Oxford University Hospitals NHS Trust First Year Registered Nurse Foundation Programme
Welcome Meet the team The trust corporate education team would like to take this opportunity to welcome you on your Trust First Year Registered Nurse Foundation Programme. This brochure identifies the key elements of the Foundation programme and introduces you to the team of people who will be guiding your first year with us. About our hospital The Oxford University Hospitals NHS Trust (OUH) is one of the largest acute teaching Trusts in the UK and has a national and international reputation for the excellence of our services and our role in teaching and research. The Trust is made up of four hospitals- the John Radcliffe, Churchill, Horton General and the Nuffield Orthopaedic Centre. Our education training programmes will enable you to develop in these dynamic clinical settings. Introduction In large, complex organisations like ours, managing your learning can seem a daunting task. Our response to the Registered Nurse education and training challenges nationally was to create a dedicated corporate education training team who bring a wealth of experiences to support staff with different learning needs. Our corporate education team work with clinical staff in your areas, such as Practice Development Nurses, to support our new starters within a positive learning environment. We have considered the components required for creating an encouraging, professional, and skills based learning environment such as: regular clinical supervision, external Buddies, a wide range of e-learning resources, portfolio support and structured skills based training. Our programme will provide structured clinical supervision using one to one Professional Development Nurse (PDN) support, corporate Buddying and action learning sets to help you develop issues from your practice areas using peer and facilitator support. This foundation programme is the start of your journey with us and will link to a clear career pathway to develop your future skills within our trust over the coming years. At the end of your programme you will have time with the education team developing your future education plans that may include access to graduate, post-graduate and masters modular programmes. This publication describes the robust support you will be offered by Oxford University Hospitals NHS Trust on this First Year Foundation Programme. We hope you use the learning opportunities and you enjoy working in our Trust! Catherine Stoddart Director of Nursing Appointed in April 2014, Catherine has vast nursing experience, including Chief Nurse of Western Australia, and held executive management and clinical nursing roles across tertiary, general and rural Australia. Lily O Connor Divisional Head of nursing and Governance for Medicine Rehabilitation and Cardiac Background in general nursing, midwifery, risk management, governance, infection control and translational research. Sarah Stephenson Lead Nurse Practice Development and Education Sarah s role is to provide support and guidance to both you and your managers as you progress through your career in the OUH Trust. Kathryn Sherrington Quality Improvement Nurse Educator Works as a clinical skills facilitator, and leads quality improvement projects. Liz Wright Deputy Chief Nurse Has worked in the Trust since 2012. Previously wide senior nurse experience across London in a variety of complex acute Trusts, and specialist organisations as well as the Strategic Health Authority Rachel Wright Foundation Programme Lead Works in the Corporate Education team with a focus on preceptorship and clinical skills. Naomi Clements-Cole Practice Education Facilitator Works for the corporate education team as a practice education facilitator for pre-registration clinical placements. Carol Forde-Johnston Works as a Lecturer Practitioner linked to the Higher Education Institute Oxford Brookes University running both Adult Nurse Degree modules and Masters Modules. 2 Full contact details for all staff members above can be found using the people search function on the OUH Intranet site. 3
The Foundation Programme The First Year Registered Nurse Foundation Programme will run over your first year. You will receive a timetable from the cohort lead prior to starting the programme and will meet with the new starter Registered Nurses in your cohort. Use the opportunities available to you on the programme to network with other practioners from different areas, share ideas and offer peer support to each other. On the first day of the programme, you will meet the corporate team along with the Professional Development Nurse from your area of work. You will learn how to access the OUH e-learning resources to take forward your skills based training within our Trust. Clinical skills training will form part of this programme, alongside a number of core days. Structured Clinical Supervision Support with Personal Development Plans The four key elements of support given to our registered nurse new starters. We provide a picture of the support that will be offered to you in your first year with us whilst also being aware of the many questions you may have at the start of your career. Time is allocated on the first day to spend time with key educators and to talk to your peers to address any questions that you may have. The proceeding study days on the Foundation Programme focus on providing clinical supervision that will involve group action learning sets, one to one with your PDN, discussion with a corporate educator and self-directed portfolio work. At the end of the year you will meet a member of the education team to plan your future