RCH Nursing Competency Workbook. Appendix 3: 2011 Graduate Nurse Program Handbook

Transcription

1 RCH Nursing Competency Workbook Appendix 3: 2011 Graduate Nurse Program Handbook

2 The Royal Children's Hospital (RCH) Nursing Competency Workbook is a dynamic document that will provide you with direction and assist you in your professional development as a nurse working at the RCH. The workbook also provides a record of your orientation and competency obtainment. Chapter 1 Includes resources for nurses and is complemented by the Royal Children s Hospital (RCH) New Starter Pack, Hospital Orientation and Nursing Orientation day, to provide an introduction to nursing at the RCH. Chapter 2 Generic Nursing Competency Assessment Forms Chapter 3 Specialty Nursing Competency Assessment Forms Appendix 1 Unit / Department Nursing Orientation Appendix 2 Index of ALL Specialty Nursing Competency Assessment Forms Appendix 3 Graduate Nurse Program Workbook All chapters and appendices are downloadable as pdfs from the Mackinnon Nursing Education and Development Centre Website The RCH Nursing Competency Workbook developed by the Mackinnon Nursing Education and Development Team with input from specialist nurses at the RCH For further information contact: Melody Trueman Director of Nursing Workforce Development melody.trueman@rch.org.au Workbook 1 st edition January 2011

3 Table of Contents INTRODUCTION PROGRAM OUTLINE o Programme Aim o Program Outcomes o Structure of the program Clinical Component Theoretical Component o Assessment Process Clinical assessments Academic assessment SUPPORT PROCESS ADDITIONAL APPENDICES 3.1 GNP program SD timetable 3.2 Support process 3.3 Debrief & Nursing Development Sessions Attendance Learning Objectives Example Week Learning Objectives Week Performance Assessment Month Learning Objectives Month Performance Assessment Month Learning Objectives Month Performance Assessment Month Learning Objectives Month Performance Assessment 3.13 Learning Objectives (additional page) 3.14 Completion of Graduate Nurse Program Checklist 3.15 Completion of Graduate Nurse Program Checklist Example REFERENCES

4 Contact Details: Transition Program Nurse Educators & Program Coordinator Mercy Thomas RN Transition Program Educator Phone: Pager: Claire Stewart RN Transition Program Educator (0.4 eft) Phone: Pager: Gemma Phipps Program Coordinator Phone: Office: Mackinnon Nursing Education and Development Centre Level 7 South East Building Royal Children s Hospital

5 Introduction Welcome to Royal Children s Hospital s (RCH) Graduate Nurse Program The RCH Graduate Nursing Program (GNP) is designed specifically for new graduate nurses to develop specific knowledge and skills required to work in a children s speciality hospital. This is a structured program with integrated study days and debriefing sessions to assist the graduate nurse to practice as safe, confident and accountable professionals. The Program is designed to promote: Child and family centred care Competence in paediatric nursing practice Engagement in critical questioning and reflective practice Integration into effective multidisciplinary teams RCH philosophy of care is also developed focused on these four key principles: Child and family-centred care includes the principles of informed choice, collaborative decision-making and the inclusion of families and carers as partners in the provision of care, as well as the provision of a child and family-centred environment and facilities; Respect for children s needs and issues focuses on issues such as developmental needs, pain management and assisting children to become active participants in their treatment and care; Care co-ordination becomes part of the core business of the hospital programs of care developed, particularly for patients with chronic conditions requiring multidisciplinary care; and Partnerships and linkages becomes part of the core business of the hospital stronger relationships developed with metropolitan and regional hospitals, community paediatricians, GPs, community agencies and schools to facilitate integrated care co-ordination. Program Outline Program Aim The Graduate Nurse Program aims to facilitate the transition from a new graduate nurse to a competent registered nurse by supporting learning and development needs in a safe environment. Program Outcomes At the completion of this program the participants will: be able to demonstrate their practice as a competent registered nurse demonstrate confidence in patient and family-centred care be an advocate for Children and children s health contribute as an effective member of the specialty multidisciplinary team through collaborative and co-operative teamwork. be a talented, respected and valued staff member in the Unit/department be able to demonstrate the ability to practice in a culturally responsive manner begin to develop the specialty knowledge and skills required for the unit/department

