Date: November 2015 Job Title : Registered Nurse - Clinical Coach, Nursing Entry to Practice Programme [NETP] Department : Corporate Nursing Location : Waitakere / Northshore Hospitals Reporting To : Nurse Educator - NETP Programme Direct Reports : None Functional Relationships with : Internal Director of Nursing and Midwifery Nurse Consultant Workforce Development Nurse Educators in other services Nursing staff RN Clinical Coach in other services Muti-disciplinary team members External Nurse Educators in other DHBs Lecturers from Schools of Nursing Clinical support staff Our DHB Purpose, Values and Standards At the heart of Waitemata DHB is our promise of better care for everyone. This promise statement is the articulation of our three-fold purpose to: 1. promote wellness, 2. prevent, cure and ameliorate ill health and 3. relieve the suffering of those entrusted to our care. At the heart of our values is the need for all of us to reflect on the intrinsic dignity of every single person that enters our care. It is a privilege to be able to care for patients, whānau and our community, a privilege that is sometimes overlooked in our day to day work. Our standards and behaviours serve as a reminder to us all about how we are with our patients and with each other. Nursing & Midwifery 17/11/2015. Page 1
Purpose of this role : To support the clinical education needs of nursing staff undertaking the Nursing Entry to Practice programme. To provide clinical teaching at the bed side with nurses. The Registered Nurse Clinical Coach for : Works in clinical practice settings alongside nurses in direct clinical care delivery to role model good nursing practice [80%] Uses clinical teaching/coaching skills to support clinical decision making in practice for all nurses in the NetP programme Ensures that nurses receive the assistance and support that they require to be safe Ensures that nurses apply the learning plan and are assessed as competent Support facilitation of study days. Nursing & Midwifery 17/11/2015. Page 2
KEY ACCOUNTABILITIES Domain One Professional responsibility Includes accountabilities for professional, legal, ethical and culturally safe practice. This includes being able to demonstrate advanced critical thinking, judgement and accountability for own actions and decisions Practices nursing to demonstrate professional responsibility Meets the domains of competent practice as outlined by Nursing Council of New Zealand. Includes demonstrated ability to apply the principles of the Treaty of Waitangi/Te Tiriti o Waitangi to nursing practice Role models professional practice to a high standard to support nurses practice with competent professional standards of the professional, ethical and relevant legislated requirements. Supports preceptors to direct, monitor and evaluate new nurses Works as a highly proficient /expert registered nurse at Level 3/4, across PACU/Day surgery, to assist nurses assess patient needs, plan care and evaluate effectiveness. Assists with clinical care delivery, as nurses undertake interventions in a safe manner Supports nurses to ensure that there is a safe environment to enable client safety, independence, quality of life and health is achieved. Coaches new nurses about health and safety, infection control and quality and risk management. Personal and professional development Is highly clinically proficient and respected for ability to support the team with clinically difficult situations Seeks regular professional supervision to discuss how to address areas of difficulty and review quality of practice. Seeks advice from Nurse Consultant nursing development and professional advisor in a timely manner regarding professional issues Pursues a program of self-development to broaden critical thinking and leadership skills. Engages in activities of continuous learning, including in-service, self-learning, study days, post graduate study. Participates in nursing and organisational activities and committees Has presented own portfolio for assessment that meets the Nursing Council of New Zealand competencies Understands support structure available for staff in PRDP processes and provides assistance and encouragement Domain Two Management of nursing care Includes accountability related to patient/client assessment and management of advanced nursing care that is supported by evidence Supports and coaches nurses in the management of nursing care Coaches nurses to undertake a comprehensive and accurate nursing assessment of clients in a variety of settings, using organised and systematic assessment and tools and methods to collect data. Applies relevant research to underpin nursing assessment. Coaches nurses in critical thinking/ clinical reasoning to enable early intervention for the sickest / deteriorating patients Role models skilled administration of interventions, treatments and medications within legislative, codes and scope of practice and according to authorised prescription, established policy and guidelines Coaches so that timely care / appropriate medical assistance is achieved for patients whose condition is assessed as of concern. Encourages escalation of concerns to the registrar, anaesthetist and/or consultant as required Nursing & Midwifery 17/11/2015. Page 3
