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Contact Details

Nurse Coordinator of NETP ProgrammeSteph BoxallPhone number: 0272718761 Extn 80545Email: steph.boxall@ccdhb.org.nz

Charge Nurse Manager/Manager

Phone Extn

Employer

Phone Extn

Preceptor

Phone Extn

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Director of Nursing MessageWelcome to the Nurse Entry to Practice Programme

Capital & Coast District Health Board (CCDHB) extends a warm welcome to all Graduate Nurses. Today is an important day as you begin your nursing career. You join a proud and strong tradition of nursing in the Capital and Coast district. Wellington Hospital commenced the first training programme for nurses in New Zealand in 1881. There has never been a better time to be a nurse! It is a wonderful career that will take you many places.

With the District Health Board’s wider focus on primary health and aged and residential care and reducing health disparities, there are numerous opportunities for nurses to impact on the health of our population, including clinical opportunities within the primary health sector for registered nurses on the NETP Programme.

CCDHB, in collaboration with tertiary education providers, offers a number of specialty programmes to support your professional growth and development, with educational and research facilities situated within CCDHB campus.

Nursing as a career is concerned with service to others. Service to society for the professional nurse requires integrity and responsibility for ethical practice and can lead to a lifelong commitment. Nurses work in collaboration with other health professionals to see that patients / clients receive timely care with respect and dignity supporting the patient / client’s right to self-determination. Be proud of who you are and remember it is through your care and commitment that you change the health and wellbeing of people / families and even whole communities, every day. Go well and remember we are here to support you.

With best wishes

Andrea McCance

Director of Nursing & Midwifery

Contents

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Introduction 5 Key NETP dates 6Important Information for Graduate Nurses 7Nurse Entry to Practice (NETP) Programme 8NETP Learning Framework 8NETP Programme Structure 10Programme OutcomesNursing Council of New Zealand Competencies1 12Level of Support Offered for the Nursing Entry to Practice Programme 13Preceptorship 14Appeal Process 15Requirements for the Successful Completion of the NETP Programme 17General Information about your First Year of Practice 17Class Expectations/Ground Rules 18

AppendicesEmployee Assistance Service 19

1 Nursing Council of New Zealand. (2005). Competencies for the registered nurse scope of practice. Wellington, New Zealand: Author.

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IntroductionCongratulations on your new position as a registered nurse in the Nurse Entry to Practice (NETP) Programme. On behalf of the staff at all the Central Region District Health Boards (Capital & Coast, Hawke’s Bay, Hutt Valley, MidCentral, Wairarapa and Whanganui) we would like to extend a warm welcome to you as you begin your first year of practice within the NETP Programme.

The District Health Board’s Nursing Entry to Practice Programme is approved by the Nursing Council of New Zealand (NCNZ) and is designed to help you integrate and consolidate your knowledge into nursing practice in a supportive environment. There is an expectation that participants will meet the requirements of the programme objectives and NCNZ competencies for competent registered nurse within the designated time frame.

The NETP programme provides support and professional development to facilitate you meeting competencies and standards, for progressing to the competent level of the Professional Development and Recognition Programme (PDRP) determined by the NCNZ and your DHB.

The key drivers behind this programme are:▪ To enable nursing graduates to practise safely, effectively and

confidently as registered nurses▪ To improve the quality of care through the application of knowledge

and nursing skills development at this level▪ To have a positive impact on the nursing workforce via improved

recruitment and retention.

The NETP Programme is jointly funded by the Ministry of Health and DHB’s and has the following vision:New Zealand nursing graduates enthusiastically commence their careers in New Zealand: well-supported, safe, skilled and confident in their clinical practice; equipped for further learning and professional development; meeting the needs of health and disability support service users and employers; and building a sustainable pathway for the New Zealand registered nursing workforce into the future.2

2 Health Workforce New Zealand. (2012). Nurse entry to practice programme specifications. Wellington, New Zealand: Author.

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Important information for Graduate Nurses

Annual Practicing CertificateBe aware that your initial APC is unlikely to run for 12 months - it is based on your birth date.Please check the expiry date now - this is your responsibility

Your initial APC must be sighted by your DHB Charge Nurse/Manager/NETP Coordinator/Senior Nurse Manager or Employer. When your APC is due for renewal, you are required to show the original copy with the new expiry date to your CNM/Nurse Manager (NM). Following payment, discuss with your manager if you can claim back the cost.

Study Day (University) AttendanceAttendance is compulsory and you are paid to attend. Your Charge Nurse/Manager and Nurse Educator have copies of your study day dates however it is your responsibility to negotiate with them in advance during the year, to ensure you are rostered to attend every NETP study day. Rostered days off and annual leave do not account for absenteeism from programmed study days.

