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Bologna Process, More or Less: Nursing Education in the European Economic Area: A Discussion Paper

  • Alvisa Palese EMAIL logo , Adelaida Zabalegui , Arun K. Sigurdardottir , Michael Bergin , Beata Dobrowolska , Catherine Gasser , Majda Pajnkihar and Christine Jackson

Abstract

The Bologna Declaration and the subsequent processes is the single most important reform of higher education taking place in Europe in the last 30 years. Signed in 1999, it includes 46 European Union countries and aimed to create, a more coherent, compatible, comparable and competitive European Higher Education Area. The purpose of this paper is to discuss the Bologna Declaration achievements in nursing education at 2010 within eight countries that first signed the Declaration on 1999. Researchers primarily identified national laws, policy statements, guidelines and grey literature; then, a literature review on Bologna Declaration implementation in nursing was conducted on the Medline and CINAHL databases. Critical analyses of these documents were performed by expert nurse educators. Structural, organizational, functional and cultural obstacles are hindering full Bologna Process implementation in nursing education within European Economic Area. A call for action is offered in order to achieve a functionally unified system within nursing.

Acknowledgments

UDINE-C group thanks Professor Tony Butterworth for his valuable contribution and advice.

Conflict of interest: None for any author.

Funding: None.

References

Aiken, L. H., Clarke, S. P., Cheung, R. B., Sloane, D. M., & Silber,J. H. (2003). Educational levels of hospital nurses and surgical patient mortality. Journal of the American Medical Association, 290, 16171623.10.1001/jama.290.12.1617Search in Google Scholar PubMed PubMed Central

Baumann, A., & Blythe,J. (2008). Globalization of Higher Education in Nursing. OJIN: The Online Journal of Issues in Nursing, 13(4), 18.10.3912/OJIN.Vol13No02Man04Search in Google Scholar

Betlehem, J., Kukla, A., Deutsch, K., Marton-Simora, J., & Nagy, G. (2009). The changing face of European healthcare education: the Hungarian experience. Nurse Education Today, 29, 240245.10.1016/j.nedt.2008.08.015Search in Google Scholar PubMed

Brunner, J. J. (2009). The Bologna process from a Latin American perspective. Journal of Studies in International Education, 23, 417438.10.1177/1028315308329805Search in Google Scholar

Brunner, E., & Kada, O. (2010). Professionalisation of gerontological nursing – The development of an international online gerontological Master degree programme. Nurse Education Today, 30, 779783.10.1016/j.nedt.2010.03.001Search in Google Scholar PubMed

Copenhagen Declaration. (2002). Declaration of the European Ministers of Vocational Education and Training, and the European Commission convened in Copenhagen on 29 and 30 November 2002, on enhanced European cooperation in vocational education and training. Retrieved from http://europa.eu/legislation_summaries/education_training_youth/vocational_training/ef0018_en.htmSearch in Google Scholar

Council Directive, 77/452/EEC. (1977). Concerning the mutual recognition of diplomas, certificates and other evidence of the formal qualifications of nurses responsible for general care, including measures to facilitate the effective exercise of this right of establishment and freedom to provide services. EU Parliament and Council, Brussels, Belgium.Search in Google Scholar

Council Directive, 77/453/EEC. (1977). Concerning the coordination of provisions lay down by Law, Regulation or Administrative Action in respect of the activities of nurses responsible for general care. EU Parliament and Council, Brussels, Belgium.Search in Google Scholar

Council Directive, 89/595/EEC. (1989). Amending Directive 77/452/EEC concerning the mutual recognition of diplomas, certificates and other evidence of the formal qualifications of nurses responsible for general care, including measures to facilitate the effective exercise of the right of establishment and freedom to provide services, and amending Directive 77/453/EEC concerning the coordination of provisions laid down by law, regulation or administrative action in respect of the activities of nurses responsible for general care. EU Parliament and Council, Brussels, Belgium.Search in Google Scholar

Crow, R. (1998). Aims of the European Academy of Nursing Science. Retrieved from www.european-academy-of-nursing-science.comSearch in Google Scholar

Dalponte, A., Palese, A., Bernardi, P., Biasi, A., Brugnolli, A., Carli, E., … Valoppi, G. (2007). Variabilità e tendenze dei piani di studi dei Corsi di Laurea in Infermieristica. Quaderni di Medicina e Chirurgia, 39, 16351644.Search in Google Scholar

Davies, R. (2008). The Bologna process: The quite revolution in higher education. Nurse Education Today, 28, 935942.10.1016/j.nedt.2008.05.008Search in Google Scholar PubMed

DG Internal Market and Services. (2011). Revised Final Report – Study evaluating the Professional Qualifications Directive against recent educational reforms in EU Member States. A report submitted by GHK in association with Danish Technological Institute (DTI), London, UK.Search in Google Scholar

EC Commission Regulation. (2011). Regulation amending Annexes II and V to Directive 2005/36/EC of the European Parliament and of the Council on the recognition of professional qualifications. Office for Official Publications of the European Communities, Luxemburg.Search in Google Scholar

