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SOUTH AFRICAN QUALIFICATIONS AUTHORITY 
REGISTERED QUALIFICATION: 

Bachelor of Nursing and Midwifery 
SAQA QUAL ID QUALIFICATION TITLE
101324  Bachelor of Nursing and Midwifery 
ORIGINATOR
Stellenbosch University 
PRIMARY OR DELEGATED QUALITY ASSURANCE FUNCTIONARY NQF SUB-FRAMEWORK
CHE - Council on Higher Education  HEQSF - Higher Education Qualifications Sub-framework 
QUALIFICATION TYPE FIELD SUBFIELD
National First Degree(Min 480)  Field 09 - Health Sciences and Social Services  Promotive Health and Developmental Services 
ABET BAND MINIMUM CREDITS PRE-2009 NQF LEVEL NQF LEVEL QUAL CLASS
Undefined  480  Not Applicable  NQF Level 08  Regular-Provider-ELOAC 
REGISTRATION STATUS SAQA DECISION NUMBER REGISTRATION START DATE REGISTRATION END DATE
Reregistered  EXCO 0821/24  2018-07-01  2027-06-30 
LAST DATE FOR ENROLMENT LAST DATE FOR ACHIEVEMENT
2028-06-30   2034-06-30  

In all of the tables in this document, both the pre-2009 NQF Level and the NQF Level is shown. In the text (purpose statements, qualification rules, etc), any references to NQF Levels are to the pre-2009 levels unless specifically stated otherwise.  

This qualification is replaced by: 
Qual ID Qualification Title Pre-2009 NQF Level NQF Level Min Credits Replacement Status
119702  Bachelor of Nursing  Not Applicable  NQF Level 08  480  Complete 

PURPOSE AND RATIONALE OF THE QUALIFICATION 
Purpose:
The purpose of this qualification is to:
  • Produce competent Professional Nurse and Midwife practitioners within a wide range of health service settings.
  • Provide graduates with a wide range of skills, knowledge and attitudes that will enable them to make a meaningful and sustained contribution to health services.
  • Equip graduates with a developed sense of equity, justice and service ethics that will ensure that they work in a responsible and accountable manner, irrespective of their chosen workplace.
  • Offer a wide range of transferable skills for application in other professions, disciplines and general life, including:
    > A methodical solution based approach to problem solving.
    > An empowerment-based approach to development of self and others.
    > Competence in written and oral communication.
    > Capacity to assess and implement health and other policy.
    > Ability to plan and implement and manage projects of a varied nature.
    > Research capacity.

    Rationale:
    Globally, life expectancy since birth is on the rise, and so are non-communicable diseases. Most HIV/Aids deaths occur in sub-Saharan Africa, and mental health disorders such as depression are part of the top twenty diseases contributing to disability. The causes of nursing shortage are complex, and include nursing migration, an inefficient supply of new nurses and a perceived limit of career opportunities. These factors underline the need for an increased number of competent nurses.

    Within the rural context, specific concerns are related to post-natal feeding support, an increase in non-communicable diseases, serious violence, accidents and race and gender inequalities which are fuelled by low educational levels, poor quality housing, inadequate public-private partnerships and limited surveillance of health care indicators.

    It must be noted that competent midwives play a significant influence on a country's ability to reach the Millennium Development Goals (MDGs) set by the United Nations of which three of the eight have direct bearing on midwifery care. These are: Promoting Gender Equality and Empowerment of Women, Reducing Child Mortality and Improving Maternal Health. The training of midwives does not only address maternal and child mortality but also empowers women to take control of their health by working with competent midwives during pregnancy, labour and motherhood. Within South Africa, competent midwives may contribute to the disconcerting level of maternal and child mortality.

    If one reflects on the shortage of health care professionals, a range of factors come into play. Some of these factors are related to changes in the country such as an aging population and the need for technologically skilled health care-givers. Aspects of concern in human resource management relate to poor planning and a so-called "under-investment" in health workers' education.

