Definition of Competence by PN4v5o

VIEWS: 12 PAGES: 29

									                      The Cover Design

 Three sets of weaving - “the three
          kete of knowledge”.
  The 3 sets of weaving have been
 split - one side represents the self,
      and the knowledge each
individual brings to their nursing
 context and the other represents
          learnt knowledge.

                               Matthew Ngaputa-Cripps
                               Graphic Designer




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                              TABLE OF CONTENTS


Acknowledgements


Introduction and process explanation


Tab 1
Curriculum Vitae
Position Description
Record of clinical hours


Tab 2
Record of Professional Development
Record of involvement in other professional activities


Tab 3
Self assessment


Tab 4
Other assessments
Peer Review guide


Tab 5
Appendices
Appendix 1: Nursing Council of New Zealand Domains of practice and competencies
Appendix 2: Reflective practice model




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                              ACKNOWLEDGEMENTS

The following people / groups have provided information, expertise and support in the
preparation of this portfolio guide for practice nurses in the Pinnacle network.


Northern Districts Regional PDRP team –
Wendy Tustin- Payne - Bay of Plenty
Chris Baker and Marian Partington - Waikato
Cherly Atherfold - Lakes
Dawn Tucker - Tairawhiti
Chris Cullen - Northland


NZNO
Angela Dawbin
Primary Health Care Nurses Council


MIDCentral District Health Board
Primary Health Care Nurse Development Team




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                         Continuing Competence Framework

                      (Competence-Based Practicing Certificates)


Primary health care nurses are registered nurses with knowledge and expertise in primary
health care practice. Primary health care nurses work autonomously and collaboratively to
promote, improve, maintain and restore health. Primary health care nursing encompasses
population health, health promotion, disease prevention, wellness care, first-point-of-contact
care and disease management across the lifespan. The setting and the ethnic and cultural
grouping of the people determine models of practice. Partnership with people – individuals,
whānau, communities and populations – to achieve the shared goal of health for all, is
central to primary health care nursing1.

The introduction of the Health Practitioners Competence Assurance Act (HPCA) (2003)
requires the Nursing Council of New Zealand (NCNZ) to ensure the continuing competence of
practitioners to protect public safety. The Council has developed the Continuing Competence
Framework to monitor the continuing competence of nurses on application for a practising
certificate and through audit.

This framework applies to all nurses who are currently practicing in New Zealand:
Nurse Practitioners, Registered Nurses, Nurse Assistants and Enrolled Nurses2 and is based
on the Nursing Council of New Zealand competencies 2005.


Definition of Competence3
Competence is the combination of skills, knowledge, attitudes, values and abilities that
underpin effective performance as a nurse.


Continuing Competence Requirements4
It is a professional responsibility for all practicing nurses to maintain their competence to
practice. Nurses applying for a practising certificate under the Act will be asked to declare
that they have met the required standard of competence. An audit of a nurse’s competence
may take place at any time, not only when applying to renew your practising certificate.

There are three aspects to meeting the competence requirements:

1. practice hours
2. professional development hours



1
  New Zealand Ministry of Health 2003
2
  Nursing Council of New Zealand http://www.nursingcouncil.org.nz/contcomp.html
3
  Ibid
4
  Ibid



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3. being able to meet the Council's competencies for your scope of practice i.e. Nurse
   Practitioner, Registered Nurse, Nurse Assistant or Enrolled Nurse, applied to the area or
   context in which you practice.

Up to 5% of individual practitioners will be randomly selected for audit by NCNZ each year.
Nurses who are on Professional Development and Recognition Programmes (PDRPs) which
have been approved by Nursing Council will be excluded from the audit. This will apply to
practice nurses who are accredited with the College of Practice Nurses.




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If you are selected for audit, the Council will require you to submit:

1. Evidence of your practice hours (a minimum of 60 days or 450 hours in the last three
   years).
2. Evidence of professional development hours. (minimum of 60 hours in the last 3 years)
3. Two of the following methods of assessments of your practice against the competencies:

   self assessment - compulsory
This may be done against the NCNZ competencies and other associated organisational
requirements or through reflective practice. (see appendix 2)

    senior nurse assessment / performance appraisal
For the purposes of this assessment activity, your performance must be appraised against
the Nursing Council competencies. A nurse colleague or senior nurse should be involved in
this process.

   peer review or evidence of involvement in peer review activities.
A peer review activity is an activity that occurs with one or more peers who review aspects of
a nurse’s practice e.g. review of care plans/clinical records, observation of practice or
discussion about a practice issue. It will include feedback about the nurse’s performance.


