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Preparing for revalidation – making participatory CPD work for you
Linda Nazarko Consultant Nurse London
Aims and objectives To be aware of: � What participatory CPD is and is not ? � How to utilise audit data to meet such
requirements � How to prepare a portfolio of
evidence � How to tailor the portfolio to
encompass your practice � How to prepare your portfolio
A history of Registration
� Nurses first became registered in 1919 by General Nursing Council (GNC)
� UKCC formed in 1983 and live register introduced � NMC 2002 formed and PREP introduced
What is re-validation?
“The new process by which nurses and midwives demonstrate that they practice safely”
Aims of re-validation � To protect the public � To support nurses � To empower nurses to take
responsibility for continued professional development and fitness to practice
� To promote quality and safety
Re-validation Provisional revalidation requirements � 450 practice hours � 35 hours of CPD � 5 pieces of practice-related feedback � Five pieces of reflections � A reflective discussion � Confirmation from a third party � Health and character declaration � Professional indemnity arrangement Will begin April 2016
Education- Continuing professional development
� 35 hours of relevant Continuing Professional Development (CPD) in the three years prior to registration renewal
� 20 must be through participatory learning
What is participatory learning � Any learning activity which involves interacting with
other people e.g.: � Study day � Learning events, such as a conference or workshop � Peer review � Coaching and mentoring � Participation in clinical audit, practice visits and group
meeting Maintain accurate records of your CPD and
demonstrate how you have used it to reflect on and improve your practice in your written reflections.
What isn't participatory learning
� Reading nursing journals � Reviewing publications � MAST training � Enquiry based research
Using audit in CPD � Audit part of a cycle
of quality improvement
� Many of the processes involved in this can be recorded in CPD
Scenario � Patients on orthopaedic ward are
developing grade three and four pressure ulcers
� Why is this happening and what can be done?
Actions � Reflect on issue – reflective practice � Discuss with mentor – participatory
learning � Audit – participatory learning � Identify problems – practice visit -
participatory learning � Introduce change and re-audit –
participatory learning
Results � Greater awareness
pressure ulcer risk A&E � New equipment � Changes in practice � Reduced pressure
damage � Improved quality of
care � CPD completed
Scenario � Community nurse identifies high levels
of urinary tract infection in people with urinary catheters living at home.
� What is happening and what can be done?
Results � Education to reduce
misdiagnosis � Changes in practice � Reduced levels
inappropriate antibiotic prescribing
� Improved antibiotic stewardship
� Better care for people with catheters
� CPD completed
Actions � Reflect on issue – reflective practice � Discuss with mentor – participatory
learning � Audit – participatory learning � Identify problems – practice visit -
participatory learning � Introduce change and re-audit –
participatory learning
Be imaginative � Our work and our learning
has many aspects. � Think how you can use your
work to meet CPD � Think reflection and practice
hours as well as CPD � Use your portfolio to
demonstrate your development as a nurse
Gathering evidence
� Prove you participated in the audit � Provide details of your role � Signed letter of participation � Notes of observations and outcomes Remember patient confidentiality
Nothing to fear
� Some nurses working at advanced level fearful of re-validation
� Principles are same for all nurses, identification, participation, recording participation, evidence relevance and any change practice.
CPD for advanced practice
� Attending conferences, workshops, � Peer reviews, audit research. � Coaching and mentoring � Education, leading, delivering, attending
Maintaining your portfolio 1 450
Practice hours Date, number hours, where, scope, work setting. descriptors, evidence - timesheets, JD for scope
2 35 CPD hours
Accurate & verifiable, methods, description & relation to practice, date, hours, individual or participatory, relevant part of code
3 5 Practice related feedback
Notes of the content of the feedback & how used to improve practice. No personal data
4 5 Reflective accounts
Written reflective accounts explaining what learnt from CPD activity and/or feedback and/or an event or experience in practice, how changed or improved work & relevance to code
5 Reflective discussion
Paper copy only. Reflective discussion form which includes the name & NMC Pin number of NMC-registered nurse discussed with & date discussion
6 Health & character
Online declaration
7 Professional indemnity
Evidence appropriate indemnity, employer, professional body, private. If not employer name & details
8 Confirmation Paper copy only
Recording CPD in your portfolio � Maintain accurate records of your CPD,
including: � CPD method � Description of the topic and how it
relates to your practice � Dates and number of hours � Relevance to Code � Evidence that CPD has taken place
NMC resources � The NMC website has guidance and
resoucres.
� http://www.nmc.org.uk/standards/revalidation/revalidation-guidance-and-resources/
Reflections
� NMC standards may make education more interactive
� Re-validation is a tool that we can use to move nursing forward
� Maybe, just maybe we can figure out a way to record it all electronically