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Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 1 achieving the NMC stage 2 standards for mentors Supporting.

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Presentation on theme: "Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 1 achieving the NMC stage 2 standards for mentors Supporting."— Presentation transcript:

1 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 1 achieving the NMC stage 2 standards for mentors Supporting Learning and Assessment in Practice

2 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 2 Information fire alarm and fire escapes fire alarm and fire escapes toilets toilets coffee and tea coffee and tea group work group work respect and confidentiality respect and confidentiality

3 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 3 Underpinning Principles A.same part / sub part of the register B.knowledge, skills and competence C.professional qualifications D.preparation programmes

4 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 4 Group Discussion the best thing about having students is… the worst thing about having students is… the best thing about being a student is… the worst thing about being a student is…

5 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 5 2 days theory 3 days distance learning 5 days supervised practise mandatory APEL: previous mentorship training & experience APEL: evaluation of learning + + or or 10 Day Programme

6 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 6 10 Credit Module (Bsc pathway) 10 day programme reflective assignment +

7 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 7 Day 1 Objectives understand the student experience understand the student experience describe the effective mentor describe the effective mentor structure a student placement structure a student placement complete clinical practice assessment documents complete clinical practice assessment documents

8 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 8 Day 2 Objectives sign off clinical competence sign off clinical competence provide constructive feedback provide constructive feedback address the failing student address the failing student create an environment for learning create an environment for learning teach a clinical skill teach a clinical skill

9 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 9 Mentor Portfolio useful information useful information learning in practice learning in practice peer review peer review mentor assessment mentor assessment professional portfolio professional portfolio

10 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 10 A Brief History of Nurse Training & Education

11 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 11 Traditional Training apprenticeship model apprenticeship model direct observation and practice in clinical settings direct observation and practice in clinical settings competence assessed through ward based examinations, written papers and a national exam competence assessed through ward based examinations, written papers and a national exam RCN 2007

12 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd s devolution of training devolution of training assessment in each country overseen by their board of nursing assessment in each country overseen by their board of nursing RCN 2007

13 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 13 Project 2000 (1992) transferred nurse training to HEIs transferred nurse training to HEIs diploma level diploma level critical research based profession critical research based profession students supernumerary students supernumerary health rather than illness model health rather than illness model CFP and branch programmes CFP and branch programmes primarily academic assessment primarily academic assessment RCN 2007

14 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 14 Fitness for Practice (2002) education in partnership education in partnership all-graduate preparation all-graduate preparation clinical skills (rebuilt skills lab) clinical skills (rebuilt skills lab) 50% theory / 50% practice … 50% theory / 50% practice … … reflected in assessment schedule… reflected in assessment schedule practice education facilitators practice education facilitators CFP reduced to 12 months CFP reduced to 12 months UKCC 1999

15 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 15 The Future… Develop a competent and flexible workforce reconciling demand and need with safety and quality reconciling demand and need with safety and quality enable nurses to lead and coordinate care enable nurses to lead and coordinate care DoH 2006

16 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 16 The Future… Update career pathways and career choices standardise advanced and specialist roles standardise advanced and specialist roles develop a fast track scheme for nurse leaders develop a fast track scheme for nurse leaders develop a careers framework with post graduate career pathways develop a careers framework with post graduate career pathways continuity of care within and between clinical settings continuity of care within and between clinical settings DoH 2006

17 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 17 growing trend of chronic and complex illness growing trend of chronic and complex illness an aging population an aging population focus on prevention and health promotion focus on prevention and health promotion managing disease in primary care settings managing disease in primary care settings tackling determinants of health status such as poverty and social exclusion tackling determinants of health status such as poverty and social exclusion holistic practice that links health and social care holistic practice that links health and social care DoH 2006 NHS Modernisation

18 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 18 increased public expectations and demands increased public expectations and demands review the level and content of pre- registration education review the level and content of pre- registration education engaging the public and greater public responsibility engaging the public and greater public responsibility Modernising Nursing Careers DoH 2006