Why have a portfolio?

   The NCNZ requires all nurses under the HPCA legislation to keep evidence of their
    continuing competence.
   A portfolio identifies achievements and learning needs and provides a process for
    acknowledging your knowledge, skills and expertise developed through experience.
   It provides an opportunity to reflect on your nursing practice.


Portfolios should include:

   Curriculum Vitae (qualifications, employment record)
   Position description
   Self assessment against the Nursing Council competencies
   Peer review / assessment OR performance review
   Copy of practising certificate
   Record of clinical hours – minimum requirement is 450 hours of nursing practice in the
    past 3 years
   Record of professional development –minimum requirement is 60 hours over the past 3
    years
   Current other certification appropriate to your area of practice




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About this guide:

This guide has been designed to help you in the development of your professional portfolio.
Completing your portfolio using this guide does not guarantee NCNZ approval of your
portfolio, however this guide is based on the NCNZ domains and competencies 2005.

The forms/templates are examples only, they are not a compulsory format.


Rules of Evidence

Evidence needs to answer the questions: – when, why, how?

Evidence also needs to be:5

      Authentic
       Must be an honest reflection or assessment of your practice.

      Relevant
       Reflects the competency being assessed.

      Sufficient
       There must be enough evidence for the assessor to be satisfied that you are competent -
       can the performance be repeated to the desired standard / or what have you learned
       from this outcome.

      Current
       Must be related to current practice i.e. within the last 3 years. An exception is when
       something has happened in your practice in the past (the way you dealt with a crisis or
       an ethical situation) and the impact this has had on the way you practice now.

      Repeatable
       Must be a consistent feature of your practice.

NB: More than one piece of evidence is likely to be needed to cover all the NCNZ
    competencies


National Professional Development and Recognition Programme (PDRP) Goals

PDRPs are frameworks that ensure nursing expertise is visible, valued and understood. They
enable differentiation between different levels of practice, value and reward clinical practice,
identify expert nurse / role models and encourage reflection on practice. A PDRP provides a
structure for ongoing professional development and practice advancement and assists
nurses to meet the requirements for competence based practising certificates.




5
    The Open Polytechnic of New Zealand. Workplace Assessment, 2001.



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Most primary health care nurses employed outside the DHB provider arms do not currently
have a PDRP. The College of Practice Nurses NZNO has a Practice Nurse Accreditation
Programme which has been reviewed by Nursing Council and approved as a PDRP. Practice
nurses who are accredited with the College will not be audited by NCNZ.

The NZNO PHC Nurses Council is planning the development of a national primary health
nurses PDRP three level programme. The aim will be to have this programme approved by
NCNZ. In the interim the purpose of a portfolio is to meet the requirements of NCNZ in
providing evidence of competence to practice as a registered nurse. There will not be any
formal external assessment of your portfolio until such time as the national PHC nurses
PDRP process is implemented.

What will happen if you have not met the practice hours?6

If you have not completed 60 days or 450 hours of practice in the last three years in New
Zealand, or last practiced between three and five years ago, your application for an annual
practising certificate will be individually considered and you may be issued with an interim
practising certificate with a condition that you complete one of the following within six
months: practice hours, a competency assessment, supervised practice or an orientation
programme.

What will happen if you have not met the professional development hours?7

If you have not completed 60 hours in the last three years, your application for a practising
certificate will be individually considered and you may be issued with a certificate. You will
then be expected to complete the 60 hours within a year.

What will happen if you have not met the Council's competencies for your scope of practice?8

If you have not met the competencies, your application will be individually considered and
you will either be given a practising certificate, or you may be issued with an interim
practising certificate with a condition that you complete a competence assessment within six
months. If there is an indication that there is a risk of harm to the public, you may be
required to complete a competence review.


Future Developments

Compiling your portfolio using this framework will assist you meet to the requirements of
NCNZ should you be audited. It will also form the basis for entry onto the PHC nurses PDRP
programme once this is developed.




