FACULTY OF HEALTH AND LIFE SCIENCES

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					 FACULTY OF HEALTH AND LIFE SCIENCES

NURSING, MIDWIFERY AND HEALTH CARE

Programme Specification for:
MSc Advancing Practice

Revised version November 2008
Approved: July 2007
Re-approval date: July 2013
    Faculty of Health and Life Sciences                                                       1



                                           Programme Specification

1. Available Award(s) and Modes of Study
Title of Award                           Mode                        UCAS/JACS    FHEQ Level
• MSc Advancing Practice                                             Code
• MSc Advancing Practice (Emergency      Normally 3                               All routes and
    Care)                                years Full                  N/A          course at ‘M’
• MSc Advancing Practice (Long Term      Time                                     level
    Conditions)                          4 years Part
• MSc Advancing Practice (Complex Life Time
    Threatening Care)                    Academic
                                         Regulations
• Post Graduate Diploma in Advancing     version 2006
    Practice                             7.3.2
• Post Graduate Diploma in Advancing
    Practice (Emergency Care)
• Post Graduate Diploma in Advancing
    Practice (Long Term Conditions)
• Post Graduate Diploma in Advancing
    Practice (Complex Life Threatening
    Care)

•  Post Graduate Certificate in Advancing
   Practice
• Post Graduate Certificate in Advancing
   Practice (Emergency Care)
• Post Graduate Certificate in Advancing
   Practice (Long Term Conditions)
• Post Graduate Certificate in Advancing
   Practice (Complex Life Threatening
   Care)
2. Awarding               Coventry University
Institution/Body
3. Teaching Institution Coventry University
                          Faculty of Health and Life Sciences

4. Internal                           May 20th 2007
Approval/Review Dates                 Date of Next Review 2013
5. Programme                          Will seek Nursing and Midwifery approval once NMC Advanced
Accredited by                         Nurse Practitioner Outcomes are approved by Privy Council.
6. Accreditation Date                 N/A
and Duration




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7. QAA Subject           QAA Descriptor for a qualification at Masters (M) level:
Benchmark                Masters Degree (QAA 2001)
Statement(s) and         Qualification    descriptors     can    be      found at
other external factors   http://www.qaa.ac/uk/crntwork/nqf/euni2001/annex1.htm
8. Date of Programme     May 30th 2007
Specification            Amended November 2008
9. Programme             Alastair Gray
Manager/Course
Director

 THE PROGRAMME

 This programme has been developed to meet the needs of health care practitioners
 (predominantly Nurses and Paramedics) who wish to expand their practice, to be
 recognised as ‘Advancing Practitioners’. The Nursing and Midwifery Council (NMC) have
 published outcomes for Advancing Practice subject to approval by the Privy Council in
 the near future and the programme reflects the work currently being undertaken by
 the NMC.

 Other influences on the programme’ s development have come from Skills for Health
 clinical competencies associated with the routes of practice identified within the
 programme specification and the Modernisation of Nursing careers (DoH 2006)

 Four routes are being offered within the programme:
 •       Advancing Practice
 •       Advancing Practice - Emergency Care
 •       Advancing Practice - Long Term Conditions
 •       Advancing Practice - Complex Life Threatening Care

 It is anticipated that new specified routes will be added when a demand is made
 evident.




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10. Educational Aims of the Programme
The overall aim of this programme of studies is to produce an advancing practitioner who
can:
•       Enhance the quality and standard of patient care
•       Develop into an enquiring, reflective clinician.
•       Expand the professional boundaries of clinical practice as a result of increased
        theoretical knowledge, interprofessional working and supervised practice.
•       Implement service developments and clinical practice via teaching, supervision,
        clinical audit, research and project management.
•       Adopt a pro-active approach to continuing professional development
•       Develop enhanced nurse – patient and carer relationships
•       Respond to the changing demands of health care practice
•       Influence the strategic direction of patient care within one’s own field of practice
        at local and national level.


11. Intended Learning Outcome
The Learning Outcomes are grouped under the following headings:
•       Subject knowledge and understanding
•       Cognitive (thinking skills)
•       Practical (professional skills)
•       Key transferable skills

11.1 Knowledge and Understanding
On successful completion of the programme you should be able to demonstrate knowledge
and understanding of:

Generic Outcomes
KU1 An advanced knowledge base of the physiological, pathological, sociological, ethical
       and cultural factors that underpin accurate assessment, examination, investigation
       and management of care of a range of patients within own speciality.

KU2         Demonstrate an advanced knowledge of the principles of clinical governance within
            own speciality to ensure safe and effective patient care.

