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Reflections on the Advanced Practice Pathway

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Contribution to the creation of a replicable pathway ... ANP, advanced practitioner or mini medic'? Did I really grasp the concept of gaining competence... – PowerPoint PPT presentation

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Title: Reflections on the Advanced Practice Pathway


1
Reflections on the Advanced Practice Pathway
  • PAULA THOMPSON
  • Hospital At Night
  • Advanced Nurse Practitioner
  • NHS Ayrshire and Arran

2
Objectives
  • Motivations for participation
  • An overview of my initial aims vs my actual
    outcomes as
  • Leadership
  • Facilitating Learning
  • Advanced Clinical Practice
  • Research and Development
  • As a Learner

3
My Background
  • 2002 AE (SGH)
  • 2002 Ordinary Degree (Nursing Studies)
  • 2004 Honors Degree (Specialist Practice)
  • Pathophysiology
  • Ethics
  • 2006 H_at_N (Crosshouse and Ayr)
  • 2006 Clinical Assessment
  • 2007 Independent Nurse Prescribing
  • Pharmacology (hons level)
  • 2008 MSc Advance Practice
  • 2008 NES Advanced Practice Pathway
  • 2009 ANP clinical nurse manager

4
Motivations
  • Contribution to the creation of a replicable
    pathway
  • Funding and accelerated learning opportunity
  • Creation of an academic trail
  • Overcoming the insecurities that come about with
    becoming an ANP
  • Loss of status
  • Loss of confidence
  • Questioning ability

5
The Role of the Advanced Nurse Practitioner
  • Do not be content with mediocrity. Do your job
    so well that nobody could do it better. Martin
    Luther King

6
(No Transcript)
7
Pathway Tools and Outcomes
  • Training Needs Analysis tool
  • Critical companion
  • Action learning
  • Academia

8
Expectations of Leadership
  • Challenging the status quo
  • Msc level Clinical Leadership module
  • Improving existing practice
  • Audit and research/development
  • Clinical Governance
  • Introducing evidence based practise to the shop
    floor
  • Improving communication
  • Patient handover
  • Linking Nursing/Medical staff
  • Facilitation

9
Pathway Tools and Outcomes
  • Completion of Masters level Leadership module
  • TRANSLATION TO PRACTICE
  • Successful integration into a training grade
    medical rota
  • Strong clinical leader
  • Aspirin PGD
  • Handover guidelines
  • Involvement in the Safer Patient initiative
  • Falls assessment guideline

10
Expectations of Facilitating Learning
  • Bridging the theory practice gap
  • Direct supervision of nursing/junior medical
    staff
  • Inspiring creativity and innovation
  • Creating the learning environment
  • Promoting health
  • Patient centred education

11
Pathway Tools and Outcome
  • Advanced Life Support GIC
  • Clinical Supervision discussions
  • Mentor for Post Grad Cert
  • Regular Teaching session for nursing/medical
    staff
  • Teach Physical examination
  • Lecturer at UWS in neurology
  • Examiner for the Scottish Ambulance Service

12
Expectations of Advanced Clinical Practice Skills
  • Clinical Assessment
  • Diagnosis and intervention
  • Managing the acutely unwell adult
  • Independent Nurse Prescribing
  • Clinical Supervision
  • Clinical Leadership
  • Service Development
  • Opportunity for Research

13
ANP, advanced practitioner or mini medic?
  • Did I really grasp the concept of gaining
    competence…

14
Multi faceted Clinical Support from Critical
Companion
  • Competence Framework
  • Log Book / System Electronic
  • OSCE and Simulator
  • Training Needs Analysis Annually
  • CPD including Non Medical Prescribing
  • Critical incident debrief
  • Case note review
  • Msc Advanced Practice

15
Clinical Competence Framework Evidencing
Competence
  • Completion of HaN framework
  • Based on national template
  • Used and implemented with great success
  • Development of HaD with Critical Companion

16
Case Note Review
  • Performed by nursing and medical consultants
  • Safe and Effective practice
  • Autonomy

17
Expectations as a Researcher
  • Msc level qualification in research
  • Ability to change and affect practice by RD

18
Outcomes as a Reasearcher
  • Completion of Msc Module
  • Development of research proposal looking at the
    efficacy of SBAR as a communication tool
  • 4 audits of HaD workload
  • Infection control
  • National non medical prescribing survey

19
Expectations as a Learner
  • Masters level education
  • Diagnosis and Intervention
  • To Support and further current practice
  • Pathophysiology
  • Clinical Leadership
  • Formal Teaching Qualification
  • Research and Development

20
How has the pathway helped me learn?
  • Academia
  • Experience
  • Reflection
  • Peer review
  • Critical Companion working
  • Opportunity for the implementation of theory to
    practice
  • Action learning sets

21
Summary
  • I started on the pathway with my outcomes steeped
    in academia
  • The pathway and critical companion working has
    given me the opportunity to ground learning by
    linking theory to practice and evidence
    competence
  • It has broadened my understanding of advanced
    practice
  • I had an idea of the destination, however I my
    expectation of the academic journey has been very
    different and the pathway has helped to enrich
    and focus my practice as a nurse

22
Conclusion
23
  • Thank you!
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