6 Nursing Council of New Zealand http://www.nursingcouncil.org.nz/certs.html#004
7 Ibid
8 Ibid




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   Your CV does not need to be lengthy but should include information relevant to your qualifications
    and training and your work experience.
   Be consistent with headings, fonts and layout.
   Make it as readable as possible
   Present it in a professional manner



PERSONAL DETAILS

NAME:                            Mary Gray

ADDRESS:                         12 Lobelia Lane
                                 Acerville

CONTACT DETAILS:                 Telephone:
                                 Mobile:
                                 Email:

CURRENT WORK                     Practice Nurse
POSITION:


NURSING PHILOSOPY (optional)

Might include:
  The theoretical model that defines your practice
  A statement about your commitment to working in partnership with Maori and how you
   include the Treaty principals in your day to day practice.
  The importance you place on working with clients to achieve mutually agreed outcomes




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QUALIFICATIONS

Start with the most recent
State the year you completed the qualification and the organisation / institution you studied
at e.g.

2000 Bachelor of Nursing, Auckland Institute of Technology

EMPLOYMENT

Start with your current employment situation and work backwards e.g.

2002 Clinical Nurse Leader, Paediatric Palliative Care, Weymouth District Health Board.

PROFESSIONAL AFFILIATIONS e.g.
MEMBER
New Zealand Nurses Oganisation

MEMBER
College of Practice Nurses NZNO

OTHER PROFESSIONAL ACTIVITIES

CONFERENCES ATTENDED
                                                                        Include or omit as
CONFERENCE PRESENTATIONS                                                appropriate

TEACHING & PUBLICATIONS

INVOLVEMENT IN RESEARCH and / or PROJECTS

Key Achievements

Personal Attributes

Professional Interests e.g.

   Consultation processes
   Nursing education and the development of the nursing role
   Service development and monitoring of service delivery (consumer satisfaction)
   Quality assurance activities
   Project management

REFEREES
Two people whom you have worked with or currently work with who can comment on your
practice.




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                                                                                           EXAMPLE


 POSITION DESCRIPTION – PRIMARY HEALTH NURSE / PRACTICE NURSE
PRIMARY OBJECTIVES

   To provide a safe and effective client centred primary health nursing service.
   To act as client advocate in maximising access to health care opportunities.
   To work effectively as a member of the primary health care team.
   To participate in ongoing professional development.

                                                                          EXPECTED RESULTS
                      ATTRIBUTES                                       PERFORMANCE INDICATORS

Professional Nursing Practice                             Demonstrates competency and safe practice in the
To offer a primary health nursing service which, is       clinical field. Uses a client centred approach to care
respectful of clients’ culture and traditions.            delivery.
Team work                                                 Functions and participates as a member of a multi-
To work collaboratively both as a member of the           disciplinary team. Collaborates with staff in immediate
primary health care team and with other services in       environment and liaises with external providers to
providing a confidential primary health care service      ensure appropriate and optimum care delivery for
                                                          clients.
Advocacy                                                  Acts as a client/patient advocate, supporting the
To work with patients/clients and their families to       client/patient and the family to access the resources
achieve the best outcome as identified by the             necessary to maximise health and wellbeing.
client/patient.
Ethics and confidentiality                                Demonstrates an awareness of the various legislations
To work as a member of the primary health care team       –HPCA Act, Privacy, Health & Safety, Health and
to ensure optimal client care with regard to ethics and   Disability Services Consumers Rights and all other
confidentiality.                                          codes and regulations relevant to maintaining safe,
                                                          ethical and effective practice. Professional indemnity is
                                                          addressed by membership of an appropriate
                                                          professional body.
Health Promotion                                          Actively engages in the primary healthcare ethos of
To actively participate in health promotion activities    health promotion and client/patient empowerment.
and be proactive in the area of health education by       Makes appropriate use of a variety of resources to
demonstrating and teaching skills for health              achieve satisfactory outcomes for clients.
maintenance and prevention of illness and accidents.
Professional Development                                  Demonstrates commitment to own professional
To maintain high standards of professional nursing        development by attending/participating in educational
practice and clinical competency by participating in      opportunities that enhance clinical practice and impact
ongoing professional development through attendance       positively on the development of the service.
at meetings, seminars and/or by accessing specific
postgraduate nursing educational opportunities.
Quality                                                   Contributes to the maintenance of a high standard of
Participate in quality improvement activities.            nursing care by participating in and promoting activities
                                                          that enhance both individual practice and overall
                                                          service provision.
Professionalism                                           Contributes to the development of the primary health
Demonstrated through membership of professional           nursing role through affiliation with relevant colleges,
organisations and associations e.g. NZNO.                 sections, peer groups




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                      OTHER DUTIES                                           OBJECTIVE

Recommend change and improvement to assist the           Continuous improvement and development of systems,
service to meet its strategic goals.                     procedures and services.

