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Quality Standards for Practice Placements Audit Tool
ContentsThis audit tool is interactive, click on buttons below to view information related to each section and to navigate throughout.
Quality Standards for Practice PlacementsRevised 2008
Quality practice placement experiences, within a positive learning environment, support
the development of healthcare professionals to deliver safe and effective person centred
care.
The Quality Standards for Practice Placements have been created so that students and
those individuals and organisations who support them understand their responsibilities
and expectations in relation to practice placement learning. The Standards apply to any
structured placement learning in NHS Scotland that is accessed by nurses, midwives and
allied health professions and supported through an educational programme.
The Quality Assurance Agency’s Precepts for Work-based and Placement Learning (QAA
2007) apply to all Higher Education Institutions and are included for reference.
These revised standards support existing professional regulatory standards and are fully
endorsed by the Scottish Government Health Directorate and NHS Education for Scotland.
The Nursing and Midwifery Council and the Health Professions Council acknowledge the
contribution that these standards make to enhancing the learning environment.Supporting information is available at: www.nes.scot.nhs.uk
Guidance
Action Plan
Introduction
Quality Standards for Practice Placements
Appendix - example of completed audit tool and process action plan
3
Introduction Contents
The Quality Standards for Practice Placements (QSPP revised in November 2008) were created so that students and those individuals and organisations who support them understand their responsibilities and expectations in relation to practice placement learning. The Standards apply to any structured placement learning in NHS Scotland that is accessed by Nurses, Midwives and Allied Health Professionals and supported through an educational programme.
Quality practice placement experiences, within a positive learning environment, support the development of healthcare professionals to deliver safe and effective person centred care.
Following the launch of the Quality Standards for Practice Placements, this audit tool was developed in response to feedback from stakeholders to enable auditing of the QSPP at organisational and local level with NHS Boards in Scotland.
It is envisaged that this audit tool may be used alongside others developed by universities to meet professional bodies’ requirements of the Nursing and Midwifery Council (NMC) and the Health Professions Council (HPC).
As such, the tool is one of a number of resources which can help practitioners to evidence the quality of the learning environment which supports all education in practice.
Quality Standards for Practice Placements Audit Tool
4
Guidance Contents
Completion of the audit tool and action plan requires organisations to:
• Include evidence on how the standard is being met
• Agree if the evidence presented meets the standard
• Provide a description of the action required in order for the standard to be met in the future if the organisation is unable to provide evidence of that standard
• Complete the included action plan with review dates (A template for the action plan is given on page 16)
A sample of a completed audit tool with action plan is located in Appendix 1 (Page 17)
Guidance for using Quality Standards for Practice Placement (QSPP) audit tool and action plan
5
Quality Standards for Practice Placements Audit Tool Contents
Contact Information
Name
Organisation
Clinical Area
Ward / Department
Date Completed
PleasecompletethefieldsbelowandthenclickcontinuetocompletetheAuditTool.
Continue
6
Quality Standards for Practice Placements Audit Tool Contents
Students on practice placements can expect to:Standard number
Standard Indicator Evidence Does the evidence meet the standard?
Action Points
Please describe action requiredYes No
1.1 A placement appropriate to their learning needs
Evidence of a joint approach between service and education institutions to the preparation, audit and allocation of practice placements
1.2 Access to information about the placement and the learning opportunities available
Pre-placement information is available and accessible (written, verbal, electronic)
1.3 Access to the Quality Standards for Practice Placements (NES, 2008)
Quality Standards for Practice Placements are available
1.4 Support from a named individual who is prepared for the role of supporting students
A relevant named individual is available to the student
1.5 An opportunity to discuss learning needs early in the placement (normally within 48 hours)
Placement learning outcomes and how they will be achieved are discussed and recorded/documented early in the placement.
Continue
7
Quality Standards for Practice Placements Audit Tool Contents
Students on practice placements can expect to:Standard number
Standard Indicator Evidence Does the evidence meet the standard?
Action Points
Please describe action requiredYes No
1.6 An environment which is welcoming, supportive of their learning and in which they feel part of the team
Evidence exists that learning and learners are welcomed, valued and have a positive learning experience
1.7 Access to a range of learning and teaching opportunities
Evidence of learning opportunities exists which meet students’ learning needs e.g. practice placementprofile
1.8 A team approach to their support
Experience gained with, from and about the wider team takes place where it supports the students’ learning outcomes.
1.9 Feedback on their performance and progress from individuals supporting their learning
Feedback and review of achievement of learning outcomes is documented
1.10 Fair, timely and objective assessment
Assessment documentation is completed in line with education institution requirements
Continue
8
Quality Standards for Practice Placements Audit Tool Contents
Students on practice placements can expect to:Standard number
Standard Indicator Evidence Does the evidence meet the standard?