WagesAs per the MECA or discuss with your Charge Nurse Manager/Manager/ Employer the process for payment.

Annual LeaveBecause the transition to practice can be challenging, it is strongly recommended that at least one week’s annual leave be taken in each rotation or at six and twelve months.

Discuss annual leave requests well in advance with your Charge Nurse Manager/Manager or Employer, to allow roster coverage in your absence. Refer to your signed employment contract, for details of leave entitlement and follow appropriate processes.

Sick LeaveWhen phoning to advise you will not be at work due to illness, please contact your Charge Nurse/Manager or Employer. If sick leave falls on a NETP Programme study day, you must also contact the NETP Coordinator.

Absences

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If for some reason you are not going to be at work at the expected time or if there is some other problem affecting your ability to undertake your duties, you must contact your Charge Nurse/Manager. If this occurs on a study day you must also contact the NETP Coordinator.

Missed study days must be made up by negotiation with the NETP Coordinator. Missed Clinical hours will be negotiated with your Charge Nurse/Manager.

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NETP Programme

Goal To facilitate and support newly registered nurses in their first year of practice. Successful completion of the programme will result in achievement of competent level on the PDRP. Nurses will practice to the Professional Standards required in all practice settings in a culturally safe manner, incorporating the principles of the Treaty of Waitangi.

Objectives▪ to provide a supportive, challenging, and collaborative environment

supported by a Preceptorship Model▪ to provide support for the graduate nurse to achieve competent status▪ to offer programme content that complements area specific practice

development▪ to create opportunities to develop collegial relationships within the DHB’s &

across primary and secondary sectors▪ to achieve the learning outcomes of the NETP Programme▪ to ensure positive outcomes for health consumers.

NETP Learning FrameworkGoalThe NETP Programme at your District Health Board is based on the principles of the Learning Framework for Nursing Entry to Practice (NETP) Programmes: Learning Framework, 2010.

The principles outlined in the NETP documents provide standardization between NETP Programmes nationally. The following standards from the Standards for Nursing Entry to Practice Programmes3 (Nursing Council of New Zealand, 2008) are reflected in your DHB’s NETP Programme:▪ The programme complies with legislated requirements and NCNZ policies,

guidelines and codes for Nursing Entry to Practice Programmes ▪ The programme supports graduate nurses’ practice development▪ The programme has clearly defined assessment processes▪ The programme is supported by appropriate resources ▪ Processes for quality improvement are fundamental to the programme▪ The NETP Programme’s educational and clinical components provide

opportunities for practical application and demonstration of NCNZ’s cultural competencies (1.3 and 1.5) and the Treaty of Waitangi/ Te Tiriti O Waitangi to nursing practice.

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The aim of NETP’s learning framework and related toolkits is to support the transition of new graduate nurses from the ‘new graduate registered nurse’ to the ‘competent registered nurse’ in the national Professional Development and Recognition Programme (PDRP) framework. The definitions according to this framework are as follows:

The New Graduate Registered Nurse:▪ Is a newly Registered Nurse with a practicing certificate▪ Develops partnerships with clients that implement Te Tiriti o Waitangi in a

manner which the client determines is culturally safe▪ Is a multi-skilled beginner nurse with theoretical and practical student

experiences▪ Is able to manage and prioritise assigned client care/workload with some

guidance▪ Is reliant on learning from the experience of other nurses and her/his own

experience▪ Learns and is developing confidence from practical situations▪ Is guided by procedures policies and protocols.

The Competent Registered Nurse:▪ Develops partnerships with clients that implement Te Tiriti o Waitangi in a

manner which the client determines is culturally safe▪ Effectively applies knowledge and skills to practice▪ Has consolidated nursing knowledge in their practice setting▪ Has developed an holistic overview of the client▪ Is confident in familiar situations▪ Is able to manage and prioritise assigned client care/workload▪ Demonstrates increasing efficiency and effectiveness in practice▪ Is able to anticipate a likely outcome for the client with predictable health

needs▪ Is able to identify unpredictable situations, act appropriately and make

appropriate referrals.

Programme structure

Programme outcomesThis programme is designed to:

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▪ Assist new registered nurses to demonstrate competent, skilled and professional nursing practice within a supportive teaching/learning environment

▪ Provide a comprehensive orientation and preceptorship programme▪ Allow new registered nurses to achieve competent level on the

Professional Development and Recognition Programme within the district health board

▪ Enable the new registered nurse the opportunity to begin on a post graduate nursing pathway (if available).