Models communication of issues to the right people at the right time, including documentation of emergency situations (incident report) Shows good clinical teaching/coaching skills to achieve change in clinical practice Documentation of new graduate progress is accurate and maintains confidentiality of information. Coaches staff to maintain clear, concise, timely and current client records within legal and ethical framework. Undertake competence assessments by working alongside nurses. Documents observations to provide the CNM and HOD with insight into issues requiring follow-up. Links with the after-hours support team to ensure there is continued support for staff providing complex clinical care across the 24 hours Assists with nurse teaching and assessment Work with the senior nurses to plan learning opportunities for the service to meet current and strategic priorities Facilitate and deliver learning opportunities Focus learning on clinical competence development Prepares and leads teaching sessions that achieve learning outcomes Completes assessments with the Nurse Educator in a timely and systematic manner Feedback shows respectful style/manner Leads defusing and debriefing processes with nurses and teams, involving multi-disciplinary team members Works with other health providers to enhance the skill and knowledge of nurses caring for patients across the hospital-community interface Models referral and discharge processes for new graduate nurse learning, engaging the interdisciplinary team Assist the Service Nurse Educator and S&A Senior nurses with programme evaluation Domain Three Interpersonal relationships and enhancing the patient experience Includes accountability for interpersonal and therapeutic communication with clients/patients and members of the health care team. Demonstrates clinical and professional leadership through effective teamwork and collaborative relationships Role models advanced therapeutic communication when establishing, maintaining and concluding relationships with staff, patients, families / whanau Demonstrates strong relationship management skills that result in professional credibility, good patient outcomes and integrated care. Uses highly developed communication, change management and leadership skills to support strong morale and spirit in the team Communicates in a clear, formal and informal style at all levels using a professional, diplomatic and concise approach using oral and written communication. Can get messages across that have the desired effect. Demonstrates a non-confrontational approach and an ability to open up communication lines so that issues can be addressed. Nursing & Midwifery 17/11/2015. Page 4
Domain Four Interprofessional healthcare and quality improvement to deliver organisational objectives Includes accountability for evaluating the effectiveness of care and promotion of nursing perspective within the health care team Contributes to continuous quality improvement to achieve care of the highest standard possible Assists nurses use standards that are contemporary and evidence-based Challenges practice in a constructive manner using a strengths based approach Undertakes assessments and audits of practice Assists the S&A Senior nurses with programme evaluations Initiates ideas for improvement and leads projects that align with programme priorities Gathers quality indicators for monitoring and supports corrective actions Contributes to consultation on policy development processes and helps develop resources with the Service Educators to support improved practice Recognises Individual Responsibility for Workplace Health and Safety (under the Health and Safety in Employment Act 1992). Offers advice to ensure compliance with the WDHB health and safety policies. Workplace hazards are identified and reported, including self-management of hazards where appropriate Contributes to interdisciplinary health care using professional knowledge and effective interpersonal relationships VERIFICATION: Employee: Department Head: Date: Nursing & Midwifery 17/11/2015. Page 5
PERSON SPECIFICATION POSITION TITLE: Qualification Experience Personal attributes Skills / Knowledge / Behavior Registered Nurse - Clinical Coach Minimum Registered Nurse with current NZ Annual Practising Certificate Continued development through post-registration education and learning opportunities. Preferred post graduate education at PG Certificate level Minimum of 5 years post registration experience across acute medical and surgical nursing settings Minimum RN Level 3, with expected and planned progression to RN Level 4 Good communication skills and customer service practices Initiative Positive manner, able to influence without conflict Calm, even, consistent and mature personality Demonstrated confident collaborative approach in team practice Flexible and able to work under direction Sensitive and constructive in responding to the needs of individuals and groups An active listener, has a way of valuing everyone s opinions Committed to excellence in service delivery and continuous quality improvement Contemporary nursing knowledge and skill in the acute care setting with knowledge of evidence-based practice requirements and a positive Nursing identity Has reputation of providing good nursing care and ability to share evidence based clinical knowledge with others, both one-to-one and group learning within the clinical area. Ability to effectively share clinical knowledge with others and help transform practice. Previous experience of clinical coaching and teaching. Reputation of selfinitiated behaviour. Able to facilitate and teach on orthopedic education days using Train the Trainer adult teaching processes Dynamic and creative approach to nursing care and education Excellent communicator, highly articulate, excellent listening skills. Good writing skills Self-directed/use of initiative, confident skill in negotiation and consultation Manages personal stress effectively Ability to work well in a team, enhancing the capability and contribution of the team Seeks guidance and supervision Understands the importance of good relationships in ensuring continuity of care: hospital and community care Upholds confidentiality with a reputation for high integrity and discretion. Able to cope with professional confidences and problem solving Nursing & Midwifery 17/11/2015. Page 6