Demonstrating and assessing competence in line with

revalidation requirements Nursing Competence :

Career & competence frameworks for nursing

Dr Deborah Robertson Senior Lecture and Programme Leader NMP University of Chester

Consultant Editor: Nurse Prescribing

#hellomynameis

• Dr Debs Robertson

– Programme leader NMP

– Nurse and pharmacologist

– Champion of NMP

Scope of Presentation

• demonstrating competence and developing your portfolio for revalidation

• planning for revalidation: getting appraisal systems right

• developing competence and assessing competence in line with revalidation requirements

• demonstrating and expanding Nursing Competence

Introduction

• What is a competency?

– Knowledge, skills, motives & personal traits

• What is a competency framework?

– Collection of competencies thought to be central to effective performance

Background

• Demonstrating competence is familiar to HCP’s

• Benner- ‘Novice to Expert’

• The apprenticeship model ‘see one, do one, teach one?’

• Skills development

– Benner, P. (1984). From novice to expert: Excellence and power in clinical nursing practice.

Menlo Park: Addison-Wesley, pp. 13-34.

But WHY?

• To pass assessments?

• As part of performance/development review?

• To get a new/better job?

• To maintain safety and improve care?

NMP- an example

• Introduced in the 1990’s

• Numerous changes /legislation/professions

• Devolved ‘medical’ care

• Nurse led areas

• Increased pharmacy involvement

• AHP prescribing

• Improved practice

• Range of support

• Developing/advancing roles

• Better access to medicines

• Service redesign

Prescribers’ competency framework

• Been around for a while, in different guises

• Nurses competencies?

• Pharmacist/AHP competencies?

• Medics/Dentists?

• Unified professional framework – NPC Single Competency Framework 2012

Domains of Competence

• What good prescribing looks like

• 3 domains – The consultation

– Prescribing effectively

– Prescribing in context

• Each has 3 dimensions of competency (9 in total)

Purpose of the framework

A tool to:

• Facilitate good prescribing practice by all health care professionals who can prescribe.

• To help ensure that patients receive the same high quality of care irrespective of the professional background of the prescriber.

• To allow assessment and development of the prescriber in line with professional requirements?

Uses of the framework

• Curricula development • Support CPD • Training needs assessment • Preparation to prescribe • For further development by professional

organisations / professional groups • By individual prescribers, managers or professional

bodies- revalidation (NB – there is a Word version that can be used to insert comments /

evidence)

Maintaining Competence

• Ongoing Performance development and review through appraisal processes

• Use of ‘a’ framework

– The single competency framework can easily be used as an appraisal tool

– Clinical and theoretical applications

– Allows for informal assessment in practice

– Can be a self assessment process for individuals

Appraisal Processes • Yearly meeting between you and an appraiser

( usually line manager)

• Looks at performance AND development

• Plans for the next year of practice

• Identifies training needs

• Looks at expanding competence

• Sets goals

• Validates your role

• 6 month ‘check in’ if necessary

Revalidation

• Competence must be demonstrated through appraisal processes and in your practice

• The registrant is responsible for collating information and evidence

• The confirmer is responsible for confirming the information and evidence collected is appropriate

• The registrant then submits to NMC

Confirmation for Revalidation- What the NMC say

• Nurses and midwives will need to demonstrate to an appropriate person that they have met some of the revalidation requirements.

• A confirmer is being asked to assess whether the nurse or midwife has demonstrated that they have met the requirements for revalidation, not whether they are fit to practise.

• We recommend that, where possible the confirmer is a nurse or midwife’s line manager.

• They do not need to be an NMC registered nurse or midwife.

• They should act honestly and in good faith

• You will not be held responsible if you inadvertently provide information that proves to be incorrect.

• http://www.nmc.org.uk/standards/revalidation/how-to-revalidate/

Revalidation- A Portfolio

• A portfolio is a collection of evidence;

– 450 practice hours

– 35 hours CPD

– 5 pieces of practice related feedback

– 5 reflections

– Reflective discussion

– Health & Character Declaration

– Professional indemnity arrangement

– Confirmation

Preparing the Portfolio

• Start NOW!

• Look at each section and plan HOW you will meet the requirements

• Link to appraisal process

• FIND a confirmer

• Plan the reflective accounts and discussion

• Link to The Code

Areas of The Code

• Prioritise people

• Practice effectively

• Preserve safety

• Promote professionalism and trust

Summary

• A framework will help prepare for revalidation as well as ongoing CPD and appraisal needs

• Use it as part of your professional portfolio

• Reflect on good experiences and good practice as well as episodes that didn’t go so well

• Apply to your area of practice

• Link to the Code

• Dovetail with revalidation requirements

References, Further Reading References

• Benner, P. (1984). From novice to expert: Excellence and power in clinical nursing practice. Menlo Park: Addison-Wesley, pp. 13-34.

• NPC Single Competency Framework 2012

Suggested Reading

• DH Website- http://www.dh.gov.uk/en/index.htm

• NPC/NICE site- http://www.nice.org.uk/mpc/ and

http://www.npc.co.uk/improving_safety/improving_quality/index.php

• Nurse Prescribing Journal - http://www.nurseprescribing.com/

• Professional Revalidation • http://www.nmc.org.uk/standards/revalidation/how-to-revalidate/

• The Code https://www.nmc.org.uk/globalassets/sitedocuments/nmc-

publications/revised-new-nmc-code.pdf