Download the General Practice Advanced Nurse Competencies [PDF] This competency framework aims to provide guidance for educators, GP employers and aspiring Advanced Nurse Practitioners. It highlights the challenges encountered by nurses in a Welsh Advanced Practice Advanced clinical practitioners come from a range of professional backgrounds such as nursing, pharmacy, paramedics and occupational therapy. However, the executive nursing team were concerned the revised portfolio did not meet the criteria for ensuring safe practice. Health News - Rounding up all the latest news within NHSGGC. Medical history included mechanical aortic valve replacement (taking warfarin), chronic obstructive pulmonary disease and hypertension. London: The Stationery Office. The development and production of a robust portfolio can demonstrate advanced nursing practice is essential, but is not easily compiled because of the nature and complexity of the individual advanced nurse practitionerâs role.Â This article discusses the advanced nurse practitioner role and the need for the portfolio. The group focused on obtaining evidence that demonstrated the actions taken regularly as a part of their roles. By NT Contributor, A lack of clarity about advanced nursing practice led a Welsh trust to develop a portfolio for advanced nurse practitioners to document the nature of their roles. On admission her international normalised ratio (INR) was 2.2, slightly below the desired therapeutic range of 2.5-3.5. The ANP is able to use their expert knowledge and complex decision making skills, guided by The Code 17 The current evidence on nurse practitioner education, competence, capability and eâportfolios points to the integration of the use of an eâportfolio into current nurse practitioner curriculum models to meet the unique needs of nurse practitioner candidates. We reverted to meeting as a nursing group without academic support with a view to focusing initially on the portfolio content required by the health board, and gaining academic validation at a later date. The evidence varied from signed-off protocols and assessments highlighting a level of clinical practice, to audits/contributions to strategic developments illustrating leadership and management elements of the role. Having worked at this level for a long time, ANPs did not appreciate the level of know-ledge behind daily decision making that informed their practice. Already working with us? Build on your existing professional skills and knowledge to become an advanced nurse practitioner on this University of Southampton masterâs degree. The group also identified the need for a live portfolio to establish a level of practice. If nurse practitioner chooses not to participate, the employer shall pay the nurse practitioner additional salary, an amount equal to the cost of the maximum annual premiums (NAPNA, 2013). The group found it difficult to decide on suitable evidence to show a level of practice. Nursing Times; 108: 25, 22-24. Nurses are not generally encouraged to keep copies of complex cases indicating decision-making and judgement skills, and do not routinely participate in recorded case-based discussions unless working at specific levels and completing these alongside medical colleagues. Nursing Times; 110: 9, 22-23. Department of Health (2007) Trust, Assurance and Safety: The Regulation of Health Professionals in the 21st Century. An anonymised list of patients seen (gender, approx age, presenting complaint, diagnosis, management/referral and any key learning points). Supporting others to develop knowledge and skills, Decision making /clinical judgement/problem solving, Ability to implement research findings into clinical practice. We currently use the Turas ePortfolio available from NHS Education for Scotland. Health protection, screening, services, improvement and more. National Leadership and Innovation Agency for Healthcare (2010) Framework for Advanced Nursing, Midwifery and Allied Health Professional Practice in Wales. Trainees are expected to build up a portfolio of evidence throughout their 2-year training. We suggest that you use this model This requires that ANPs demonstrate their ability to work at advanced levels of competence encompassing all four pillars of practice (Fig 1) so they can use the title âadvancedâ (NLIAH, 2010; Scottish Government, 2008). On extensive investigation no immediate cause was found, until the patient was asked if she ate the Welsh delicacy, laverbread (seaweed). Help shape your hospital and community services. Due to the difficulties the original group had encountered when preparing their portfolios it was decided that all future ANPs would have an allocated âbuddyâ to help them to do this. A nursing portfolio is a tool used by nurses to help them secure a nursing job .. UCLan is committed to the principle of an apprenticeship being the development of an individual into a role of which the course is one component. The evidence can be used for many purposes including supervision, appraisal and NMC revalidation. While the Scottish toolkit clearly sets out the ânovice to expertâ continuum, all the ANPs were very experienced and it was difficult to explain and demonstrate to others what made practice advanced. A database identifies all recognised ANPs within the health board. Nurse Practitioners (NP) will often ask if they can start a business or practice doing âx.â Frequently, this question makes its way to me after the NP has called their state Board of Nursing to ask the same, often without getting the information they need. It highlights the challenges encountered by nurses in a Welsh healthÂ board when producing the portfolio, which will be introduced in Wales to demonstrate clinical governance and ensure patient safety. Tell us your experience of our services, have your say, and more. A portfolio used by one of the group was reviewed as a working example, as it contained evidence of achieved competencies and skills training. It has also led to successful rebanding to Â a Â higher band of roles in some instancesÂ and protection of these jobs for future nurses. On day four the patientâs INR was >10, warfarin was omitted and vitamin K given. Citation: Townsend A, Croft A (2015) Developing a portfolio for advanced practice.