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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. |
| SOUTH AFRICAN QUALIFICATIONS AUTHORITY |
| REGISTERED QUALIFICATION: |
| Postgraduate Diploma in Adult Critical Care Nursing |
| SAQA QUAL ID | QUALIFICATION TITLE | |||
| 124874 | Postgraduate Diploma in Adult Critical Care Nursing | |||
| ORIGINATOR | ||||
| KWAZULU-NATAL COLLEGE OF NURSING | ||||
| PRIMARY OR DELEGATED QUALITY ASSURANCE FUNCTIONARY | NQF SUB-FRAMEWORK | |||
| CHE - Council on Higher Education | HEQSF - Higher Education Qualifications Sub-framework | |||
| QUALIFICATION TYPE | FIELD | SUBFIELD | ||
| Postgraduate Diploma | Field 09 - Health Sciences and Social Services | Curative Health | ||
| ABET BAND | MINIMUM CREDITS | PRE-2009 NQF LEVEL | NQF LEVEL | QUAL CLASS |
| Undefined | 120 | Not Applicable | NQF Level 08 | Regular-Provider-ELOAC |
| REGISTRATION STATUS | SAQA DECISION NUMBER | REGISTRATION START DATE | REGISTRATION END DATE | |
| Registered | EXCO 0434/25 | 2025-08-21 | 2028-08-21 | |
| LAST DATE FOR ENROLMENT | LAST DATE FOR ACHIEVEMENT | |||
| 2029-08-21 | 2032-08-21 | |||
| 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 does not replace any other qualification and is not replaced by any other qualification. |
| PURPOSE AND RATIONALE OF THE QUALIFICATION |
| Purpose:
The purpose of this Postgraduate Diploma in Adult Critical Care Nursing qualification is to strengthen and deepen the learner's knowledge and expertise in Adult Critical Care Nursing as a speciality. It will enable critical care nurse specialists to undertake advanced reflection and development by engaging in evidence-based research in their field. Furthermore, this qualification will enable a link between professional practice accountabilities, competence, research, leadership, and quality patient care. The qualification aims to develop Adult Critical Care nurse specialists who will use expert knowledge and skills to provide intensive monitoring and life support treatments for adult patients with potential or established organ failure, including preventive, promotive, rehabilitative, and palliative management. The Psychosocial support of critical care patients and their families is prioritized across the entire spectrum of care. This qualification will enable the Adult Critical Care nurse specialist to play a significant role in the care of the critically ill adult patients with life-threatening illnesses or injuries, utilising a holistic, comprehensive management approach in a variety of critical care clinical settings. This qualification will provide extensive theoretical engagement, critical thinking, sound clinical judgement, and a high level of decision making, including the ability to apply specialised knowledge to a range of critical care contexts to render lifesaving and comprehensive evidence-based health care to the adult critical care patient The curriculum is competency-based and has a strong component of work-integrated learning. The learner will be placed in a variety of critical care discipline-specific intensive care units throughout the qualification, as part of work-integrated learning to facilitate the integration of theory to practice and development of the required competencies in line with the requirements of the relevant statutory professional bodies. The curriculum content is structured in such a manner that it will equip the learners with the competencies in critical care nursing skills and health technology equipment as well as optimal hands-on learning opportunities in the provision of adult critical care nursing in various healthcare settings to address the intensive care needs of the country within the critical care nurse competencies. The qualification utilises student-centred approaches in teaching and learning, aimed at providing the specialist nurse with a wide range of skills, knowledge, and attitudes which will promote the culture of lifelong learning and continuing professional development. Upon completion of this qualification, qualifying learners will be able to: Rationale: The qualification is aligned to the Higher Education Qualification