education goals and career progression. An evaluation of the programme will take place that incorporates your experiences. Your feedback is very important to us and this is a dynamic programme that will need to change according to the needs of our new starter Registered Nurses. Portfolio Guidance One to one PDN/clinical educator support Portfolio Professional portfolios are a fundamental resource for nurses to record their developing skills as they progress their career. The key to assembling a strong portfolio is recognising what constitutes meaningful evidence of achievement. You will be guided as to how to structure your portfolio to best exemplify professional and personal development. Portfolios need to be individualised to the nurse, reflecting the nurse s approach to patients, their emergent skills in meeting patient needs and how they work alongside other professionals. Many Registered Nurses are using on line e-portfolios to evolve their developmental plans as recommended by the Royal College of Nursing or NHS Scotland. The foundation team will guide you as to what may best suit your individual learning needs, be it an RCN e-portfolio or hard copy paper portfolio. Your local PDN s will present you with local Band 5 clinical based competencies as the standard to achieve in your first year, alongside transferable competencies within the foundation programme. If you are a Royal College of Nursing member you will have free access to their e-portfolio and NHS Scotland has kindly offered our OUH staff downloadable word formats to create your own e-portfolios (See References). Preceptorship The Nursing and Midwifery Council (NMC 2008) recommend that all new registrants have a period of 12 month preceptorship when they start employment. The preceptorship time should focus on providing support for new starters to enable them to make the transition from a student to a practitioner who is professionally accountable for their actions in practice. A preceptor is a member of staff who provides the defined support to a newly qualified practitioner who is called the preceptee (NMC 2008). Essential to the Foundation Programme learning outcomes is recording your progress through regular meetings with your preceptor and PDN s and the formulation of Personal Development Plans that are reviewed at 3, 6, 9 and 12 months. All of the Personal Development Plans, reflections and clinical supervision meetings you have over the next year should be documented and will make up your portfolio. 4 5
Clinical Supervision Clinical supervision provides a safe environment for clinicians to actively engage with each other to reflect on their clinical practice and improve standards of care. It allows them to think proactively and find solutions to problems. Within our Registered Nurse Foundation Programme you will be given structured time to have clinical supervision using different formats. You have the opportunity to have one to one supervision with your PDN, one to one with a corporate team Buddy, peer support from group reflection and reflection on problem based issues within action learning sets facilitated by an experienced educator. The OUH has invested time and resources to ensure clinical supervision is implemented for all our new Registered Nurse starters on this Foundation Programme. The outcomes from all clinical supervision meetings and reflections will inform your Personal Development Plans and be used as documentation within your portfolios. Clinical Supervision provides an opportunity for staff to: Professional Supervision provides staff with the opportunity to: E-Learning and Additional Training The Oxford University Hospital NHS trust uses an e-learning and Management System (e-lms) to ensure that all staff have access to key Statutory and Mandatory training on line. You will be given access to these on line resources and guidance as to how to navigate this system, on your Trust induction. You should ensure that you find out what additional local based training you require and work with your PDN s using your PDP s to plan your training. To book any additional skills based training you must navigate the e-lms to book yourself on key study days and programmes as required. You should book on additional training days when you checked with the Sisters and PDN s in your area first. You can book time out from the ward rotas to attend additional training and this needs to be negotiated formally. There is also a Learning and Development management team that can assist you if you need one to one assistance or specific e-lms advice. Reflect on and review their practice Discuss individual cases in depth Change or modify their practice and identify training and continuing development needs (CQC 2013) Review professional standards Keep up to date with developments in their profession Identify training and continuing development needs Ensure they are working within professional codes of conduct and boundaries (CQC 2013) Contact Us Email foundationyearcoordinator@ouh.nhs.uk Clinical Supervision and Professional Supervision is an integral part of our foundation programme. 6 7
Delivering Compassionate Excellence References 1. Care Quality Commission (2013) Supporting Information & Guidance: supporting effective clinical supervision. London: CQC. 2. Nursing and Midwifery Council (2008) Standards to support learning and assessment in practice. Standards for mentors, practice teachers and teachers. London: NMC. Available at http://www.nmc-uk.org/aarticle.aspx?atricleid=1658 3. Nursing and Midwifery Council (2008) PREP Handbook. London: NMC. Available at http://www.nmc-uk.org/aarticle.aspx?atricleid=1658 www.ouh.nhs.uk