KU3         Utilise research methods and strategies which inform and guide clinical practice.

KU4         Demonstrate principles of professional and inter-professional working practice.

KU5         Utilise methods for stimulating and implementing change within clinical practice

Route Specific Outcomes
(Advancing Practice/ Advancing Practice (Emergency Care)/ Advancing Practice
(Complex Life Threatening Care)/ Advancing Practice (Long Term Conditions)



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KU6         Demonstrate health assessment skills pertinent to identified practice settings
                                                   OR
            Demonstrate health assessment skills pertinent to emergency care settings
                                                   OR
            Demonstrate health assessment skills pertinent to complex life threatening care
            settings
                                                   OR
            Demonstrate health assessment skills pertinent to long term conditions

The principal teaching, learning and assessment methods used on the programme to
achieve these learning outcomes are identified below:

            Teaching and Learning                  Assessment
KU1         Lectures, module webs, published       OSCE’s, individual written coursework,
            literature, interior learning tools.   portfolio, viva voce, case presentation, case
                                                   study
KU2         Lectures, discussion, visiting         Individual written coursework, MCQ and
            speakers                               short answer exam, reflective critique
KU3         Workshops, web based learning,         Work based project, analytical report
            discussion, lectures
KU4         Lectures, discussion, case reviews     Portfolio, Reflective activity, debate,
                                                   reflective critique
KU5         Lectures, discussion                   Individual coursework, work based project,
                                                   debate, case study
KU6    Workshops, practical                        OSCE
       demonstration, lectures
11.2 Cognitive (thinking) skills
On successful completion of the programme you should be able to:
Generic Outcomes
CS1 Demonstrate knowledge of methods of enquiry, reflective practice and new ways of
      learning to develop a highly motivated self directed practitioner.
CS2 Critically analyse and evaluate approaches to decision making to solve clinical
      problems in practice.
CS3 Champion professional practice and support inter-professional working practices.
CS4 Disseminate good practice via publication, conferences, and networking
CS5 Uphold the legal, moral and professional dimensions of practice.

Route Specific Outcomes –
(Advancing Practice/ Advancing Practice (Emergency Care)/ Advancing                             Practice
(Complex Life Threatening Care)/ Advancing Practice (Long Term Conditions)




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CS6     Critically evaluate and disseminate the evidence base for informing practice in
        relevant identified practice settings.
                                                 OR
        Critically evaluate and disseminate the evidence base for informing practice in
        emergency care.
                                                 OR
        Critically evaluate and disseminate the evidence base for informing practice in
        complex life threatening care.
                                                 OR
        Critically evaluate and disseminate the evidence base for informing practice in long
        term conditions.

The principal teaching, learning and assessment methods used to enable outcomes to be
achieved and demonstrated are identified below:

        Teaching and Learning                      Assessment
CS1     Lectures, discussion, workshops, library   Individual written coursework. Portfolio,
        database searches., published literature   reflective activity

CS2     Group discussion, case studies, visiting   Portfolio, individual written coursework.
        lecturers                                  Seminars, health service improvement
                                                   proposal
CS3     Group discussion, lectures                 Portfolio, reflective activity individual
                                                   written coursework
CS4     Workshops, discussion, self directed       Portfolio, reflective essay
        learning
CS5     Discussion groups, lectures, self          Individual written coursework, seminars
        directed learning, published literature
CS6     Classroom debate, published literature     Individual written coursework portfolio,
                                                   reflective activity

11.3 Practical Skills
On successful completion of the programme you should be able to:
Generic Skills
PS1 Act as an effective leader, role model and resource for others and contribute to the
      development and enhancement of the role
PS2 Demonstrate strategic leadership within own speciality and externally via networking
      at local, regional and national level.
PS3 Take responsibility for role development and enhancement through demonstration of
      the skills of self awareness and a pro-active attitude to own professional
      development.
PS4 Demonstrate a high standard of interpersonal communication with patients/carers
      and colleagues.




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PS5   Utilise a creative approach to engender change within clinical practice, through the
      implementation of research and evidence based practice.
PS6 Contribute to clinical teaching and patient education to achieve effective health
      outcomes.
PS7 Embed advancing practice within service areas to effect high standards of patient
      care.
Route Specific Practical Skills
(Advancing Practice/ Advancing Practice (Emergency Care)/ Advancing Practice
(Complex Life Threatening Care)/ Advancing Practice (Long Term Conditions)
PS8 Promote and evaluate the efficacy of the advancing practitioner role in identified
      relevant practice settings.
                                              OR
      Promote and evaluate the efficacy of the advancing practitioner role in emergency
      care settings.
                                              OR
      Promote and evaluate the efficacy of the advancing practitioner role in complex life
      threatening care settings
                                              OR
      Promote and evaluate the efficacy of the advancing practitioner role in long term
      condition settings.