6 Structure of the Program: The program offers the graduate nurse one single 12 month placement in a clinical setting in RCH. A supportive learning environment is provided during this clinical placement. Each graduate will be allocated a preceptor and will have access to Clinical Nurse Facilitators, Clinical Nurse Educators and Transition Program Educators to support their transition process. The graduate nurse will have supernumerary time with their preceptors for up to six to ten weeks of the program depending on each departmental orientation requirement. There is the flexibility to extend or reduce these timeframes in specific instances, subject to agreement with the New graduate, Preceptor, Nurse Unit Manager, Clinical Nurse Educator and Transition program Educator. The key determinant should be that the new graduate is supported adequately to meet the learning requirements during this time. Content A planned learning development course combining the clinical experience provides the new graduate nurse the time to explore the knowledge and concepts required for the development of sound clinical reasoning. The content of the program comprises of a mix of clinical and theoretical components presented through the study days focused on management of paediatric patients and families. Clinical Component: The clinical time will comprise of normal rostered shifts in an allocated clinical area under the supervision of a Preceptor and the guidance of a Clinical Nurse Educator and Clinical Nurse Facilitator. This is further supported by providing debriefing sessions to support and learn from others. There is ongoing clinical training that occurs in the clinical units with the support of a hospital wide preceptorship model and a competency framework with clear goals, objectives and timelines. Furthermore, collaboration between the Nurse Unit Manager, Nurse Educator, Preceptor & Transition Programme Educator will ensure that a strong support network is available to the new graduate throughout the programme with a clear delineation of roles & responsibilities Theoretical component: The GNP consists of a total of 12 study days including GNP orientation day, RCH nursing orientation day and Post graduate studies. During the first half of the program year six study days are facilitated to assist the graduate nurses to develop the knowledge and skills to work in a paediatric speciality environment. During the second half of the program, the nurses are further assisted in building up their advanced clinical assessment skills by participating in Child health assessment program delivered in partnership with the University of Melbourne. The Child health assessment program is designed as a theoretical (48 hrs) and clinical subject (min 300 hrs) that will enable the staff to receive 25 credits towards post graduate studies. This program facilitates registered nurses to conduct a comprehensive and systematic nursing assessment of children and to deliver effective patient care based on sound theoretical reasoning and critical thinking. The theoretical time may be through planned study blocks, study days/ half days or structured tutorials. Details of the Child Health Assessment program will be provided soon in the Paper Outline. The equivalent of twelve Study Days, (96 hours), over the period of the programme comprises of: (Appendix 3.1) Orientation and paediatric specific study days to RCH, (6 days) Child health Assessment Program accredited by University of Melbourne (6 days)

7 These study days will be facilitated and delivered by experienced clinical nurses/educators under the guidance of the transition programme co-ordinator. These facilitators and teachers will be chosen for their clinical expertise and will be assisted by the Transition Program Educator to utilise problem-solving methods that develop clinical thinking and explore the application and use of knowledge in different clinical settings. These facilitators and teachers will then be available to support the nurses and their preceptors in the practice experience with developing knowledge. Assessment Process Feedback is critical to the development of practice and in the progress of learning. Practice assessments will be based on clinical observation and emphasise the new graduate s ability to manage nursing care, make sound clinical decisions and work effectively in a multidisciplinary team. Clinical Assessment Points Performance assessment (10 weeks) Manager / Nurse Unit Manager & Assessor Completion of mandatory &generic nursing competencies by 6-10 weeks Performance assessment (6 months) Manager / Nurse Unit Manager & Assessor Performance assessment (9 months) Manager / Nurse Unit Manager & Assessor Completion of Generic nursing competencies by 9-12 months Performance assessment (12 months) Manager / Nurse Unit Manager & Assessor Completion of Speciality Nursing competencies Successful Completion of GNP Program