Sub-Framework (HEQSF), South African Nursing Council (SANC) Postgraduate Diploma in Nursing Qualification Framework, and SANC Competencies for Adult Critical Care Nursing. This qualification will enable the Adult Critical Care Nurse Specialist to function as a leader who is clinically focused, service-oriented, autonomous, innovative, and able to render comprehensive, scientific Adult Critical Care Nursing, as determined by the appropriate legislative framework. The COVID-19 pandemic highlighted the irreplaceable role of nurses in general and critical care nurses in particular in the intensive management of life-threatening illnesses and placed a huge stress on critical care resources in the country and the KwaZulu-Natal Department of Health in particular. The burden of accidents and trauma-related critical illness further compounds the demand for intensive care. Before the pandemic, related injuries, such as motor vehicle collisions, gunshots, and stabbings, accounted for 65% of intensive care unit (ICU) admissions, while sepsis, metabolic conditions, and overdose resulted in 30% admissions. In a resource-restricted setting such as South Africa, where HIV is prevalent, HIV associated respiratory impairment results in patients requiring prolonged ICU stay, which compounds the pressure on limited intensive care facilities and resources. The qualification is therefore responding to the above-mentioned health care needs aimed at preparing Adult Critical Care Nurse Specialists with the knowledge, skills, and professional values for advocating, preventing, promoting health, and managing the specialised acute and chronic health care needs of the critically ill adult patient with life-threatening conditions in a variety of critical care clinical settings. A national audit of critical care resources by the Critical Care Society of South Africa revealed a nurse-to-patient ratio of 1.1: 1, and only 25.6% were ICU trained. This is below international norms of a 1:1 nurse-patient ratio, and a minimum of 50% professional nurses should be ICU trained. According to the Human Resource for Health strategy, South Africa has an 80% nurse-based health system. Given the central role nurses play in the South African health system, the qualification will address human resources needs and skills gap in line with the current burden of disease. Furthermore, Sustainable Development Goal 3C, which is aimed at improving service quality and addressing the challenges in the health system, will be met (Human Resources for Health Strategy). The qualification will curb the shortage of critical care nurse specialists, as shown in the SANC statistics under the Strategic Plan for Nurse Education, Training and Practice 2012/13 2016/17, which states that there has been a gradual and significant decline in the production of critical care nurse specialists. The qualification will produce an adult critical care nurse specialist who is competent to function effectively in a highly technological, dynamic health care environment, which requires health care professionals who can promote and provide excellence in the intensive care of adult critical ill patients and their families through a comprehensive, interprofessional, evidence-based approach to critical care nursing practice. |
| LEARNING ASSUMED TO BE IN PLACE AND RECOGNITION OF PRIOR LEARNING |
| Recognition of Prior Learning (RPL):
Because of the use of legacy access routes, RPL becomes part of the traditional application and admission process. RPL for access: Entry Requirements: The minimum entry requirement for this qualification is: Or Or Or And And |
| RECOGNISE PREVIOUS LEARNING? |
| Y |
| QUALIFICATION RULES |
| This qualification consists of the following compulsory modules at National Qualifications Framework 8, totalling 128 Credits:
Compulsory Modules, NQF Level 8, 128 Credits: |
| EXIT LEVEL OUTCOMES |
| 1. Practice and facilitate critical care nursing within ethical-legal parameters of the profession by applying critical decision-making and moral reasoning in making clinical judgements and solving ethical dilemmas within the critical care nursing practice.
