FACULTY OF HEALTH LIFE AND SOCIAL SCIENCES SCHOOL OF NURSING, MIDWIFERY AND SOCIAL CARE 2011 PRE-REGISTRATION NURSING PROGRAMME: ADULT FIELD COMPETENCEY BOOKLET (CB) YEAR 3 Adult Nursing Practice 5 Community ADN09126 or ADN09131 (please circle) Date Commenced: Adult Nursing Practice 6 Consolidation of Practice ADN09130 Date Commenced: Matriculation Number Student s Name Intake Year Leader/Personal Development Tutor (Please Print) First published by Edinburgh Napier University, Scotland 2011 (March). No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means electronic, magnetic tape, mechanical, photocopying, recording or otherwise - without permission in writing from: Edinburgh Napier University. 1
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CONTENTS Page Section 1: Introduction to the Competency Booklet 5 Section 2: Practice Information and Guidance 15 Section 3: Module Leader Information 21 Sample signatures of Mentoring Personnel - Community 23 Sample signatures of Mentoring Personnel Consolidation of Practice 24 Section 4: Placement Outcomes and Competencies for Adult Nursing 5 25 Placement Outcomes and Competencies for Adult Nursing 6 Year 3 Competencies and Essential Skills Clusters 26 Year 3 Moving and handling competencies 77 Service User and Carer feedback forms 80 Section 5: Alternative Fields of Practice learning outcomes 83 Section 6: Record of Hours Worked Cards 91 Section 7: Appendices 101 Appendix 1: Supporting Student Progression / Assessment of Performance 102 Appendix 2: University Policies 104 Appendix 3: Practice Learning Experiences 105 Appendix 4: Cause for Concern 106 Section 8: Glossary of Terms and Abbreviations 109 Submission Checklist for Students 111 3
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Section 1 Introduction to Competency Booklet 5
Introduction The Competency Booklet (CB) has been devised to enable the assessment of student competence in clinical practice. The ethos of this approach is to enable students to deliver safe, high quality care in rapidly changing environments. In order to achieve this, students will develop the capacity to share their learning by providing evidence of increasing leadership, flexibility, autonomy and competence. During practice placements the student should identify opportunities for inter professional learning and gain feedback from the service user perspective. Best opportunities for inter professional learning arise from working together and in planning and evaluating the delivery of quality health and social care. The Competence Booklet must be used in conjunction with the Ongoing Achievement Record (OAR). The OAR is used in all placements and it provides an ongoing record of the student s clinical progress. The Competence Booklet records the achievement of the Domains and Competence statements from the Nursing Midwifery Council (NMC) (2010) Standards for Pre Registration Nursing Education. Alongside the Competence statements there are activity sheets which will contribute to the evidence of achievement. Hours worked in clinical practice are recorded within the CB and in NP6 only the personal learning portfolios will be recorded within the CB. The OAR should be used to record the following: The student and mentor will use the Ongoing Achievement Record to access and record: 1 Practice Experience details/ profile 8 SOM guidance and statement (NPE 6 only) 2 Pre-placement Learning Activities 9 HAI Collation document 3 Induction Documentation 10 Alternative Fields of Practice LOs Collation Table 4 Interim review of progress documentation 11 Authentic World (Safe medicate) Collation Table 5 Final interview and summative assessment of performance 12 Programme information and planner 6 Reflective Account 13 Action Plan(s) 7 Learning Development Plan 14 Additional Assessment Documentation 6
Competency Booklet: Student Guidance Edinburgh Napier University School of Nursing Midwifery and Social Care Pre and start of placement Mid placement End of placement undertake preparatory work complete pre-placement learning activities check the Competency Booklet, ensuring familiarity with the content ensure Induction Outcomes completed in OAR within 48 hours First week of practice = core shifts Work one weekend in every 3 Ensure interim progress review is completed in OAR CONSOLIDATION* Ensure midway meeting in your consolidation experience is completed by your Sign off Mentor (SOM) in Section 4 of the OAR Ensure final interview and summative assessment is completed in OAR CONSOLIDATION* Ensure final meeting with your SOM and Final Statement of Competence is completed and signed in Section 4 of the OAR Submit placement documentation Ongoing Check Study Day dates and attend University Report any absence as per Absence Reporting Policy Work no more than 48 hours per week Undertake one full rotation of night duty (if available) For more details please refer to Section 7: Appendix 1 and 2 7
How to use the Competency Booklet (CB): Information for Mentors and Students The Nursing and Midwifery Council 1 (NMC) (2010) Standards for Pre-Registration Nursing Education determine the competencies to be achieved during the practice learning experiences. These standards determine what students must do and achieve during their Programme. The competencies are divided into four domains: Domain 1: PROFESSIONAL VALUES Domain 2: COMMUNICATION AND INTERPERSONAL SKILLS Domain 3: NURSING PRACTICE AND DECISION MAKING Domain 4: LEADERSHIP, MANAGEMENT AND TEAM WORKING Each domain has a generic standard for competence and a field specific standard for competence. Each domain is then further defined by a number of competencies (averaging between 7 and 10 per domain) each of which specifies certain knowledge, skills and values that, when achieved, will demonstrate Competence in that domain. Competence is defined by the NMC (2010 page 11) as the combination of knowledge and attitudes, values and technical capabilities that underpin safe and effective nursing practice and interventions. The following pages are separated into the four domains; the first page states the domain generic and field standard for competence as stated by the NMC (2010). Subsequent pages contain the competencies to be achieved within each domain. To enable the mentor to assess achievement of each competence, there are a number of learning outcomes listed (i.e. a, b, c, etc) below the competence statement against which the mentor will be able to determine by direct and indirect observation of the student, and discussion of aspects of practice, if these outcomes have been achieved. These learning outcomes should always be read in conjunction with the competence written above. One signature per competence statement per placement is required indicating if it has been achieved or not achieved. As part of the final assessment, the mentor should ensure that by the end of the placement those competency statements are signed as being achieved or not achieved. Assessment of competence should be a holistic and ongoing process. 8