Action Points
Please describe action requiredYes No
1.11 Access to support from the education institution when required
Lines of communication between the education institution and student during practice placement are clear
Continue
Students on practice placements have a responsibility to:Standard number
Standard Indicator Evidence Does the evidence meet the standard?
Action Points
Please describe action requiredYes No
1.12 Ensure they are prepared for the practice placement by accessing pre-placement information
Students access pre-placement information
1.13 Contribute as a partner in the achievement of their learning outcomes
Students are encouraged to take responsibility for their own learning
1.14 Raise any concerns about the practice placement experience
Systems exist for supporting and addressing students’ concerns about the placement
9
Quality Standards for Practice Placements Audit Tool Contents
Continue
Students on practice placements have a responsibility to:Standard number
Standard Indicator Evidence Does the evidence meet the standard?
Action Points
Please describe action requiredYes No
1.15 Evaluate their practice placement experience
Joint education institutions/service quality process exists and includes student evaluation
Individuals (for example mentors, assessors and educators) supporting students in the workplace have a responsibility to:Standard number
Standard Indicator Evidence Does the evidence meet the standard?
Action Points
Please describe action requiredYes No
2.1 Be prepared for their role in supporting students
Access relevant educational preparation and development
2.2 Support, teach, facilitate, and supervise students according to the requirements of the programme
Students are supported to achieve learning outcomes
2.3 Provide guidance and constructive feedback to the student
Constructive feedback is evident within documentation
2.4 Conduct a fair, objective and timely assessment of student performance, where assessment is required
Assessment documentation is completed in line with education institution requirements
10
Quality Standards for Practice Placements Audit Tool Contents
Continue
Individuals (for example mentors, assessors and educators) supporting students in the workplace have a responsibility to:Standard number
Standard Indicator Evidence Does the evidence meet the standard?
Action Points
Please describe action requiredYes No
2.5 Raise concerns, in a timely manner, when a student is not achieving agreed learning outcomes
Agreed processes for raising concerns are in place and followed
2.6 Contribute to the review of the learning environment and student experience
Joint education institution/service quality process includes evaluation from individuals supporting students in the workplace
2.7 Participate in self and peer evaluation to facilitate personal development and contribute to the development of others
Support network is available and accessed by individuals supporting students
11
Quality Standards for Practice Placements Audit Tool Contents
Continue
Individuals supporting students in the workplace can expect:Standard number
Standard Indicator Evidence Does the evidence meet the standard?
Action Points
Please describe action requiredYes No
2.8 To be educationally prepared to fulfiltheirroleinsupporting students
Relevant educational and continuing professional development needs are incorporated into Personal Development Plans aligned to the Knowledge and Skills Framework
2.9 To receive information about the students and their learning needs provided by the education institution
Information about the students and their learning needs is available
2.10 Time to support students to achieve their learning outcomes
Workload expectations take account of students’ support
2.11 A support network inclusive of service and education colleagues, managers and peers
Support networks exist and are accessible to individuals supporting students
12
Quality Standards for Practice Placements Audit Tool Contents
Continue
Managers and facilitators supporting education in practice have a responsibility to:Standard number
Standard Indicator Evidence Does the evidence meet the standard?
Action Points
Please describe action requiredYes No
3.1 Support the implementation of the Quality Standards for Practice Placements (NES 2008) as part of improving the clinical learning environment
Evidence of periodic review/audit of practice placements environment
3.2 Work with service and education colleagues to ensure processes are in place for continuous quality improvement of practice placements
Evidence of partnership between service and education in relation to the quality of placement experience
3.3 Ensure students within their area have a named, prepared individual to support their learning
Evidence exists that every student has a named individual supporting them
3.4 Ensure individuals who support students in the workplace are able to raise concerns
Evidence of support networks where concerns can be raised in relation to students and placements
13
Quality Standards for Practice Placements Audit Tool Contents
Continue
Managers and facilitators supporting education in practice can expect:Standard number
Standard Indicator Evidence Does the evidence meet the standard?
Action Points
Please describe action requiredYes No
3.5 A network of support to share and develop practice
Networks exist which can be accessed by managers and facilitators supporting education in practice
Organisations providing practice placements have a responsibility to:Standard number
Standard Indicator Evidence Does the evidence meet the standard?
