Clinical NurseMidwife Specialist role Resource Pack nd ed July eczema

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Clinical NurseMidwife Specialist role Resource Pack nd ed July  eczema Powered By Docstoc
					National Council for the Professional Development of Nursing &
Nursing & Midwifery Planning & Development Unit, HSE (South),

2ND ED, JULY 2008)
 Original developed &
    published 2003 by NMPDU
    with funding from NCNM
   Revised CNS/CMS
    frameworks (2004, 2007)
   Evaluation of effectiveness
    of CNS/CMS roles (2005)
   Position papers (2005-
   Increase in number of posts
   Health service reform from
  Aims of Resource Pack
For CNSs/CMSs to:
 Identify & define role in line with core
   concepts & associated competencies
   (NCNM 2007)
 Reflect & examine role
 Develop awareness of strengths & areas for
 Formulate & implement a strategic plan for
   role & personal development
 Develop skills to demonstrate & highlight
   contribution to patient/client care
 Enhance inter-/intra-disciplinary
 Support bid for additional resources
Contents of book version
 Glossary
 Introduction
 Ch 1. Exploring the Definition & Five Core Concepts of the
    CNS/CMS Role
   Ch 2. CNS/CMS Role Clarification & Planning
   Ch 3. Competency Review & Personal Development Plans
   Ch 4. The CNS/CMS & Audit & Research
   Ch 5. The CNS/CMS & Report Writing
   Summary
   References & Biblography
   Appendices (1-13)
New features in book version

 New design
 Glossary & abbreviation
 New first chapter outlining developments in
  & relevant to clinical career pathway
 Updated references
 Amended text
 CNS’s/CMS’s role in research (Ch 4)
Special new feature
Contents of CD-ROM
Case studies
Applying the core concepts in different areas of

  •Mary, Clinical Nurse Specialist (Asthma) in a General Hospital
  •Patrick, Clinical Nurse Specialist (Challenging Behaviour) in an Intellectual
  Disability Service
  •Joanna and Georgina, Clinical Midwife Specialists (Obstetric Ultrasound
  and Foetal Assessment)
  •Anne, Clinical Nurse Specialist (Community Mental Health) in a
  Community-Based Mental Health Service
  •Sinead, Clinical Nurse Specialist (Paediatric Dermatology) in a General
  Hospital with Paediatric Services
Case Study: Mary – CNS (Asthma)
Mary’s Role Purpose Statement

Mary is based in the respiratory unit of St Blanaid’s Hospital, a
Band 1 acute hospital.

“The aim of my job as CNS (Asthma) is to utilise my specialist
knowledge and the five core concepts of the specialist role to lead
and maintain a holistic, person-centred, high-quality asthma
nursing service to patients attending St Blanaid’s hospital so that
these patients will achieve their maximum health potential and
receive timely, holistic and effective nursing care. “
   Case Study: Patrick – CNS
   (Challenging Behaviour)
   Patrick’s Key Performance Areas
Patrick has been a CNS in challenging behaviour for two years, and shares a
large caseload with his CNS colleague. Having reviewed the needs of his
clients and of the Sonas service, Patrick could see the value and importance
of his clinical focus. This focus comprises direct and indirect care, and
Patrick recognised that just over half of his time was spent on providing
direct client care, which in relation to his job description and client needs
was just about right. Much of his indirect care overlapped with his
consultancy role (for example, meetings with family members and other
members of the multidisciplinary behaviour management team), which
meant that his time allocation to consultancy could be reduced on paper but
continued in practice.
 Case Study: Joanna and Georgina –
 CMSs (Obstetric Ultrasound and
 Foetal Assessment)
Examples of short-term SMART objectives for Joanna and
Georgina could be as follows:

1. Clinical Focus

Direct care: Within six months, enhance the midwife-led service by developing a
plan for breaking news to pregnant women about a confirmed foetal anomaly.

Indirect care: Within six months, set up a telephone support service for women
who have been told about a confirmed foetal anomaly.
   Case Study: Anne – CNS (Community
   Mental Health)
   Example of SMART Outcome Measure
Anne’s indirect care objective of setting up a telephone support service (for service
users and their families using the nurse-led depot injection service) might have the
following SMART outcome measures:

“All clients who receive depot injections will be maintained on a database held by
the CNS (Community Mental Health).
The appropriate use of depot injections will be reviewed every six months.
The nurse leading the depot injection service will work with the multidisciplinary
team and wider community service to administer clients’ medications in the most
appropriate place and at the most appropriate time.
The nurse-led service will be underpinned by educating clients, empowering service
users and involving them in decision making.”
 Case Study: Sinead – CNS
 (Paediatric Dermatology)
 Example of Audit Tool
•State the number of eczema out-patient clinics.
•Record and collate numbers and profiles of children attending (must be
aged between five and twelve and have been attending for more than
three months).
•Analyse attendance patterns of individual children.
•Analyse progress with prescribed treatment regime as noted in patient
record and select those children who have not made expected progress.
•Record and collate numbers of children and parents/carers interviewed
using interview schedule devised in collaboration with multidisciplinary
team for exploration of compliance with prescribed treatment regime.

 On request from NCNM &
  NMPDU, Kilkenny
 To download from and

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