Essential Skills Clusters (2010) The learning outcomes following each competence have been mapped to the Essential Skills Clusters (2010). The number that follows the learning outcome indicates the Essential Skills Cluster that is assessed within the learning outcome. This enables the mentor to determine if the Essential Skills Cluster (2010) statements, relevant to the developmental stage of the student (for example Progression Point One, Two, or entry to the Register) are being achieved. The Essential Skills Clusters to be achieved by each Progression Point are available from the Mentor Centre website and have been organised into Progression Points for ease of access: (http://staff.napier.ac.uk/faculties/fhlss/mentorcentre/pages/mentorcentre.aspx) Activity Sheets At the end of each domain you will find Activity Sheets. It is indicated at the top of each activity sheet where these activities should be assessed (for example community experience or ward based experience) as some have a specific focus that can be best achieved within a certain clinical area. These activities allow the student, with increasing independence as they progress through their Programme, to demonstrate competence in a range of Essential Skills Cluster (2010) statements and domain competencies. The aim of these activities is to contextualise the competencies and domains into the challenges and interactions inherent within the role of a nurse. The activities are mapped to the domain that they follow in the Competence Booklet; however as these activities are directly observable nursing actions they will enable the mentor to assess a broad range of competencies within all four domains. For example, if an activity relates to the admission of a patient, competencies within Domain One can be assessed (e.g. did they treat the patient in a holistic and non judgemental manner domain one, competence 3), Domain Two (e.g. did they accurately record their findings domain two, competence 7) etc. Following the activity the mentor should discuss and explore with the student their rationale for their actions and the evidence-base guiding their actions. Within the activity sheets there are activities that will allow the mentor or student to ask a service user for feedback on the interaction. These Service User Feedback Forms follow the activities in Domain four and they contain advice and guidance regarding their use. Two service user feedback forms need to be completed by the end of each year of the Programme (i.e. 2 by the end of placements in year 1, a further 2 by the end of year 2 and a final 2 by the end of year 3). 9
Within the activity sheets there are activities that relate to inter professional experience/learning (IPE/L). There are two IPE/L activities within each Competence Booklet and these must be achieved by the end of the practice placements in the Competence Booklet. As the student progresses through the Programme these activities become more self-directed on the part of the student. Progression Points There are two Progression Points within the NMC (2010) Standards for Pre Registration Nursing Education, one at the end of year one and one at the end of year two. Progression in acquiring the competencies is mapped through the use of minimum progression criteria based on safety and values. The safety criteria comprise safeguarding and protection of all people of all ages, their carer s and their families and the values criteria comprise professional values, expected attitudes and the behaviours that must be shown towards people, their carer s, their families and others. At the point of entering Year 3 the student will have achieved all the necessary progression point criteria for their Year 1 and 2 clinical practice experience. Year Three - The Essential Skills Clusters (2010) have been incorporated into the learning outcomes within each domain and are indicated at the end of the outcome by the number to which it relates. The activities following each domain also incorporate the safety and values criteria necessary to assess. Achievement of the numeracy activities and ongoing observation of the student nurse performing calculations in the context of nursing practice demonstrate that the ESC s for numeracy in year 3 have been achieved. Completion of numeracy activities promotes knowledge of the ordering, storage and safe administration of medication and legal/ethical aspects of medicines management, allowing students to demonstrate the requirements for entry to the register have been met at the end of year three. Please refer to the OAR for more information. Students should also provide evidence of achievement of practice modules 5 and 6 from SafeMedicate (Authentic World an e learning package the students have to complete). A* next to an ESC number identifies a base line numerical skill. 10
