JOB TITLE: Clinical Nurse Specialist, Paediatric Diabetes

Transcription

1 JOB TITLE: Clinical Nurse Specialist, Paediatric Diabetes 1. PURPOSE OF POSITION The Nurse Specialist as part of a multidisciplinary team is responsible for providing specialist education and coordination of family-centred care to children and young people aged 0-16 years with Type 1 and/or Type 2 Diabetes Mellitus. The role incorporates an inpatient based education portfolio, ambulatory case coordination and education of key groups within the outpatient and community setting, and the opportunity to become involved in clinical research projects within paediatric diabetes. It also incorporates an organisational aspect for the Paediatric Diabetes service, managing patient databases, and co-ordinating group educational activities. 2. ORGANISATIONAL VALUES The Taranaki District Health Board (TDHB) is committed to the strategic actions and behaviours of Work Together : Treating people with trust, respect and compassion Communicating openly, honestly and acting with integrity Enabling professional and organisational standards to be met Support achievement and acknowledging successes Creating healthy and safe environments Welcoming new ideas 3. DIMENSIONS Reports to: Nurse Manager Public health/community Services Number of people reporting to you - Financial limits authority - Operating Budget - 4. WORKING RELATIONSHIPS External Ministry of Health Health Share Other DHBs Primary health care providers NZ Nursing Council Professional bodies & associations Health and social support agencies Consumer advocates & agencies. Internal Paediatricians Nursing & midwifery workforce Other senior nurses Nursing & Midwifery Leadership Professional Development Advisor Centre for Evidenced-based Nursing Aotearoa (CEBNA) Clinical Leader(s) & Directors Senior management Allied Health professionals Page 1 of 7

2 Kai Awhina/ cultural staff 5. ACCOUNTABILITIES Key area of responsibility 1. Clinical and Professional Leadership Expected outcomes Contributes to evidence based nursing practice across the TDHB. Fosters the provision of positive patient/client outcomes and person-centred care. Contributes to the development of integrated service delivery across the continuum of care. Promotes effective teamwork and collaborative relationships within the multi-disciplinary team and across health services. Fosters the implementation of organisational and nursing goals and values. Promotes TDHB as a centre of excellence for nursing and midwifery practice. Actively enhances TDHB s nursing and midwifery practice and performance by participating in appropriate local, regional, national, and international forums. Applies critical reasoning and professional judgement to nursing practice issues/ decisions. Identifies situations of clinical risk and take appropriate actions to ensure a safe environment for patients/clients, families/whanau and staff. Contributes to nursing strategies to facilitate the recruitment, retention and succession planning for nurses and/or midwives. Role models culturally safe nursing and midwifery practice. Undertakes or leads specific service or organisational portfolio responsibilities as required. 2. Patient Care Management/Care Coordination Uses advanced nursing knowledge and skills to assess, plan, implement and evaluate patients/ clients/ family / whanau health needs. Provides direct nursing care for patient/clients in specialty focus to achieve best health outcomes. Collaborates and communicates with multidisciplinary team to co-ordinate and negotiate care working across health care settings to achieve best health outcomes. Clinical liaison with adult diabetes service. Facilitates effective discharge planning and/or referral processes to health care providers and support agencies to meet identified health needs. Monitors clinical outcomes/indicators and manages Last Updated: June 2014 Page 2 of 7

3 3. Education and Clinical Teaching 4. Evidence based Practice 5. Continuous Quality Improvement variance to clinical pathway, protocols or best practice guidelines. Educates and provides information to patients/clients/family/whanau to improve knowledge of disease/illness, self management, prevention of complications and promotion of recovery. Accurately documents assessments of patients/clients health status, diagnosis and decisions made regarding interventions and referrals or follow-up. Manages patient database, linking with national databases, and ensuring timely referral to services such as ophthalmology for screening of co-mordbidities. Models expert skills within the clinical practice area. Demonstrates skilled mentoring/coaching, teaching and supervision of nursing staff and other health professionals. Participates in case review and debriefing activities as required. Acts as a nursing resource providing expert advice and education to nursing staff and other health care professionals within scope of speciality practice. Identifies and supports staff education and professional development based on knowledge of service needs and TDHB strategic direction. Organises group-based education sessions with patients and community, such as school visits, Adolescent stepup day and Teacher education nights to assist with knowledge and understanding of diabetes within the community, and for patients enhanced well-being. A commitment to education surrounding paediatric diabetes within the community is key to success of this role. Fosters inquiry, critical thinking and research skill acquisition among the nursing workforce to advance nursing practice and patient/client care. Works to ensure the recommended best practice guidelines/policies are research based and relevant across TDHB. Participates in research in conjunction with Centre of Evidenced Based Nursing Aotearoa (CEBNA) as able. Contributes to and participates in TDHB and national policy development. Demonstrates commitment to quality improvements, risk management and resource utilisation. Reviews and develops clinical standards / protocols and policies and facilitates clinical audits processes. Evaluates the effectiveness, efficiency and safety of clinical practice. Participates in the development of strategic and operational plans. Last Updated: June 2014 Page 3 of 7