ECTS User’s Guide. (2009). Office for Official Publications of the European Communities. Office for Official Publications of the European Communities, Luxemburg.Search in Google Scholar

Englund, T. (2007). Undervisningen som meningserbjudande. In: Uljens M. Didaktik Studentlitteratur, Lund.Search in Google Scholar

ERASMUS Mobility Creates Opportunities. (2008). European success stories. Office for Official Publications of the European Communities, Luxemburg.Search in Google Scholar

European Ministers of Education. (1999). Bologna Declaration. Retrieved from http//eceuropa.eu/education/policies/educ/bologna/bologna.pdf.Search in Google Scholar

European Parliament 2009–2014. (2010). Written Declaration on the EU Workforce for Health. Brussels, Belgium.Search in Google Scholar

European Specialists Nurses Organization. (2013). Concernabout the process taking place towards the acceptance of the amendments Directives 2005/36/EU, Netherlands, 14 January 2013.Search in Google Scholar

Fine. (2013). Response to the GREEN PAPER Modernising the Professional Qualifications Directive. Retrieved from http://www.fine-Europe.eu/Directive/FINE_Response_Green_Paper_PQF.pdfSearch in Google Scholar

FINE, European Federation of Nurse Educators. (2011). Plan d’action 2011–2013. Retrieved from www.fine-europe.eu/Search in Google Scholar

Gobbi, M. (2009). C5.1-4 Nursing and Bologna: implications for a regulated profession. In E.Froment, J.Kohler, L.Purser, L.Wilson, H.Davies, & G.Schurings (Eds.), EUA Bologna handbook: Making Bologna work. Berlin: European University Association.Search in Google Scholar

Gonzalez, J., & Wagenaar, R. (2010). Introduction to Third Cycle (Doctoral) Studies as part of the Tuning “Process”. Retrieved from http://tuning.unideusto.org/tuningeu/index.php?option=content&task=view&id=216&Itemid=240Search in Google Scholar

Green, B. F., Johansson, I., Rosser, M., Tengnah, I., & Segrott, J. (2008). Studying abroad: A multiple case study of nursing student’s international experience. Nurse Education Today, 28, 982993.10.1016/j.nedt.2008.06.003Search in Google Scholar PubMed

Hengen, P. (2010). The “Bologna Process” in European higher education: Impact of bachelor’s and Master’s degrees on German medical education. Teaching & Learning Medicine, 22, 142147.10.1080/10401331003656710Search in Google Scholar PubMed

Higher Education Governance between Democratic Culture, Academic Aspiration and Market Forces. (2005). Retrieved from http://www.coe.int/t/dg4/highereducaton/governance/GOV_recomandations_EN.pdfSearch in Google Scholar

Jackson, C., Bell, L., Zabalegui, A., Palese, A., Sigurdardottir, A. K., & Owen, S. (2009). A review of nurse educator career pathways: A European perspective. Journal of Research in Nursing, 14, 111122.10.1177/1744987108102084Search in Google Scholar

Keogh, J. (1997). Professionalization in nursing: Developmentdifficulties and solutions. Journal of Advanced Nursing, 25, 302308.10.1046/j.1365-2648.1997.1997025302.xSearch in Google Scholar PubMed

Leuven and Louvain-la-Neuve. (2009). Communiqué of the Conference of European Ministers Responsible for Higher Education. Retrieved from http://www.ond.vlaanderen.be/hogeronderwijs/bologna/conference/documents/leuven_louvain-la-neuve_communiqu%C3%A9_april_2009.pdfSearch in Google Scholar

Martinez, D. E., Ramos, A. H., Conde, C. J., Diaz, G. P., Perez, M., Ramoz, O. C. (2006). Study of the introduction of the European Credit transfer System (ECTS) in paediatrics and modification of the teaching methodology. Annals of Paediatrics, 65, 415427.Search in Google Scholar

Millberg, L. G., Berg, L., Lindstrom, I., Petzall, K., & Ohlen, J. (2011). Tensions related to implementation of postgraduate degree projects in specialist nursing education. Nurse Education Today, 31, 283288.10.1016/j.nedt.2010.11.012Search in Google Scholar PubMed

Mooney, H. (2009). Five funding options for student nurses. Nursing Times, 14, 105.Search in Google Scholar

Morrow, C. (2006). Guest editorial. Developing nurse education and practice across the European Union. Journal of Research in Nursing, 11, 289291.10.1177/1744987106066968Search in Google Scholar

Ohlen, J., Furaker, C., Jakobsson, E., Bergh, I., & Hermansson, E. (2011). Impact of Bologna process in Bachelor nursing Programs: the Swedish case. Nurse Education Today, 31, 122128.10.1016/j.nedt.2010.05.002Search in Google Scholar PubMed