    The Bachelor of Nursing and Midwifery is designed to provide learners with knowledge of nursing and midwifery. This qualification has a strong focus on professional nursing, primary health care and maternal and new-born health. The placement of learners in private and public health care services as well as other smaller organisations will provide opportunities for collaboration in a number of areas. This qualification is aligned with the SANC's Charter of Nursing Practice (2004) and the Nursing Education and Training Standards. It has a clear focus on teaching and learning, research-mindedness and ability, scientific discourse and critical thinking. The qualification will enable graduates to contribute meaningfully to local, national and global health, nursing and midwifery care as critical thinkers, innovators and care providers. 
    		•

    LEARNING ASSUMED TO BE IN PLACE AND RECOGNITION OF PRIOR LEARNING 
    Recognition of Prior Learning (RPL):
    This qualification conforms to the Institution's Policy for the Assessment and Recognition of Prior Learning (ARPL) as well as the ARPL policy of the Faculty of Health Sciences.

    The policy defines the process that will be followed in the assessment of an application for Recognition of Prior Learning (RPL) at undergraduate level and provides information pertaining to assessment tools that will be used in the assessment of RPL applications. The RPL process is subjected to the Faculty's quality assurance process. Unsuccessful applicants may appeal according to the relevant appeal procedures as stated in the University's General Calendar Part 1.

    Learners may provide evidence of prior learning for which they may receive credit towards the qualification by means of portfolios, other forms of appropriate evidence and/or through challenge examinations, as agreed to between the relevant provider and relevant Education and Training Quality Assurance (ETQA) (which are the HEQC and SANC); or an ETQA that has a Memorandum of Understanding in place.

    RPL is particularly important, as the qualification coordinators may receive applications from learners who have studied toward or have successfully completed a health related or other degree qualification. It is important that an RPL process is available to assist in making sense of existing qualifications, and helping to standardise qualifications around a common standard.

    Entry Requirements:
    National Senior Certificate (NSC) granting access to bachelor's degree studies or an equivalent qualification. 

    RECOGNISE PREVIOUS LEARNING? 
    Y 

    QUALIFICATION RULES 
    This qualification comprises compulsory modules at Levels 5, 6, 7 and 8 totalling 480 Credits.

    Level 5, 120 Credits:
  • Essentials of Human Anatomy, 24 Credits.
  • Applied Microbiology, 10 Credits.
  • Introduction to Biochemistry and Biophysics, 10 Credits.
  • Pharmacology and Dispensing Practice, 12 Credits.
  • Foundations of Nursing and Midwifery Sciences, 20 Credits.
  • Foundations of Nursing and Midwifery Sciences Practical, 20 Credits.
  • Praxis of Nursing and Midwifery Sciences I, 24 Credits.

    Level 6, 120 Credits:
  • Essentials of Human Physiology, 24 Credits.
  • Psychosocial Aspects of Care, 12 Credits.
  • Praxis of Nursing and Midwifery Sciences II, 24 Credits.
  • Contextual Health and Nursing Care I, 24 Credits.
  • Contextual Health and Nursing Care Practical 1, 24 Credits.
  • Research in Context I, 12 Credits.

    Level 7, 120 Credits:
  • Praxis of Nursing and Midwifery Sciences III, 24 Credits.
  • Contextual Health and Nursing Care II, 24 Credits.
  • Contextual Health and Nursing Care Practical II, 24 Credits.
  • Mental Health Across the Lifespan, 12 Credits.
  • Mental Health Across the Lifespan Practical, 10 Credits.
  • Maternal and New-born Care I, 14 Credits.
  • Maternal and New-born Care Practical I, 12 Credits.