The Nursing Entry to Practice Programme follows three distinct stages over 10-12 months, which are outlined below:▪ The initial stage is orientation to the organisation and clinical unit.▪ The second stage consists of study days. ▪ The final stage involves meeting the requirements of the competent level

of the Professional Development & Recognition Programme (PDRP).

1. Orientation This includes orientation to the District Health Board, the clinical area and to beginning nursing practice.a. Study Sessions for organisational and nursing orientation:

▪ Company orientation▪ Nursing orientation▪ Organisational core skills (mandatory) requirements

b. Clinical orientation to area and to beginning nursing practice:▪ The Charge Nurse/Manager or employer will provide a unit orientation

package which the new graduate will work through at their own pace and in consultation with their preceptor over the first four to six weeks of the programme. This needs to be completed, verified by the preceptor and signed off by the CN/M or employer/manager.

▪ During the first four-six weeks of clinical rotation one weeks of clinical new graduates will share a clinical load with their preceptor, taking on an increasing workload as the week’s progress.

▪ ‘Going Solo’ - by approximately four-six weeks practice the new graduate will be taking on a full patient load and will be on rostered duties independent of their preceptor.

▪ Until approximately three months the new graduate will be expected to meet with their preceptor once a week for about 15–20 minutes to review and plan progress.

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2. Study Day Outcomesa. The timetable for each study day will reflect the academic requirements

in the course outline b. The study days are provided to facilitate debriefing, share experiences

and critically reflect on practice.c. To facilitate growth and provide on-going education to assist in the

transition period into clinical practice.d. To provide clinically based education, which enhances practice and

confidence.

3. Postgraduate Study Outcomes ▪ PG Level 8 /NZQA Paper imbedded in NETP programme▪ Learning outcomes as per paper outline/descriptor

4. Achievement of Competent Level for Professional Development Recognition Programme (PDRP)

Portfolio DevelopmentBy the end of the year the Registered Nurse will have developed a competency based personal professional portfolio for assessment and must achieve the competent level under the District Health Board Professional Development and Recognition Programme (PDRP) which meets all the Nursing Council of NZ Competencies.

IntroductionThe PDRP is a contemporary professional development framework which supports and assists nurses and midwives to further develop knowledge and skills to provide safe and effective care. The programme(s) acknowledge and develop a range of transferable clinical and personal skills, values and professionalism. As a professional development programme it sets out a clinical career pathway for nurses from competent to expert/ leadership practice. As a competence measurement tool, it makes explicit the minimum standards expected of every nurse. The programme has been approved by the Nursing Council of New Zealand.

The purpose of the programme is:▪ To assure the patients/clients of our health service of a safe standard of

care delivery by nurses.▪ To promote a culture of continuous quality improvement, where nurses

and midwives seek to develop themselves as health professionals and

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provide the best possible services to patients, clients, their families and whanau, and the community.

▪ To ensure nurses engaged in the programme will have met Nursing Council competence requirements to obtain an annual practising certificate.

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The Nursing Council Competencies against which you are assessed for your annual Competency AppraisalThere are four domains of competence for the registered nurse scope of practice. Evidence of competence is demonstrated when the applicant meets the competencies within the following domains.Domain One: Professional ResponsibilityCompetency 1.1: Accepts responsibility for ensuring that his/her nursing practice and conduct meet the standards of the professional, ethical and relevant legislated requirements.Competency 1.2: Demonstrates the ability to apply the principles of the Treaty of Waitangi/Te Tiriti o Waitangi to nursing practice.Competency 1.3: Demonstrates accountability for directing, monitoring and evaluating nursing care that is provided by nurse assistants, enrolled nurses and others.Competency 1.4: Promotes an environment that enables client safety, independence, quality of life, and health.Competency 1.5: Practises nursing in a manner that the client determines as being culturally safe.Domain Two: Management of Nursing CareCompetency 2.1: Provides planned nursing care to achieve identified outcomes.Competency 2.2: Undertakes a comprehensive and accurate nursing assessment of clients in variety of settings.Competency 2.3: Ensures documentation is accurate and maintains confidentiality. Competency 2.4: Ensures the client has adequate explanation of the effects, consequences and alternatives of proposed treatment options.Competency 2.5: Acts appropriately to protect oneself and others when faced with unexpected client responses, confrontation, personal threat or other crisis situations.Competency 2.6: Evaluates client’s progress toward expected outcomes in partnership with clients.Competency 2.7: Provides health education appropriate to the needs of the client within a nursing framework.Competency 2.8: Reflects upon, and evaluates with peers and experienced nurses, the effectiveness of nursing care.Competency 2.9: Maintains professional development.Domain Three: Interpersonal RelationshipsCompetency 3.1: Establishes, maintains and concludes therapeutic interpersonal relationships with client.Competency 3.2: Practises nursing in a negotiated partnership with the client where and when possible.Competency 3.3: Communicates effectively with clients and members of the health care team.Domain Four: Inter Professional Health Care & Quality ImprovementCompetency 4.1: Collaborates and participates with colleagues and members of the health care team to facilitate and coordinate care.Competency 4.2: Recognises and values the roles and skills of all members of the health care team in the delivery of care.Competency 4.3: Participates in quality improvement activities to monitor and improve standards of nursing.

