Clinical Specialty Midwife/Nurse (CSM/N) Quality & Risk Women s Health

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1 POSITION DESCRIPTION Clinical Specialty Midwife/Nurse (CSM/N) Quality & Risk Women s Health Date Produced/Reviewed: November 2012 Position Holder's Name : Position Holder's Signature :... Manager / Supervisor's Name : Manager / Supervisor's Signature :... Date :... Page 1 of 12

2 PURPOSE OF THE POSITION To provide clinical and quality expertise to the Women s Health Services in order to educate, support, facilitate or implement a world class quality improvement focus for Women s Health Services at Counties Manukau Health (CMH). To ensure that clinical practice is evidence based and follows recommended best practice guidelines in line with the vision and values of CMH. To facilitate and support quality programmes and patient safety initiatives acknowledging the goals and needs of Women s Health. To educate and motivate staff to understand and embrace quality. To drive, educate and influence the service aim of zero patient harm. To facilitate and support behavioural change to achieve long term sustainability of quality. To contribute as an active member of the Quality team by participation in continuous improvement initiatives and reviews. To be engaged in the Incident Management process with CNM providing support and reinforcement. NATURE AND SCOPE OF RESPONSIBILITIES The Clinical Specialty Midwife/Nurse (CSM/N) Quality & Risk will be a Senior Midwife/Nurse with a focus on and responsibility for educating and working alongside the wider team, to implement quality initiatives in Women s Health. This will result in women and babies receiving high quality, effective, safe care based on evidence based practice. The emphasis will be on working to educate, motivate and up skill the multi-disciplinary teams to ensure a world class Quality programme is implemented at CMH. This role will require a person with enthusiasm and drive along with a passion for innovation. This person will need to be a team player who is able to work alongside team members striving for a common goal. The CSM/N Quality will assist and support the Women s Health team to undertake clinical audits or investigations utilising best practice guidelines and ensuring ethical guidelines regarding patient research are adhered to. PROBLEM COMPLEXITY The Clinical Specialty is expected to manage a variety of complex and unpredictable problems and issues related to the development of a strong Quality Improvement programme for Women s Health. The CSM/N will be regularly challenged by a wide range of problems from all areas, levels and disciplines throughout Women s Health. Therefore there will be a requirement to prioritise issues while still providing a high quality customer service. The range of problems will be diverse and require solutions customised to meet the circumstances of the patient and their families. Therefore opportunities will arise to provide innovative options to the patient based on proved outcomes from the Quality Unit. Page 2 of 12

3 There will be demands to meet deadlines, maintain accuracy and quality of information. Failure to do so could impact on the organisation in terms of patient risk. Problem solving, observation, reporting and negotiation skills are frequently used to ensure the successful implementation of quality initiatives. SCOPE FOR ACTION The CSM/N will be involved in policy development, the development of standards and competencies and strategic planning activities. They are encouraged to use initiative and problem solving skills to develop innovative approaches to issues. Discretion is required to be exercised in releasing confidential information to the appropriate parties and at all times acting in compliance with policy, professional jurisdiction and statutory requirements. The CSM/N will be required to utilise the skills of colleagues to co-ordinate and resolve problems relating to research and audit at all levels across the organisation and will frequently need to develop individual solutions for each issue and problem. DIMENSION OF THE POSITION The CSM/N reports to the Quality & Risk Manager. There is a professional responsibility to the General Manager Women s Health for the achievement of objectives and goals for the service. The CSM/N will be required to make recommendations for improvement in clinical practice within the service related to the outcomes of quality in relation to patient/women centered care. POSITIONS REPORTING Directly Indirectly Nil Nil Page 3 of 12

4 PLACE IN THE ORGANISATION Line Management Partnership/Professional Reporting Page 4 of 12

5 Vision & Values Organisational Shared Vision CMH shared Vision is to work in partnership with our communities to improve the health status of all, with particular emphasis on Maori and Pacific peoples and other communities with health disparities. We will do this by leading the development of an improved system of healthcare that is more accessible and better integrated. We will dedicate ourselves to serving our patients and communities by ensuring the delivery of both quality focussed and cost effective healthcare, at the right place, right time and right setting. Organisational Values Partnership Care and Respect Professionalism Teamwork Innovation Responsibility Working alongside and encouraging others in health and related sectors to ensure a common focus on, and strategies for achieving health gain and independence for our population Treating people with respect and dignity, valuing individual and cultural differences and diversity We will act with integrity and embrace the highest ethical standards Achieving success by working together and valuing each other s skills and contributions Constantly seeking and striving for new ideas and solutions Using and developing our capabilities to achieve outstanding results and taking accountability for our individual and collective actions Page 5 of 12