Contribute to the development, efficiency and ultimate
success of the service.

Other duties as may be reasonably required from time
to time.




HEALTH AND SAFETY
The hazards which the successful applicant may be exposed to in the course of undertaking
these duties include:

 Chemical                    Exposure to decontaminant solutions – mild and mostly non toxic
 Plant/Equipment             Exposure to sharp implements e.g. scalpel blades, needles
 Biological                  Exposure to blood/body fluids
 Physical                    Occasional heavy lifting
 Environmental
 Other/Tasks


Note: This is not intended to be a comprehensive list of all hazards relating to this position.
      Further information can be found in the hazard identification and control sheets in
      Section Two of the
      Department’s Occupational Safety and Health Manual


CONDITIONS OF EMPLOYMENT
(Employment agreement details)

Review date

Signed and agreed by: (employer and employee)




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PERSON SPECIFICATION

                                                ESSENTIAL                              PREFERRED/DESIRABLE

                                Registration as a nurse with the Nursing       Certification as Nurse Smeartaker.
Education/Training              Council of New Zealand                         Vaccinators Certificate
                                Current Practising Certificate
eg. professional
registration, degree,
diploma, drivers licence, etc

                                Post registration experience working as a      Experience working in the primary health
Experience                      nurse in a clinical setting.                   care environment.

Skills                          Effective written and oral communication       Basic computer skills.
                                skills.
                                Clinical competency in nursing
                                assessment and nursing diagnosis.
                                Ability to practice the principles of
                                advocacy.
                                The ability to incorporate the principles of
                                the Treaty of Waitangi into nursing
                                practice.
                                Able to work unsupervised.                     Committed to own ongoing
Attributes/Abilities            Able to work collaboratively with other        professional/skill development.
                                team members.


Physical
eg. physically able to lift
and move heavy furniture,
must be able to do
repetitive work, etc




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                            Confirmation of Clinical Hours
                         (hours worked as a registered nurse)


Name…………………………………………………………………………………………………………………………………


Nursing Council number……………………………………………………………………………………………………..


Employed by……………………………………………………………………………………………………………………….


OR is self employed (name of company)………………………………………………………………………………


Date employment commenced……………………………………………………………………………………………


Name……………………………………………………… worked as a registered nurse for a minimum


of…..………………hours per month.


Total hours worked for (year)……………………………. = …………………………………………………………



Verified by:

……………………………………………………………………………………. …………………………………………………..
                      NAME                                DESIGNATION



………………………………………………………………………………….. …………………………………………………….
                      SIGNATURE                           DATE




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                              SELF ASSESSMENT GUIDE
For the purposes of providing evidence of competence the NCNZ requires registered nurses
to complete an assessment of themselves against the NCNZ competency framework. For
nurses seeking accreditation with the College of Practice Nurses or Certification by NZNO as
a Nurse Clinician the reflective practice model (see appendices) can also be used for this
process.

Appendix 1 provides a list of the domains, competencies and some prompt questions and
are an example of how the framework can be used to complete the self assessment.

It is not necessary to write an assessment for each and every domain / competency. Neither
are you expected to provide evidence of meeting each and every competency. The aim of the
self assessment is to prove that as a registered nurse you are competent to provide safe and
effective care. Several competencies may be covered in a single piece of evidence. It is
useful to indicate at the outset which competencies / domains the evidence covers.

There are at least two approaches to the self assessment process. One is to use the domains
of practice and the competencies and write to those the other is to identify a clinical situation
that is part of your everyday practice and then relate that to one or more of the domains e.g.
immunisation.

Ask yourself which domains of practice relate to your immunisation practice?

   Domain one: Professional responsibility
    The Code of Health and Disability Services Consumers‘ Rights requires you to observe

       Right 5: Right to Effective Communication

       Right 6: Right to be Fully Informed

       Right 7: Right to Make an Informed Choice and Give Informed Consent.