8 Performance Assessments Performance Assessments provide you with an opportunity to reflect on your own performance as well as meet with your Nurse Unit Manager (NUM) and assessor (Preceptor or CNE/F) to discuss your performance and receive constructive feedback. A Performance Assessment occurs at four time points throughout the GNP: 10 weeks, 6 months, 9 months and 12 months. Your reflections and the comments from your NUM and assessor regarding performance are documented on the corresponding forms found in this appendix as evidence of your professional development throughout the GNP. Figure 2: Example of Performance Assessment form You are required to capture a self reflection with regards to your performance to date prior to the meeting. You must then sign and date your entry. Previously set learning objectives are reviewed during the Performance Assessment in terms of progress with outcomes. Your assessor (Preceptor or CNE/F) and NUM will tick to indicate this has occurred. Your assessor (Preceptor or CNE/F) and NUM are required to provide written feedback after discussion at the Performance Assessment meeting. Once the Performance Assessment meeting has occurred and all comments are documented you must sign and date to indicate that you agree with the comments provided. Once the Performance Assessment meeting has occurred and all comments are documented a member of the Transition Team (or nominated representative) must view this form and sign to indicate that they have read the content.

9 Academic Assessments Child Health Assessment Program assessments include: Written Assignment Exam Physical Examination Details of these assessment points will be provided in the Paper Outline. For successful completion of the programme, participants will be required to have their clinical practice assessed as constantly meeting the required performance standards set by you unit manager and hospital policies. This includes Preceptor Feedback, Self-Assessment and Performance Appraisal. Participants who successfully complete all clinical assessments will receive GNP completion certificate and those who complete academic assessments will receive 25 credit points towards post graduate certificate in nursing.

10 Program Requirements The table below outlines the key due dates for the GNP program requirements. You are responsible for ensuring that each of the requirements listed is achieved within the timeframe specified. If you encounter difficulties, please discuss this with your Nurse Unit Manager and Transition Team member in advance to ensure alternative arrangements can be made where appropriate. Program Requirement Group A Due by Friday Group B Due by Friday Formulate 10 Week Learning Objectives February 18 March 18 Completion of Supernumerary Time Checklist (for Graduate Nurses with up to 6 weeks supernumerary time) March 4 April 1 Mandatory Competencies (for Graduate Nurses with up to 6 weeks Supernumerary time) Completion of Supernumerary Time Checklist (for Graduate Nurses with up to 10 weeks Supernumerary time) Mandatory Competencies (for Graduate Nurses with up to 10 weeks Supernumerary time) March 4 April 1 April 1 April 29 April 1 April 29 Generic Nursing Competencies (identified as to be attained within 10 weeks) 10 week Performance Assessment with Assessor and Nurse Unit Manager Completed Supernumerary Time Checklist and 10 week Performance Assessment viewed by Transition Team member April 1 April 29 April 1 April 29 April 8 May 6 Agree on 6 Month Learning Objectives with Assessor April 8 May 6 6 month Performance Assessment with Assessor and Nurse Unit Manager 6 month Performance Assessment viewed by Transition Team member July 22 August 12 August 5 August 19 Agree on 9 Month Learning Objectives with Assessor August 5 August 19 9 month Performance Assessment with Assessor and Nurse Unit Manager 9 month Performance Assessment viewed by Transition Team member October 21 November 18 October 28 November 25 Agree on 12 month Learning Objectives with Assessor October 28 November 25 Generic Nursing Competencies (identified as to be attained within 12 months) 12 Month Performance Assessment with Assessor and Nurse Unit Manager 12 month Performance Assessment viewed by Transition Team member January February January February January February Completion of Graduate Nurse Program Checklist January February Specialty Nursing Competencies As advised by assessor / /20 As advised by assessor / /20

11 Support Process A matrix (Appendix 3.2) which outlines the support network available to all graduates has been developed to assist graduates in accessing appropriate support and resources. Graduate nurses are provided with external resources for support should they be required. The Employee Assistance Program is a free confidential counselling service that is available to all RCH employees. Graduate nurses at RCH are also provided with the contact details of the Graduate and Final Year Student Support Officer from the Australian Nursing Federation. Facilitated Debriefing Graduate nurses are also provided with ten opportunities to attend facilitated debriefing sessions throughout the Graduate Nurse Program (GNP). It is an expectation of the GNP that graduate nurses participate in a minimum of five sessions by sharing or actively listening. Should a graduate nurse experience difficulty in attending it will be their responsibility to contact their lead facilitator to negotiate participation in one of the other groups for the month The purpose of Facilitated Debriefing is to provide support in a safe environment that promotes reflective practice and critical thinking to improve nursing practise. Participants are provided with an opportunity to: Share experiences with others in similar situations Support and learn from others Be challenged to explore current issues in their practise Consider how learning might be translated into practise The Transition Stream works closely with the Nursing Development team (NDT) to facilitate and evaluate facilitated debriefing for Graduate Nurse Program (GNP) Facilitated debriefing sessions are scheduled monthly. Graduate nurses are allocated to one group. These groups meet on one of four days: Tuesday, Wednesday, Thursday or Friday. There are lead facilitators for each of the four groups. Please refer to the table below for a list of lead facilitators and group members. If there is a change in facilitator for any reason graduate nurses will be notified via a minimum of 24 hours prior to the scheduled session. Each group will establish ways of working together during the first scheduled session. Information shared in all sessions remains confidential. Any information shared outside of the group must be negotiated between the facilitator(s) and individual(s).