6 Key Accountability Leadership Clinical Practice Accepts responsibility and accountability for practice. Works collaboratively with other health professionals / providers, influences systems and processes to improve patient outcomes. Liaise with clinical and management teams to ensure commitment to quality practices at all levels of Women s Health Assists, as necessary, with interdisciplinary decision-making, problem solving and identification of clinical issues. Acts as an effective role model by demonstrating high levels of knowledge around Recommended Best Practice and Evidence Based Practice. Advocates for seamlessness and effectiveness in patient care through enhancing collaborative relationships between services, recognising cultural needs. Actively promotes wellness whilst interacting with patients and staff. Establishes feedback loops to health professionals involved in care of patients and research / audit participants. Acts as a role model for professionalism. Establishes, maintains and promotes current in-depth knowledge of best practices related to health research/ audits. Works with the Director of Midwifery, Midwife / Nurse Managers, Team Leaders to ensure professional nursing/midwifery requirements, standards and competencies within the sector are met Demonstrates broad knowledge of health policies, trends and directions in health research / audits. Actively participate in SSE investigations as required/directed by Quality & Risk Manager. Actively participate in implementing recommendations from complaints and investigations Actively participates in relevant professional organisations. Actively builds and strengthens relationships between Women s Health, the Quality Improvement Unit and Ko Awatea as well as other stakeholders. Assist all areas within Women s Health Services to maintain the Patient Safety Boards. Train and support the ward based quality resource staff. Actively participate and provide feedback to service quality forums as directed by Quality & Risk Manager Assist administrative staff in the promotion and support of excellent customer service. In conjunction with the Quality & Risk Manager works with the multidisciplinary team to ensure the Women s Health quality programme is consistently applied. Acts as a clinical resource and reference point for other staff in regard to quality activities Attends meetings and actively contributes to the discussions around Page 6 of 12

7 Key Accountability Professional Development Staff patient care and quality initiatives. Contribute to the identification of possible research/quality projects within CMH, particularly around Women s Health patients. Ensures there is a documented clear process of nursing intervention and requirements. Manage and educate staff to undertake audits as required/directed by Quality & Risk Manager. Liaises with midwives, nurses, medical staff, allied health professionals and other members of the interdisciplinary team to streamline care and shares knowledge Provides advice and operational coordination of audits and clinical research proposals for Women s Health. Leads the planning and/or facilitation of educational experiences and programmes working with the Midwife/Nursing Professional Development Unit to meet and extend knowledge of staff regarding research techniques and Quality Improvement Initiatives. To provide a resource for other staff undertaking clinical audit and research projects as well as the on going success of Quality programmes. Liaises with Charge Midwife/Nurse Managers to provide advice and support of staff as required with quality initiatives. Identifies and communicates trends in treatments and clinical practice. Ensures a co-ordinated approach to education and information sharing occurs. Service Improvements are presented to the Quality & Risk Manager for discussion with the Women s Health team (as appropriate). Actively assist staff to learn quality improvement methodologies and tools for auditing and measuring outcomes. Self Participates in annual performance review. If a midwife participates in Recertification requirements If a midwife maintains clinical competency with working 0.1 in a clinical area If a nurse maintains current Professional Development and Recognition programme (PDRP) portfolio. Undertakes postgraduate study. Participates in meetings involving wider DHB and region, speaking with knowledge and evidence of understanding. Maintains and/or extends knowledge and skill base required for effective performance Identifies any learning needs Negotiates with management to attend appropriate education and training Page 7 of 12

8 Key Accountability To demonstrate a commitment to the principles of The Treaty of Waitangi Health and Safety. Recognise individual responsibility for workplace health and safety under the Health and Safety Act Information and systems technology. Constantly seeks innovation when develops improved and effective systems. All other additional duties are performed in an efficient manner, to the required standard and within a negotiated timeframe. Attend educational opportunities and conferences relevant to the role and scope of practice and use this knowledge to improve practice. Contribute to presentation and publication of completed clinical audits and research projects Provide strong clinical leadership and change management skills within the multidisciplinary team. Critique research findings and use these as a basis for best practice Apply the principles of cultural safety to the areas of: Respect, sensitivity, cultural awareness is evident in interpersonal relationships. Acknowledge our cultural differences and diversity by respecting spiritual belief, cultural practices and lifestyle choices. Actively support and implement Tikanga Best Practice. Aligns personal behavior with the vision, mission, values and goals of CMH in language, behavior and attitudes towards patients, families and whanau, cares and health care professionals Acknowledges the Treaty of Waitangi and its implications for nursing practice. Contributes towards an environment in which these needs are acknowledged and respected. Demonstrates willingness and ability to learn about and support differing cultural needs To promote clear relationships and effective communication. Counties Manukau Health and Safety policies are read, understood and role modelled throughout the Service. Workplace hazards are identified and reported including selfmanagement of hazards as appropriate. Supports Health and Safety initiatives throughout the organisation. Demonstrates knowledge of phone and paging systems Demonstrates ability to access and use available clinical information systems. Is conversant with applications required for specific discipline/role. For example, ipm, Concerto, Outlook, etc. Maintains own professional development by attending relevant IT educational programmes Demonstrates ability to use incident reporting system and manage incidents systematically Page 8 of 12