The principal teaching, learning and assessment methods used to enable outcomes to be
achieved and demonstrated are identified below:
      Teaching and Learning                      Assessment
PS1 Mentored clinical practice, lectures         Portfolio, reflective activity, project
                                                 work, clinical competency assessment
PS2 Lectures, workshops, tutorials, mentored Portfolio, project work individual written
      clinical practice                          coursework, clinical competency
                                                 assessment
PS3 Tutorials, mentorship, clinical practice     Portfolio, reflective activity, clinical
                                                 competency assessment
PS4 Mentored clinical practice                   Portfolio, reflective activity, clinical
                                                 report, clinical competency assessment
PS5 Lectures, GP discussion, visiting            Project work, clinical competency
      lecturers                                  assessment
PS6 Lectures, workshops, group discussion        Portfolio, reflective activity ,clinical
                                                 report, clinical competency assessment
                                                 clinical competency assessment

PS7     Mentored clinical practice and tripartite   Portfolio, reflective activity, clinical
-       management, university discussion           report, clinical competency assessment,
PS8     meetings                                    patient based assessments.




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11.4 Transferable Skills
On successful completion of the programme you should be able to:

TS1     Execute project management skills
TS2     Evaluation of one’s own performance
TS3     Effective interpersonal and communication skills
TS4     Implementing research skills
TS5     Clinical reasoning, decision making and problem solving skills
TS6     Support others who wish to develop an advancing practice role

The principal teaching, learning and assessment methods used to enable outcomes to be
achieved and demonstrated are identified below:

        Teaching and Learning                    Assessment
TS1     Lectures, discussion, published          Portfolio
        literature
TS2     Reflection in tutorials, tripartite      Portfolio, individual written
        discussions with University line         coursework
        manager
TS3     Classroom discussion and debate,         Clinical reports and portfolio
        clinical practice experience, group
        presentation work
TS4     Lectures, workshops, online learning     Individual written coursework, reports
        Workshops, discussions, clinical
TS5     practice, decision making                Portfolio, OSCE’s, patient based
                                                 assessments
TS6     Clinical practice experience             Portfolio, clinical competency
                                                 assessment,

Transferable/key skills are generally incorporated within modules (see annex3).

12. Programme Structure and Requirements, Levels, Modules, Credits and Awards

Modules within the programme, their status and the levels at which then are studied,
their credit value and pre/co requisites are appended in 12.3.



12.1 Patterns and Mode of Attendance
•       Students will attend the university for theory modules
•       Theory modules comprise of 20 credit modules. The hours allocated for a 20
        credit module is 200 hours.
•       The hours allocated to individual teaching activities can be found in individual
        module descriptors.
•       Some modules comprise of integrated theory and practice, whilst others are


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            theory based only.
•           The practice elements are undertaken within the students own and associated
            clinical areas.
•           Students must be working in clinical practice in order to achieve module
            learning outcomes.
•           Students attend the university on a day release, part time basis.
•           The programme can be achieved in a minimum of 18 months (full time), 2 years
            (part time). SHA funded students must complete the programme within 2
            years. Non SHA funded students up to a maximum of 5 years.



12.2 Aspects of the course
•      Theory and practice outcomes are based on NMC (2006)outcomes (subject to
       privy council approval) for advancing practice and QAA (date) descriptors for
       ‘M’ level study.
•      Theory and practice is integrated into some of the modules within the
       programme to enable the student to apply the theoretical elements into their
       own practice.
•      Theory Intended Learning Outcomes are achieved via module coursework,
       whilst the practice Intended Learning Outcomes are met in the clinical setting.
       They exemplify how the individual is demonstrating advancing practice roles
       and responsibilities and is evidenced via a professional portfolio; the
       components are submitted at the end of identified modules. This evidence
       culminates into a programme portfolio which assures professional body
       requirements for advancing practice have been achieved.
•      There are three types of modules within the programme.

            Route Specific modules
            These are aimed at route specific knowledge, cognition and practice, which
            underpin advancing practice role development. Students will study these
            modules in their individual route specific groups with the module leader who
            has a route specific professional background.

            Mandatory Modules
            These must be undertaken by the student as part of their programme of
            studies. They provide the student with key essential and transferable skills
            which underpin the activities associated with the role and responsibilities of
            an advancing practitioner. The modules will be studied with other students
            studying within the Faculty’s Master Framework.

