Mentor Update 2017

Mentor Update –NMC requirement Discuss major changes in nurse education affecting students in practice placement. Explore complex or challenging situations involving students in practice through scenarios ** we will utilise examples raised by attendees today** Demonstrate how mentors can fulfil their role set by the NMC by keeping up to date between annual updates through the website www.york.ac.uk/healthsciences/practice-ed- support 1)Introduction Why are we here? What are we going to do?

Maintain Mentor Status Standards to Support Learning and Assessment In Practice (NMC 2008) ‘Mentors must demonstrate their knowledge, skills and competencies on an ongoing basis…… to ensure safe and effective care is achieved and an effective learning environment is maintained’ Requirements: Attend annual Mentor Update Mentor minimum of 2 students every 3 years ** **What this means to you is determined by the organisation holding your mentor register.** Complete Triennial review Rationale, context provision: Need to keep up to dated with issues affecting nurse education Keep your triennial review documents safe - you may be asked for them in an audit The NMC requirements for Mentors The NMC requirements for mentors remain unchanged and in the Standards to Support Learning and Assessment in Practice (SLAiP) (2008) state that they must: Have completed a mentor preparation programme (or equivalent) Be annotated as a mentor on the local mentor register Mentored at least two students within the three year period. ** This is determined by organisation holding the mentor register. Completing a triennial review to ensure that only those who continue to meet the requirements remain on the register – ie Complete a review every 3 years with your manager, to appraise your performance as a mentor Nurses who make judgements about whether a student has achieved the required standards of proficiency for safe and effective practice must be on the same part or sub-part of the register as that which the student is intending to enter. Participated in annual updating – to include an opportunity to meet and explore assessment and supervision issues with other mentors/practice teachers. Mapped ongoing development in their role against the current NMC mentor standards. http://www.nmc.org.uk/globalassets/siteDocuments/NMC-Publications/NMC-Standards-to-support-learning-assessment.pdf Sign-off mentors must have met the additional sign-of mentor criteria and be annotated on the mentor register as a sign-off mentor  ** Later we will explore as a group the validity and reliability of judgements made when assessing practice

NMC Standards to Support Learning and Assessment In Practice (2008) NMC requirements are that mentors are competent in the following 8 domains Establishing effective working relationships Facilitation of learning Assessment and accountability Evaluation of learning Creating an environment for learning Context of practice Evidence based practice Leadership The NMC identified 8 domains in which mentors must demonstrate competence. Group work and discussion will demonstrate relevance of these domains to mentors and students within the context of ‘real’ working and learning environments

Supervising Mentor: Accountability Supervision of MPP student for required hours Overseeing meetings/documentation Student Mentor space on PebblePad Ensuring outcomes in each domain have been achieved and evidenced Signing of portfolio – statement. What this means… The code (NMC 2015 In addition to mentoring Pre-reg, also will supervise MPP students – must ensure they understand their responsibilities with regard to this (Number of incomplete portfolios submitted) Please reitererate the key role of mentors to safe practice and protection of the public Emphasise their accountability when signing off a mentor

NMC Revalidation From April 2016 the NMC requires evidence of: practice and learning in order to revalidate registration Attending mentor updates and completing triennial reviews may contribute to the revalidation process Being an Up to Date Mentor could help with Re-Validation A note of caution Whilst being a mentor is very helpful in contributing toward meeting the requirements of revalidation it is worth noting that the NMC are looking for a variety of sources for your evidence.

Do you know…….. Where your organisation’s mentor register is maintained? Where students can view your practice area’s profile? Healthcare Placements (PPQA) How Educational Audit and Student Eval’n can impact you and your work area? Who’s your educational lead (LEM) Who’s your PEF/PLF (if you have one)? …….what those abbreviations even mean? Who’s your Link Lecturer? Most Trusts and PIVOs keep their mentor register on the Health Care Placements (PPQA) website. The Healthcare placements website will generate an automated email to mentors who are out of date with their mentor update or their triennial review. Some of the PIVO placements keep their own independent register Importance of maintaining placement profile – to student expectations and perceptions of the practice experience Importance of good feedback and quality learning experiences to reputation and recruitment of staff (impact on workload, patient care quality) Use of feedback in your revalidation evidence.