        What policies / procedures does your workplace have for minimising / managing
        risk?
        How do you ensure your practice is culturally safe and appropriate?
        How do you ensure client safety? (e.g. checking for allergies, infection control)
        How do you ensure staff safety? (e.g. infection control, disposal of sharps)

   Domain two – management of nursing care
    What assessment is done prior to immunisation?
    What documentation is required and how do you ensure this is accurate?
    How do you support the client and / or their caregiver in the decision making around
    immunisation?
    What ethical principles guide your immunisation practice?
    What guidelines do you use in providing an immunisation service?




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   Domain three – Interpersonal Relationships
    How do you ensure your communication with clients is effective and that the information
    you provide is appropriate?

   Domain four – Inter-professional health care and quality improvement
    How do you incorporate quality improvement activities in your immunisation practice?
    What processes are used to ensure families are informed about immunisation?
    How do you audit / measure immunisation coverage in your workplace?
    Who is involved in these activities and how are the outcomes communicated?
    If the audit processes demonstrate a need for change how is this managed in the
    workplace?




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                                Registered Nurse
                                Self Assessment


Name:                 …………………………………………………….


Employer:             ………………………………………………………


Date of review: ………………………………………………………


Review period: ………………………………………………………




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                                SELF ASSESSMENT

This self assessment discusses domain(s)

This section can be repeated for the other Domains/Competencies by cutting and pasting
this table. The line will expand downwards as you type.

              ……………………………………………………. ……………………………………………………..

                           Signature                                Date




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                                   PEER REVIEW GUIDE
This process could also be used for a performance review. Use the domains, competencies
and prompts as provided in appendix 1.

The peer review may be done either one to one or it can be done with a group of colleagues.
It is important to agree on the process that will be used before you start.

There are at least two approaches to the peer review process. One is to use the domains of
practice and the competencies and write to those, the other is to identify a clinical situation
that is part of your everyday practice and then relate that to one or more of the domains e.g.
a case review.

Important things to remember:

   Accurately document the process and the outcomes e.g. how was the review carried out?
   Avoid focusing on just one area of practice or incident
   This is not meant to be punitive process. It is about reviewing practice, celebrating the
    achievements and identifying areas for further development.
   Avoid repetition. It is possible to cover several competencies at one time.




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                             Registered Nurse
                            Peer Review Record


Name:             ………………………………………………………


Employer:         ………………………………………………………


Date of review: ………………………………………………………


Review period: ………………………………………………………




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                                     PEER REVIEW RECORD

   This peer assessment discusses domains-
   This section can be repeated for the other Domains/Competencies by cutting and pasting
   this table. The line will expand downwards as you type.


Reviewer:       .....................................………………….   ……………………………………………………...
                                     Name                                Designation

                 …………………………………………………….                          ………………………………………………………
                                 Signature                               Date




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                                                                                                 Appendix 1



                  NZNC - Domains of Practice and Competencies 2005

1.      DOMAIN ONE - PROFESSIONAL RESPONSIBILITY

        This domain contains competencies that relate to professional legal and ethical
        responsibilities and cultural safety. This Includes being able to demonstrate knowledge and
        judgement and being accountable for own actions and decisions.

        Competency 1.1
        Accepts responsibility for ensuring his/her nursing practice and conduct meet the standards
        of the professional, ethical and relevant legislated requirements

        Guide for assessment / review

            What legislation/codes/policies/standards guide your practice as a Registered Nurse?
            How do you ensure consistent standards of care for your clients?
            How do you access and include relevant standards/policies/guidelines in your practice?
            What provision is made in your workplace for harm reduction i.e. reporting errors,
             breaches of the law and managing the outcomes of these?

        Competency 1.2
        Demonstrates the ability to apply the principles of the Treaty of Waitangi to nursing practice.

        Competency 1.5
        Practises nursing in a manner that the client determines as being culturally safe

        Guide for assessment / review

            How do you apply the principles of the Treaty of Waitangi consistently in your practice?
            What is cultural safety?
            What cultural safety guidelines / policies guide your practice?
            How do you incorporate the identity, beliefs, values of clients’ into your practice?

