A charity leading innovation in mental health The Pathway for Nursing at St Andrew’s: Pebblepad Symposium Ann Jackson Director of Nursing #standrewscare
A charity leading innovation in mental health What is Preceptorship? “A period of structured transition for the newly registered practitioner during which he or she will be supported by a preceptor, to develop their confidence as an autonomous professional, refine skills, values and behaviours and to continue on their journey of life-long learning.” (DH, 2009)
A charity leading innovation in mental health Relevant national nursing strategy
A charity leading innovation in mental health The Francis Report
A charity leading innovation in mental health The Government’s Response
A charity leading innovation in mental health National and Local Nursing Issues Need for greater humanity & leadership Need for strong decision-makers at all levels Need for a louder patient/service user voice Having enough staff with the right skills in the right place Acting early enough on concerns and ‘duty of candour’ Accurate and useful information – ‘fundamental’ standards Attracting, recruiting, training nurses of the future
A charity leading innovation in mental health National vision for Nursing
A charity leading innovation in mental health Delivering the CNO vision: Compassion in Practice 6 ‘C’s Care, Compassion, Competence, Communication, Courage, Commitment Helping people to stay independent, maximising well- being and improving health outcomes Working with people to provide a positive experience of care Delivering high quality care and measuring the impact Building and strengthening leadership Ensuring we have the right staff, with the right skills, in the right place Supporting positive staff experience
A charity leading innovation in mental health Direction of Travel Improving the image of nursing Embedding the values of nursing Recognising and developing nursing expertise Driving up standards and leading innovation, e.g care rounding; RCN Principles of Practice Developing the nursing evidence-base Reducing waste and measuring the impact Supporting vibrant career pathway choices Ensuring staff well being, equality of opportunities and preventing ‘compassion fatigue’
A charity leading innovation in mental health Introducing ‘The St.Andrew’s Nurse’ St Andrew’s Nurses will be known for their expertise in the range of specialist services; and will influence local and national policy and practice in mental health and learning disability St Andrew’s Nurses will be visible, will articulate the nursing contribution to high quality care and will be accountable for standards of professional and ethical practice St Andrew’s Nurses will provide compassionate, safe, holistic and evidence-based practices which are measureable and audited St Andrew’s Nurses will have opportunities to follow a career pathway for clinical, professional, management and academic leadership roles
A charity leading innovation in mental health
Newly registered nurse enters Preceptorship Service-user focussed, accountable member of St Andrew's healthcare team enters supervised practice Self-directed learning Work-based learning Formal instruction Reflective practice From competence to developing capability
A charity leading innovation in mental health 1 Develop as a professional 2 Develop recovery-oriented practice 3 Work effectively with others 4 Develop, implement and review care plans 5 Manage physical healthcare 6 Safely manage and administer medications 7 Safely perform injections Competencies
A charity leading innovation in mental health Finally, what really matters? Recruiting & retaining the very best nurses Nursing values of dignity, respect and humanity Professional standards of practice and conduct Working collaboratively with service users ‘Speaking up’ to voice any concerns about safety, quality and effectiveness Valuing and articulating nursing expertise Knowing your contribution and always making it Making St.Andrew’s the best place to provide care and to work for! Contact me directly if you disagree