Action Points
Please describe action requiredYes No
4.1 Ensure access to educational preparation and support of individuals supporting students
Evidence of preparation of individuals supporting students is available
4.2 Ensure the practice placement experience contributes to preparing students to become safe practitioners
Student assessment documentation provides evidence of achieving learning outcomes
14
Quality Standards for Practice Placements Audit Tool Contents
Continue
Organisations providing practice placements have a responsibility to:Standard number
Standard Indicator Evidence Does the evidence meet the standard?
Action Points
Please describe action requiredYes No
4.3 Form partnerships with education institutions to facilitate placement learning
Formal structures exist between education institutions and the NHS to promote partnership in placement learning
4.4 Provide access to facilities and learning opportunities to allow student outcomes to be achieved
Evidence of access for learning opportunities exist
4.5 Provide a supportive learning environment for educators and students on placement
Staff Governance Standards are met
4.6 Establish systems and processes to ensure that issuesidentifiedin relation to the quality of practice placements are addressed
Systems and processes to address placement issues are in place
15
Quality Standards for Practice Placements Audit Tool Contents
Organisations providing practice placements have a responsibility to:Standard number
Standard Indicator Evidence Does the evidence meet the standard?
Action Points
Please describe action requiredYes No
4.7 Promote Equality and Diversity in all aspects of the placement
Educators and staff have received Equality and Diversity training and learning arrangements/reasonable adjustments take account of student needs
Organisations providing practice placements can expect:
4.8 Support from and liaison with education institutions
Lines of communication and decision making are clear
4.9 Involvement in curricula development
Placement providers’ views are represented in curricula design
4.10 Formal agreements on practice placements between the service and education institutions.
Agreements exist e.g. Service Level Agreements, Memorandum of Understanding
If during the audit process it emerges that within your organisation you are unable to demonstrate achievement of any of the QSPP standards please complete the following action plan with actions and resources required, persons responsible and review dates.
16
Contents
Standard Statement Action Required Resources Required Person Responsible
Estimated Achievement or Review Date
Action Plan
Quality Standards for Practice Placements - Audit Process Action Plan
Name Organisation/Clinical Area
Ward / Department Date
17
Quality Standards for Practice Placements Audit Tool Contents
Contact Information
Name Ms A Nybody
Organisation NHS Anywhere
Clinical Area Any
Ward / Department Ward Any / Any Department
Date Completed January 2010
Example of a completed audit tool
Continue
18
Contents
Continue
Appendix 1
Students on practice placements can expect to:Standard number
Standard Indicator Evidence Does the evidence meet the standard?
Action Points
Please describe action requiredYes No
1.1 A placement appropriate to their learning needs
Evidence of a joint approach between service and education institutions to the preparation, audit and allocation of practice placements
Joint service / HEI audit process
1.2 Access to information about the placement and the learning opportunities available
Pre-placement information is available and accessible (written, verbal, electronic)
PlacementprofilePlacement Information PacksPolicies / statutory documents availablePreparation for practice
1.3 Access to the Quality Standards for Practice Placements (NES, 2008)
Quality Standards for Practice Placements are available
VisibleQSPPposter/leafletsinplacement
1.4 Support from a named individual who is prepared for the role of supporting students
A relevant named individual is available to the student
Allocated support on arrival at placement not prior to placement
Allocation of student support prior to placement
19
Contents
Continue
Appendix 1
Students on practice placements can expect to:Standard number
Standard Indicator Evidence Does the evidence meet the standard?
Action Points
Please describe action requiredYes No
1.5 An opportunity to discuss learning needs early in the placement (normally within 48 hours)
Placement learning outcomes and how they will be achieved are discussed and recorded/documented early in the placement.
Allocated time for initial meetings on staff rotas / ongoing record of achievement
1.6 An environment which is welcoming, supportive of their learning and in which they feel part of the team
Evidence exists that learning and learners are welcomed, valued and have a positive learning experience
Student rotasWelcome / orientation packTeam approach to supportValues based philosophy
1.7 Access to a range of learning and teaching opportunities
Evidence of learning opportunities exists which meet students’ learning needs e.g. practice placementprofile
Current teaching and learning resourcesIT accessLibrary accessInterprofessional learning op-portunitiesHubs and spokes placement
1.8 A team approach to their support
Experience gained with, from and about the wider team takes place where it supports the students’ learning outcomes.
Team mentoring / supportInterprofessional learning op-portunities
Development of team approach to student support
20
Contents
Continue
Appendix 1
Students on practice placements can expect to:Standard number
Standard Indicator Evidence Does the evidence meet the standard?