        Competency 1.3
        Demonstrates accountability for directing, monitoring and evaluating nursing care that is
        provide by nurse assistants, enrolled nurses and others

        Guide for assessment / review

            How do you ensure that nursing practice is safe and effective?
            How do you keep yourself up to date with best practice / latest information?
            What professional principles underpin the code of conduct for nurses
            What are your responsibilities in direction, delegation and supervision of other staff?
            Who do you consult when you recognise your limitations?
            What leadership responsibilities do you have in your area of practice?
            Are you involved in reviewing care delivery?




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        Competency 1.4
        Promotes an environment that enables client safety, independence, quality of life and health

        Guide for assessment / review

            How do you promote a safe working environment?
            How do you identify risks within your area of practice?
            Does your workplace have a system for reviewing policies / procedures that impact on
             clients’ safety and wellbeing?
            Does your workplace have a process for reporting, recording and addressing incidents /
             risks?

2.      DOMAIN TWO - MANAGEMENT OF NURSING CARE

        This domain contains competencies related to client assessment and managing client care
        which, is responsive to client’s needs and which, is supported by nursing knowledge and
        evidence based research / practice.

        Competency 2.1
        Provides planned nursing care to achieve identified outcomes

        Competency 2.2
        Undertakes a comprehensive and accurate nursing assessment of clients in a variety of
        settings

        Competency 2.3
        Ensures documentation is accurate and maintains confidentiality of information
        Competency 2.6
        Evaluates client’s progress towards expected outcomes in partnership with clients
        Guide for assessment / review

            What processes / frameworks do you use to ensure your clients are involved in planning
             their care, that goals/outcomes are mutually agreed and that clients are provide with
             enough information to give informed consent?
            What assessment tools / frameworks do you use when assessing client’s needs?
            How do you ensure that the care you provide is safe and effective?
            Describe how you integrate research / evidence into care planning
            How do you evaluate the effectiveness of any interaction / intervention?
            How do you ensure that your interaction with clients is documented accurately and that
             information gathering is both purposeful and meaningful?
            How do you ensure that documentation is in accordance with your legal and ethical
             responsibilities?
            How do you ensure that documentation/ handover / referral to colleagues is effective,
             timely, appropriate and consistent?




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   Competency 2.4
   Ensures the client has adequate explanation of the effects, consequences and alternatives
   of proposed treatment options

   Guide for assessment / review

       What are the ethical principles you apply to your nursing practice?
       How do you assess the client’s readiness to participate in health education activities?
       How do you advocate for your client in the decision making around health care and
        interventions / treatment?
       How do you facilitate client’s access to appropriate treatments and interventions?
       Who do you involve in the discussion when a client refuses care or wishes to change the
        care that is recommended?
       Do you discuss ethical issues / concerns with colleagues?

   Competency 2.5
   Acts appropriately to protect oneself and others when faced with unexpected client
   responses, confrontation, personal threat or other crisis situations

   Guide for assessment / review:

       What systems does your workplace have for managing crisis situations?
       What role do you play in implementing a nursing response to any threat to the safety of
        clients and / or colleagues
       Are you involved in developing organisational risk management plans e.g. calming, de-
        escalation, conflict resolution strategies?

   Competency 2.7
   Provides health education appropriate to the needs of the client within a nursing framework

   Guide for assessment / review

       Why is health education important for clients?
       How do you ensure that the health education offered is consistent, timely and
        appropriate?
       What methods do you use to share information with clients / groups and how do you
        include the partner / family /whanau/ caregiver/ if appropriate?
       How do you evaluate / audit the effectiveness of health education you have provided?
       What do you do if you cannot meet the identified need?




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        Competency 2.8
        Reflects upon and evaluates the effectiveness of nursing care with peers and experienced
        nurses

        Competency 2.9
        Maintains professional development

        Guide for assessment / review

            How do you assess your own level of competence and nursing practice?
            How do you determine the needs of individual clients and whether or not you have the
             skills to meet these needs?
            Does your workplace have a system for seeking advice, assistance, debriefing/case
             review in relation to your practice?
            What contribution are you able to make to support the professional development of
             peers / colleagues?
            How do you ensure your nursing knowledge remains current and is regularly updated?

3.      DOMAIN THREE - INTERPERSONAL RELATIONSHIPS

        This domain contains competencies related to interpersonal and therapeutic communication
        with clients, other nursing staff and inter-professional communication and documentation.