Â Nursing Times; 111: 23/24, 23-26. Unit 6 â Advanced Nurse Practitioner Portfolio: This unit is a culmination of your learning and professional practice development, through critical exploration, reflection and demonstration of knowledge, understanding and skills for the Advanced Clinical Practice or Advanced Nurse Practitioner role. Practice was therefore assessed using the health boardâs risk matrix and the areas requiring formal competencies or protocols were identified. This was subsequently used to develop an Abertawe Bro Morgannwg University Health Board governance framework (Barton et al, 2012). These are free to nurses working within Scotland. It concludes with production of a personal portfolio of evidence of academic and â¦ ... achievement of the capabilities and in the development of a portfolio. 6 Framework for Advanced Nursing, Midwifery and Allied Health Professional Practice in Wales In hindsight this period highlighted the diverse opinions on what was required from a portfolio. 7. The health board portfolio guidance agreed by the group included a completed evidence matrix to help others decide what evidence was appropriate and relevant to demonstrate advanced practice. Trainees are expected to work through the appropriate competency document and upload a scanned copy to their ePortfolio prior to any supervision meetings (relevant competency documents will be given to trainees during the training). advanced nurse practitioner. Professional Portfolio Create a professional Portfolio of a nurse practitioner that provides evidence of education, skill sets, accomplishments, goals, competencies, professional background, a dedication to life-long learning, and anything â¦ Board Members, meetings and reports and finances. The INR was generally stable. Although advanced nursing practice is not a new concept, there is no single, universally agreed definition - it should be viewed as a level of practice rather than a specific role (DH, 2010; NLIAH, 2010; Scottish Government, 2008). The workforce group continues to support the portfolio development and revalidation processes on an annual basis for practitioners on the advanced database, thereby continuing to comply with governance requirements. This framework provides a standard and greater clarity on the capabilities for nurses working at the advanced clinical practice level within general practice. This framework provides a standard and greater clarity on the capabilities for nurses working at the advanced clinical practice level within general practice. Learning Plan – the ‘Professional Journal Plan’ in the ePortfolio can be used for this purpose.
The draft framework for Wales on advanced practice; Assessments of procedures (most of which were previously done by medical staff), signed off by a peer, including protocols (clinical pillar); Reflective accounts of particular incidents demonstrating the decision-making process, such as a critical incident and how the practitioner dealt with this, critical thinking skills, assessment and decision-making skills (clinical pillar); Anonymised clinic letters and referrals to other health professionals, and referrals such as GP letters from a clinic consultation recommending treatment/ alteration of treatment (clinical pillar); Anonymised copies of patient notes illustrating the care and decisions taken (clinical pillar); Formal competencies from specialist bodies and clinical assessments by a medical practitioner or other health professional (clinical pillar); Copies of national guidelines practitioners had been involved in (leadership pillar); Copies of audits/research that had been implemented and improved practice (research pillar); Annual reports indicating the purpose and effectiveness of the role and its value (leadership pillar); Copies of teaching programmes for staff/patients/others (education pillar); Case studies illustrating advanced knowledge and problem solving, as in Box 2 (clinical pillar). What to expect, treatment, care, travel, rights and responsibilities. Advanced Nurse Practitioners are educated at Masters Level in clinical practice and have been assessed as competent in practice using their expert clinical knowledge and skills. The nursing executive subsequently used this data to create a database of ANPs, and quickly recognised a need to ensure robust governance arrangements were in place to protect the public, organisation, and the ANPs - particularly in light of how many of the roles had evolved. Competencies should be signed as complete when the assessor has seen satisfactory evidence, within the ePortfolio, that the competency has been met. The basis of advanced nursing practice is a high degree of knowledge, skill and experience applied to achieve optimal outcomes through: However, despite significant debate, advanced nursing roles are not subject toÂ regulation, and the plethora of job titles makes it difficult for the general public to understand the level of care they can expect from ANPs. Box 1. Group members producing a portfolio also identified a workplace assessor to evaluate their evidence and validate their level of clinical practice. I'm an Advanced Nurse Practitioner, how can Turas Portfolio support me? National Leadership and Innovation Agency for Healthcare (2013) Review of the Utilisation of the NHS Wales Advanced Practice Framework. Although advanced nursing practice has existed for decades there is no universally agreed definition, Wide variations in roles and job titles make it difficult for patients to understand what they can expect from ANPs, Effective clinical governance requires evidence from ANPs to demonstrate the advanced natureÂ Â of their practice, A portfolio tailored to ANPsâ needs can help them to define and collate this evidence, Evidence clarifying the nature of advanced practice can increase understanding among both patients and other health professionals. Following the audit the executive nurse for workforce planning invited some of the more experienced ANPs to join a task group to assist with the process of governance. 60 seconds with homeless health advanced nurse practitioner Wendy Ann Webb. This article discusses the advanced nurse practitioner role and the need for the portfolio.