    Level 8, 120 Credits:
  • Praxis of Nursing and Midwifery Sciences IV, 12 Credits.
  • Contextual Health and Nursing Care III, 12 Credits.
  • Contextual Health and Nursing Care Practical III, 12 Credits.
  • Global Health Care Sciences, 10 Credits.
  • Global Health Care Sciences Practical, 10 Credits.
  • Community Health Promotion, 12 Credits.
  • Community Health Promotion Practical, 10 Credits.
  • Maternal and New-born Care II, 14 Credits.
  • Maternal and New-born Care Practical II,14 Credits.
  • Research in Context II, 14 Credits. 
    		•

    EXIT LEVEL OUTCOMES 
    1. Demonstrate knowledge, understanding and clinical judgment as well as critical thinking skills in healthcare delivery.
    2. Demonstrate an understanding of the scientific writing process.
    3. Understand the application of inter-professional education and graduate attributes.
    4. Understand and apply the Professional Code of Conduct.
    5. Understand and apply information and communication technology within healthcare services.
    6. Understand and be able to apply the scientific inquiry and knowledge translation processes and models within a nursing and midwifery health care institution.
    7. Demonstrate critical reasoning abilities by applying effective communication in the nursing and midwifery unit.
    8. Demonstrate directing and leadership abilities/skills in the nursing and midwifery unit within an urban and rural context.
    9. Demonstrate critical and problem solving reasoning abilities with reference to managing a nursing and midwifery unit within an urban and rural context.
    10. Engage in analytical reasoning by applying effective communication relating to group dynamics.
    11. Understand the moral and ethical foundations of nursing and midwifery within the urban and rural healthcare services.
    12. Understand the importance of and be able to collect information regarding contemporary issues in teaching and learning. 

    ASSOCIATED ASSESSMENT CRITERIA 
    Associated Assessment Criteria for Exit Level Outcome 1:
  • Assess and analyse problems specific to patient care within a nursing and midwifery context.
  • Recognise problems and propose possible solutions.
  • Communicate with multidisciplinary team with regard to identified problems within a nursing and midwifery context.
  • Discover and collect new information regarding meeting the patient needs within a nursing and midwifery context.
  • Understand and apply the scientific nursing approach.

    Associated Assessment Criteria for Exit Level Outcome 2:
  • Understand the concept of plagiarism.
  • Structure an assignment.
  • Demonstrate correct use of grammar, syntax and spelling.
  • Understand the importance and application of reference techniques.

    Associated Assessment Criteria for Exit Level Outcome 3:
  • Demonstrate attributes of a Professional, a Communicator, a Collaborator, a Leader, a Manager, a Health Advocate and a Scholar.
  • Discover and collect new information regarding the international and inter-professional competency frameworks.

    Associated Assessment Criteria for Exit Level Outcome 4:
  • Understand the South African Patients' Rights Charter, South African Batho Pele principles, South African Nursing Council rights and Responsibilities of a healthcare worker, SANC policy statement on nurses' right and code of conduct, International Council of Nurses (ICN) statement of health and human rights.
  • Demonstrate knowledge of professional organisations and relevant stakeholders.
  • Understand Nursing and Midwifery as a Profession.
  • Define and clarify the concept nursing and caring.
  • Define and clarify the concept Ubuntu.
  • Define and clarify the concept Professionalism.

    Associated Assessment Criteria for Exit Level Outcome 5:
  • Understand the application of the communication structure of the healthcare system.
  • Identify and describe the structures of the health care system.
  • Apply technology in healthcare systems.
  • Apply the principles of effective professional and electronic communication.
  • Utilise computerised information in the work place.
  • Access and retrieve information.

    Associated Assessment Criteria for Exit Level Outcome 6:
  • Apply and integrate the principles of the scientific nursing approach under supervision.
  • Discuss the principles of evidence-based practices.
  • Provide basic nursing care based on scientific evidence.
  • Collect new information regarding the different models of evidence based practice.