12 Debriefing Sessions 2011 Tuesday Group Lead facilitator: Claire Stewart Ext: Ashlea Austin, Felicity Jones, Nicole Ruys, Elise Baines, Diana Sarraj, Anthony Khoo, Dereley Collins, Cherise Allender, Sarah Catling, Madeline North, Catriona Ryan Wednesday Group Ext: Lead facilitator: Sally Hicks Bianca Ogier, Leah Clifton, Holly Creber, Lauren Cassidy, Rebecca Hibbert, David Phillips, Amy Van der Velden, Andrea Numa, Karen Walker, Julianna Staunton Thursday Group Lead facilitator: Danielle Mee Ext: Michelle Healey, Hailey May, Emma Blandy, Sally Lloyd, Alicia Thompson, Jamie Hatherley, Kaylee Dumble, Meridee Houtengraff, Sarah Gilbert, Jessica White, Emma Lew Friday Group Lead facilitator: Mercy Thomas Ext: Laura Collins, Claire Barber, Vanessa Williams, Melissa Anania, Lydia Farrell, Stephanie Centonze-Williams, Alyssa Pintimalli, Sara La Vella, Rebecca Mower Please refer to the table below for the schedule of time, locations 1 and dates. Time: Location: MRI Seminar Room 2 Tuesday Group (Group A) Claire Stewart Wednesday Group (Group B) Sally Hicks Thursday Group (Group A) Danielle Mee Friday Group (Group B) Mercy Thomas March 8 March 10 April 5 April 6 April 7 April 8 May 3 May 4 May 5 May 6 June 7 June 8 June 9 June 10 July 5 July 6 July 7 July 8 August 2 August 3 August 4 August 5 September 6 September 7 September 8 September 9 October 4 October 5 October 6 October 7 November 8 November 9 November 10 November 11 December 6 December 7 December 8 December 9 January 4 January 6 1 The sessions scheduled for December and January will occur in the New Hospital. Locations for theses sessions will be communicated to group members via . 2 The MRI Seminar Room is located in the Medical Imaging Department on Level 2. Walk past the X-ray reception desk and turn right. Continue walking towards MRI and the Seminar Room is the last room on the right before entering MRI.

13 Additional Appendices 3.1 GNP program SD timetable 3.2 Support process 3.3 Debrief & Nursing Development Sessions Attendance Learning Objectives Example Week Learning Objectives Week Performance Assessment Month Learning Objectives Month Performance Assessment Month Learning Objectives Month Performance Assessment Month Learning Objectives Month Performance Assessment 3.13 Learning Objectives (additional page) 3.14 Completion of Graduate Nurse Program Checklist 3.15 Completion of Graduate Nurse Program Checklist Example