19 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 19 Fitness for Practice

20 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 20 Year 1 (CFP) Block 1 40 CATS Level 1 6 weeks theory 7 weeks practice Total: 120 CATS at Level 1 certificate in healthcare (unqualified) Block 2 40 CATS Level 1 7 weeks theory 7 weeks practice Block 3 40 CATS Level 1 8 weeks theory 7 weeks practice 42 weeks + 10 weeks holiday (3 terms)

21 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 21 Year 1 (CFP) PlacementA Developing Personal and Professional Practice in a Nursing Context branch specific PlacementB Health, Individuals and Society primary care PlacementC The Principles of Nursing Practice adult general

22 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 22 Health, Individuals and Society MonTuesWedThursFri Wk 1 in practice (primary care) Wk 2 in practice learning dis. workshops Wk 3 in practice mental health workshops Wk 4 2 days a week in practice; 3 days for facilitated visits; 6 days for completion of maternity & children & young peoples workbooks Wk 5 Wk 6

23 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 23 CARDIFF UNIVERSITY School of Nursing and Midwifery Studies Health, Individuals & Society Module Student Placement Planner

24 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 24 specific learning outcomes for the visit (minimum 3) student reflective account of learning experience practitioner mentor

25 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 25 Assessments CFP Module 1 Module 2 Module 3 Communication Applied to Nursing - Reflective Assignment Week 14 & Nursing Theory applied to Practice Week word essay Social Policy & Multi-professionalApproach Week 30 4 ECDL Modules Hr Numeracy Exam (70% pass) Hr Clinical Science MCQ 1.5 Hr unseen exam on Nursing Practice Week 35

26 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 26 Year 2 (Branch) Module 4 40 CATS Level 2 8 weeks theory 6 weeks practice Total: 120 CATS at Level 2 diploma in healthcare (unqualified) Module 5 40 CATS Level 2 8 weeks theory 6 weeks practice Module 6 40 CATS Level 2 8 weeks theory 6 weeks practice 42 weeks + 10 weeks holiday (3 terms)

27 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 27 Year 2 (Branch) adultchild mental health Module 4 long term care communityacute Module 5 surgical in-patient acute older adult Module 6 medicalambulatory & special education CAMHS

28 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 28 Assessments Year 2 4 Retrospective care study (4000 words) Child health surveillance, Health promotion (4000 words) Critique of engagement and needs assessment (4000 words) 5 Numeracy test & research critique (3000 words) Numeracy test & Integrated care Study (3000 words) Numeracy test & case study (3000 words) 6 Group health Promotion poster Research critique & Analysis (4000 words) Mental health nursing research critique (4000 words) AdultChild Mental Health

29 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 29 Year 3 (Branch) Module 7 40 CATS Level 3 8 weeks theory 6 weeks practice Total: 120 CATS at Level 3 Attains Registration (Failure to complete clinical assessment - BSc without registration) Module 8 40 CATS Level 3 8 weeks theory 6 weeks practice Module 9 40 CATS Level 3 2 weeks theory 12 weeks practice 42 weeks + 10 weeks holiday (3 terms)

30 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 30 Year 3 (Branch) adultchild mental health Module 7 primary care in-patientCMHT Module 8 specialityspecialityspeciality Module 9 elective placement

31 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 31 Assessments Year Hour clinical science applied to nursing exam Reflection on a clinical skills scenario (2000 words) Problem-Based Learning assessment (3000 words) word Dissertation 9Presentation reflecting on a critical incident & accountabilityPresentation reflecting on accountability and managementPresentation reflecting on accountability and management AdultChild Mental Health

32 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 32 Principles of Effective Mentor Practice

33 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 33 A nurse, midwife or specialist community public health nurse who facilitates learning and supervises and assesses students in a practice setting NMC 2005 What is a Mentor? facilitates supervisesassesses

34 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 34 Mentor Responsibilities organising practice learning organising practice learning supervision and feedback supervision and feedback working with learning objectives working with learning objectives assessing performance assessing performance providing evidence of achievement providing evidence of achievement liaison with others liaison with others sign off mentoring sign off mentoring NMC 2008

35 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 35 You must facilitate students and others to develop their competence You must be willing to share your skills and experience for the benefit of your colleagues NMC Code 2008 Why Become a Mentor?