    Associated Assessment Criteria for Exit Level Outcome 7:
  • Examine and apply principles of the communication process.
  • Identify and discuss the barriers to effective communication.
  • Discuss and apply the interpersonal skills needed for effective communication.
  • Demonstrate selected written communication skills.
  • Evaluate the quality of communication in the nursing and midwifery unit.
  • Critically analyse potential electronic patient related data.
  • Use computerised Information management for patient data.

    Associated Assessment Criteria for Exit Level Outcome 8:
  • Examine and apply the science and practice of nursing in an integrated manner within a multidisciplinary context.
  • Recognise and discuss the importance of establishing a routine in the nursing unit.
  • Differentiate between leadership and management.
  • Analyse the leadership framework with reference to the leader in the healthcare context.

    Associated Assessment Criteria for Exit Level Outcome 9:
  • Examine and discuss the context related to managing a nursing and midwifery unit.
  • Analyse and discuss the levels of management.
  • Debate the principles of the management process as applied within the health care service.
  • Apply the principles of management in nursing and midwifery context.

    Associated Assessment Criteria for Exit Level Outcome 10:
  • Discuss the principles of group dynamics.
  • Examine and discuss the roles and responsibilities of the group members.
  • Describe the principles and the process of decision making and problem solving.
  • Explain group participation in decision making.
  • Differentiate between groups and teams.
  • Discuss the common characteristics and concepts related to groups and effective teams.

    Associated Assessment Criteria for Exit Level Outcome 11:
  • Differentiate between ethics, morality and moral values.
  • Discuss the role and place of values in the different health care services.
  • Differentiate between values, attitudes and beliefs for conduct in nursing and midwifery practice.
  • Describe the fundamental ethical principles of beneficence, justice, autonomy, veracity and fidelity.
  • Examine and discuss the legislative framework of the nursing profession.
  • Clarify the role of the Nurse and Midwife.

    Associated Assessment Criteria for Exit Level Outcome 12:
  • Explain the educational and learning responsibilities of the professional nurse.
  • Discuss the principles of learning and education as a lifelong process.
  • Recognize the establishment of a positive learning climate in the health services.
  • Discuss and motivate the responsibilities of an adult learner.
  • Explore language and understanding and health informatics.
  • Create a conducive environment for teaching and learning health informatics education.

    Integrated Assessment:
    The assessment practice will be aligned with the institution's policy, which requires and provides for different kinds of assessment. Generally, a policy of integrated assessment is applied to ensure that the purpose of the qualification is achieved. This means, amongst other things, that learners will be assessed as to their ability to integrate and apply knowledge gained from one module to another module during the assessment of core modules. Also, assessment will be an integrated part of the entire teaching-learning process.

    Formative Assessment:
    Formative assessment will assist the learner in the learning process, and will contribute to grading and promotion. By definition formative assessment takes place during (and sometimes throughout) a course and in this sense it may be (and often is) part of continuous assessment.

    Continuous Assessment:
    In this qualification, a range of different types of assignments and projects will be used for continuous assessment, aiming to provide a range of marks or grades related to a learner's performance. A mix of simulated and actual clinical practice in appropriate care settings will provide important assessment opportunities.

    Clinical Assessment:
    Work placement allows for the practice of work/professional roles and competencies under the supervision of registered professional nurses. The required hours and nature of work-based learning are clearly stipulated by the SANC as being 1830 hours of work integrated learning (which can be work-based, clinical skills laboratory or other clinical experiences) and of which 70% must be supervised and mentored.

    Summative Assessment:
    The specific assessment opportunities in this qualification will be the following:
  • A minimum of 1 assignment per semester per module, a written test or quiz.
  • A minimum of one examination paper per module.
  • Practical evaluations, for example portfolios, undergraduate attributes, clinical competency reviews and clinic assessments.
  • Identify and compare the different leadership styles. 
    		•

    INTERNATIONAL COMPARABILITY 
    This qualification is internationally comparable with the Bachelor of Nursing/Bachelor of Midwifery, Deakin University in Australia. The Bachelor of Nursing/Bachelor of Midwifery is a four-year qualification designed to provide specialist skills related to midwifery in addition to those of a Registered Nurse. Upon qualifying graduates are able to provide person-centred, evidence-based care of high quality, focused toward improving client outcomes.

