Use of accompanied home visit reflection documentation Agreeing its use in our team

Workshop aims To revisit the intent of accompanied home visits as a core model element of the programme To reflect on experiences of accompanied home visits to date To review and reflect on the new accompanied home visit reflection documentation To develop team plans for use and integration of this new documentation into usual team practices

FNP Core model elements include: Each programme supervisor will; Provide one to one clinical supervision for each nurse on a weekly basis (pro rata for part time nurses) preferably in person but by telephone where travel constraints limit nurse or supervisor mobility. Conduct at least four team meetings per month: two to discuss programme implementation and two case based meetings to identify client challenges and solutions. Facilitate the learning of each nurse in the team, including developing an individualised learning plan for each nurse and leading the team based learning activities, as specified in the FNP learning programme. Make a minimum of one home visit every 4 months with each nurse for field supervision purposes. Use programme reports to assess and guide programme implementation, inform supervision, enhance programme quality and demonstrate programme fidelity.

Reflection What role do the Core Model Elements overall play in programme replication? How do you think that these Core Model elements support high quality clinical replication? Although these CMEs are the SVs responsibility, everyone has a role to play in making these processes productive. How well are we managing these as a team?

Accompanied Home Visits Purposes: To observe nurses’ strengths and areas that need development during interactions with clients To provide feedback on observations and agree any actions arising To provide consultation regarding client issues and challenges

Supports maintenance of focus Rationale for development of accompanied home visit reflective documentation Current data form does not support reflection or provide useful information! Wish to provide structured opportunities for more focussed observation and deeper reflection and sharing of experiences More of a 2 way process - reflection and feedback by both parties in the visit Supports maintenance of focus

Approach taken by documentation NOT expected to use it all every time! Both parties agree areas to reflect on prior to visit Both undertake reflection and then share and learn together Not designed to be shared more widely, unless those participating agree to do so Annual, anonymised summary sent to NU to help understanding of challenges across the FNP clinical community and provide focus for refresher learning

Areas of reflection on the documentation Visit preparation Review of progress with client FNP spirit and ethos Engagement Agenda matching Communication style Change talk and planning for change FNP tools and materials PIPE DANCE Client progress with reaching programme outcomes Keeping the focus on the baby Inclusion of father and other family members in the visit YOU DO NOT NEED TO REFLECT ON EVERY AREA AFTER EVERY VISIT!