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.
Pages to are hidden for
"Portfolio preparation Tips for Nurses"Please download to view full document