Abstract

This project evaluated the quality assurance processes put in place by the English National Board from 1998 (ENB, 1997a & 1998). The Quality Assurance Framework (QAF) represented a shift of emphasis in audit activity from approval/validation of programmes to continuous Annual Monitoring and Review. The QAF was designed to maintain professional standards for education and practice through the use of a systematic quality assurance process. The application of the standards within the QAF was intended to enable the process of constructive scrutiny of programmes and Higher Education Institutions (HEIs) using a valid and reliable evidence-base. The process and outcomes of the Subject Review process undertaken in collaboration with the Quality Assurance Agency for Higher Education were also included within the evaluation. The evaluation used a mixture of methods, including survey and case studies, to investigate the effectiveness of all aspects of the QAF and the perceptions of all involved in nursing and midwifery education, including students, with regard to these new processes. Expertise and understanding of quality assurance has increased during the lifetime of the project amongst key staff within HEIs and the ENB. A transparent system of documentation is beginning to emerge albeit with some local interpretation. There is a greater notion of partnership and common understanding of how to judge quality. This evaluation has taken place during a time of considerable change in nursing and midwifery education and currently new quality assurance processes are being piloted by the QAA and developed by the Nursing and Midwifery Council. The findings from this project will be of interest to all involved in the education of nurses and midwives and who are concerned to ensure that this education enables students to meet the competencies for practice, be fit for practice and have their name entered on the appropriate Part of the Professional Register.