2. Demonstrate current in-depth speciality knowledge, skills, attitudes, and professional values in rendering comprehensive care to adult critically ill patients. 3. Demonstrate understanding of South African and international guidelines in managing adult patients with life-threatening diseases and injuries. 4. Advocate for the compromised critically ill adult patients and participates in ethical practice from acute management to rehabilitation. 5. Participate and facilitate evidence-based practice and research initiatives to improve critical care nursing practice. 6. Demonstrate leadership by providing, facilitating and promoting the best possible care to critically ill patients. 7. Utilise resources effectively and efficiently to provide prompt, specialised care to critically ill adult patients in a variety of health care settings. 8. Participate in the design, development, implementation, and evaluation of nursing policies, programmes, and projects applicable to critical care nursing practice. 9. Utilise the process of change management in the improvement of the quality of care and safety. 10. Collaborate within the inter- and intra-professional team by engaging in health dialogue, shared leadership, decision making, and sound clinical judgement. 11. Participate in the design, development, implementation, and evaluation of nursing policies, programmes, and projects at the provincial or national level. 12. Develop and implement institutional policies, protocols, and guidelines in the adult critical care nursing area of specialization, utilising the process of change management in the improvement of quality of care. |
| ASSOCIATED ASSESSMENT CRITERIA |
| Associated Assessment Criteria for Exit Level Outcome 1:
Associated Assessment Criteria for Exit Level Outcome 2: Associated Assessment Criteria for Exit Level Outcome 3: Associated Assessment Criteria for Exit Level Outcome 4: Associated Assessment Criteria for Exit Level Outcome 5: Associated Assessment Criteria for Exit Level Outcome 6: Associated Assessment Criteria for Exit Level Outcome 7: Associated Assessment Criteria for Exit Level Outcome 8: Associated Assessment Criteria for Exit Level Outcome 9: Associated Assessment Criteria for Exit Level Outcome 10: Associated Assessment Criteria for Exit Level Outcome 11: Associated Assessment Criteria for Exit Level Outcome 12: INTEGRATED ASSESSMENT The assessment strategy for the qualification comprises formal and informal assessments. Informal assessments are used during facilitation and as part of the consolidation of what the learner may have learnt on their own. They provide an opportunity for lecturers to establish learners' understanding of the subject matter. This includes the following strategies, which serve as both teaching and assessment strategies: Presentations: Learners will be asked to do presentations in class on selected topics. These may be done in summary form. The lecturer will be able to gauge the learners' level of understanding. Formal assessments will be in the form of formative and summative assessments. Formal assessments will determine learners' progression between semesters and completion of training. Formative Assessments: Formative assessments will contribute 30% towards the final mark in the module. The assessment content will be commensurate with the percentage contributed by the formal assessment. Theory: The following strategies will be used to assess learners' cognitive grasp of the subject matter: written tests, assignments, case studies, a project (quality improvement project), and clinical assessments in real-life situations. Integration of theory and practice approach will be applied in all assessments; however, theory and work-integrated learning will be assessed separately, and marks will be published separately. Formative clinical assessments are conducted in the clinical areas, and their average percentage contributes 30% towards the final clinical nursing result. Summative assessments: Summative assessments will be conducted at the end of each semester. They contribute 70% towards the final examination result. Theory examination papers will be set for each module. Work-integrated learning will be assessed in the form of a comprehensive clinical examination in each semester. This comprehensive examination will embrace all the modules that have a clinical component in a semester. Work-integrated learning is assessed separately and must be passed for the student to complete training. |
| INTERNATIONAL COMPARABILITY |
| The institution has been offering Postgraduate Medical and Surgical Nursing Science Programmes for over fifteen years now. These qualifications of the College were recognised in some of the African and SADC countries, as well as countries such as the United Kingdom, Australia, New Zealand, and Zimbabwe. Botswana, Swaziland, Saudi Arabia, the United Arab Emirates, and the Netherlands.