            The project module brings together all the knowledge, cognitive and practical
            skills found within the programme learning outcomes into one piece of work,
            which enables the student to demonstrate that have achieved Advancing
            Practice status and requirements. The project aims to encourage the student



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            to review a significant practice related problem, policy, innovation or initiative
            and to evaluate critically the evidence base and literature which underpins it.
            The student is then required to project manage a change in practice via a
            coherent, analytical argument and action plan. The last stage is being able to
            present the arguments and the plan of action, and accept constructive criticism
            of ideas to a peer group and senior managers. The quality of the presentation
            being of a standard sufficient to convince board level member of a trust of the
            need to change practice.

            Option Modules
            Student may elect to undertake these modules as a means of enhancing their
            knowledge and skills as they contribute to, and support areas of their
            advancing practice development. The modules are also available to students
            studying within the Faculty’s Master’s Framework, which encourages and
            supports inter-professional learning and working in practice.

(Modules are mapped against the Intended Learning Outcomes in Annex 1)
(Programme Structure diagrams for each route can be found in Annex 2)
(The marking criteria for master’s level modules can be found in Annex 3)
Course Specific Requirements
ALL ROUTES
Route Specific Modules (ONE of these modules must be studied)
M25CPD       Advancing Clinical Practice (20CATs)
                                           OR
M02CPD       Acute Management of Emergency Care (20 CATs)
                                           OR
M07CPD       Managing Individuals with Long Term Chronic Conditions (20CATs)
                                           OR
M06CPD       Complex Life Threatening Care (20CATs)

Mandatory Modules (ALL modules must be studied)
M04CPD     Advancing Practice (20 CATs)
M03CPD     Advanced Health Assessment (20 CATs)
M21CPD     Clinical Leadership and Management (20 CATs)
M01HLS     Research methodology, design and methods (20 CATs)
M05CPD     Advancing Practice Project (40 CATs)

Option Modules (A choice of 40 CATs from the list must be studied)
M02HLS      Data Analysis (20 CATs)
M05HLS      Independent Study (20 CATs)
M09CPD      Contemporary issues in non medical prescribing (20CATS)
M10CPD      The practice of non medical prescribing (20 CATS)
M08CPD      Law and Ethics for Advancing Practitioners (20 CATs)
M01CPD      Pathophysiology and pharmacology of Disease (20 CATs)



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M19CPD       Practice Teaching and Learning (20 CATS)

REQUIREMENTS FOR THE AWARDS

Advancing Practice

Post Graduate Certificate in Advancing Practice
Advanced Health             Advancing Practice           Advancing clinical practice
Assessment


Post Graduate Diploma in Advancing Practice
Advanced Health            Advancing Practice            Advancing clinical practice
Assessment
Research Methodology       Option 1                      Option 2
Design and Methods


MSc Advancing Practice
Advanced Health             Advancing Practice           Advancing clinical practice
Assessment
Research Methodology        Option 1                     Option 2
Design and Methods
Clinical Leadership and     Advancing Practice Project
Management



Advancing Practice (Emergency Care) route

Post Graduate Certificate in Advancing Practice (Emergency Care)
Advanced Health             Advancing Practice          Acute Management of
Assessment                                              Emergency Care


Post Graduate Diploma in Advancing Practice (Emergency   Care)
Advanced Health            Advancing Practice            Acute Management of
Assessment                                               Emergency Care
Research Methodology       Option 1                      Option 2
Design and Methods


MSc Advancing Practice (Emergency Care)
Advanced Health           Advancing Practice             Acute Management of
Assessment                                               Emergency Care



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Research Methodology                  Option 1                     Option 2
Design and Methods
Clinical Leadership and               Advancing Practice Project
Management

Advancing Practice (Long Term Conditions) route

Post Graduate Certificate in Advancing Practice (Long Term Conditions)
Advanced Health             Advancing Practice          Managing Individuals with
Assessment                                              Long Term Chronic
                                                        Conditions


Post Graduate Diploma in Advancing Practice (Long Term Conditions)
Advanced Health            Advancing Practice          Managing Individuals with
Assessment                                             Long Term Chronic
                                                       Conditions
Research Methodology       Option 1                    Option 2
Design and Methods


MSc Advancing Practice (Long Term Conditions)
Advanced Health            Advancing Practice                      Managing Individuals with
Assessment                                                         Long Term Chronic
                                                                   Conditions
Research Methodology                  Option 1                     Option 2
Design and Methods
Clinical Leadership and               Advancing Practice Project
Management