36 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 36 Benefits of Mentorship gains for the mentor: job satisfaction increased recognition life long learning accredited learning networking opportunity increased recognition gains for the student: self-confidence improved motivation achieving outcomes fuller use of resources personal development career development gains for the organisation: better communication motivated staff staff skills recognised attract hi calibre staff staff development body of mentors Neary 2000

37 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 37 What Makes a Good Mentor? goodmentor approachable supporting knowledgeable motivated to teach demonstrates interest in studentspatient&friendly good listener & trustworthy experienced&enthusiastic committedtomentoring Quinn & Hughes 2007

38 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 38 What Makes a Poor Mentor? poormentor unapproachable promisebreaker poorcommunicator lacking in time For students lacking in knowledge and expertise intimidating Quinn & Hughes 2007

39 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 39 Principles of Assessment

40 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 40 Assessment Mentors must ensure that assessment of clinical skills does occur as required. Passing students who should have failed in the hope that they will improve puts patients at risk Duffy 2004

41 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 41 Group Questions what should we be assessing? what is the purpose of assessment? what are the features of good assessments? what are the methods of assessment?

42 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 42 Holistic Assessment of Competence holisticassessment knowledge understanding evidence based practice reflectivepractice problem solving & decision makingtechnicalskills professionalcode attitudes ethics Stuart 2007

43 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 43 Purpose of Assessment to monitor the students progress to monitor the students progress to motivate the student to motivate the student to measure the effectiveness of teaching to measure the effectiveness of teaching to assess competence to assess competence to ensure patient safety to ensure patient safety

44 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 44 Validity appropriate methods need to be used depending on what is being assessedappropriate methods need to be used depending on what is being assessed Stuart 2002 ensures that a test measures what it was designed to measure

45 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 45 Reliability assessment should give similar results when used on separate occasions & with different assessors Stuart 2002 consistency of student performance consistency of student performance consistency of interpretation consistency of interpretation consistency between assessors consistency between assessors

46 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 46 Discriminatory language must be fair to all studentslanguage must be fair to all students assessments should be unbiasedassessments should be unbiased assessment must be able to discriminate between those who perform well and those who do not

47 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 47 Methods of Assessment observation observation questioning questioning discussion discussion reflection reflection testimony of others testimony of others simulation simulation patient documentation patient documentation self assessment self assessment assignments assignments examinations examinations

48 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 48 Recording Assessments of Clinical Practice

49 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 49 Self Assessment what makes you a good mentor? what makes you a good mentor? how could you develop your mentorship practice? how could you develop your mentorship practice? what opportunities does the role offer you? what opportunities does the role offer you? what could be threatening about being a mentor? what could be threatening about being a mentor? Action Plan

50 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 50 Clinical Learning Contract first week middle weeks final week

51 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 51 Sally is a second year student. She is keen to learn about risk assessment and drug administration. She is quiet and doesnt generally ask many questions or approach other healthcare professionals. However, she is generally interested and always offers to help

52 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 52 Write down a learning objective: based on Sally's SWOT based on Sally's SWOT based on an opportunity offered within you clinical area based on an opportunity offered within you clinical area

53 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 53 Professional Attitude Rating Scale Professional Attitude Rating Scale Practical Skills Sheet Practical Skills Sheet Reflective Accounts Reflective Accounts Portfolio Assessments

54 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 54 Professional & Ethical Practice Professional & Ethical Practice Care Delivery Care Delivery Care Management Care Management Personal & Professional Development Personal & Professional Development Practice Assessment NMC 2002

55 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 55 Clinical Practice Assessment Document

56 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 56 Signing Off Practice Outcomes A.MentorA.MentorA.MentorStudent

57 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 57 Recording Progress Towards Competence Gordon has reviewed care well when we have worked together, but needs more experience of working with the rest of the multi-disciplinary team A.Mentor A.Mentor 21/1/08

58 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 58 Assessing Practice Who signs the overall clinical record? P Who signs the overall clinical record? P What is the difference between the level required of a first year and that of a second year? P.23 & 48 What is the difference between the level required of a first year and that of a second year? P.23 & 48 What more would you expect from a second year student taking a BP than you would from a first year? What more would you expect from a second year student taking a BP than you would from a first year?

