Portfolio preparation Tips for Nurses by ryandenney

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									 Portfolio preparation: Tips for
             Nurses

Charlotte Thompson
Professional Nursing Advisor
New Zealand Nurses Organisation
August 2008.
Charlottet@nzno.org.nz
Aims
       Discuss portfolio
       preparation for
       Nursing Council of
       New Zealand Audit
       requirements.

       Defining portfolio
  What is a portfolio?

“A … collection of evidence which
demonstrates the continuing acquisition
of skills, knowledge, attitudes,
understanding and achievement. It is
both retrospective and prospective, as
well as reflecting the current stage of
development and activity of the
individual” (Hunt et.al., 1995)

Note: NCNZ does not use the term
“Portfolio”, NCNZ refers to “Evidence of
continuing competence”.
Portfolios

 A collection of evidence
 Demonstrates expertise
 Explains your nursing practice in the
 written form
 Individual in focus
Health Practitioners Competence Assurance
                  Act 2003

 Principal purpose – to protect the public

 Introduced as a mechanism to ensure each
 registered health practitioner is competent

 Covers all health practitioners
    73,000 of whom 47,000 are nurses

 Each profession has own regulating authority
    Monitors qualification, scopes of practice & educational
    programmes
    Authorises registration
    Issues Annual Practising Certificates, & monitors competence
    Notifies concerns re “risk of harm” to the public
    NCNZ Annual Practising Certificate



5% of nurses are audited randomly each
year

Nurses on approved Professional
Development Recognition Programmes
(PDRPs) are excluded from audit.
Why have a portfolio?

                        HPCA Act 2003
                        Recognition of prior
                        learning
                        Professional profile
                        CV
                        Job applications
                        Part of a
                        professional
                        development and
                        recognition
                        programme (PDRP)
        Three Aspects of NCNZ Continuing
              Practice Requirements

1. Evidence of Practice Hours
    – 60 days or 450 hours in last 3 years.
    - Verified by the employer

2. Evidence of Professional Development
   – 60 hours of professional development in last 3
        years. Must explain
      a. What you did, and number of hours
      b. What you learned
      c. How each activity affirmed or influenced
    your practice (ie. Must be relevant to your
    practice context)
      D. Verified by the Employer or Nurse
    Educator.
Professional Development may be
             taken as
                  Hours, whole days
                  Degree papers
                  Short courses
                  Seminars
                  Conferences
                  In service education
                  Meetings if educational
                  and or quality
                  improvement process
                  evident
                  Journal reading must take
                  place in a formal
                  framework eg. Journal
                  club, presentation to
                  colleagues
         The 3rd Aspect of NCNZ Continuing
               Practice Requirements

3. Evidence of being able to meet NCNZ
    competencies for your scope of practice.
This must be achieved by using two of the following
    three assessment methods:

1. Self assessment
   - signed by a nurse (with contact details)
2. Assessment by a Nurse in a designated Senior
    Nurse (not another Health Professional)
   - signed (with contact details and explanation of
    senior nurse role)
   - can be a performance appraisal if all competencies
    met
3. Peer assessment or peer review (not another
    Health Professional)
         The 3rd Aspect of NCNZ Continuing
               Practice Requirements
3. Peer assessment or peer review
    -option for nurses working in isolation.

   -expected participation in regular peer review.

   -may have evidence from more than one peer.

   -can include a review of documentation,
   observation of practice, or discussion about a
   practice issue.

   -evidence includes type of activity, examples of
   how you performed, & include the feedback you
   were given.

  -nurse(s) who carried out the review must
   provide contact details.
Competencies for Registered Nurses
– NCNZ December 2007


Evidence of safety to practise as a Registered Nurse is
  demonstrated when the applicant meets the
  competencies within the following domains:

Domain one:
      Professional responsibility

Domain two:
      Management of nursing care

Domain three:
      Interpersonal relationships

Domain four:
      Interprofessional health care & quality improvement
Competencies for Registered Nurses
– NCNZ December 2007




  Nurses involved in management,
  education, policy and research have
  specific competencies to meet.
Examples of RN competencies

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

Indicator:
Practises nursing in accord with relevant legislation/
   codes/ policies/ and upholds client rights derived
   from that legislation.