Advancing Practice (Complex Life Threatening Care) route

Post Graduate Certificate in Advancing Practice (Complex Life Threatening Care)
Advanced Health             Advancing Practice          Complex Life Threatening
Assessment                                              Care


Post Graduate Diploma in Advancing Practice (Complex Life Threatening Care)
Advanced Health            Advancing Practice           Complex Life Threatening
Assessment                                              Care
Research Methodology       Option 1                     Option 2
Design and Methods




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MSc Advancing Practice (Complex Life Threatening Care)
Advanced Health            Advancing Practice          Complex Life Threatening
Assessment                                             Care
Research Methodology       Option 1                    Option 2
Design and Methods
Clinical Leadership and    Advancing Practice Project
Management


13 Support for Students and their Learning
Generic
Student support mechanisms are as detailed in the University Code of Practice on the
Personal Support of Students. In addition, programme and faculty specific support is
provided through Course Tutors, Module/Route Leaders, Module Tutors, and Project
Supervisors.

An induction programme provides background information regarding key services such
as library, on line learning, computing, student services; enrolment; making the
transition from undergraduate to postgraduate education; writing and presenting at
Masters level; student representation etc..

The following written support materials will be provided:
•        University regulations
•        Masters Framework for Taught Postgraduate Courses (2006 regulations)
•        Course Handbook
•        Module Directory
•        Module Guides

Reasonable adjustments can be made to the teaching, learning, assessment and support
of the course(s) to maximise accessibility to students with disabilities. Students may
discuss their needs with the Course Tutor, HLS Learning Support Coordinator, Centre
for Academic writing or any other member of HLS staff with whom they feel
comfortable.


14 Criteria for Admission
Generic
The general requirements for admissions are in line with University policy (Academic
Regulations 2.7). Students whose first language is not English are normally required to
have IELTS>6.5, TOEFL computer-based >250.

Applications will be encouraged from non-standard entrants with relevant experiential
learning e.g physiotherapy practitioners.

Course specific requirements are given below.


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•           The course is open to applicants who hold a state registerable qualification and
            have been qualified for a minimum of 5 years.
•           Students must have a minimum of 2 years experience in the field of practice
            they wish to study
•           Students must be working in practice in the field of practice they wish to
            study.
•           Students must have studied to BSc level or equivalent
•           It is recommended that students will hold recognised qualifications in health
            assessment skills and prescribing.

Alongside specific admission criteria applicants must provide 2 references, one of
which must be an academic one.



15 Method for Evaluating and Enhancing the Quality and Standards of Teaching
and Learning

The programme is managed by the CPD Board of Study of the Faculty of Health and
Life Sciences. Day to day management is provided by a course tutor.

The CPD Subject and programme assessment boards are responsible for considering
the progress of all students and in making awards in accordance with both University
and programme specific regulations as outlined in this document.

The assurance of the quality of the modules within the programme will be the
responsibility of the CPD Board of Study. External Examiners are responsible for the
quality of the modules and assessment. This person is also a member of the Subject
Assessment Board/Programme Assessment Board. The External Examiner reports
annually on the quality of the modules and the Post Graduate Course Leader considers
the views of the External each year as part of an annual report on the health of all
Masters modules.

Students are represented on the Board of Study and also on the Course Consultative
Committee. Student views are also sought through annual course and module feedback
questionnaires.

The programme is subject to a major review internally within the University, normally
on a five/six year cycle. At these reviews the views of the students, employers and
external experts are sought.

Details of the university’s quality monitoring processes are to be found at:
http://www.stile.coventry.ac.uk/registry/handbook/section g.htm




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16 Regulation of Assessment
The University policy requires the internal moderation of assessments.

External Examiners are appointed for all named University awards. The role of the
External Examiner at module level is to ensure that academic standards are in line with
national norms for the subject. External Examiners undertake the moderation of
examination papers, and view representative samples of work for the modules for which
they have responsibility. At programme level, External examiners help to ensure
fairness in the consideration of student progression and awards. They have the right to
comment on all aspects of the assessment system and participate as full members of
the assessment boards.

The Pass mark for all modules is 40%. This overall module mark may comprise more than
one component (e.g. coursework and exam). The individual module descriptors give the
precise pass criteria and the weighting of the component marks that contribute to the
overall module mark.

Awards for Taught Master programmes may be made with Distinction or Merit (i.e.
achievement of an average mark of at least 70% or 60% respectively).

