Government Notice No. R. 683
14 April 1989
as amended by
No. R. 8
8 January 1993
No. R. 63
17 January 1997
South African Nursing Council
Regulations Relating to the Minimum Requirements for a Bridging Course for
Enrolled Nurses Leading to Registration as a General Nurse or a Psychiatric
The Minister of National Health and Population Development has, on the
recommendation of the South African Nursing Council, in terms of section 45(1)
of the Nursing Act, 1978 (Act No. 50/1978), made the regulations set out in the
1. In these regulations "the Act" shall mean the Nursing Act, 1978 (Act No. 50 of
1978), and any expression to which a meaning has been assigned in the Act shall
bear such meaning, and, unless the context otherwise indicates-
"academic year" shall mean a period of at least 44
weeks in any calendar year.
Conditions for registration
2. An enrolled nurse shall in terms of
section 16 of the Act be registered as a general or psychiatric nurse, as the
case may be, if-
(a) he or she has received education and
training, referred to in these regulations, at an approved nursing school;
(b) he or she was registered as a student in terms of the regulations
regarding registers for students;
(c) he or she has successfully
completed the course prescribed by regulation 7(2), and has complied with the
programme objectives set out in regulation 7(1).
Conditions for the approval of schools
3. (1) A nursing school
shall be approved if-
(a) the organisational structure and
the facilities for presenting the education programme are satisfactory in the
opinion of the council;
(b) the education programme is satisfactory in
the opinion of the council;
(c) the person in charge of the nursing
school is a registered nurse against whose name an additional qualification in
nursing education and an additional qualification in nursing administration are
registered with the council;
(d) facilities for clinical practica are
satisfactory in the opinion of the council;
(2) Notwithstanding the provisions
of subregulation (1), the council may approve a nursing school upon such
conditions as the council may determine.
Admission to the course
(1) (a) An enrolled nurse shall apply to the person in charge of a nursing
school for admission to the course referred to in these regulations.
(b) Such application shall be accompanied by-
(i) proof of
current enrolment as a nurse;
(ii) a Standard 10 or equivalent
certificate, unless the council determines otherwise.
(2) An enrolment as a
nurse shall be maintained for the duration of the course up to and including the
date of publication of the results of the final examination, failing which the
duration of the course shall be extended by a period equal to the period during
which such enrolment was not maintained.
Registration, restoration and termination and completion of the
5. In terms of the regulations regarding registers for students referred
to in regulation 2(b)-
(a) a student shall apply for
registration or for restoration to the register;
(b) the person in
charge of a nursing school shall notify the council if a student terminates the
course before completion for any reason, including a transfer to another nursing
(c) the person in charge of a nursing school shall notify the
council when a student completes the course and shall lodge with the council a
record of the theoretical and clinical instruction undergone by the student.
Duration of the course
6. (1) (a) The duration of the course shall
be two academic years.
(b) Leave of absence which is granted in terms
of subregulation (2) and sick leave which is granted in terms of subregulation
(3)(a) shall be included in this period of two academic years, but additional
sick leave which is granted in terms of subregulation (3)(b) shall not be so
(2) A student may be granted not more than 60 days leave of absence at such
times during the prescribed course as the person in charge of the nursing school
(3) (a) A student may be granted sick leave calculated at the rate of 12 days
for each academic year of the course, and sick leave of a proportionate number
of days for a shorter period.
(b) Sick leave may be granted in
addition to the sick leave referred to in paragraph (a) on condition that such
additional sick leave shall be made up.
(4) (a) The course shall be commenced de novo
if a break occurs before completion of six months of the course, unless the
council determines otherwise.
(b) No recognition of previous
instruction for any academic year of the course shall be granted if more than
one break occurs in that year, unless the council determines otherwise.
(c) The period of any break shall be made up so that the prescribed period of
the course is completed.
(d) For the purpose of this regulation the
expression "break" means-
absence which is not prescribed in this regulation; or
transfer from one nursing school to another.