DoHS Programmes BSc MNursing PG Diploma (Graduate entry) NMC/new progs/developments Pilot for Trainee Nursing Associate Programme with York NHS Foundation Trust An overview of the pre registration nursing course to help with context of the routes to NMC registration Noting development of new standards, possible impact on future student cohorts and experiences, overlap of curent programmes with new programmes Nurse Associate programme imminent and overlap with FD

Practice Hours/Outcomes To pass a practice experience module, students must: complete the identified placement outcomes complete ALL the required hours identified for the practice experience Required hours are on the 1st page of the PebblePad portfolio Students must complete all the required hours AND outcomes in every practice experience IF the student is absent from practice they must try to make it up before they finish If students are unable to complete the hours and/or outcomes they can apply for exceptional circumstances. If students don’t complete the hours and/or outcomes and do not have exceptional circumstances they will fail the placement and carry deficit hour on to be made up in the next placement Please check that any sickness/absence is accurately recorded in the pebblepad – sickness should not be included in the placement hours Please ensure that you accurately verify the placement outcomes achieved Please ensure that the e-portfolio is completed by you or an identified alternate (if you will be away) the required submission date – the student may fail the placement if their document is not completed and submitted on time

Any questions? Ideas or suggestions? Problems? PebblePad Any problems or suggestions can be passed back to the PebblePad team OR the mentor can mail the team on dohs-practiceeducationsupport@york.ac.uk

Help with E-portfolio (PebblePad) E-portfolio Team –Jonathan Ayto, Danielle Simpson, Lucia White E-mail dohs-practiceeducationsupport@york.ac.uk Phone 01904 (32)1540 / 01904 321633 Visit University of York, Seebohm Rowntree building office ATB/025 on the ground floor Help and support is available from the eportfolio Team – Jonathan Ayto and Danielle Simpson. E-mails and phone messages will be answered ASAP and usually within 24 hours There is usually someone in the office Monday to Friday 08.00 – 16.30 If you are planning to visit it’s best to check that someone will be at home!!!!!

Assessing Medicines Management Calculations Students must demonstrate 100% in every practice experience that they can calculate medicine dosages without error : Space in PebblePad for practice calculations, however…… Review of these pages highlights potential safety issues due to inaccuracies by some student and some mentors If the practice experience placement does not directly administer medications and the mentors feel that they are unable to assess the student simulation or scenario can be used. The student might also gain experience through spokes. CALCULATIONS: On checking portfolios after placement – some calculations assessed as correct but are not. Some correct calculations are deemed incorrect and then amended wrongly. Some calculations are inappropriate to the level/stage of the student; some are not representative of the clinical area. When preparing examples, please refer to guidance provided in Pebblepad

Diversity, equality and inclusivity Consider student diversity to achieve equality and inclusivity in practice learning Educational – previous life and work experience, skills, knowledge, stage in programme Dispositional – identity, self esteem, motivation, aspiration Circumstantial – disability, geographical location, other employment, caring responsibilities Cultural – language, values, beliefs, social background By getting to know the student and considering these aspects of the student’s diversity we can make the practice learning experience engaging for all students. ‘Students don’t want to stand out as different yet want to be recognised as individuals’ (Hockings,2010) Students must not be marginalised due to their diversity but must be included in all appropriate learning opportunities

Mentor: Raising concerns What should you do if you are concerned about Conduct …….Potential fitness to practice Performance - safety Communication Documentation Adherence to timeframes Perceived conflict of professional judgement and university. Highlight the issue of equity with other students in regard to appeals and adherence to process. Health Sci staff dilemma of prof regulation & support for mentor decision vs University lack of insight into special circumstances of professional programmes

Student: Escalating Concerns What should a student do if they are concerned about practice they have witnessed? Refer to the Practice Experience Concerns page on the Department of Health Science website *relates to learning environment *student statements - process Hyperlink has been inserted to the website Need to know students may raise issues Emphasise the need to inform link lecturer and that students must not complete statements until they have support and guidance of education staff Show link and stress they must only complete statements on the document provided.

NMC Review of Standards of Nursing & Midwifery Proficiencies and Education Framework NMC programme of change for pre-registration nursing and midwifery education New standards of proficiencies for the future nurse (2018) and midwife (2019)

New NMC Standards of Proficiencies for Nursing Consultation closed on 12 September 2017 for draft proficiencies for nursing and Education Framework Relevant to Higher Education Institutions AND stakeholder organisations/practice partners New Standards of Proficiencies to be approved by NMC January 2018 and published Spring 2018 Early adoption – delivery of new pre-registration nursing programmes from 2018-19 academic year Full adoption – 2019-2020 academic year (nursing) Emphasise that the changes affect the pre-registration nursing and midwifery programmes. HEI’s AND their practice partners need to work together to develop/deliver pre-registration programme including practice support and excellent placement learning environments Proposed changes include:

New NMC Standards of Proficiencies for Nursing New model of placement support proposed: Practice supervisor – any registered health professional Practice assessor Removal of SLAIP standards – roles and preparation to be developed by Trust and HEI Separation of supervisor and assessor roles in practice Emphasise that the changes affect the pre-registration nursing and midwifery programmes. HEI’s AND their practice partners need to work together to develop/deliver pre-registration programme including practice support and excellent placement learning environments Proposed changes include: Removal of SLAIP standards – Practice supervisor Practice Assessor

Useful Websites NMC – Education RCN Review of Mentorship HEE – Nursing Associate University of York – Department of Health Sciences