59 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 59 A student successfully completes several blood pressures under your supervision. In order to complete the practice outcomes on p what else do they need to do? A student successfully completes several blood pressures under your supervision. In order to complete the practice outcomes on p what else do they need to do? Look at p What would you expect from a third year student to sign them off as competent? Look at p What would you expect from a third year student to sign them off as competent?

60 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 60 What elements of a students portfolio would need to be completed to achieve the outcomes on p.115 ? What elements of a students portfolio would need to be completed to achieve the outcomes on p.115 ? Students must reflect on their visits for the health, individuals & society module. Which outcomes could then be assessed as completed? P.45 Students must reflect on their visits for the health, individuals & society module. Which outcomes could then be assessed as completed? P.45 A number of outcomes relate to risk assessments. Think of two types of risk assessments which may be undertaken in your clinical area A number of outcomes relate to risk assessments. Think of two types of risk assessments which may be undertaken in your clinical area

61 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 61 Day 1 Objectives understand the student experience understand the student experience describe the effective mentor describe the effective mentor structure a student placement structure a student placement complete clinical practice assessment documents complete clinical practice assessment documents

62 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 62 Day 2 Objectives sign off clinical competence sign off clinical competence provide constructive feedback provide constructive feedback address the failing student address the failing student create an environment for learning create an environment for learning teach a clinical skill teach a clinical skill

63 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 63 achieving NMC stage 2 standards for mentors Supporting Learning and Assessment in Practice

64 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 64 Information fire alarm and fire escapes fire alarm and fire escapes toilets toilets coffee and tea coffee and tea group work group work respect and confidentiality respect and confidentiality

65 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 65 Day 1 Objectives understand the student experience understand the student experience describe the effective mentor describe the effective mentor structure a student placement structure a student placement complete clinical practice assessment documents complete clinical practice assessment documents

66 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 66 Day 2 Objectives sign off clinical competence sign off clinical competence provide constructive feedback provide constructive feedback address the failing student address the failing student create an environment for learning create an environment for learning teach a clinical skill teach a clinical skill

67 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 67 Using the Clinical Practice Assessment Document

68 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 68 Professional & Ethical Practice Professional & Ethical Practice Care Delivery Care Delivery Care Management Care Management Personal & Professional Development Personal & Professional Development Practice Assessment NMC 2002

69 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 69 Clinical Practice Assessment Document

70 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 70 Signing Off Practice Outcomes A.MentorA.MentorA.MentorStudent

71 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 71 Recording Progress Towards Competence Gordon has reviewed care well when we have worked together, but needs more experience of working with the rest of the multi-disciplinary team A.Mentor A.Mentor 21/1/08

72 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 72 The Final Assessment of Practice

73 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 73 Group Questions manage care manage care appropriate attitudes appropriate attitudes manage team manage team ethical dilemmas ethical dilemmas drug administration drug administration peer support peer support communication communication supervision and teaching supervision and teaching

74 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 74 Sign-Off Mentors a mentor who: a mentor who: meets NMC registration requirements meets NMC registration requirements has been supervised on 3 occasions has been supervised on 3 occasions has an in-depth understanding of their accountability when making the final assessment of proficiency

75 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 75 The Trust Position: APEL of all practicing mentors APEL of all practicing mentors exceptional circumstances exceptional circumstances status monitored through annual IPR status monitored through annual IPR Sign-Off Mentors

76 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 76 Provision of Effective Feedback

77 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 77 Effective Feedback as soon as possible as soon as possible prepare for the session prepare for the session oral, written or both oral, written or both ensure privacy ensure privacy give full attention give full attention

78 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 78 Feedback Process dont tackle too many things at once – try to foster a sense of progress always try to make the session a learning situation for the student