        Competency 3.1
        Establishes, maintains and concludes therapeutic inter-personal relationships with client

        Competency 3.2
        Practices nursing in a negotiated partnership with the client where and when possible

        Competency 3.3
        Communicates effectively with clients and members of the health care team

        Guide for assessment / review

            Do you evaluate whether your response to client’s questions, requests, problems is
             appropriate / effective?
            What do you understand by a therapeutic partnership?
            How do you build trust in a therapeutic relationship?
            How do you demonstrate knowledge of verbal and nonverbal skills (body language) in
             your communication with your client?
            How do you ensure information shared with clients and colleagues is appropriate and
             provided in a way they understand?
            Do you ensure that other team members are consulted in the planning of client care?
            What do you understand as boundaries of a professional relationship?




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   DOMAIN FOUR – INTER-PROFESSIONAL HEALTH CARE AND QUALITY IMPROVEMENT

   This domain contains competencies to demonstrate that, as a member of the health care
   team the nurse evaluates the effectiveness of care and promotes a nursing perspective
   within the inter-professional activities of the team.

   Competency 4.1
   Collaborates and participates with colleagues and members of the health care team to
   facilitate and coordinate care

   Competency 4.2
   Recognises and values the roles and skills of all members of the health care team in the
   delivery of care

   Guide for assessment / review

       How do you promote a nursing perspective within the health care team?
       How do you maintain effective team relationships?
       How do you document and communicate client care for co-ordination purposes?
       What change management strategies do you use within your workplace?
       What role do you take in facilitating collaborative client care?
       How do you ensure clients are provided with information about other services /
        resources that may assist in achieving / maintaining health and wellbeing?

   Competency 4.3
   Participates in quality improvement activities to monitor and improve nursing standards

   Guide for assessment / review:

       What is quality improvement?
       How does your own nursing practice reflect and incorporate quality improvement?
       Are you involved in the development and evaluation of policies, procedures and
        guidelines?
       What audits are your responsibility?
       How do you ensure staff education and involvement in quality improvement activities?




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                                        Registered Nurse Professional Development
                                        Record of participation in the last three years

NB: Attendance at professional development activities that are arranged by Pinnacle is recorded in a central database and can be used as
evidence for the purposes of your portfolio. A personal transcript of this information, verified by the Nurse Advisor, is available from Phillippa
Ross, Clinical Team Administrator, Pinnacle Group Ltd; 07 958 8250. If your participation is validated by another person it is not necessary
to also have a certificate.

    DATE                  ACTIVITY                   HOURS                        RELEVANCE TO PRACTICE                            VERIFIED




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                                           Record of involvement in:
        Research, teaching / coaching, establishing new practice initiatives or nurse-led services, projects

    DATE              ACTIVITY / PROJECT   DESCRIBE YOUR ROLE          AIMS / OUTCOMES                VERIFIED




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                                                                                                                                   Appendix 2


                                                                                                                Setting the scene
Has this event changed your thinking in any                                                                     Time of day and environment
way?                                                                                                            Available support
What have you learnt?                                                                                           Familiar setting or new
Combination of new and existing knowledge –                                                                     Key features i.e. event/practice.
developing a new perspective, developing your                                                                   Remember the focus is YOUR
practice                                                                                                        practice not the client/patient
                                                          REFLECTIVE
                                                           PRACTICE
                                                            MODEL
        Broader Issues:
        Legal, social, ethical, cultural.
        What did you do and why?
        What were your decisions
        based on – knowledge
        experience, evidence,
                                                                                                            What were the challenges for your
        research?
                                                         Things to remember                                 practice?
                                                    Confidentiality – patient,                             What was your role?
                                                     colleagues, organisation                               What actions did you take
                                                    The reflection needs to be                             What were you trying to achieve?
                                                     about your current area of                             What were the consequences for your
                                                     practice                                               practice?
                                                                                                            How did the situation affect you?
                                                                                                            How did you affect the situation?
                                                                                                            Remember focus on YOUR practice not
        What other approaches could you
                                                                                                            individuals
        have used?
        What were the outcomes for:
        Your nursing practice
        Your client(s)
        Others – colleagues, family
        yourself


                                                Is this a new experience?
                                                If not, is it different – if so how?




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                                                                             With thanks to Wendy Tustin-Payne, PDRP Co-ordinator, Bay of Plenty, 2005

								
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