14 Appendix 3.1 Graduate Nurse Program (GNP) Timetable 2011 Study Day Group A Date Group B RCH Nursing orientation day 24 th January 21 st February GNP Orientation day 25 th January 22 nd February Paediatric foundation SD 1 31 st January 28 th February Paediatric foundation SD 2 7 th February 7 th March Paediatric foundation SD 3 14 th February 17 th March Management Of Clinical Aggression Training (MOCA) SD 3 rd March 31 st March Child Health Assessment Program Day 1 8 th August 15th August Child Health Assessment Program Day 2 22 nd August 29th August Child Health Assessment Program Day 3 5 th September 12th September Child Health Assessment Program Day 4 19 th September 26th September Child Health Assessment Program Day 5 3 rd October 10th October Child Health Assessment Program Day 6 17 th October 24th October 10 weeks Clinical Assessment Due Dates 10 week Performance assessment 1st April 29th April Agree on 6 months learning objectives 8th April 6th may 6 months 6 months Performance assessment 22nd July 12th August Agree on 9 months learning objectives 5th August 19th August 9 months 9 months Performance assessment 21st October 18th November Agree on 12months learning objectives 28th October 25th November 12 months 12 months Performance assessment 13th January 10 th February Completion and submission of graduate nurse program documents to Transition team 20th January Academic Assessment Due Dates 17 th February Academic Assessment One TBA TBA Academic Assessment Two TBA TBA Exam TBA TBA N.B: The taught component of the program consists of 12x 8 hr days (96 hrs) over the course of the year

15 Appendix 3.2 Available Support for Graduate Nurses Graduate Nurse Preceptor Clinical Support Educational Support ANUM Clinical Nurse Facilitator/Educator Nurse Unit Manager Program Coordinator Divisional Director Transition Program Educators Other Sources of Support Facilitated Debriefing Colleagues Fellow Program Participants Employee Assistance Program Australian Nursing Federation Additional Resources Competency Framework Preceptorship Model Position Description (RN) RCH Policies and Procedures People and Culture Processes

16 Appendix 3.3 Debrief & Nursing Development Sessions Attendance 2011 Date Topics Discussed

17 Appendix 3.4 Learning Objectives Learning objectives are statements of desired, observable, teachable, learnable behaviours that are evidence of learning (Ferguson, 1998). Formulating learning objectives helps to provide focus in terms of what you need and want to learn throughout your GNP. You are required to generate learning objectives that are then agreed upon with your assessor (Preceptor or CNE/F). Learning objectives must initially be formulated by week four and must then be reviewed at each of your Performance Assessments, which are detailed on the following page. After each Performance Assessment you will have a week to agree on any additional learning objectives with your assessor (Preceptor or CNE/F). Please note there is a page for additional learning objectives to capture those that do not fit on one page. This can be photocopied and used as needed. Figure 1: Example of Learning Objectives form Document the date that you recorded the learning objective. State the behaviour you want or need to learn Refer to Tools for Writing Learning Objectives pages 5 and 6,Chapter 1, Nursing Competency Workbook Describe strategies outlining how you plan to achieve the objective. Provide evidence that describes how you achieved the objective. Document the date that you achieved the learning objective. Once you have formulated your learning objectives your assessor (Preceptor or CNE/F) must review the objectives and agree that they are specific, measurable, realistic and time based. Once agreed upon you must both sign and date here.

18 Appendix Week Learning Objectives Date written Learning Objective Action Outcome Date achieved Relating to a: o Key Performance Indicator, or How you plan to achieve the objective How you achieved the objective o Development Area Learning Objectives agreed upon by: Nurse Assessor (Preceptor or CNE/F) Name Signature Date../../. Name Signature Date../../.

19 Appendix Week Performance Assessment Individual s comments Signature: Date: Assessor s (Preceptor or CNE/F) comments 10 week learning objectives reviewed Signature: Date: Nurse Unit Manager s Comments 10 week learning objectives reviewed Signature: Date: The Registered Nurse agrees with comments provided as a result of the Performance Assessment: Signature.. Date../../ Viewed by Transition Team member (or nominated representative identified by Transition Team) Name. Signature Date../../.

20 Appendix Month Learning Objectives Date written Learning Objective Action Outcome Relating to a: o Key Performance Indicator, or How you plan to achieve the objective How you achieved the objective o Development Area Date achieved Learning Objectives agreed upon by: Nurse Assessor (Preceptor or CNE/F) Name Signature Date../../. Name Signature Date../../.

21 Appendix Month Performance Assessment Individual s comments Signature: Date: Assessor s (Preceptor or CNE/F) comments 6 month learning objectives reviewed Signature: Date: Nurse Unit Manager s Comments 6 month learning objectives reviewed Signature: Date: The Registered Nurse agrees with comments provided as a result of the Performance Assessment: Signature.. Date../../ Viewed by Transition Team member (or nominated representative identified by Transition Team) Name. Signature Date../../.