79 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 79 listen to the student listen to the student student self assessment student self assessment do not be confrontational do not be confrontational focus on behaviour & facts and not on opinions, personalities & generalities focus on behaviour & facts and not on opinions, personalities & generalities negative feedback must not be avoided negative feedback must not be avoided use open-ended questions use open-ended questions give rationale for questions and comments give rationale for questions and comments encourage frankness and share worries & uncertainties encourage frankness and share worries & uncertainties Learning from Feedback

80 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 80 Feedback Outcomes ask the student how performance can be improved ask the student how performance can be improved show how performance can be improved show how performance can be improved be specific: offer alternatives be specific: offer alternatives ensure that the student knows what is expected ensure that the student knows what is expected make a written agreement with the student in the form of an action plan make a written agreement with the student in the form of an action plan try to end the session on a positive note try to end the session on a positive note

81 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 81 Management of the Failing Student

82 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 82 Group Activity think of a student or a member of staff who you felt was unsuitable for clinical practice (no names!) discuss in your groups your rationale and experiences

83 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 83 Common Indicators Of Student Underachievement unsafe practice unsafe practice inconsistent clinical performance inconsistent clinical performance lack of insight into weaknesses lack of insight into weaknesses unable to respond to feedback unable to respond to feedback

84 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 84 lack of interest or motivation lack of interest or motivation limited interpersonal skills limited interpersonal skills absence of professional boundaries absence of professional boundaries unreliable or poor attitude unreliable or poor attitude lack of theoretical knowledge lack of theoretical knowledge Common Indicators Of Student Underachievement

85 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 85 Failing Students As a professional, you are personally accountable for actions and omissions in your practice and must be able to justify your decisions NMC 2008

86 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 86 Failing Students failing students is essential in order to safeguard the public and uphold the profession Ask Yourself: would I be happy for this person to care for me or one of my relatives? Duffy 2004

87 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 87 Supporting Mentors in Practice clinical teachers clinical teachers link lecturer link lecturer personal tutor personal tutor

88 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 88 Scenario you are mentoring a module 9 student who still has many learning outcomes to achieve it quickly becomes apparent that the student is not of the standard expected of a 3 rd year and requires close supervision the student feels the placement is going well discuss the management of this student in practice

89 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 89 Clinical Learning Environments

90 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 90 Student Welcome Pack What should be included? welcome letter welcome letter ward philosophy ward philosophy general introduction to the area general introduction to the area information on relevant clinical conditions information on relevant clinical conditions glossary of terms used/abbreviations glossary of terms used/abbreviations clinical area layout clinical area layout ward team ward team

91 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 91 What should be included? student link nurses student link nurses clinical teacher contact details clinical teacher contact details shift patterns shift patterns sickness policy/ phone numbers sickness policy/ phone numbers learning opportunities learning opportunities induction check list / safety checks induction check list / safety checks Student Welcome Pack

92 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 92 Welcoming Students mentor and co-mentor allocated prior to placement mentor and co-mentor allocated prior to placement provide student welcome pack provide student welcome pack organize orientation to the placement organize orientation to the placement introduce to the clinical team introduce to the clinical team plan a meeting with the student during the first week plan a meeting with the student during the first week

93 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 93 agree a timetable for working together and assessment meetings agree a timetable for working together and assessment meetings establish roles & responsibilities in terms of standards and attitudes establish roles & responsibilities in terms of standards and attitudes be aware of the programme & the students level of training be aware of the programme & the students level of training ensure that the student knows who will be supervising them in the absence of the mentor ensure that the student knows who will be supervising them in the absence of the mentor Welcoming Students

94 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 94 Supporting Dyslexia in Clinical Practice difficulty with words specific learning difficulty neurological in origin persists across the lifespan

95 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 95 problems processing information problems processing information memory problems memory problems sequencing problems sequencing problems difficulties with motor skills difficulties with motor skills perceptual difficulties perceptual difficulties problems concentrating problems concentrating difficulties with orientation difficulties with orientation Presentation