4 Works with the Director of CEBNA and Nursing & Midwifery Leadership to help define and implement strategies to support continuous quality improvement, maximising the involvement of nursing and midwifery staff. Assists in the implementation of nursing and midwifery practice and models of care appropriate to patient/client population needs. Identifies barriers and solutions to access for patient/client, family or whanau. Assists in the implementation and management of initiatives to address differential access to healthcare services for Maori. Contributes to projects that enhance the clinical implementation of evidence-based practice. Acts to identify and minimise organisational risk. 6. Professional Development and Clinical Competency Leads professional conduct by example. Practices in accordance with legal, ethical, culturally safe and professional standards. Maintains and develops own clinical expertise and knowledge in specialty nursing practice. Participates in professional supervision as required. Pro-actively participates in own performance development and review. Attends educational opportunities/conferences relevant to Nurse Specialist role and scope of practice. Organisational Accountabilities Expected Outcome for all employees Treaty of Waitangi The Taranaki District Health Board embraces the three principles of the Treaty of Waitangi. In practical terms this means: Partnership; working together with iwi, hapu, whanau and Maori communities to develop strategies for improving the health status of Maori Participation; involving Maori at all levels of the sector in planning, development and delivery of health and disability services that are put in place to improve the health status of Maori Protection; ensuring Maori wellbeing is protected and improved as well as safeguarding Maori cultural concepts values and practices Health and Safety Maintains a safe and healthy environment Complies with health & safety policies and procedures Carries out work in a way that does not adversely affect their health and safety or that of other workers Complies with procedures and correctly use personal protective equipment and safety devices provided Contributes to hazard identification and management process Last Updated: June 2014 Page 4 of 7

5 Organisational Accountabilities Expected Outcome for all employees Reports accurately near misses/incidents/accidents in a timely manner Participates in health and safety matters Personal Development Fully contributes to the individuals team performance and is committed to identify and pursue opportunities for developing new knowledge and skills. Participates in the performance appraisal process where personal performance and development is reviewed. Willing to accept new responsibilities, acquire and demonstrate relevant new knowledge. 6. VARIATION TO DUTIES Duties and responsibilities described above should not be construed as a complete and exhaustive list as it is not the intention to limit in any way the scope or functions of the position. Duties and responsibilities can be amended from time to time either by additional, deletion or straight amendment to meet any changing conditions, however this will only be done in consultation with the employee. Last Updated: June 2014 Page 5 of 7

6 7. CAPABILITY REQUIREMENTS Capabilities are the behaviours demonstrated by a person performing the job. Capabilities identify what makes a person most effective in a role. Those listed below are expected for the Paediatric diabetes team roles in the organisation. The required capabilities can change as the organisation develops and the roles change. Capability Effective Communication Shares well thought out, concise and timely information with others using appropriate mediums. Ensures information gets to the appropriate people within the organisation to facilitate effective decision making Decision Making/Problem Solving Demonstrates effective and timely decision making/problem solving techniques. Aware of the impact of decisions on key stakeholders and consults as appropriate utilizing available resources. Is proactive and effective when problem solving is required. Innovation/Initiative Continually strives for new and improved work processes that will result in greater effectiveness and efficiencies. Questions traditional ways of doing things when choosing a course of action or finds new combinations of old elements to form an innovatve solution. Resilience/Flexibility Articulates differing perspectives on a problem and will see the merit of alternative points of view. Will change or modify own opinons and will switch to other strategies when necessary. Adjusts behaviour to the demands of the work environment in order to remain productive through periods of transition, ambiguity, uncertainty and stress. Cultural Safety Demonstrates a commitment to cultural safety by meeting and exceeding the cultural needs of clients/customers/colleagues. Manages cultural ambiguity and conflicting priorities well.. Understands concepts of whanaungatanga and manaakitanga and Maori cultural orientation to whanau, hapu and iwi. Teamwork Works to build team spirit, facilitates resolution of conflict within the team, promotes/protects team reputation, shows commitment to contributing to the teams success Last Updated: June 2014 Page 6 of 7

7 8. EDUCATION New Zealand nursing registration with current APC. Postgraduate certificate /diploma in specialty nursing practice. Working towards completion of Masters degree. 9. SKILLS Leadership and patient/client management skills. Research skills including data analysis and critical appraisal skills and clinical audit. Strategic planning and policy development skills. Competent with Microsoft Office Suite, including Exel. 10. EXPERIENCE Project management experience. Knowledge of quality improvement processes and principles. Ability to facilitate and manage change at a local level. Knowledge and understanding of the Treaty of Waitangi and implications in nursing practice. Specialty knowledge and practice expertise. Minimum Level 4 practice. Knowledge of nursing professional development issues. Understanding of government health policy. Experience in multi-disciplinary clinical teaching. Last Updated: June 2014 Page 7 of 7