Healthcare Associated Infection Cleanliness Champions Year One - Units 1 to 6 (inclusive) must be completed by the end of year one practice placements and once completed the mentor should sign off achievement within the OAR. Year Two Units 7 and 8 must be completed by the end of year two practice placements and once completed the mentor should sign off achievement within the OAR. Year Three Units 9 and 10 must be completed by the end of year three practice placements and once completed the mentor should sign off achievement within the OAR. Alternative Fields of Practice The NMC (2010) Standards for Pre Registration Nursing are aligned, where appropriate, with European Union (EU) Directive 2005/36/EC Recognition of professional qualifications and through achieving the requirements in Article 31 and annex V.2 allow registrants with NMC to have their professional qualification recognised throughout the European Union. Those registering in the adult field must meet EU requirements for training in general care and this includes theoretical and practical experience with service users across a range of client groups. For this reason, within each Competence Booklet, there are outcomes to assess knowledge, professional values and care delivery to a range of service users. These additional outcomes are classified into five categories: People with mental health needs; People with a learning disability; Needs of children and young people; Meeting the needs of maternal health, Meeting the needs of people with a long term condition, for example where cognitive impairment is a symptom. These outcomes should all be achieved by the end of the Programme and, the University will record the achievement of each outcome within the OAR. Therefore the mentor should review what has been achieved previously and seek, where appropriate, to encourage achievement of the remaining outcomes. Certain outcomes will be more achievable in certain practice areas therefore the following is recommended: Year Three Community learning disability, the needs of children and young people, maternal health Year Three Consolidation long term conditions, mental health and learning disabilities. Alongside these alternative fields of practice learning outcomes there are activity sheets within the Year One and Three Competence Booklets that enable adult student nurses to experience aspects of maternity care. To sign off these outcomes as achieved the mentor does not have to be a registrant within that alternative field of practice. 11
Year Three Competencies for Manual Handling Students are required to demonstrate their competence in practice in order to complete their practice modules. The students competency booklet follows the Nursing and Midwifery Council s Standards for Pre-Registration Nursing Education and is divided into four domains. Each domain has generic and field specific standards for competence. The competency booklet lists a number of specific competencies that will demonstrate the necessary skills, knowledge and values to demonstrate achievement in the specified domain. Manual handling spans the four domains, which are: Domain 1: Professional Values Domain 2: Communication and Interpersonal Skills Domain 3: Nursing Practice and Decision making Domain 4: Leadership, Management and Team Working. The learning outcomes for each competence are linked to the NMC s five essential skills clusters, of which the first two are relevant to manual handling. These are: Care, compassion and communication Organisational aspects of care Activity sheets are contained within the competency booklet. These activities contextualise the competencies to be achieved and assist the mentor to sign the student off as having attained the required standard within that activity. 12
Reporting a concern: Students are advised of their responsibility to report a cause for concern and are advised to follow the instructions and flow diagram in Section 6 (appendix 4). Students must respect the rights of a service user to decline care at all times. Throughout the Placement Please complete the induction documentation at the start of the placement and record the interim review of progress within the OAR. End of Placement Requirements At the end of each placement the mentor and the student need to ensure that all the relevant competencies and activities have been completed and signed. The final assessment comments relating to each Domain should be recorded within the OAR. Final Placement Requirements Sign Off Mentor In order to ensure public protection, the Nursing and Midwifery Council (NMC) needs to be assured that students have been assessed and signed off as being capable of delivering safe and effective practice at the end of their programme. Following the publication of the NMC standards to support learning and assessment in practice (2006, 2008), a Sign-Off Mentor, who has met additional criteria, must make the final assessment of practice and confirm to the NMC that the required proficiencies for entry the register have been achieved. The final summative assessment of competence draws on evidence of assessment over a sustained period of time. Information made available to the SOM in the OAR allows Sign-Off-Mentors to view the content of all previous mentors assessments. This process allows the SOM to make a judgement on the student s suitability for entry to the register based on their progress over the entire period of their programme. Further information for Sign- Off-Mentors is and the associated documentation can be found in Section 4 of the OAR. 13
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Section 2 Practice Information and Guidance 15
Practice Information/guidance Preparatory Work & Working Hours during Placement It is the student s responsibility to have undertaken the preparatory work required to facilitate the integration of the learning outcomes and competencies into practice. To maximise the student s learning experience, 2.5 hours per 40 hour working week are expected to be fulfilled as personal study time. This means that a total of 40 hours will be recorded by the University for all weeks completed on placement. Students however only attend 37.5 hours on placement, with the remaining 2.5 hours available for any theoretical work associated with the placement e.g. HAI Package or study relating to Alternative Fields of Practice. Students should only however record 37.5 hours (including Study Days) on the Record of Hours Card. The University will adjust the total post-submission. Shift pattern In the first week of practice, students are expected to work core shifts (37.5 hours per week - excluding meal breaks - over 5 days, working a 7.5 hour day). Students may thereafter work long days if this will benefit their learning experience and if (in the opinion of the Mentor / Clinical Manager) it is appropriate for the placement. Both the placement staff and the student MUST agree to this. If this is not suitable to either the student or the placement staff, the student will remain on core shifts. It is expected that every student work one week-end in every three (where week-end work is part of