leading safe and effective care in challenging times 21st march 2012 working in partnership toward a...

Leading Safe and Effective Care in Challenging Times 21st March 2012

Working in Partnership toward a Professional Development Continuum

Preparing the Nurse & Midwife for the Future


Mentorship Journey

Mentor Register

Triennial Review

Mapping to NMC Standards

Practice Education Facilitators

Annual Updates

NMC Standards to

Support Learning &

Assessment in Practice

2007 - 2012


Impact of Practice Education Team (2009 – 2012)

PEF’s provide advice, support & reassurance

Mentors / Managers more aware of roles &

responsibilities (re: students)

Partnership between Universities & Trust

Create opportunities for Peer Supervision

Mentors / Managers feel more confident & prepared

Now a link where there was a gap

PEF’s help identify learning needs / opportunities

Mentors feel less isolated Good support during updates / triennial review

PEF support makes sign-off mentor role less daunting

A contact for help / support with challenging situations

Onsite & ongoing support

PEF’s assist with action plans, monitor progress &

provide feedback

Development of new mentors through mentor

programme

Maintaining NMC Standards to Support Learning & Assessment in Practice


Research Study: Mentors experience of assessing students in practice. Aim of the study

•To explore through focus groups Trust Registered Nurse Mentors experience of assessing pre-registration nursing students in practice.

• To understand how assessment is actually carried out in practice and the rewards and challenges faced by mentors.

• To inform, improve and strengthen future support strategies for new and existing mentors.


Research design and sample• Qualitative approach, using focus groups.

• Mentors and sign off mentors assigned to separate groups. The design and recruitment to the focus groups was informed by the methodology of Krueger (1994).

• Consistent open ended questions used across all groups

• Focus groups digitally recorded and transcribed verbatim. Content analysis carried out by the six stage approach described by Newell and Burnard (2011).


Findings• Perceived change in role and responsibilities

• Exploring the past to understand the future

• Establishing an effective relationship

• Ways of knowing

• The odds

• External constraints

• Three ‘Rs’, Recognition, Reward, Return


Implications?Why we need to know

• To inform the support and education of new and existing mentors

• To consider evaluation of practice based assessments by mentors

• To ensure mentors are provided with the opportunity to meet as a group

and explore assessment issues


Are we ready for the future?

• “We have a highly skilled and dedicated workforce who are being failed by a system which is no longer fit for purpose.” (p.18)

• “This has resulted in staff working within a system which does not deliver the quality of service to which they strive.” (p.18)

• “… over reliance on hospital beds” (p.19)

• Plans for “… a shift in care currently carried out in hospitals into the community.” (p.11)

“IT CAN BE BETTER.” (p.19)


New NMC Curriculum (Sep 2012)

An investment in students is an investment in the future of our profession

• Assessment• Team player• Competence• Knowledge• Confidence• Professionalism

• Proactive• Confidentiality• Communication

skills• Empathy• Initiative• Respectful

• Self Awareness• Record Keeping• Management• Compassion• Recognise

Limitations

What are the skills & attributes of a safe & effective registrant?

• Analytical• Assertive• Creative• Decisive

• Reflective• Embracers of

Change• Computer

Literate

• Critical doers and consumers of research

(McKenna et al, 2006)“Most of these qualities were not included in the old apprenticeship system of nurse training”

Leading Care


PEF Contribution to the Professional Development Continuum


Practice Education

Team

Ward Sister /

Charge Nurse Mentors /

Staff

Student

Patient Care

Interprofessional Staff

Professional & Practice Development Facilitators

Education Providers

Staff Side

NMC

NIPEC



Preparing the Nurse & Midwife for the FutureCathy Hamilton NHSCT


Professional Enhancement Continuum


Standards

Standards


Patient and Client Experience

• Respect• Attitude• Behaviour• Communication• Privacy and Dignity


Challenges to our Profession


Invest now for the future!

Novice Expert


Professional Practice Development Facilitator

• Person-centred care • Patient experience• Patient safety• “Enlightenment; empowerment and

emancipation” Fay 1987• Facilitation


Workplan


Learning In Caring/Training Needs Analysis

• Complements education commissioning• Specific, tailored to individual clinical areas • NHSCT Nursing and Midwifery Strategy 08/12• DHSSPS Strategy 10/15


In Conclusion“All is connected………..no one thing can change by itself”

leading safe and effective care in challenging times 21st march 2012 working in partnership toward a...

Documents

challenging times

effective care

existing mentors

practice slide

future slide

isolatedgood support

focus groups

future support strategies