1. Review of Pre-Registration Nurse Education HEI Workshop 16 June 2014 Kathy Branson Director – Special Projects Health Education East of England

2. www.hee.nhs.uk www.eoe.hee.nhs.uk @HEEoENurse Agenda 9.30 – 10.00Arrival and coffee 10.00 - 10.15Introduction and Welcome 10.15 – 11.15Initial findings (presentation & discussion) 11.30 – 11.45Refreshment Break 11.45 – 13.00Initial findings (cont.) 13.00 – 13.45Lunch 13.45 – 14.00Summary & Introduction 14.00 – 16.00Workshops

3. www.hee.nhs.uk www.eoe.hee.nhs.uk Initial Findings

4. www.hee.nhs.uk www.eoe.hee.nhs.uk @HEEoENurse Introduction & Drivers Frances, Willis, Cavendish, Berwick reports identified areas for improvement £ cost + quality Nursing graduates - highest number in universities Safer Staffing

5. www.hee.nhs.uk www.eoe.hee.nhs.uk @HEEoENurse 8 workshops held at 7 locations in East of England 191 people attended Attendees - senior nurses, nurse managers, teachers, delegates from HEIs and a small number of Students Collected data (taped and written), analysed by key themes Carried out a Preliminary Literature Review – setting the context What We Have Done

6. www.hee.nhs.uk www.eoe.hee.nhs.uk @HEEoENurse 48 hours group discussions Repetition of key themes Common understanding of key themes No surprises What Happened

7. www.hee.nhs.uk www.eoe.hee.nhs.uk @HEEoENurse Recognition – ‘Trainer’ to be seen as a ‘badge of honour’ Choice. Do nurses aspire to being mentors? Practice assessment/sign off Infrastructure, time & support  How do we demonstrate value for mentors and excellent education in practice? Quality Mentorship

8. www.hee.nhs.uk www.eoe.hee.nhs.uk @HEEoENurse Technical skills – clarity about measurements Care/compassion Resilience Understanding of relationship between mental and physical health Questioning/improvement culture  How can we articulate core skills; how are these acquired, measured and maintained? Core Skills

9. www.hee.nhs.uk www.eoe.hee.nhs.uk @HEEoENurse “There are not that many environments or education models where there is joint responsibility for student learning. This is a potential risk and there is a tension between the student’s rights and academic requirements versus the need to protect patients and the professional nurse’s expectations of the student.” Workforce planning – ‘ownership of finished product’ Partnership – quality of relationship between placement and HEI

10. www.hee.nhs.uk www.eoe.hee.nhs.uk @HEEoENurse ‘Fundamentals’ of care are held in high esteem Freedom to ask questions and challenge. Blame free Demonstrates value for staff/students and develops their resilience Personal responsibility ‘changing culture is my job’  How do you demonstrate the ‘right’ culture to support learning?  How do nurses make learning and reflection ‘culturally acceptable’? Culture (Practice and HEI)

11. www.hee.nhs.uk www.eoe.hee.nhs.uk @HEEoENurse Tea and Coffee 11.00 – 11.15

12. www.hee.nhs.uk www.eoe.hee.nhs.uk @HEEoENurse HEIs ‘own’ theory; service ‘owns’ practice How to narrow or bridge the gap? University/learning ‘without walls’ Anxiety about the meaning of evidence based practice Tension between intuition and knowledge based actions Theory/Practice Gap

13. www.hee.nhs.uk www.eoe.hee.nhs.uk @HEEoENurse Need to ensure they are involved in and reflected in practice Student focus vs. service user focus Graduate preparation for synthesising the ‘paradox of nursing’  Standardisation vs. person centred care  Meaningful encounters vs. speed of throughput Coaching and self-management/risk Fundamentals – the little things that mean a lot  How do we describe this complex and difficult area so that it can really be the centre of practice? Service User/Patient/Client

14. www.hee.nhs.uk www.eoe.hee.nhs.uk @HEEoENurse Individual need Clinical need Organisational Political  How do you prepare and support people for this and to maintain resilience? Managing Constant Change at Every Level

15. www.hee.nhs.uk www.eoe.hee.nhs.uk @HEEoENurse Management and leadership concepts and functions described interchangeably Personal leadership - responsibility linked to accountability Leaders of care/service improvements How to ‘teach’ leadership and leadership framework  What do the concepts of ‘team’; leadership and management each mean within the context of nursing? Leadership

16. www.hee.nhs.uk www.eoe.hee.nhs.uk @HEEoENurse A core skill embedded into curriculum Management of caseload/ward Management of self Management of workload/risk What can you safely do? Management of complexity Management

17. www.hee.nhs.uk www.eoe.hee.nhs.uk @HEEoENurse Team work/integration/multi-professional/inter-agency user interchangeably Defining the skills and implications of the setting Education based on patient pathways  What are the skills and attributes of a newly qualified nurse and are they really fit for purpose in a range of settings? Preparing Nurses to Work in a Range of Settings

18. www.hee.nhs.uk www.eoe.hee.nhs.uk @HEEoENurse Mentorship is part of CPD Students’ access to skilled clinicians Purpose of placements around specialist and advanced practitioners CPD

19. www.hee.nhs.uk www.eoe.hee.nhs.uk @HEEoENurse Is this in line with your expectations? Is anything missing? Discussion

20. www.hee.nhs.uk www.eoe.hee.nhs.uk @HEEoENurse Lunch 13.00 – 13.45

21. www.hee.nhs.uk www.eoe.hee.nhs.uk @HEEoENurse Workshops Table 1 - Partnership & Mentorship How do we demonstrate excellent partnership in practice Table 2 - Core skills & Theory Practice Gap How can we articulate core skills how are these acquired, measured and maintained. How do we narrow the theory/practice gap Table 3 - Preparing nurses to work in a range of settings What are the skills and attributes of a newly qualified nurse and are they really fit for purpose in a range of settings Table 4 - Service User/Patient/Client How do we describe this complex and difficult area so that it can really be the centre of practice?

22. www.hee.nhs.uk www.eoe.hee.nhs.uk @HEEoENurse 4 x Service User workshops – June HEI Workshop – June 5 x Student workshops – July Interviews with key stakeholders Next Steps

23. www.hee.nhs.uk www.eoe.hee.nhs.uk @HEEoENurse Monthly blog Website on HEEoE: http://eoe.hee.nhs.uk/our- work/fundamental-nursing-review/ http://eoe.hee.nhs.uk/our- work/fundamental-nursing-review/ Twitter: @HEEoENurse Stay in Touch