    Learners may elect to exit the qualification and complete just the Bachelor of Nursing requirements only.

    Clinical practice:
    Learners are exposed to the clinical environment to develop clinical skills in a variety of settings including acute/sub-acute care, medical and surgical care, midwifery, paediatrics, aged care, rehabilitation, community nursing and mental health nursing. Learners will spend over 42 weeks in various health care settings, including hospitals and community health centres in metropolitan, rural and regional areas.

    Professional Recognition:
    On successful completion of the qualification learners will be eligible to apply for registration as a Registered Nurse and as a Registered Midwife with the Nursing and Midwifery Board of Australia (NMBA).The NMBA has registration requirements that must be met in order to register. Qualification completion is one of these requirements. These qualifications are currently accredited by the Australian Nursing and Midwifery Accreditation Council and are NMBA approved qualifications at the date of publishing.

    Course rules:
    The Bachelor of Nursing/Bachelor of Midwifery consists of thirty two (32) credit points of study. Three (3) credit points of units are course grouped for both nursing and midwifery; eighteen (18) credit points are specific to nursing and eleven (11) credit points are specific to midwifery. The course aims to provide graduates with a blend of knowledge, skill, and ethical behaviours appropriate to the professions of both nursing and midwifery.

    Conclusion:
    This qualification compares favourably with the qualification offered by the Deakin University. Both qualifications are four years in duration. The qualifications equip learners with skills related to nursing and midwifery which also consist of practice. Both qualifications are recognised with their respective professional bodies within their countries. 

    ARTICULATION OPTIONS 
    This qualification offers specific articulation opportunities with the following qualifications offered by Stellenbosch University:

    Horizontally:
  • Bachelor of Nursing Honours at Level 8, (ID: 7509).
  • Postgraduate Diploma in Nursing at Level 8, (ID: 19648).

    Vertically:
  • Master of Nursing at Level 9, (ID: 19665)

    The qualification offers systemic articulation with the following qualifications offered by other institutions, provided the learner meets the minimum entry requirements:

    Horizontally:
  • Bachelor of Nursing Honours at Level 8.
  • Postgraduate Diploma in Nursing at Level 8.

    Vertically:
  • Master of Nursing at Level 9. 
    		•

    MODERATION OPTIONS 
    N/A 

    CRITERIA FOR THE REGISTRATION OF ASSESSORS 
    N/A 

    NOTES 
    N/A 

    LEARNING PROGRAMMES RECORDED AGAINST THIS QUALIFICATION: 
    When qualifications are replaced, some of their learning programmes are moved to being recorded against the replacement qualifications. If a learning programme appears to be missing from here, please check the replacement.
     
    NONE 


    PROVIDERS CURRENTLY ACCREDITED TO OFFER THIS QUALIFICATION: 
    This information shows the current accreditations (i.e. those not past their accreditation end dates), and is the most complete record available to SAQA as of today. Some Primary or Delegated Quality Assurance Functionaries have a lag in their recording systems for provider accreditation, in turn leading to a lag in notifying SAQA of all the providers that they have accredited to offer qualifications and unit standards, as well as any extensions to accreditation end dates. The relevant Primary or Delegated Quality Assurance Functionary should be notified if a record appears to be missing from here.
     
    1. Stellenbosch University 


    All qualifications and part qualifications registered on the National Qualifications Framework are public property. Thus the only payment that can be made for them is for service and reproduction. It is illegal to sell this material for profit. If the material is reproduced or quoted, the South African Qualifications Authority (SAQA) should be acknowledged as the source.