22 Appendix Month Learning Objectives Date written Learning Objective Action Outcome Relating to a: o Key Performance Indicator, or How you plan to achieve the objective How you achieved the objective o Development Area Date achieved Learning Objectives agreed upon by: Nurse Assessor (Preceptor or CNE/F) Name Signature Date../../. Name Signature Date../../.

23 Appendix Month Performance Assessment Individual s comments Signature: Date: Assessor s (Preceptor or CNE/F) comments 9 month learning objectives reviewed Signature: Date: Nurse Unit Manager s Comments 9 month learning objectives reviewed Signature: Date: The Registered Nurse agrees with comments provided as a result of the Performance Assessment: Signature.. Date../../ Viewed by Transition Team member (or nominated representative identified by Transition Team) Name. Signature Date../../.

24 Appendix Month Learning Objectives Date written Learning Objective Action Outcome Relating to a: o Key Performance Indicator, or How you plan to achieve the objective How you achieved the objective o Development Area Date achieved Learning Objectives agreed upon by: Nurse Assessor (Preceptor or CNE/F) Name Signature Date../../. Name Signature Date../../.

25 Appendix Month Performance Assessment Individual s comments Signature: Date: Assessor s (Preceptor or CNE/F) comments 12 month learning objectives reviewed Signature: Date: Nurse Unit Manager s Comments 12 month learning objectives reviewed Signature: Date: Note: Comments may be used to inform the PDAP to be completed at 12 months. The Registered Nurse agrees with comments provided as a result of the Performance Assessment: Signature.. Date../../ Viewed by Transition Team member (or nominated representative identified by Transition Team) Name. Signature Date../../.

26 Appendix 3.13 Learning Objectives (additional page) Date written Learning Objective Action Outcome Relating to a: o Key Performance Indicator, or How you plan to achieve the objective How you achieved the objective o Development Area Date achieved Learning Objectives agreed upon by: Nurse Assessor (Preceptor or CNE/F) Name Signature Date../../. Name Signature Date../../.

27 Appendix 3.14 Example of Completed Graduate Nurse Program Checklist This Completion of Graduate Nurse Program Checklist provides an outline of the program requirements you are expected to complete within the 12 month program. Each program requirement listed refers to the resource where evidence of completion must be recorded. Tick the allocated box to indicate that the program requirement has been completed. You, your assessor (Preceptor or CNE/F) and a Transition Team member (or nominated representative) must sign and date that the above program requirements have been completed within the program indicating that you have successfully completed the GNP. RCH Nursing Competency Workbook Appendix 3

28 Appendix 3.15 Completion of Graduate Nurse Program Checklist Upon completion of the Graduate Nurse Program the Registered Nurse will have completed the following: Attendance at all Graduate Nurse Program Study Days (Refer to evidence captured in Professional Practice Portfolio) Completed Participation in a minimum of five Facilitated Debriefing Sessions (Refer to evidence captured in Professional Practice Portfolio) Completed Mandatory Annual Competencies (Refer to pages 9 & 10, Chapter 2) Generic Nursing Competencies: 10 weeks & 12 months (Refer to Chapter 2) Specialty Nursing Competencies (as determined by the unit) (Refer to Chapter 3) Completion of Supernumerary Time Checklist (Refer to page 7, Chapter 1) Formulation and agreed upon learning objectives: 10 weeks, 6 months, 9 months, and 12 months Performance Assessment: 10 weeks, 6 months, 9 months and 12 months Completed Completed Completed Completed Completed Completed Forms viewed by Transition Team member: Completion of Supernumerary Time Checklist Completed (Refer to page 7, Chapter 2) Performance Assessments 10 weeks, 6 months, 9 months and 12 months Completed The Registered Nurse must have completed the above listed Program Requirements to successfully complete the Royal Children s Hospital Graduate Nurse Program. Nurse Name Signature Date../../. Assessor (Preceptor or CNE/F) Name Signature.Date../../. Transition Team member (or nominated representative as identified by the Transition Team) Name Signature.Date../../. RCH Nursing Competency Workbook Appendix 3

29 References Ferguson, L. M. (1998). Writing Learning Objectives. Journal of Nursing Staff Development, 14(2), RCH Nursing Competency Workbook Appendix 3