9 COMMUNICATION AND INTERPERSONAL SKILLS A key role of the Clinical Specialty Midwife/Nurse Quality will be to communicate with a variety of internal staff as well as companies and organisations external to CMH. Effective Communication is vital in order to function effectively as part of the multidisciplinary team. External Women/Patients Families / Care givers ACC Health and Disability Commissioner Office Health Advocacy Service Coroner Office Internal Chief Operating Officer General Manager Kidz First and Women s Health Clinical Director Women s Health Directory of Midwifery Clinical Nurse Director Kidz First and Women s Health Service Managers Midwife/Nurse Managers Women s Health Service Managers Theatre Co-ordinators Consultant Obstetricians Registrars Midwife/Nurse Educators Charge Midwives and Charge Nurse Managers Nurse Specialists Pacific Health Representatives Maori Health Representatives District Health Board Legal Advisor Laboratory Services Manager Librarians Clinical Photography staff Reception / Clerical Staff Medical Records Staff Interpreters Cultural Support Workers Home Health Care Allied Health Teams Page 9 of 12

10 PERSON SPECIFICATIONS Qualification Experience/ Skills Personal Qualities Minimum Registered Midwife/Nurse Current NZ Practicing Certificate Confident/Proficient Midwife/Nurse within the CMH QLP/PDRP framework. Minimum of three years experience in specific field. Advanced patient assessment skills. Recent relevant experience in research Clinical teaching experience Evidence of Quality improvement initiatives Quality Improvement knowledge and skills Knowledge of legal and ethical responsibilities. Knowledge of New Zealand National Maternity Model of Care Knowledge of Primary Maternity Service Specifications (Section 88) including referral guidelines. Knowledge of MOH Maternity Quality and Safety requirements Ability to critique research findings. Knowledge of Tikanga best practice Excellent written and verbal communication skills. Proven leadership skills. Negotiation / conflict management skills. Competent level of computer skills Women and family centred. Ability to work independently or as a member of a team. The capacity to demonstrate strong clinical leadership. Strong ability to problem solve. Commitment to ongoing professional development. Self reflective. Self critical. Able to motivate people to strive for the attainment of the strategic vision by setting clear and realistic objectives, and to be a role model Ability to understand differing and competing clinical perspectives. Preferred Post graduate qualification in progress with a strong commitment to ongoing education Previous autonomous midwifery/nursing role Ability to incorporate research findings into practice. Collaboration and consultation skills. Conflict management skills. Report writing, business planning skills. Page 10 of 12

11 Sound analytical skills. Able to prioritise activities and workload demands. Problem solving, advocacy negotiation skills. Excellent written and verbal communication skills. Page 11 of 12

12 CRITICAL COMPETENCIES Description Leadership Ability to develop and communicate a vision for the future, inspiring commitment to the goals of the organisation/team. Ability to operationalise the vision and values and help to facilitate change. Is able to work with others, within and outside of nursing and midwifery, to draw together a range of perspectives. People Management Leads, communicates expectations and agreed goals, provides ongoing feedback and objectively evaluates performance. Able to recognise and acknowledge achievements of others. Ability to bring people with them even in times of change. Teamwork Collaborates with other key players and work groups to achieve objectives. Seeks out opportunities to support others in achieving goals. Actively contributes to and accepts consensus decisions Recognises and respects individual differences. Bicultural Approach Self Management Patient/client/ population focused Communication/ Interpersonal Skills Understands the significance of the Treaty of Waitangi. Displays cultural sensitivity and a willingness to work positively with organisational strategies to improve opportunities for Maori. Sets high personal standards and strives to achieve stretching goals Displays drive and energy and persists in overcoming obstacles. Is proactive and displays initiative. Is resilient to change Understands personal limitations Can work to deadlines to achieve outcomes Takes action to fully comprehend the needs of patient/client populations. Actively promotes such needs and priorities. Expresses information effectively, both orally and in writing, adjusts language and style to the recipients and considers their frame of reference. Actively listens, drawing out information and checking understanding Empathises with others and considers their needs and feelings. Creates opportunities to network internally and externally. Innovation Actively questions old ways of doing things, thinks outside the square and develops creative and effective solutions to improve outcomes. Applies skilled analysis and sound reasoning in problem solving/decision making. Flexibility Ability to adapt and work effectively within a variety of situations, and with various individuals or groups. Planning and Monitoring Uses action plans to accomplish goals, establishes timeframes and can realistically allocate resources. Identifies and removes barriers. Able to monitor progress and address problems to achieve outcomes. Page 12 of 12

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