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Nursing Entry to Practice Programme Requirements

▪ Completes 10 months of clinical practice based within the DHB▪ Attends all university study days and completes academic

assignments. Notify sick leave and annual leave to programme co-ordinator and

Charge Nurse Manager prior to study day’s commencement. Absence from study days will be referred back to Charge Nurse Manager

▪ Identifies with preceptors and Charge Nurse Manager’s own areas of required learning and participated in learning opportunities

▪ Works and liaises with their designated preceptor▪ Completes generic Clinical Practice requirements of DHB in a timely

manner▪ Works towards and completes clinical placement workbook (one per

placement) at required level▪ Establishes and submit a portfolio for progression to ‘competent’ level

on the Professional Development Recognition Programme within the first 10 months of their programme.

Nurse Entry to Practice Programme will be supported by these roles:▪ Nurse Entry to Practice Programme Coordinator▪ Preceptor▪ Charge Nurse/Manager Coordinator▪ Nurse Educators (clinical)

Human ResourcesThe Human Resources Department also provides support processes that all staff can use and these are introduced on the study sessions during orientation.

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Preceptorship

Nursing Entry to Practice FrameworkNursing Council New Zealand (NCNZ) provides a framework for graduate nurses and their preceptors to work within, to contribute to the graduate nurse developing into a competent practitioner. The framework sets minimum expectations of time, support, resourcing and education needed by graduates to achieve this.

For the duration of the programme, NETP graduate nurses will have a designated Preceptor who will provide clinical support.

Preceptorship has incorporated the principles of NETP to optimize the outcomes for the graduate nurse, preceptor and clinical area.

The Preceptorship Policy The Preceptorship policy provides definitions, role responsibilities, and processes and forms needed to support and develop Preceptee’s within the clinical environment.

Forms within the policy of your DHB may include: (see appendices)▪ Learning Contract/Agreements▪ Evaluation of Preceptorship Experience ▪ Preceptorship Evaluation Process

It is your personal responsibility to read your DHB policy and understand its implications for both you and your preceptor.

Appeal Process (Refer to your DHB for documented Appeal Policy or Tertiary Education Provider)Appeal processes for any work undertaken from the Tertiary Education Provider are as advised by the Tertiary Provider.

Appeal process for any DHB assessment:If you do not achieve assessment standards you do have the right to appeal the decision. This can be done by clearly stating your grounds for appeal in writing and forwarding this to the Nursing Entry To Practice Programme Coordinator within one week of notification of the assessment outcome.

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On receipt of notification, the programme coordinator will assemble a review panel that will assess the documented evidence and interview the applicant and preceptor within two weeks of notification of appeal.

A written report and decision will be sent to the applicant with copies to the preceptor within 7 days of the review. The decision of the assessment review panel is final.

Process for programme performance issues(Refer to your DHB’s Performance Issues Policy)

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Process for clinical performance issues(Refer to your DHB’s Performance Issues Policy)

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Requirements for Successful Completion of the NETP Programme

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To be awarded a Certificate of Achievement you must: Attend all assigned NETP study days (96 hours) Work clinical hours as per your contract (0.8 FTE minimum) Complete all assessment and submit by due dates Achieve a pass in level 8 paper Submit two clinical performance reviews/appraisals Submit a Competent level professional portfolio to NETP Nurse

Coordinator by due date Meet PDRP Competent level at final Performance Review and Portfolio

Criteria before the end of the programme Rostered days of and annual leave do not account for absenteeism

from study days. It is your responsibility to negotiate with your Charge Nurse Manager or Clinical Nurse Educator in advance during the year to ensure you are rostered to attend every NETP study day.

Programme delivery and timetableThe duration of the NETP is 10-12 months and comprises:Formal Theoretical Hours: As per post graduate paper descriptor or local programme contentClinical Hours: Minimum of 0.8 FTE

General information about your first year of practice

Study Days▪ please ensure that you arrive 10 minutes prior to all start times for study

days▪ Study day dates have been organised and will not change. However the

content may be changed as the year progresses, depending on your feedback and your information needs.

