View
217
Download
0
Category
Tags:
Preview:
Citation preview
Review of Pre-Registration Nurse
EducationStudent Workshops
Kathy BransonDirector – Special Projects
Health Education East of England
www.hee.nhs.ukwww.eoe.hee.nhs.uk @HEEoENurse
Agenda
9.30 – 10.00 Arrival and coffee
10.00 - 10.05 Welcome and Introduction of Team
10.05 – 11.00 Presentation of Process and Themes
11.00 – 11.10 Refreshment Break
11.10 – 12.45 Group Work
12.45 - 13.00 Next Steps and close
www.hee.nhs.ukwww.eoe.hee.nhs.uk @HEEoENurse
Introduction & Drivers• Frances, Willis, Cavendish, Berwick
reports identified areas for improvement
• £ cost + quality• National ‘Shape of Caring’ Review• Safer Staffing
www.hee.nhs.ukwww.eoe.hee.nhs.uk @HEEoENurse
• 8 workshops held at 7 locations in East of England• 191 people attended• Attendees - senior nurses, nurse managers, teachers,
delegates from HEIs and a small number of Students • Collected 48 hours of data analysed by key themes• Carried out a Preliminary Literature Review – setting the
context • 4 Service user workshops held in June• 1 HEI workshop
What We Have Done
www.hee.nhs.ukwww.eoe.hee.nhs.uk @HEEoENurse
• Things are NOT broken, but can be improved• Repetition of key themes• Common understanding of key themes• No surprises
What We Found
www.hee.nhs.ukwww.eoe.hee.nhs.uk @HEEoENurse
• Recognition – ‘Trainer’ to be seen as a ‘badge of honour’
• Choice. Do nurses aspire to being mentors?• Practice assessment/sign off• Infrastructure, time & support
How do we demonstrate value for mentors and excellent education in practice?
Quality Mentorship
www.hee.nhs.ukwww.eoe.hee.nhs.uk @HEEoENurse
• Technical skills – clarity about measurements• Care/compassion• Resilience• Understanding of relationship between mental and
physical health• Questioning/improvement culture
How can we articulate core skills; how are these acquired, measured and maintained?
Core Skills
www.hee.nhs.ukwww.eoe.hee.nhs.uk @HEEoENurse
“There are not that many environments or education models where there is joint responsibility for student learning. This is a potential risk and there is a tension between the student’s rights and academic requirements versus the need to protect patients and the professional nurse’s expectations of the student.”
• Workforce planning – ‘ownership of finished product’
Partnership – quality of relationship between placement and HEI
www.hee.nhs.ukwww.eoe.hee.nhs.uk @HEEoENurse
• ‘Fundamentals’ of care are held in high esteem• Freedom to ask questions and challenge. Blame free• Demonstrates value for staff/students and develops
their resilience• Personal responsibility ‘changing culture is my job’
How do you demonstrate the ‘right’ culture to support learning?
How do nurses make learning and reflection ‘culturally acceptable’?
Culture (Practice and HEI)
www.hee.nhs.ukwww.eoe.hee.nhs.uk @HEEoENurse
• HEIs ‘own’ theory; service ‘owns’ practice• How to narrow or bridge the gap?• University/learning ‘without walls’• Anxiety about the meaning of evidence
based practice• Tension between intuition and knowledge
based actions
Theory/Practice Gap
www.hee.nhs.ukwww.eoe.hee.nhs.uk @HEEoENurse
• Need to ensure they are involved in and reflected in practice• Student focus vs. service user focus• Graduate preparation for synthesising the ‘paradox of
nursing’ Standardisation vs. person centred care Meaningful encounters vs. speed of throughput
• Coaching and self-management/risk• Fundamentals – the little things that mean a lot
How do we describe this complex and difficult area so that it can really be the centre of practice?
Service User/Patient/Client
www.hee.nhs.ukwww.eoe.hee.nhs.uk @HEEoENurse
• Individual need• Clinical need• Organisational• Political How do you prepare and support people for this and to
maintain resilience?
Managing Constant Change at Every Level
www.hee.nhs.ukwww.eoe.hee.nhs.uk @HEEoENurse
• Management and leadership concepts and functions described interchangeably
• Personal leadership - responsibility linked to accountability
• Leaders of care/service improvements• How to ‘teach’ leadership and leadership
framework
What do the concepts of ‘team’; leadership and management each mean within the context of nursing?
Leadership
www.hee.nhs.ukwww.eoe.hee.nhs.uk @HEEoENurse
• A core skill embedded into curriculum• Management of caseload/ward• Management of self• Management of workload/risk• What can you safely do?• Management of complexity
Management
www.hee.nhs.ukwww.eoe.hee.nhs.uk @HEEoENurse
• Team work/integration/multi-professional/inter-agency user interchangeably
• Defining the skills and implications of the setting• Education based on patient pathways
What are the skills and attributes of a newly qualified nurse and are they really fit for purpose in a range of settings?
Preparing Nurses to Work in a Range of Settings
www.hee.nhs.ukwww.eoe.hee.nhs.uk @HEEoENurse
• Mentorship is part of CPD• Students’ access to skilled clinicians• Purpose of placements around specialist
and advanced practitioners
CPD
www.hee.nhs.ukwww.eoe.hee.nhs.uk @HEEoENurse
• What is missing
• What are the priority themes?
Group Work
www.hee.nhs.ukwww.eoe.hee.nhs.uk @HEEoENurse
• 5 x Student workshops – July• Interim report for national review - July• Interviews and surveys –Aug – Oct• Planning for implementation - Nov
Next Steps
www.hee.nhs.ukwww.eoe.hee.nhs.uk @HEEoENurse
• PNEP• Student Led Wards• Grow Your Own
Next Steps
www.hee.nhs.ukwww.eoe.hee.nhs.uk @HEEoENurse
• Website on HEEoE: http://eoe.hee.nhs.uk/our-work/fundamental-nursing-review/
• Monthly blog• Surveys
• Twitter: @HEEoENurse
Stay in Touch
Recommended