University Campus Suffolk Mentor Update 09/10 University Campus Suffolk

Session Aim & Objectives By the end of the session: You will be up to date with the role and responsibilities of mentors/sign off mentors You will be aware of any changes to practice assessment requirements There will be time for discussion and questions during the session

NMC Standards for Supporting Learning and Assessment in Practice Revised 2008 Activity: Quick questionnaire covering key points

Triennial Reviews This review process has now started for ALL mentors, sign off mentors and practice teachers. Liaise with your practice development / practice education departments or line manager for further details You must provide evidence that demonstrates you meet all aspects of the NMC Stage 2 Mentor standard to remain on the local mentor register. The triennial review for most organisations will sit alongside your annual appraisal. The NMC will monitor each organisation’s live mentor register at their review visit to ensure the correct records are being kept and monitored.

ODP Mentoring Requirements- Stage 1: Associate mentor – can confirm learner’s aims and objectives. Must be counter signed by a Mentor. Stage 2: Mentor – assesses achievement of learning objectives & signs off competencies Stage 3: Practice Educator / Lecturer – Manages a network of mentors / supervising mentors. 6 months post registration experience Must have met section 4.1 of AODP Mentor standards. To attend update every 2 years Hold a mentor qualification at degree level. Updates every 2 years Evidence of development every 2 years Mentor qualification must be at same of higher level than learners. Must meet all sections of AODP standards.

ODP Practice Assessment The student must complete all the competencies in the Practice Portfolio in order to pass the Professional Practice modules and pass the Diploma overall. The student must supply evidence to demonstrate their competence; this may include reflections, literature reviews, critical appraisals, posters etc. The mentor will then add comments and assess the student’s competence; students must reach a minimum standard of competent in order to pass.

ODP Grading Beginner (B) The student has no experience of the presenting clinical situation and operate by closely following rules laid down by others. They perform a series of tasks without understanding, or referring to, the context in which they are working. Developing Learner (DL) The student demonstrates a degree of flexibility in their practice Interprets the rules to meet the needs of the situation, maintaining the safety of the patient, others and themselves. They are able to relate to the current situation, based on prior learning. Competent (C) The student is consciously aware of the long-term effects of their actions. They are able to plan the most satisfactory outcome of a situation and take the necessary actions in order to meet the required aims. In order to successfully achieve this conscious, abstract and analytical contemplation of the situation is required.

Nursing 2009 Curriculum Starts September 2009 2 semesters per year Diploma and Degree-Adult and Childrens Nursing Intakes September and February-Adult Dip. And Degree No Home Wards Less weeks without students on placement! Community experience in each year Credits awarded for practice each year Practice assessed differently in each year-skills, reflections, OSCE, Portfolio Grading of practice in 3rd yr-sample tri-partite meetings

Practice Assessment Students have 2 documents-Record of Achievement and Practice Assessment Document Only mentors/sign off mentors may complete assessment of skills/placements Registrants may contribute to assessment, but must not complete interviews or a significant number of skills assessment Initial Interviews, mid point interviews and final interviews must take place in a planned and timely manner throughout each placement. Mentors now signs students ‘Safe to progress’ & must provide a rationale for that decision Incomplete documentation or assessments signed by non-mentors will be invalid Mentors are accountable for completing all assessment documentation The student has a responsibility to make the documents available at all times and be available for planned feedback Where students miss time in placement, UCS must be informed. In cases where significant time is lost, a decision must be made as to whether the student can be assessed in practice or not.

Practice Assessment-Nursing 2009 curriculum Skills within the Practice Assessment document signed off by mentor Reflections, OSCEs and portfolio graded by academic staff with practice input 3rd yr only: NMC Four domains of practice graded by Sign off Mentor Sign off Mentors award N,C,B,A Yr 1-Skills assessment and 4 reflective accounts Yr 2-Skills Assessment and OSCE Yr 3-Skills Assessment, graded proficiencies and Portfolio

Signing off Skills Midwifery: Steinaker & Bell Students must meet a minimum of INTERNALISATION for each year. Nursing: New grading scheme Year 1: Beginner Year 2: Developing Learner Year 3: Competent Mentors only sign when year level is achieved. No requirement to award different levels of practice