the placement nursing experience). Please note that a third year student is expected to undertake one full rotation of night duty and work one weekend in three (where available). Study Days In all placements, study days for reflection and addressing placement-related topics are integral to the learning process. These are programmed on specific days, as indicated on the student allocations, and are held in a University campus. Each accounts for 7.5 hours and should be recorded as UNI in your hours card. They are signed for on your Record of Hours Worked section of the card by the lecturer taking the reflection component of the study day, or established from the class attendance sheet for other types of class session. If Personal Study (not requiring attendance at University) is directed for a Study Day, University Administrative staff will take this into account when collating total hours. Only 7.5 hours per calendar week can normally be credited for Study Time, in order that the NMC s minimum total for practice is achievable during your Programme. 16
Annual Leave Students MUST NOT attempt to re-negotiate any period of annual leave that occurs during a placement. Changes to holiday periods can only be authorised through formal university channels and evidence to support any change will then be provided in writing. Failure to comply with this university policy will result in a Fail grade for the placement (see Programme Handbook for guidance). Sickness/Absence from placement Any absence from placement should be notified immediately to your clinical area as per University Absence Policy (see the on-line University mentorcentre for guidance). If telephoning to advise placement staff of intended absence, it may be a useful precaution to take a note of the person s name who received your call. You should advise placement staff of your intended date of return from sickness when known, or if your absence is expected to be prolonged. In the last case, your Year Group Leader should also be notified. You should indicate whole days of sickness absence on your hours card. A GP certificate is required for absences of more than a week. If the absence from placement is due to a Notifiable infection (for example Norovirus, Swine flu) you are required to be absent for a recommended period of time following resolution of the symptoms (for example 48 hours) before returning to placement. Please seek guidance from your placement area regarding local infection control policies and procedures. Lost hours can be retrieved later in your same placement by negotiation with your mentor, but you must not exceed 48 hours of work per calendar week (as stipulated by the European Working time Directive 93/104/EC); this restriction on maximum hours of work includes any alternative employment you may have out with your University Programme. Requests to make up hours beyond the end of your placement or to alter holiday dates must be made through your Group Leader/PDT/Cohort Leader. Further Information If further information/clarification is required on practical issues pertaining to the use of this document please email mentorship@napier.ac.uk if your query is student-centred, please contact the Practice Placement Link Lecturer or Practice Education Facilitator, or alternatively please email the module leader or deputy identified in this booklet. 17
STUDENT INFORMATION - GENERAL GUIDANCE ON THE SUBMISSION OF PRACTICE LEARNING EXPERIENCE DOCUMENTATION The student must adhere to the School of Nursing, Midwifery and Social Care policy that states that the practice learning documentation: a) Must be submitted by 12 mid-day on the date specified by the placement module leader at either Sighthill Campus or Melrose Campus. For further information please refer to the Programme Handbook (available on the student portal). b) Should be submitted into the assignment box in a clear submission folder supplied by the student and signed in on the record of submission folder. Please clearly label with: Name, Reflective Group, Cohort and Placement Number i.e. NP 2 c) Must include all the completed paperwork for the Practice Learning Document as indicated below: o Competence Booklet (CB) 1. Prior to submission the student should ensure that all documentation within this booklet is completed and that pre-requisite photocopying is undertaken from the OAR and submitted with this document 2. Completed Record of Hours Worked - these pages should be completed as per University instructions and removed from the CB. Following completion of the practice learning experience, please submit the cards to the School Office (1.B.29). 3. The student is advised to keep a photocopy of the record of hours worked card for personal records. o Ongoing Achievement Record (OAR) 1. Please refer to the OAR directly for this guidance PLEASE NOTE THERE IS AN AIDE MEMOIRE FOR SUBMISSION ON THE BACK PAGE OF THIS BOOKLET 18
Non-submission Non-submission should be indicated to the module leader by e mail without delay and if instructed, the appropriate Mitigating Circumstances form should be completed as advised in the Programme Handbook. Failure to submit either OAR or Competence booklet by the due date has three consequences: 1. The student s progression within the programme may be adversely affected by the failure to submit due paperwork diligently. 2. Any practice fail will prevent a student being eligible for consideration of the class medal where a student may have earned this title through exceptional performance. 3. It affects the ability to be awarded a distinction Extension to submission deadline Under exceptional circumstances, an extension to the submission deadline may be authorised by the module leader. However, all requests must be accompanied by a valid extension request form (download form and guidance from Moodle). 19
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Section 3 Module Leader/Deputy Contact Information Module Leader Email Deputy Module Leader Email Nursing Practice Experience 5 Mark Lees m.lees@napier.ac.uk Ailsa Sharp a.sharp@napier.ac.uk Nursing Practice Experience 6 Consolidation Barbara Steele b.steele@napier.ac.uk Anne Rowat a.rowat@napier.ac.uk 21