17 Indicators of Quality and Standards
The following are key indicators of quality and standards:

•           Health Care organisations and health care managers are satisfied with the
            level of knowledge and skills that students exit the course with.
•           Students are satisfied with the level of knowledge and skills that they exit
            the course with.
•           External examiner comments are positive
•           Students exit the course having achieved the professional and academic award
•           Student attrition is within the national norms.

•           QAA Subject Review, Other Subjects Allied to Medicine, May 2006:
            Curriculum Design, Content and Organisation
            Teaching, Learning and Assessment
            Student Progression and Achievement
            Student Support and Guidance
            Learning Resources
            Quality Management and Enhancement
            Outcome: Confidence in all academic and Practitioner Standards listed above



•           Faculty Investors in People (IiP) status: Approved

18 Notes



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Key sources of information about the course and student support can be found in:

Masters Framework for Taught Postgraduate Courses (2006 regulations)
Subject Specific Definitive Course Documents
Student Handbook
Module Guides
Module Information Directory (http://mid.coventry.ac.uk/midindex.html)
Student Services (http://www.coventry.ac.uk/structur/ss/index.htm)
Study Support (http://www.coventry.ac.uk/structur/ss/dyslexia/)
Modernising   Nursing     Careers    (2006)      http://www.dh.gov.uk/en/publicationand
statistics/




Please note: This specification provides a concise summary of the main features of the
programme and the learning outcomes that a typical student might reasonably be
expected to achieve and demonstrate if s/he takes full advantage of the learning
opportunities that are provided.

More detailed information on the learning outcomes, content, and teaching, learning and
assessment methods of each module can be found in the Module Information Directory
(MID), student module guide(s) and the course handbook.
The accuracy of the information contained in this document is reviewed by the
University and may be verified by the Quality Assurance Agency for Higher Education.

PaQs\SAS June 2002         Amended 28 April 2006




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            Supplementary
             Information




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1.          ADVANCED PRACTICE DEVELOPMENTS

This master’s programme is open to individuals who hold a health related state
registerable qualification who are seeking advanced practice status within their own
professional discipline and wishing to move through gateways associated with the DoH
(2004) Knowledge and Skills framework.

The programme has also been developed to meet the specific needs of Nurses who may
be eligible to register as an advanced nurse practitioner on the Nursing and Midwifery
Professional register.

“In June 2005 the Nursing and Midwifery Council (NMC) considered the outcomes of
its consultation on a post registration nursing framework. As a consequence of the
consultation, agreement was reached that a new level of practice known as “Advanced
Nursing Practice” should be recognised and that nurses who achieve this level of
practice may be eligible for registration. A letter was sent to the Privy Council to open
a further sub-part of the nurses’ part of the register in order to register advanced
nurse practitioners. The drawing up of this legislation is currently incomplete and in the
meantime work is being undertaken to prepare guidance for higher education
institutions to enable them to undertake the process of getting programmes approved
by the NMC. However, approvals will not take place until the legislation is in place and
registration will not take place until the rules and programmes have been approved”
(NMC 2006: Advanced Nursing Practice – Update 4, May 2006)

In the meantime the NMC has identified advanced nurse practitioner competencies and
has mapped them against the NHS (2004) Knowledge and Skills Framework. The course
team is cognisant of the competencies and has mapped these against the modules
offered within this programme of studies (annex 5)

2.          ASSESSMENT OF ADVANCED PRACTICE COMPETENCE

To date assessment of individual’s aspiring to advanced nurse practitioner (ANP) role
has been undertaken by “Interprofessional Assessors, who already practice the skills.
This is because those who are entering advanced practice learn their knowledge ,skills
and competence from the domain of other professionals, especially medical knowledge
and skills. Interprofessional assessors would allow a professional from the care area
where the ANP student is gaining competence to use their knowledge, skills and
competence to assess the student. This approach is supported by the NMC’s scope of
professional practice which allows for the development of skills, while maintaining the
integrity of a nursing role. As such the NMC formally recognises interprofessional
assessors. Currently this is informally stated in advanced practitioner standards as an
interim arrangement, until sufficient quantity of advanced nurse practitioners are able
to act as assessors themselves.




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For the purposes of this programme, the criteria for assessor is that identified by the
NMC who proposed that the assessor;

•           Is accepted by their own regulator as having the knowledge, skills and
            competence to assess their own profession’s students as being “capable of
            safe and effective practice” i.e. for entry to their own register.
•           Has been prepared by the higher educational institution offering the
            programme; and
•           Has an understanding of the programme and the outcomes the student is
            expected to achieve.
•           The assessor would be added to the HEI data base of approved assessors for
            the programme.