7. (1) Programme objectives. - The curriculum shall provide for personal and professional
development of the student so that, on completion of the course, he-
(a) shows respect for the dignity and uniqueness of man in his
social-cultural and religious context and approaches and understands him as a
psychological, physical and social being within this context;
(b) is skilled in the diagnosing of man's health problems, the
planning and implementing of therapeutic action and nursing care for the
individual at any point along the health/illness continuum in all stages of the
life cycle as well as care of the dying, and in the evaluation thereof;
(c) is able to direct and control interaction with patients in such a way that
sympathetic and empathic interaction takes place;
(d) is able to
maintain the ethical and moral codes of the nursing profession and to practise
within the prescriptions of the relevant laws;
(e) is able to
collaborate harmoniously within the nursing and multidisciplinary team in terms
of the principles of interdependence and co-operation in attaining a common
goal, and to refer patients appropriately;
(f) is able to delineate
his own practice according to personal knowledge and skill, practise it
independently and accept responsibility therefor;
(g) is able to
evaluate his own practice continuously and accept responsibility for continuing
professional and personal development;
(h) displays an enquiring and
scientific approach to the problems of practice and is prepared to initiate and
to accept change;
(i) is able to apply the principles of management in
a nursing unit;
(j) is able to provide clinical teaching within the
(k) has the cognitive, psychomotor and affective skills
to serve as a basis for effective practice and for continuing education.
course shall consist of the following subjects:
(a) Applied Social
Sciences (including Communication Skills and Mental Health), the duration of
which shall be spread over two academic years;
(b) Ethos and
Professional Practice (including Ward Management and Clinical Teaching), the
duration of which shall be spread over two academic years;
(c) integrated General or Psychiatric Nursing Science, depending on which
registration is desired by the student, the duration of which shall be at least
two academic years.
8. In order to be promoted to the second academic
year, the student shall-
(a) complete the first academic
(b) pass the examination for the first academic year.
9. (1) The examinations shall be conducted in accordance
with the regulations relating to the examinations of the council.
(2) The course
referred to in these regulations shall for the purposes of the regulations
referred to in subregulation (1) be called a basic course.
(3) In order to be
admitted to the examination for the first academic year, the candidate
(a) complete at least 40 weeks of the first academic
year by the end of the month in which the examination is conducted;
(b) obtain at least 45% in a system of continuous assessment by the nursing
school of the clinical and theoretical aspects of general nursing science or
psychiatric nursing science; and
(c) obtain at least 40% in an
examination of the nursing school on the subjects Ethos and Professional
(4) In order to be admitted to the final examination, the candidate
(a) complete the prescribed period of the course by
the end of the month in which the examination is conducted;
at least 45% in a system of continuous assessment by the nursing school of the
clinical and theoretical aspects of general nursing science or psychiatric
nursing science; and
(c) comply with the provisions of regulation 7 by
the date of the examination.
(5) A candidate who does not comply with the
requirements for admission to an examination because of additional sick leave
referred to in regulation 6(3)(b) that has to be made up may be admitted by
the council to the examination if-
(a) a written application
for admission of a candidate is submitted to the council not later than the
prescribed closing date by the person in charge of the nursing school; and
(b) it is possible to have made up the additional sick leave by not
later than the end of the month following the month in which the examination is
(6) The examination for the first academic year shall consist of two portions,
(a) a written portion of two papers of three hours
each on the subjects Integrated General Nursing Science I and Social Sciences I
or Integrated Psychiatric Nursing Science I and Social Sciences I; and
(b) a practical portion conducted by the nursing school.
(7) The final examination shall consist of three portions, namely-
(a) a written portion of one paper of three hours on the subjects
Integrated General Nursing Science II or Integrated Psychiatric Nursing Science
(b) a practical portion conducted by the nursing school; and
(c) a written portion of one paper of three hours on the subjects
Ethos and Professional Practice (including Ward Administration and Clinical
Teaching) and Social Sciences II.
10. A candidate who
has successfully completed the course shall be registered, without the payment
of a fee, as a general nurse or psychiatric nurse in terms of the regulations
regarding registers after the notification and record referred to in
subregulation 5(c) have been lodged.
Application of regulations
11. (1) Subject to the provisions of regulation 12, these regulations shall
apply to the bridging course for enrolled nurses in the Republic leading to
registration as a general nurse or psychiatric nurse.
12. (1) Subject to the provisions of
subregulation (2), these regulations shall not derogate from the provisions
(a) the regulations referred to in section 46(2) of the
Nursing Act, 1978 (Act No. 6 of 1978) (Transkei), and published under Government
Notice No. R. 683 of 14 April 1989, hereinafter referred to as "the
1989 regulation", which shall remain in force until 31 December 1998;
(b) the regulations published in terms of the Health and Related
Professions Act, 1985 (Act No. 33 of 1985) (Bophuthatswana), under Government
Notice No. 51 of 23 March 1990, hereinafter referred to as "the 1990
regulations", which shall remain in force until 31 December 1998.
(2) Notwithstanding the provisions of subregulation (1), no person shall be
permitted to register for a course referred to in the 1989 or 1990 regulations,
after 31 December 1996.
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7977 of 28 June 1983.
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