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Sample Signatures of Mentoring Personnel - Community In order to verify the identity of all those involved in assessing student performance and to minimise the possibility of fraud, please enter your details in the table below if you contribute any signature / initials to the student s documentation while on placement: MENTOR S FULL NAME (PLEASE PRINT) POSITION HELD FULL SIGNATURE INITIALS USED 23
Sample Signatures of Mentoring Personnel Consolidation of Practice In order to verify the identity of all those involved in assessing student performance and to minimise the possibility of fraud, please enter your details in the table below if you contribute any signature / initials to the student s documentation while on placement: MENTOR S FULL NAME (PLEASE PRINT) POSITION HELD FULL SIGNATURE INITIALS USED 24
Section 4 Placement Outcomes and Competencies for Adult Nursing Practice 5 Placement Outcomes and Competencies for Adult Nursing Practice 6 25
Domain 1: Professional Values Generic Standard for Competence All nurses must act first and foremost to care for and safeguard the public. They must practise autonomously and be responsible and accountable for safe, compassionate, person-centred, evidence-based nursing that respects and maintains dignity and human rights. They must show professionalism and integrity and work within recognised professional, ethical and legal frameworks. They must work in partnership with other health and social care professionals and agencies, service users, their carers and families in all settings, including the community, ensuring that decisions about care are shared. Field standard Adult nurses must also be able at all times to promote the rights, choices and wishes attention to equality, diversity and the needs of an ageing population. They must be able to work in partnership to address people s needs in all healthcare settings. 26
Consolidation COMMUNITY Edinburgh Napier University School of Nursing Midwifery and Social Care Domain 1: Professional Values NMC Competence 1 All nurses must practise with confidence according to The code: Standards of conduct, performance and ethics for nurses and midwives (NMC 2008). They must be able to recognise and address ethical challenges relating to people s choices and decisionmaking about their care, and act within the law to help them and their families and carers find acceptable solutions. 1.1 Adult nurses must understand and apply current legislation to all service users, paying special attention to the protection of vulnerable people, including those with complex needs arising from ageing, cognitive impairment, long-term conditions and those approaching the end of life. Evidence of Competence Achievement a. Maintains a good record of punctuality, attendance and adheres to the university/local policy of reporting absence 17.7 b. Adheres to the underpinning values of The code: Standards of conduct, performance and ethics for nurses and midwives (the code) (NMC 2008). c. Upholds people s legal rights and speaks out when these are at risk of being compromised 4.4 d. Acts as role model to others and ensures colleagues work within local policy e.g. appropriate clothing/uniform/dress codes 24.4 e. Demonstrates honesty and integrity in all aspects of professional behaviour f. Demonstrates self awareness and self confidence; knows own limitations and is able to take appropriate action 1.9 g. Practices within the legal frameworks for data protection and when seeking consent, respecting the rights of individuals to refuse or withhold consent 8.5, 8.7 1.1 a. Reflect on issues within patient choice, informed consent, refusal of treatment, independent patient advocacy and working with the public 8.6 b. Accepts differing cultural traditions, beliefs, UK legal frameworks and professional ethics when planning care with people and their families and carers 4.5 c. Works within legal and professional frameworks and local policies to safeguard and protect people, particularly young people and vulnerable adults COMMUNITY COMPETENCE 1: ACHIEVED / NOT ACHIEVED SIGNATURE: Date CONSOLIDATION COMPETENCE 1: ACHIEVED / NOT ACHIEVED SIGNATURE: Date By signing the above Competence statement you are satisfied that all of the evidence statements have been achieved. 27
Consolidation COMMUNITY Edinburgh Napier University School of Nursing Midwifery and Social Care Domain 1: Professional Values NMC Competence 2 All nurses must practice in a holistic non-judgemental, caring and sensitive manner that avoids assumptions, supports social inclusion; recognises and respect individual choice; and acknowledges diversity. Where necessary, they must challenge inequality, discrimination and exclusion from access to care. Evidence of Competence Achievement a. Practices self awareness that challenges own prejudices and enables professional relationships 3.4 b. Provides holistic care that demonstrates sensitivity to patients/clients/family/carers cultural traditions and beliefs 4.5 c. Challenges practice which do not safeguard those in need of support and protection 11.10 COMMUNITY COMPETENCE 2: ACHIEVED / NOT ACHIEVED SIGNATURE: Date CONSOLIDATION COMPETENCE 2: ACHIEVED / NOT ACHIEVED SIGNATURE: Date By signing the above Competence statement you are satisfied that all of the evidence statements have been achieved. 28
Consolidation COMMUNITY Edinburgh Napier University School of Nursing Midwifery and Social Care Domain 1: Professional Values NMC Competence 3 All nurses must support and promote the health, wellbeing, rights and dignity of people, group s communities and populations. These include people whose lives are affected by ill health, disability, ageing, death and dying. Nurses must understand how these activities influence public health Evidence of Competence Achievement a. Promotes health and wellbeing, self care and independence. b. Encourages people and carers to make choices in coping with the effect of treatment. This includes the ongoing nature of their condition including death and dying 9.16, c. Works within a public health framework to assess needs and plan care for individuals, communities and populations 9.22 COMMUNITY COMPETENCE 3: ACHIEVED / NOT ACHIEVED SIGNATURE: Date CONSOLIDATION COMPETENCE 3: ACHIEVED / NOT ACHIEVED SIGNATURE: Date By signing the above Competence statement you are satisfied that all of the evidence statements have been achieved. 29