96 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 96 Approaches respond positively respond positively ask how you can help and what they may need ask how you can help and what they may need dont share information unless they grant permission dont share information unless they grant permission be clear about your expectations be clear about your expectations consider reasonable adjustments consider reasonable adjustments

97 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 97 Reasonable adjustments communicate in more than one format communicate in more than one format allow the student to repeat information to check understanding allow the student to repeat information to check understanding use a phonetic dictionary use a phonetic dictionary regular breaks regular breaks develop & explain schedule / routine develop & explain schedule / routine agree priorities / order of work agree priorities / order of work

98 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 98 Teaching Clinical Skills

99 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 99 Teaching Clinical Skills assess

100 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 100 Assessment Guidelines knowledge appropriate observed confidence informedconsent assessment completed

101 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 101 Learning Styles Honey & Mumford 1989 activists pragmatists theorists reflectors hands-on; throw themselves in; here and now; willing to try practical; experimenter; meet challenges; make decisions cautious; meticulous; analytical; observer perfectionist; rational; methodical; objective

102 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 102 Adult Learning andragogypedagogy teacher-centred dependency dominated by curriculum external motivation learner-centred self directed problem solving orientation internal motivation

103 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 103 Teaching Clinical Skills assess plan assess

104 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 104 Teaching Clinical Skills assess plan undertake

105 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 105 Teaching Clinical Skills assess evaluate plan undertake

106 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 106 Teaching Clinical Skills what do I need to assess for? how will I evaluate performance? what should I consider to undertake this? what should be in my plan?

107 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 107 Teaching Clinical Skills assess evaluate plan undertake

108 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 108 Professional Issues and Practice Placements

109 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 109 Professional Behaviour sickness & absence policy sickness & absence policy uniform policy uniform policy time keeping time keeping study time study time bank holidays bank holidays shadow the mentors shifts for at least 40% of placement shadow the mentors shifts for at least 40% of placement

110 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 110 Student Timesheet

111 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 111 Please enter below the TOTAL number of practical outcomes that have been achieved during this placement mentors signature

112 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 112 Preceptorship and the Nurse Foundation Programme

113 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 113 Preceptorship Preceptorship is about providing support and guidance enabling new registrants to make the transition from student to accountable practitioner NMC 2006

114 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 114 Preceptorship Peach Report recommendations Peach Report recommendations Nurse Foundation Programme Nurse Foundation Programme NMC standards NMC standards

115 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 115 Trust Policy Role Profile: band 5 / 6 band 5 / 6 same part of register same part of register 2 years post-reg experience 2 years post-reg experience 1 year in clinical area 1 year in clinical area mentorship training and practice mentorship training and practice

116 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 116 Trust Policy Process: 12 monthly meetings 12 monthly meetings working together working together learning contract learning contract preceptor toolkit preceptor toolkit

117 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 117 Frequently Asked Questions

118 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 118 FAQs Must the student work with me the whole time? No. Students can spend time with others, depending upon their learning needs and the opportunities available. However, in order to effectively teach and assess the student, they should work with you at least 40% of their time RCN 2007

119 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 119 What do I do if the student doesnt cooperate with me? Make the student aware of your thoughts. Document the incident / issues. Contact senior staff / personal tutor / clinical teacher. FAQs RCN 2007

120 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 120 What can I do if the student is unsafe in practice? They should be removed from the clinical area. Inform the university and senior staff and record rationale in their documentation. FAQs RCN 2007

121 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 121 What can I do to reward the student who is exceptional? Overt praise and recognition are the best rewards. Be sure to record it in the students documentation. FAQs RCN 2007

122 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd Questions

123 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 123 Clinical Teaching Team Tricia Brown Tricia Brown Dawn Casey Dawn Casey Jane Gray Jane Gray Janet Keggie Janet Keggie Alex Nute Alex Nute

124 Cardiff School of Nursing and Midwifery Studies Ysgol Astudiaethau Nyrsio a Bydwreigiaeth Caerdydd 124 Day 2 Objectives sign off clinical competence sign off clinical competence provide constructive feedback provide constructive feedback address the failing student address the failing student create an environment for learning create an environment for learning teach a clinical skill teach a clinical skill


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