▪ Your Charge Nurse Manager or equivalent has been informed of all study days. If any issues concern you, please deal with them as soon as possible.

Issues that may arise throughout the yearIt is good practice to discuss issues with the person/people concerned. Should you require any support, talk to your preceptor, Charge Nurse Manager or the programme co-ordinator.

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Completion of the programme requires that you complete all three sections. You are required to complete and pass the competent level portfolio.

FeedbackIt is vital that we receive your feedback so we can improve this programme. We ask that you complete evaluation forms provided and participate in the end of year evaluation.

Employee Assistance ProgrammesCounselling is available through the Hospital funded Employer Assistance Programme. This programme is completely confidential. Employees using this service are not identified. No individual reports, nor invoices nor any information is divulged to the DHB. The types of issues EAP addresses range from stress to relationship problems, through to alcohol/drug related problems. See Appendices

NETP Programme – Study Day Expectations

Code of Conduct - Confidentiality - Privacy▪ Abide by District Health Board’s Code of Conduct, Nursing Standards and

the Privacy Act ▪ Ensure patient and colleague confidentiality in classroom discussions ▪ Maintain respect and safe environment for information sharing▪ Use professional judgment when sharing information, accountable for own

actions and contributions▪ Reflective Practice related to own practice – support to those reflecting –

confidentiality and privacy ensured

Dress code▪ Tidy casual or full uniform when required (no jewellery)▪ Name badge

Learning environment▪ Organised and rostered to attend study days▪ Classroom culture of respectful listening encourages individual contributions

- members can safely question without interruption/fear of feeling foolish ▪ Respect individual views, beliefs & values - maintain a culturally safe

environment▪ Problem issues raised with individuals concerned - not in public▪ Non-judgmental positive feedback to facilitate learning

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▪ Cell phones & texting limited to breaks - excluding personal emergency▪ Bring relevant material and completed pre-work to class - submit paperwork

as requested - review session topic objectives - complete written evaluations▪ Programme requirement - complete 12 month programme evaluation ▪ Have fun learning - offer support & encouragement to colleagues.

Assessment & portfolio timeline▪ Responsible for own learning outcomes & negotiating Performance Review

dates with Charge Nurse/Manager▪ Prioritise professional development plan/goals to achieve all assessments

and case presentation, by dates contracted with NETP Nurse Co-coordinator▪ Communicate with CNS/NE/Preceptor regarding programme assessments &

seek appropriate feedback▪ Update portfolio regularly throughout year - submit by due date.

Attendance and punctuality▪ Personal commitment to be punctual reflecting excellent time management

skills▪ Unavoidable late arrival/early leaving/emergency/illness - advise NETP Co-

coordinator & Charge Nurse/ Manager/Employer▪ Sign on/off time sheets for hours attended if less than whole day – NETP Co-

coordinator notifies irregularities to Charge Nurse/Manager▪ Missed study days - negotiate make up time/learning contract with NETP Co-

coordinator to cover study day absences. Missed study days are taken as sick or unpaid leave

▪ Ensure rostered to attend study day - negotiate in advance with Charge Nurse/Manager or employer those responsible for area roster.

Personal appointments & childcare▪ Childcare prearranged - given same priority as rostered and rotating shifts▪ Personal appointments/commitments are to be scheduled outside study day

hours.

Environment▪ Emergency exits, doors and corridors are to be kept free of personal belongings▪ In case of fire/earthquake remain calm and follow DHB evacuation procedures▪ you are all accountable for keeping the classroom in a tidy condition.

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Guest speakers▪ Respect/recognise guest speaker’s expertise; provide constructive

interactive feedback/questions▪ Undertake own background reading and utilise hand outs▪ Link theory presented, to own practice - think of the big picture▪ Show group appreciation at conclusion of session by appointing a

representative to thank guests

This is a wonderful opportunity for you so we hope you do enjoy the year!

AppendicesEmployee Assistance Service (Employee Assistance Programme)

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Do you feel the need to talk to someone about a personal problem that is affecting your work?

Counselling is available through the Hospital funded Employer Assistance Programme. This programme is completely confidential. Employees using this service are not identified. No individual reports, nor invoices nor any information is divulged to the DHB. The types of issues EAS addresses range from stress to relationship problems, through to alcohol/drug related problems. Because the service caters to a wide range of issues, the service uses an EAS Adviser to ensure you are linked with a counsellor who has experience with your needs.

Contact the Hospital Call Centre and ask for the pager number for the on-call advisor or call 0800 EAP NOW (0800 327 669)

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