Action Points
Please describe action requiredYes No
1.9 Feedback on their performance and progress from individuals supporting their learning
Feedback and review of achievement of learning outcomes is documented
Ongoing record of achievementTeam approach to support
1.10 Fair, timely and objective assessment
Assessment documentation is completed in line with education institution requirements
Ongoing record of achievement
1.11 Access to support from the education institution when required
Lines of communication between the education institution and student during practice placement are clear
HEI Placement visitsLink lecturer contact details availableCommunication protocols between HEI and service
21
Contents
Continue
Appendix 1
Students on practice placements have a responsibility to:Standard number
Standard Indicator Evidence Does the evidence meet the standard?
Action Points
Please describe action requiredYes No
1.12 Ensure they are prepared for the practice placement by accessing pre-placement information
Students access pre-placement information
Placementprofileaccessedthrough HEI
1.13 Contribute as a partner in the achievement of their learning outcomes
Students are encouraged to take responsibility for their own learning
Partnership arrangement to learning outcomes evidenced in assessment documentation
1.14 Raise any concerns about the practice placement experience
Systems exist for supporting and addressing students’ concerns about the placement
Communication protocol Reporting procedure available
1.15 Evaluate their practice placement experience
Joint education institutions/service quality process exists and includes student evaluation
Student placement evaluation process
Formal student evaluation system requires to be in place to provide student feedback to placement areas
22
Contents
Continue
Appendix 1
Individuals (for example mentors, assessors and educators) supporting students in the workplace have a responsibility to:Standard number
Standard Indicator Evidence Does the evidence meet the standard?
Action Points
Please describe action requiredYes No
2.1 Be prepared for their role in supporting students
Access relevant educational preparation and development
Mentorship preparationMentor databaseAnnual updates for mentorsMentor portfolios
2.2 Support, teach, facilitate and supervise students according to the requirements of the programme
Students are supported to achieve learning outcomes
Ongoing record of achievementSupernumerary status advice availableProgramme information available within serviceAccess to allocated PEF
2.3 Provide guidance and constructive feedback to the student
Constructive feedback is evident within documentation
Ongoing record of achievement
2.4 Conduct a fair, objective and timely assessment of student performance, where assessment is required
Assessment documentation is completed in line with education institution requirements
Team approach to assessmentOngoing record of achievementRegistered mentor
2.5 Raise concerns, in a timely manner, when a student is not achieving agreed learning outcomes
Agreed processes for raising concerns are in place and followed
HEI communication protocolNamed link within HEIAllocated PEF
2.6 Contribute to the review of the learning environment and student experience
Joint education institution/service quality process includes evaluation from individuals supporting students in the workplace
Mentor evaluationsLink mentor groupsHEI Lecturer /mentor meetings
23
Contents
Continue
Appendix 1
Individuals (for example mentors, assessors and educators) supporting students in the workplace have a responsibility to:Standard number
Standard Indicator Evidence Does the evidence meet the standard?
Action Points
Please describe action requiredYes No
2.7 Participate in self and peer evaluation to facilitate personal development and contribute to the development of others
Support network is available and accessed by individuals supporting students
Mentor support groupsAccess to allocated PEFKSF / PDP review process
Individuals supporting students in the workplace can expect:Standard number
Standard Indicator Evidence Does the evidence meet the standard?
Action Points
Please describe action requiredYes No
2.8 To be educationally prepared to fulfiltheirroleinsupporting students
Relevant educational and continuing professional development needs are incorporated into Personal Development Plans aligned to the Knowledge and Skills Framework
Mentorship preparationMentorship databaseAnnual mentor updates
2.9 To receive information about the students and their learning needs provided by the education institution
Information about the students and their learning needs is available
Ongoing record of achievementNotificationofstudentplacement
24
Contents
Continue
Appendix 1
Individuals supporting students in the workplace can expect:Standard number
Standard Indicator Evidence Does the evidence meet the standard?
Action Points
Please describe action requiredYes No
2.10 Time to support students to achieve their learning outcomes
Workload expectations take account of students’ support
Allocated protected mentor time on staff rotas
Workload establishes protected time for mentors
2.11 A support network inclusive of service and education colleagues, managers and peers
Support networks exist and are accessible to individuals supporting students
Link mentor groupsAllocated PEF resources
Managers and facilitators supporting education in practice have a responsibility to:Standard number
Standard Indicator Evidence Does the evidence meet the standard?
Action Points
Please describe action requiredYes No
3.1 Support the implementation of the Quality Standards for Practice Placements (NES 2008) as part of improving the clinical learning environment
Evidence of periodic review/audit of practice placement environment
QSPP audit process availableMentorship Steering GroupClinical membership on HEI Placement Committee
25
Managers and facilitators supporting education in practice have a responsibility to:Standard number
Standard Indicator Evidence Does the evidence meet the standard?
