pdf

Samoan Ministry of Health (2006b).  Samoa mental health policy.  Retrieved from: http://www.who.int/mental_health/policy/country/SamoaMHPolicy%20Final%20-%20Aug2006.pdf

World Bank (2012).  Population, total.  Retrieved from: http://data.worldbank.org/indicator/SP.POP.TOTL

Advanced Practice Nursing in the Fiji Islands

Snapshot

APN Role Exists in Country Today:
Yes

Title:
Nurse Practitioner

Nationally Certified:
Uncertain (Nationally Registered)

Recognize Foreign Licensure:
Uncertain

Treatment Authority:
Yes

Prescribing Authority:
Yes

Practice Autonomously:
Yes

Contact:
Fiji Ministry of Health
Fiji School of Nursing

Role

The role of Advanced Practice Nurses (APN) in the Fiji Islands is represented by Nurse Practitioners (Pulcini, Jelic, Gul, & Loke, 2009).  This role was developed to primarily help address the significant primary care needs in the rural communities, especially as 60% of individuals living within Fiji live in such settings with minimal health care access (Joel, 2013).  The first class graduated with their post-graduate diploma in 1999 (Downs, E., Personal Communication, 2013, October 12; Joel, 2013).

The role of NPs in Fiji works under established protocols, allowing individuals some prescriptive privileges (Joel, 2013).  As a result however, there is still need to develop standardized treatment guidelines throughout the region (Joel, 2013).

Education and Certification

To be accepted into an Advanced Practice Nursing program in the Fiji Islands, an individual is required to be either or both a Registered Nurse or a midwife and have a minimum of five years of clinical experience in a health care setting (Fiji National University, 2013).  The program currently is offered at the Fiji School of Nursing, which is now a part of the National University, and transitioning the program to offer Masters degrees to graduates.  This program has become regional and has also graduated individuals from the Solomon Islands, Marshall Islands, Tonga, and Tuvalu (Downs, E., Personal Communication, 2013, October 12; Joel, 2013).

Registration is obtained by the Ministry of Health for all individuals in nursing, midwifery and advanced nursing practice (International Council of Nurses/APN Network, 2013).

Specialties

Nurse Practitioners primarily work in the role of primary health care (Joel, 2013).

Have information to add to this page?

References:
Fiji National University (2013).  School of Nursing.  Retrieved from: http://www.fnu.ac.fj/index.php?option=com_content&view=article&id=1501&Itemid=284

International Council of Nurses/Advanced Practice Nursing Network (2013).  Contact information sheet: Western Pacific, Fiji.  Retrieved from: http://www.icn.ch/details/17/116.html

Joel, L.A. (2013).  Advanced Nursing: Essentials of Role Development [3rd ed.; Electronic Book]. F.A. Davis.  Retrieved from: http://books.google.com/

Pulcini, J., Jelic, M., Gul, R, & Loke, A.Y. (2009).  An international survey on advanced practice nursing, education, practice, and regulation.  Journal of Nursing Scholarship, 42(1),31-39.  doi: 10.1111/j.1547-5069.2009.01322.x