Consolidation COMMUNITY Edinburgh Napier University School of Nursing Midwifery and Social Care Domain 1: Professional Values NMC Competence 4 All nurses must work in partnership with service users, carers, families, groups, communities and organisations. They must manage risk, and promote health and well-being while aiming to empower choices that promote self-care and safety. Evidence of Competence Achievement a. Provides safe and effective care in partnership with people and their carers within the context of peoples ages, conditions and developmental stage 10.6 b. Acts appropriately when a person s choice may compromise their safety or the safety of others 2.10 COMMUNITY COMPETENCE 4: ACHIEVED / NOT ACHIEVED SIGNATURE: Date CONSOLIDATION COMPETENCE 4: ACHIEVED / NOT ACHIEVED SIGNATURE: Date By signing the above Competence statement you are satisfied that all of the evidence statements have been achieved. 30
Consolidation COMMUNITY Edinburgh Napier University School of Nursing Midwifery and Social Care Domain 1: Professional Values NMC Competence 5 All nurses must fully understand the nurse s various roles, responsibilities and functions and adapt their practice to meet the changing needs of people, groups, communities and populations. Evidence of Competence Achievement a. Acts as a positive role model for others in developing relationships within professional boundaries 1.11, 16.4 b. Consults and explores solutions and ideas with others to enhance care 14.6 c. Demonstrates clinical confidence through sound knowledge, skills and understanding relevant to field 1.8 COMMUNITY COMPETENCE 5: ACHIEVED / NOT ACHIEVED SIGNATURE: Date CONSOLIDATION COMPETENCE 5: ACHIEVED / NOT ACHIEVED SIGNATURE: Date By signing the above Competence statement you are satisfied that all of the evidence statements have been achieved. 31
Consolidation COMMUNITY Edinburgh Napier University School of Nursing Midwifery and Social Care Domain 1: Professional Values NMC Competence 6 All nurses must understand the roles and responsibilities of other health and social care professionals and seek to work with them collaboratively for the benefit of all who need care. Evidence of Competence Achievement a. Works inter-professionally and autonomously as a means of achieving optimum outcomes for people 14.10 COMMUNITY COMPETENCE 6: ACHIEVED / NOT ACHIEVED SIGNATURE: Date CONSOLIDATION COMPETENCE 6: ACHIEVED / NOT ACHIEVED SIGNATURE: Date By signing the above Competence statement you are satisfied that all of the evidence statements have been achieved. 32
Consolidation COMMUNITY Edinburgh Napier University School of Nursing Midwifery and Social Care Domain 1: Professional Values NMC Competence 7 All nurses must be responsible and accountable for keeping their knowledge and skills up to date through continuing professional development. They must aim to improve their performance and enhance the safety and quality of care through evaluation, supervision and appraisal. Evidence of Competence Achievement a. Participates in clinical audit and other relevant activities to improve the safety of service users 18.10 b. Actively seeks, responds and learns from feedback to enhance care and professional development 12.6, 12.8 c. Safeguards the safety of self and others by adhering to local and national policies 14.11 COMMUNITY COMPETENCE 7: ACHIEVED / NOT ACHIEVED SIGNATURE: Date CONSOLIDATION COMPETENCE 7: ACHIEVED / NOT ACHIEVED SIGNATURE: Date By signing the above Competence statement you are satisfied that all of the evidence statements have been achieved. 33
Consolidation COMMUNITY Edinburgh Napier University School of Nursing Midwifery and Social Care Domain 1: Professional Values NMC Competence 8 All nurses must practise independently, recognising the limits of their competence and knowledge. They must reflect on these limits and seek advice from, or refer to, other professionals where necessary. Evidence of Competence Achievement a. Works within the code (NMC 2008) and adheres to the Guidance on professional conduct for nursing and midwifery students. (NMC 2010) b. Effectively communicates people s stated needs and wishes to other professionals where necessary c. Works within the context of a multi-professional team and works collaboratively with other agencies when needed to enhance care 9.15 COMMUNITY COMPETENCE 8: ACHIEVED / NOT ACHIEVED SIGNATURE: Date CONSOLIDATION COMPETENCE 8: ACHIEVED / NOT ACHIEVED SIGNATURE: Date By signing the above Competence statement you are satisfied that all of the evidence statements have been achieved. 34
Consolidation COMMUNITY Edinburgh Napier University School of Nursing Midwifery and Social Care Domain 1: Professional Values NMC Competence 9 All nurses must appreciate the value of evidence in practice, be able to understand and appraise research, apply relevant theory and research findings to their work, and identify areas for further investigation Evidence of Competence Achievement a. Applies research based evidence to practice 9.14 b. Appraises research and planned learning activities to demonstrate achievement of specific learning outcomes in clinical practice COMMUNITY COMPETENCE 9: ACHIEVED / NOT ACHIEVED SIGNATURE: Date CONSOLIDATION COMPETENCE 9: ACHIEVED / NOT ACHIEVED SIGNATURE: Date By signing the above Competence statement you are satisfied that all of the evidence statements have been achieved. 35
Activity to provide additional evidence of competence: COMMUNITY EXPERIENCE Inter-professional Learning / Team working: Demonstrate an understanding of the roles, expectations and boundaries of other health and social care professions in the provision of patient care in the community. Briefly record below: An example of good inter-professional working between yourself and other members of the community health or social work team An example of good partnership working with service users or carers that empowered patient choice and promoted self-care NB Your mentor must indicate by signing below that you have completed this activity thereby demonstrating awareness of the other personnel involved in the provision of secondary care and the essential role they perform. Links to NMC Standards for Competence Links to ESC Domain 1 Professional values Domain 2 Communication and interpersonal skills Domain 3 Nursing Practice and decision making Domain 4 Leadership, management and team working Inter Professional Experience / Team Working 5.13, 7.7, 9.15, 9.16,9.22,10.6, 11.6, 11.8,11.9, 14.7, 14.8, 14.10 Use this space to record any notes relevant to this experience. Achieved / Not Achieved Mentor Signature: Date: 36