Initially students will be mentored by a registrant (NMC or other professional), who
has the knowledge, skills and competence in their area of advanced practice. As the
ANP sub-part of the register develops the NMC’s expectation is that an NMC
registrant who is a mentor or “practice teacher” will supervise, assess and sign-off
proficiency for ANP students.

3.          THE PORTFOLIO

Throughout the programme of studies the student will undertake activities in theory
and practice which will be evidenced within a written portfolio. Throughout the
programme the student will be able to map their evidence against NMC Advanced Nurse
Practitioner Competencies and /or the NHS Knowledge and Skills Framework and
relevant competencies for their route (i.e. Faculty of Emergency Nursing (FEN)and
Skills for Health competencies . Thus the portfolio can be used as evidence for
eligibility for the ANP sub-part of the register or as a means of demonstrating
knowledge and skills associated with the advanced practitioner role and responsibilities.
As such whilst the portfolio itself is not assessed, the evidence within it will have been
summatively assessed via the assessment strategy utilised within this programme of
studies (see Annex 4 for the assessment strategy)

4.          STAKEHOLDER CONSULTATION
The programme has been developed in consultation with the Strategic health
Authority, clinicians, members of local networks associated with the routes identified.
The content has been reviewed by the CPD external examiner who will be responsible
for the quality monitoring of the course.

5.          FUTURE DEVELOPMENTS FOR THE PROGRAMME.
It is intended that the framework model utilised for the three initial and the
subsequent addition of an unnamed routes for advancing practice will be utilised for
future routes, as and when they are ready for approval. Routes in cardiovascular care
and cardiac care advance practice roles are likely to follow in the future.



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                                                                                                                                                                  ANNEX 1
         Curriculum Map
                                                                              Intended Learning Outcomes


                        Knowledge and Understanding                Cognitive (Thinking) Skills                     Practical Skills                         Transferable Skills
                       KU1    KU2    KU3       KU4   KU5   KU6   CS1   CS2   CS3   CS4   CS5   CS6   PS1   PS2   PS3   PS4   PS5   PS6    PS7   PS8   TS1   TS2   TS3   TS4       TS5   TS6

   Module Codes
Acute Management                                            X           X                        X    X           X     X             X                X     X           X         X
of Emergency Care
Long term                                                   x           X     X                  X    x           X     X             x                X     X           x         x
conditions
Complex Life                                                x           X     X                  X    x           X     X             x                X     X           x         x
Threatening Care
Advancing Clinical                                          x           x                        x    x           x     x             x                x     x           x         x
practice
Advancing practice              x               x                       x     X                  x                x                        x     x     x                 x               X
Advanced Health         X                                   X                                                                                                X     X     X         X
Assessment
Clinical Leadership      x                      x     x                 x     X                       x     x
& management
Research                               x                          x     x                        x                            x                                          x
methodology
design & methods
Advanced Practice               x      x              x           x     x     X     x                                         x            x     x     x           x     x
project
Data analysis                          x                          x     x                        x                            x                                          x
Independent study                                                 x     x                                                                                                          x
Contemporary             x                                  x
issues in non
medical
Prescribing
The practice of          x                                  x


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                     Knowledge and Understanding   Cognitive (Thinking) Skills           Practical Skills                          Transferable Skills
non medical
prescribing
Law & Ethics for     x                                       X           x
Advancing
Practitioners

Pathophysiology      x                         x                                                                                                          x
and pharmacology
of disease
Practice Teaching         x    x     x    x        x         x           x       x   x   x    x     x       x   x                    x      x      x
and Learning




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                                                                                                                      ANNEX 2

                                                           COURSE STRUCTURE
                                      MSc ADVANCING PRACTICE (14 months) exemplar programme

         Autumn term                         Spring term                           Summer term
         Advanced Health Assessment
         • Thursday morning 9am-12noon
         Advancing Practice
         • Thursday afternoon 1-4pm
                                             Route specific:
                                             • Acute Management of Emergency
                                                Care
                                             • Long Term Conditions
                                             • Complex Life Threatening Care

                                             •   Thursday morning slot
         Research Methods
         • Tuesday afternoon
         Clinical Leadership and             Advancing Practice Project
         Management                          • Tuesday morning 9am-12
         • Tuesday morning slot
                                             Pathophysiology and pharmacology of   Law and Ethics for Advancing
                                             Disease                               Practitioners
                                             • Thursday afternoon slot             • Tuesday afternoon slot

Modules can be studied in any order, but advice from the route leader should be sought if the individual wishes to obtain
interim awards and to ensure pre-requisites for specific modules are met.