Skills Levels - Nursing Level of Performance Level of support / supervision Level of Practice Competence achieved (some examples) Competence not achieved (Some examples) BEGINNER (by end of Year 1) Direct Observation / Supervision Observes Participates Assists Safe in all care supervised Performs with few prompts Professional attitude Rationale for Care Can discuss pertinent literature underpinning some practices Unsafe Can not explain rationale Unprofessional attitude Within level of practice does not respond appropriately when urgency required Does not participate in daily routine DEVELOPING LEARNER (by end of Year 2) Close to minimal supervision Active participation Planning most activities and leading some practice Safe in all care with guidance Does not require prompting Beginning to prioritise care Assess, plan, evaluate care Rationale for practice Evaluate effectiveness of care Beginning to involve clients in care Requires promoting in practiced activities Not able to assess, plan or implement care Does not respond appropriately when urgency required COMPETENT (by end of Year 3) Minimal to indirect supervision ( …in discussions with mentor if specialist area) Safe with minimal guidance Evaluates effectiveness of care and make changes to care Critiques evidence base Actively involves clients in care Requires prompting Unable to organise care Can not explain rationale or evidence base

Third Year NMC 4 domains of practice Grading (final placement only) All skills in PA document must be completed to Competent Additionally, using the grading below, the sign off will grade the student’s competence within the NMC four domains of practice The student will self assess at midpoint interview and reviewed with their sign off mentor Each statement must be graded individually The personal tutor will score each proficiency and this will go towards the final practice grade for diploma students and the degree classification of degree students. NOT COMPETENT N COMPETENT: Competent C GOOD: Competent B EXCELLENT: Competent A Student does not meet basic Competent criteria Student meets basic Competent criteria Can modify own practice in response to events Situations viewed holistically Consistently demonstrates learning from practice Performance in practice is fluid, flexible and proficient Demonstrate analytical thinking Frequently plans ahead Continuously reviews and manages own skills acquisition

Domain of Practice: Professional and Ethical Practice NMC (2004) Standards of Proficiency for Pre-registration nursing Not yet competent N COMPETENT: Competent C GOOD: Competent B EXCELLENT Competent A Midpoint formative assessment: Student self assessment Final summative assessment: Mentor assessment Domain of Practice: Professional and Ethical Practice Maintains confidentiality and security of written and verbal communication Does not demonstrate in practice Demonstrated in practice Good application in practice Excellent application in practice N C B A Student Signature: Mentor Signature: Date: N C B A

Practice Assessment – Midwifery 2009 curriculum Skills within the Practice Assessment document signed off by mentor (Internalisation for ALL years) Reflections, OSCEs and portfolio graded by academic staff with practice input In each year: each student has a tripartite assessment to award a % grade focused on NMC 4 domains of practice (student, mentor, tutor) Yr 1-Skills assessment and 2000 word reflection on the woman’s story Yr 2-Skills Assessment and OSCE Yr 3-Skills Assessment, graded proficiencies and Portfolio

Group Activity Over to you: Look at the given scenario Discuss the main issues as a group List the actions you would follow Identify a spokesperson to feedback

Supporting students with learning needs Respect and support the student’s need to use special equipment or aids Law requires reasonable adjustments to be made to support your students’ learning needs Resources- http://www.ucs.ac.uk/study/facultiesAndCentres/healthWellbeingAndScience/HealthPartners/Learning%20Support.aspx Advice- CPFs, Link Lecturer, Student’s Personal Tutor, Student Support at UCS-for students to access Mentors role-Must treat all students with fairness, respect and understanding Provide clear instructions and expectations Encourage students to repeat back instructions Double check student documentation for errors Provide sufficient time for students to complete activities within the boundaries of safe practice

Open Forum - This is your chance to have any mentorship queries answered It’s over to you ……..

Further training Midwifery – Link Lecturers will be visiting all areas to discuss new curriculum % grading Nursing – Workshops for Sign off mentors for 2009 Grading

Useful Resources UCS Link Lecturers / Personal tutors / Programme Leader Allocations Office tel: (01473 338475) Clinical Practice Facilitators & Practice Education Facilitators ext: 8320 b:519/520 UCS Mentor Newsletter – published Jan and July and available on the Trust intranet UCS dedicated placement/mentor website – http://www.ucs.ac.uk/study/facultiesAndCentres/healthWellbeingAndScience/HealthPartners/N%20M_Mentors.aspx www.practicebasedlearning.org.uk RCN (2007) Guidance for Mentors of Nursing & Midwifery students. RCN London AODP (2006) Standards and Guidance for Mentors. AODP, London NMC (2008) Standards to support learning & assessment in practice 2nd Edition. NMC, London