With this South African qualification, it is perceived that the same international recognition will be maintained. The level and standard of the qualifications is pegged at internationally accepted standards. It is perceived that the qualifying graduates from this qualification will be recognised by many state registration boards in different countries. The South African qualification matches the World Health Organization (WHO) prototype curriculum for the Postgraduate Diploma in Critical Care Nursing for Eastern and Sub-Saharan Africa. South Africa is an active member of the International Council of Nurses (ICN) as well as the International Labour Organisation (ILO), member of the African Union (AU), formerly the Organisation of African Unity (OAU), Southern African Development Community (SADC), and the Commonwealth. The proposed qualification would meet recognition requirements in most of the member countries of these organizations and throughout Sub-Saharan Africa. Two countries within different continents (Europe and Asia) have been chosen for international comparability of the Postgraduate Adult Critical Care programme and are illustrated below: Country: Ireland Institution: University of Galway (College of Medicine, Nursing, and Health Sciences, School of Nursing and Midwifery) Qualification Title: Postgraduate Diploma in Health Sciences in Nursing (Intensive Care) NQF Level: Level 8 or 9 Credits: 60 Duration: One year full-time. Entry requirements: Or The Intensive Care Nursing 1 module (10 credit points) focuses on fundamental principles of critical care nursing. The module creates an opportunity for learners to develop their knowledge and understanding of critical illness. The module emphasises assessment, monitoring, diagnostic procedures, and management of the patient by the Multidisciplinary Health Care Team. In the Intensive Care Nursing 2 module (10 credit points), learners are provided with the opportunity to extend their knowledge and skills to further develop their competence in critical care. Holistic care of the acutely ill patient with single to multiple organ dysfunctions are the focus. The evidence-based practice skills of learners are developed during reflection of the knowledge and understanding gained from clinical practice experiences. In the Intensive Care Nursing 3 module (10 credit points), the focus is on specialised patient groups such as: endocrine disorders, emergency conditions, cardiothoracic surgery, obstetric patients, special conditions in paediatric patients, patients who had bariatric surgery, patients with chronic conditions requiring rehabilitation and long term care, social and psychological impact of critical illness as well as providing safe and skilful evidence-based care. The Clinical Competence 1 and Clinical Competence 2 modules prepare the student by providing clinical procedure demonstrations and opportunities for learners to develop and refine psychomotor skills to perform clinically competent care for the adult critical care patient. In the Clinical Governance (10 credits): Supporting Safe Practice module, information is planned within clinical governance, and supporting this evidence is based on the learning outcomes. The module is guided by the national patient safety framework (The Australian Council for Safety and Quality in Health Care, 2005) and the who patient safety guide for medical schools. The Advanced Research Methods Module (10 credits) is designed to enable the student to explore the methodological and practical issues of research. It will help learners to determine the appropriate research design for research practice and provide an opportunity for learners to debate, challenge, and clarify research issues. In the Service Improvement Module (10 Credits), learners are allowed to plan, implement, and manage a service improvement project with their academic facilitator. The project focuses on patient care improvement. Qualification structure. Modules: Similarities: Differences: Country: India Institution: Mahatma Gandhi Mission Institute of Health Sciences Qualification Title: Post Basic Diploma in Critical Care Nursing NQF Level: 08 Duration: 1 year Entry requirements: The Critical Care Nursing-I module is designed to equip the student to develop an understanding of concepts regarding biological and behavioural sciences in caring for the critically ill patient. The module emphasizes pharmacology related to critical illness, identification of stress/burnout syndrome amongst nurses, holistic nursing care, nursing process, infection control, pain management, nutrition, as well as emotional and spiritual needs of the patient. The Critical Care Nursing-II module is designed to provide an in-depth understanding of the common critical care conditions and their management, which include: cardiovascular, respiratory, neurological, gastrointestinal, renal, burns, trauma, paediatric, as well as obstetric emergencies. The Supervision and Management, Clinical Teaching, Elementary Research, and Statistics module is designed to develop an understanding of principles and management of research. The research module has 30 hours instead of credits. The Clinical Nursing module consists of essential critical care nursing skills, which equip the learner to become clinically competent in adult critical care nursing procedures. The module integrates supervision and teaching, which bridges the gap between theory and practice. An example of similarity between the Post Basic Diploma in Critical Care Nursing at the Mahatma Gandhi Mission Institute of Health Sciences and the South African qualification is the duration of both programmes, which is 1 Year. Qualification structure Modules: Similarities: Differences: |
| ARTICULATION OPTIONS |
| This qualification has the following possibilities.
Horizontal Articulation: Horizontal Articulation: Diagonal Articulation There is no diagonal articulation for this qualification. |
| MODERATION OPTIONS |
| N/A |
| CRITERIA FOR THE REGISTRATION OF ASSESSORS |
| N/A |
| NOTES |
| N/A |
| LEARNING PROGRAMMES RECORDED AGAINST THIS QUALIFICATION: |
| 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. | KWAZULU-NATAL COLLEGE OF NURSING |
| 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. |