Action Points
Please describe action requiredYes No
3.2 Work with service and education colleagues to ensure processes are in place for continuous quality improvement of practice placements
Evidence of partnership between service and education in relation to the quality of placement experience
Mentor involvement within HEI to input into curriculum and mentorship programme
3.3 Ensure students within their area have a named, prepared individual to support their learning
Evidence exists that every student has a named individual supporting them
Mentorship databaseAllocation system for mentorship
3.4 Ensure individuals who support students in the workplace are able to raise concerns
Evidence of support networks where concerns can be raised in relation to students and placements
HEI communication procedure
3.5 A network of support to share and develop practice
Networks exist which can be accessed by managers and facilitators supporting education in practice
Practice education networks existi.e. practice placement groups
Contents
Continue
Appendix 1
26
Contents
Continue
Appendix 1
Organisations providing practice placements have a responsibility to:Standard number
Standard Indicator Evidence Does the evidence meet the standard?
Action Points
Please describe action requiredYes No
4.1 Ensure access to educational preparation and support of individuals supporting students
Evidence of preparation of individuals supporting students is available
Service Level Agreement in relation to mentorshipMentor database
4.2 Ensure the practice placement experience contributes to preparing students to become safe practitioners
Student assessment documentation provides evidence of achieving learning outcomes
Placement audit agreementOngoing records of achievement
4.3 Form partnerships with education institutions to facilitate placement learning
Formal structures exist between education institutions and the NHS to promote partnership in placement learning
Service Level Agreement for student placements negotiated in partnership with service and HEI.
4.4 Provide access to facilities and learning opportunities to allow student outcomes to be achieved
Evidence of access for learning opportunities exist
Service Level Agreement for placementsLibrary resourcesIT Access
27
Contents
Continue
Appendix 1
Organisations providing practice placements have a responsibility to:Standard number
Standard Indicator Evidence Does the evidence meet the standard?
Action Points
Please describe action requiredYes No
4.5 Provide a supportive learning environment for educators and students on placement
Staff Governance Standards are met
Strategic endorsement of QSPP 2008Senior Charge Nurse Review CQIPractice Teacher register
4.6 Establish systems and processes to ensure that issuesidentifiedin relation to the quality of practice placements are addressed
Systems and processes to address placement issues are in place
Audit process for practice placements reciprocal between service and HEIPlacement review process between service and HEI Student / mentor evaluation of placements
Development of student evaluation and feedback mechanism
4.7 Promote Equality and Diversity in all aspects of the placement
Educators and staff have received Equality and Diversity training and learning arrangements/reasonable adjustments take account of student needs
Equality and Diversity Policy Equality and Diversity training
28
Contents
Continue
Appendix 1
Organisations providing practice placements have a responsibility to:Standard number
Standard Indicator Evidence Does the evidence meet the standard?
Action Points
Please describe action requiredYes No
4.8 Support from and liaison with education institutions
Lines of communication and decision making are clear
Service involvement at strategic level within HEI
4.9 Involvement in curricula development
Placement providers’ views are represented in curricula design
Service representation on curriculum review within HEIJoint appointments between service and HEI
4.10 Formal agreements on practice placements between the service and education institutions.
Agreements exist e.g. Service Level Agreements, Memorandum of Understanding
Strategic formal service level agreement
29
Contents
Standard Statement Action Required Resources Required Person Responsible
Estimated Achievement or Review Date
1.4 Allocation of support person for students prior to placement
Prior knowledge of student allocation from allocations department within HEIStaff member to take responsibility for student allocations
Placement leadsPractice Placement Manager
4 weeks from audit dateInclude --/--/----
1.15 / 4.6 Development of student evaluation tool and feedback mechanism to practice placements
Working group to develop student evaluation tool
NHS Manager HEI Lead
Review 8 weeks--/--/----
1.8 Consider allocating main mentor to complete student assessment documentation after liaising with team members who are equally responsible for student learning and contributing to the assessment process. The development of a team approach to student support requires some degree of structure and formalisation.
Local meeting with staff to organise team approach
Practice Placement Manager
4 weeks from audit dateInclude date --/--/----
2.10 Current workload allocation to evidence allocated time for mentorship preparation and student support
Change to workload allocation within area to provide protected time.Financial resources to provide backfillforsame
Practice Placement ManagerLead Nurse / Manager
Review progress 8 weeksInclude date--/--/----
Appendix 1Example of a QSPP Audit Process Action Plan
Name Ms A Nybody Organisation/Clinical Area NHS Anywhere, Any
Ward / Department Ward Any / Any Department Date January 2010