Activity to provide additional evidence of competence: CONSOLIDATION EXPERIENCE Inter-professional Learning / Team working: Demonstrate an understanding of the roles, expectations and boundaries of other health and social care professions in the provision of patient care. Briefly record below: An example of good inter-professional working between yourself and another member of the health or social work team in the clinical area An example of good partnership working with service users or carers that empowered patient choice and promoted self-care N.B. Your mentor must indicate by signing below that you have completed this activity thereby demonstrating awareness of the other personnel involved in the provision of secondary care and the essential role they perform. Links to NMC Standards for Competence Domain 1 Professional values Domain 2 Communication and interpersonal skills Domain 3 Nursing Practice and decision making Domain 4 Leadership, management and team working Links to ESC Inter Professional Experience (Team Working) 5.13, 7.7, 9.15, 9.16,9.22,10.6, 11.6, 11.8,11.9, 14.7, 14.8, 14.10 Reflect on this activity and record your findings here. Achieved / Not Achieved Mentor Signature: Date: 37
Domain 2: Communication and Interpersonal Skills Generic Standard for Competence All nurses must use excellent communication and interpersonal skills. Their communications must always be safe, effective, compassionate and respectful. They must communicate effectively using a wide range of strategies and interventions including the effective use of communication technologies. Where people have a disability, nurses must be able to work with service users and others to obtain the information needed to make reasonable adjustments that promote optimum health and enable equal access to services. Field standard Adult nurses must demonstrate the ability to listen with empathy. They must be able to respond warmly and positively to people of all ages who may be anxious, distressed, or facing problems with their health and wellbeing. 38
Consolidation COMMUNITY Edinburgh Napier University School of Nursing Midwifery and Social Care Domain 2: Communication and Interpersonal Values NMC Competence 1 All nurses must build partnerships and therapeutic relationships through safe, effective and non-discriminatory communication. They must take account of individual differences, capabilities and needs. Evidence of Competence Achievement a. Uses professional support structures to develop self awareness, challenge own prejudices and enable professional relationships, so that care is delivered without compromise 1.14 b. Uses the skills of active listening, questioning, paraphrasing and reflection to support a therapeutic intervention 6.12 COMMUNITY COMPETENCE 1: ACHIEVED / NOT ACHIEVED SIGNATURE: Date CONSOLIDATION COMPETENCE 1: ACHIEVED / NOT ACHIEVED SIGNATURE: Date By signing the above Competence statement you are satisfied that all of the evidence statements have been achieved. 39
Consolidation COMMUNITY Edinburgh Napier University School of Nursing Midwifery and Social Care Domain 2: Communication and Interpersonal Values NMC Competence 2 All nurses must use a range of communication skills and technologies to support person-centred care and enhance quality and safety. They must ensure people receive all the information they need in a language and manner that allows them to make informed choices and share decision making. They must recognise when language interpretation or other communication support is needed and know how to obtain it. Evidence of Competence Achievement a. Communicates effectively and sensitively in different settings, using a range of methods and skills 6.8 b. Applies research based evidence to practice and combines this with experience to guide interpersonal skills and decision making 9.14,16.3 COMMUNITY COMPETENCE 2: ACHIEVED / NOT ACHIEVED SIGNATURE: Date CONSOLIDATION COMPETENCE 2: ACHIEVED / NOT ACHIEVED SIGNATURE: Date By signing the above Competence statement you are satisfied that all of the evidence statements have been achieved. 40
Consolidation COMMUNITY Edinburgh Napier University School of Nursing Midwifery and Social Care Domain 2: Communication and Interpersonal Values NMC Competence 3 All nurses must use the full range of communication methods, including verbal, non-verbal and written, to acquire, interpret and record their knowledge and understanding of people s needs. They must be aware of their own values and beliefs and the impact this may have on their communication with others. They must take account of the many different ways in which people communicate and how these may be influenced by ill health, disability and other factors, and be able to recognise and respond effectively when a person finds it hard to communicate. 3.1 Adult nurses, must promote the concept, knowledge and practice of self-care with people with acute and longterm conditions, using a range of communication skills and strategies. Evidence of Competence Achievement a. Acts professionally to ensure that personal judgements, prejudices, values, attitudes and beliefs do not compromise care 3.4 b. Listens to, watches for and responds effectively to verbal and non-verbal cues 5.8 3.1 a. Plans and provides care that recognises personalised needs and provides practical and emotional support 5.9 b. Recognises circumstances that trigger personal negative responses and takes action to prevent this compromising care 5.11 COMMUNITY COMPETENCE 3: ACHIEVED / NOT ACHIEVED SIGNATURE: Date CONSOLIDATION COMPETENCE 3: ACHIEVED / NOT ACHIEVED SIGNATURE: Date By signing the above Competence statement you are satisfied that all of the evidence statements have been achieved. 41