Indicator:
Uses professional standards of practice.
   Example from Emergency
           Nursing


Within the Emergency Department setting, I
am aware of the various policies and
guidelines that govern my nursing practice.
For example, the Ministry of Health ED
Service Specification document outlines the
role of the triage nurse utilising the
Australasian College of Emergency Medicine
Guidelines for triage. These guidelines…..
Examples of RN competencies

Competency 2.1
Provides planned nursing care to achieve
  identified outcomes.

  Indicator:
  Demonstrates understanding of the processes and
  environments that support recovery.

 Indicator:
 Undertakes practice procedures and skills in a
  competent and safe way.
Another example..

 When I first arrived at ...ED, I came with previous
 emergency nursing experience, and was familiar with
 the use of entonox or nitrous oxide, a form of self
 administered analgesia useful in acute pain situations.
 One of my first shifts included a presentation of an 8
 year old boy with a dislocated elbow who was in severe
 pain on arrival. My immediate choice was to administer
 entonox whilst a doctor inserted a cannula for
 intravenous pain relief. However, when I enquired
 where it was, I was informed that it was in use in one
 of the medical wards for a wound dressing change.
 This was the only cylinder available in the department,
 thus I felt frustrated as it prolonged the patients
 pain unnecessarily.
  Caution – exemplars & other
         evidence
Confidentiality
Could be used as evidence in legal
proceedings

NZNO has a useful position statement entitled
“NZNO Guidelines for Nurses & Midwives: Privacy,
Confidentiality & Consent in the use of exemplars of
practice & journalling” (2005). Available on NZNO
homepage under Publications.
Examples of RN competencies

Competency 3.1
  Establishes, maintains and concludes
  therapeutic interpersonal relationships with
  client.

Indicator:
Utilises effective interviewing and counselling skills
   in interactions with clients.

Indicator:
Establishes rapport and trust with the client.
Examples of RN competencies

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

Indicator:
Promotes a nursing perspective and contribution
   within the interprofessional activities of the health
   care team.

Indicator:
Maintains and documents information necessary for
  continuity of care and recovery.
Tips for starting: Preparation
                 How do you best plan?
                 How long since you
                 have studied?
                 Brainstorm the
                 indicators: which are
                 the most challenging?
                 How will you
                 accomplish these?
                 Explain to family/
                 friends
                 What skills do you
                 need? Eg. computer
Tips for starting: Plan of attack
                      Deadline- when are your
                     busy periods in life? Are
                     you changing jobs or
                     location?
                     Do you have access to
                     assistance eg. Nurse
                     Educator,Librarian.
                     Collect resources
                     Arrange guest speakers
                     Project work to contribute
                     to?
                     Plan Professional
                     Development activities.
Structure

Use a folder
Introduction
Table of Contents
Logical order
Not too much, not too little
Work on it over time
Ask someone to review it for you
         Collect useful resources:
                 examples
Nursing Council of New Zealand:
-Code of Conduct (March 2008)
-Direction & Delegation Guidelines (June
2008)
-Guidelines for cultural safety, the Treaty of
Waitangi & Maori Health in nursing
education & practice (March 2005).

New Zealand Nurses Organisation:
-Administration of Medicines guidelines
(2007)
 -Obligations in a pandemic or disaster
(2008)
 -Standards of Practice & Guidelines -
Nursing Specialty Groups
 -Code of Ethics
 - Professional Nursing Advisors write
Professional Focus articles for Kai Tiaki
journal
NZNO Resources
www.nzno.org.nz




          NZNO Portfolios:
          • CD & Guidelines –
              • $10 members,
              • $20 non-members
          •Folder & Guidelines –
              • $15 Members,
              • $25 non-members
Any Questions?
References

Nursing Council of New Zealand
(2008).Continuing Competence Framework.
Retrieved from
www.nursingcouncil.org.nz/contcomp.html.

								
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