Oliver, R., & Sanz, M. (2007). The Bologna process and health science education: Times are challenging. Medical Education, 41, 309317.10.1111/j.1365-2929.2006.02650.xSearch in Google Scholar PubMed

Palese, A. (2010). Ten years after the Bologna Declaration: reflections for the third reform of nursing education in Italy. Assistenza Infermieristica e Ricerca, 4, 162165.Search in Google Scholar

Patricio, M., & Harden, R. M. (2010). The Bologna process – A global vision for the future of medical Education. Medical Teacher, 32, 305315.10.3109/01421591003656123Search in Google Scholar PubMed

Perälä, M., & Pelkonen, M. (2004). Networking for the advancement of nursing research in Europe for twenty-five years. International Journal of Nursing Practice, 10, 5455.10.1111/j.1440-172X.2003.00458.xSearch in Google Scholar PubMed

Population Projections. (2010). European commission. Retrieved from http://epp.eurostat.ec.europa.eu/portal/page/portal/population/data/main_tablesSearch in Google Scholar

Raholm, M. B., Hedegaard, B. L., Lofmark, A., & Slettebo, A. (2010). Nursing education in Denmark, Finland, Norway and Sweden – From Bachelor’s Degree to PhD. Journal of Advanced Nursing, 66, 21262137.10.1111/j.1365-2648.2010.05331.xSearch in Google Scholar PubMed

Sanford, K. D. (2007). European Union sets standards for nursing education; Croatia faces daunting task. Nurse Leader, 5, 2021.Search in Google Scholar

Scholes, J., & Moore, D. (2000). Clinical exchange: One model to achieve culturally sensitive care. Nursing Inquiry, 7, 6171.10.1046/j.1440-1800.2000.00047.xSearch in Google Scholar PubMed

Schorman, D. (2000). How is internationalization implemented? A framework for organizational practice department of teacher education. Boca Raton, FL: Florida Atlantic University.Search in Google Scholar

Slantcheva-Durst, S. (2010). Chapter 1: Redefining short cycle higher education across Europe: The challenges of Bologna. Community College Review, 38, 111132.10.1177/0091552110384610Search in Google Scholar

Snelgrove, H., Familiari, G., Gallo, P., Gaudio, E., Lenzi, A., Ziparo, V., & Frati, L. (2009). The challenge reform: 10 years of curriculum changes in Italian Medical Schools. Medical Teacher, 31, 10471055.10.3109/01421590903178506Search in Google Scholar PubMed

Spitzer, A., & Perrenoud, B. (2006). Reforms in nursing educationacross Western Europe. Journal of Nursing Profession,22, 150161.10.1016/j.profnurs.2006.03.003Search in Google Scholar PubMed

The 10 Bologna Process Action Lines. (2011). Retrieved from http://www.europeunit.ac.uk/sites/europe_unit2/bologna_process/10_bologna_process_action_lines.cfmSearch in Google Scholar

Thobaben, M., Roberts, D., French, S. E., & Tallberg, M. (2005). Exploring nurse education in Canada, Finland and the United States. Contemporary Nurse: A Journal for the Australian Nursing Profession, 20, 119133.10.5172/conu.20.2.119Search in Google Scholar

Tuning Project. (2008). References point for the design and delivery of degree programmes in Nursing. Retrieved from http://www.unideusto.org/tuningeu/subject-areas/nursing.htmlSearch in Google Scholar

Tuning Project. (2010). Educational structures in Europe. Retrieved from http//tuning.unideusto.org/tuningeuSearch in Google Scholar

Vassiliou, A. (2010). Focus on Higher education in Europe the impact of Bologna Process. Education, Audiovisual and Culture Executive Agency, Brussels, Belgium.Search in Google Scholar

Watt, S., Law, K., Ots, U., & Waago, K. (2002). Reflections across Boundaries: The European nursing module. Journal of Transcultural Nursing, 13, 318324.10.1177/104365902236707Search in Google Scholar PubMed

West, E. (2009). Said another way. The real cost of higher education. Nursing Forum, 44, 6869.10.1111/j.1744-6198.2009.00129.xSearch in Google Scholar PubMed

World Health Organization and Sigma Theta Tau Honor Society of Nursing. (2007). Developing global standards for initial nursing and midwifery education. Interim report of the proceedings. Retrieved from www.nursingsociety.org/aboutus/Documents/WHO_interim_report.pdfSearch in Google Scholar

Zabalegui, A., & Cabrera, E. (2009). New nursing education structure in Spain. Nurse Education Today, 19, 500504.10.1016/j.nedt.2008.11.008Search in Google Scholar PubMed

Zabalegui, A., Macia, L., Márquez, J., Ricomái, R., Nuin,C., Mariscall, I., … Moncho, J. (2006). Changes in nursing education in the European Union. Journal of Nursing Scholarship, 38, 114118.10.1111/j.1547-5069.2006.00087.xSearch in Google Scholar PubMed

Published Online: 2014-4-2
Published in Print: 2014-1-1

©2014 by De Gruyter

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