Consolidation COMMUNITY Edinburgh Napier University School of Nursing Midwifery and Social Care Domain2: Communication and Interpersonal Values NMC Competence 4 All nurses must recognise when people are anxious or in distress and respond effectively, using therapeutic principles, to promote their wellbeing, manage personal safety and resolve conflict. They must use effective communication strategies and negotiation techniques to achieve best outcomes, respecting the dignity and human rights of all concerned. They must know when to consult a third party and how to make referrals for advocacy, mediation or arbitration Evidence of Competence Achievement a. Recognises and acts to overcome barriers in developing effective relationships with service users and carers 1.12 b. Acts with dignity and respect, ensuring that people who are unable to meet their activities of living have choices about how these are met and feel empowered to do as much as possible for themselves 2.12 c. Is proactive in promoting and maintaining dignity and acts autonomously to promote care environments that are culturally sensitive and free from discrimination, harassment and exploitation 3.5, 4.6 d. Recognises and responds when people are in vulnerable situations and risk, or in need of support and protection 11.5 e. Makes appropriate use of touch 5.7 f. Manages and diffuses challenging situations effectively 4.7 COMMUNITY COMPETENCE 4: ACHIEVED / NOT ACHIEVED SIGNATURE: Date CONSOLIDATION COMPETENCE 4: ACHIEVED / NOT ACHIEVED SIGNATURE: Date By signing the above Competence statement you are satisfied that all of the evidence statements have been achieved. 42
Consolidation COMMUNITY Edinburgh Napier University School of Nursing Midwifery and Social Care Domain 2: Communication and Interpersonal Values NMC Competence 5 All nurses must use therapeutic principles to engage, maintain and, where appropriate, disengage from professional caring relationships, and must always respect professional boundaries. Evidence of Competence Achievement a. Anticipates how people might feel in a given situation and responds with kindness and empathy to provide physical and emotional comfort 5.6 b. Recognises and acts autonomously to respond to own emotional discomfort or distress in self and others 5.12 COMMUNITY COMPETENCE 5: ACHIEVED / NOT ACHIEVED SIGNATURE: Date CONSOLIDATION COMPETENCE 5: ACHIEVED / NOT ACHIEVED SIGNATURE: Date By signing the above Competence statement you are satisfied that all of the evidence statements have been achieved. 43
Consolidation COMMUNITY Edinburgh Napier University School of Nursing Midwifery and Social Care Domain 2: Communication and Interpersonal Values NMC Competence 6 All nurses must take every opportunity to encourage health-promoting behaviour through education, role modelling and effective communication Evidence of Competence Achievement a. Acts as a role model in developing trusting relationships, within professional boundaries 1.11 b. Is sensitive and empowers people to meet their own needs and make choices and considers with the person and their carer(s) their capability to care 2.8 c. Discusses sensitive issues in relation to public health and provides appropriate advice and guidance to individuals, communities and populations 9.18 COMMUNITY COMPETENCE 6: ACHIEVED / NOT ACHIEVED SIGNATURE: Date CONSOLIDATION COMPETENCE 6: ACHIEVED / NOT ACHIEVED SIGNATURE: Date By signing the above Competence statement you are satisfied that all of the evidence statements have been achieved. 44
Consolidation COMMUNITY Edinburgh Napier University School of Nursing Midwifery and Social Care Domain 2: Communication and Interpersonal Values NMC Competence 7 All nurses must maintain accurate, clear and complete records, including the use of electronic formats, using appropriate and plain language.. Evidence of Competence Achievement a. Provides accurate and comprehensive written and verbal reports based on best available evidence 6.9 b. Acts autonomously to reduce and challenge barriers to effective communication and understanding in both written and verbal formats 6.10 COMMUNITY COMPETENCE 7: ACHIEVED / NOT ACHIEVED SIGNATURE: Date CONSOLIDATION COMPETENCE 7: ACHIEVED / NOT ACHIEVED SIGNATURE: Date By signing the above Competence statement you are satisfied that all of the evidence statements have been achieved. 45
Consolidation COMMUNITY Edinburgh Napier University School of Nursing Midwifery and Social Care Domain 2: Communication and Interpersonal Values NMC Competence 8 All nurses must respect individual rights to confidentiality and keep information secure and confidential in accordance with the law and relevant ethical and regulatory frameworks, taking account of local protocols. They must also actively share personal information with others when the interests of safety and protection override the need for confidentiality.. Evidence of Competence Achievement a. Practices honestly and with integrity, applying the principles of the code (NMC, 2008) and Guidance on professional conduct for nursing and midwifery students (NMC, 2009) b. Acts professionally and autonomously in situations where there may be limits to confidentiality, for example, public interest and protection from harm 7.5 c. Works within legal frameworks for data protection including access to and storage of records and when confidential information has to be shared with others 7.8, 7.9 COMMUNITY COMPETENCE 8: ACHIEVED / NOT ACHIEVED SIGNATURE: Date CONSOLIDATION COMPETENCE 8: ACHIEVED / NOT ACHIEVED SIGNATURE: Date By signing the above Competence statement you are satisfied that all of the evidence statements have been achieved. 46
Activity to provide additional evidence of competence: COMMUNITY EXPERIENCE Apply the skills and principles of communication whilst carrying out a Community Health/Care Needs Assessment. Write a brief description below of the skills you use to develop a therapeutic relationship with the client (consider here communication skills, autonomy, incapacity, confidentiality, patient/family centred care). N.B. Your mentor must indicate by signing below that you have demonstrated the ability to review your communication skills, explored the impact of effective communication strategies to improve the patient experience and reflected upon your practice. Links to NMC Standards for Competence Domain 1 Professional values Domain 2 Communication and interpersonal skills Domain 3 Nursing Practice and decision making Domain 4 Leadership, management and team working Links to ESC Cluster 1: care, compassion and communication You may want to ask the patient or carer if they would like to be involved in the service user feedback process. Achieved / Not Achieved Mentor Signature: Date: 47