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                                                                                                                                         ANNEX 3
MASTERS LEVEL MARKING CRITERIA

ASSESSMENT CRITERIA FOR MASTERS COURSEWORK ( excluding the project)



Exceptional 70-100

•           Evidence of exceptionally clear and accurate understanding of all the issues in the assignment question
•           Very good evidence of satisfaction of the Module’s Intended Learning Outcomes
•           Evidence of originality in evaluation, selection and use of evidence and arguments
•           Evidence of innovation and creative thinking
•           Very good ability to provide clear and structured arguments
•           Clear ability to access and integrate a broad range of relevant material
•           Excellent standard of presentation, including use of English and handling of bibliographic references
•           Potential for publication


Very good pass 60-69

•           Evidence of a clear and accurate understanding of all the issues in the assignment question
•           Good evidence of satisfaction of the Module’s Intended Learning Outcomes
•           Some evidence of originality in evaluation, selection and use of evidence and arguments
•           Evidence of innovation and/or creative thinking
•           Good ability to provide clear and structured arguments
•           Good ability to access and integrate a broad range of relevant material
•           Evidence of being in control of the material
•           Very good standard of presentation, including use of English and handling of bibliographic references




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Good pass 50-59

•           Evidence of a clear and accurate understanding of the majority of issues in the assignment question
•           Clear evidence of satisfaction of the Module’s Intended Learning Outcomes
•           Some evidence of innovation and/or creative thinking
•           Ability to provide clear and structured arguments
•           Ability to access and integrate a range of relevant material
•           Evidence of being in control of the material
•           Good standard of presentation, including use of English and handling of bibliographic references

Pass 40-49

•           Evidence of an understanding of the major issues in the assignment question
•           Evidence of satisfaction of the Module’s Intended Learning Outcomes
•           Ability to produce some coherent arguments
•           Ability to access and integrate a range of relevant material
•           Some evidence of evaluation and analysis
•           No major inaccuracies
•           Overall, relevant and coherent
•           Satisfactory standard of presentation, including use of English and handling of bibliographic references
Fail 30-39
•       Limited evidence of an understanding of the major issues in the assignment question
•       Limited evidence of satisfaction of the Module’s Intended Learning Outcomes
•       Failure to deal directly with the question as set
•       Limited ability to produce coherent arguments
•       Ability to access a range of material, but some material irrelevant and some important material omitted
•       Limited evidence of evaluation, analysis, or structure
•       Contain some inaccuracies
•       Unsatisfactory standard of presentation, including use of English and handling of bibliographic references



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Weak attempt - Below 30

•           No/little evidence of an understanding of the issues in the assignment question
•           No/little evidence of satisfaction of the Module’s Intended Learning Outcomes
•           Failure to deal with the question as set
•           Lack of ability to produce coherent or structured arguments
•           Lack of ability to access relevant material
•           Contains inaccuracies
•           No evidence of evaluation and analysis
•           Unsatisfactory standard of presentation, including use of English and handling of bibliographic references

            0

•           Plagiarism, collusion, or other unfair practice


            Ab

•           Non-submission of work


Amended
July 2004




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                                                                                                                         ANNEX 4
Assessment Schedule-

Module          Title                 Credit   Size   Assessment                              Weighting   Pass mark
code

M03CPD          Advanced Health       20M      D      CW 1: OSCE: Advanced health             Pass/fail
                Assessment                            assessment, in practice, and viva                   40% and Pass
                                                      CW2: Portfolio of evidence
                                                      demonstrating achievement of            Pass/Fail
                                                      competencies
                                                      CW 3: Written assignment (2000 words)   100%

M04CPD          Advancing Practice    20M      D      CW1: Peer group debate (30 mins)        Pass/fail   40% and pass
                                                      CW2: Written paper (2500 words)         100%
                                                      CW3: Portfolio of evidence
                                                      demonstrating achievement of            Pass/Fail
                                                      competencies

M25CPD          Advancing Clinical    20M      D      CW1: Case presentation (30 mins)        Pass/fail   40% and Pass
                Practice                              CW2: Portfolio of evidence
                                                      demonstrating achievement of            Pass/fail
                                                      competencies
                                                      CW3: Written assignment (2000 words)    100%




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M02CPD      Acute Management of    20M   D   CW1: Case presentation (30 mins)       Pass/fail   40% and Pass
            Emergency Care                   CW2: Portfolio of evidence
                                             demonstrating achievement of           Pass/fail
                                             competencies
                                             CW3: Written assignment (2000 words)   100%

M06CPD      Complex Life           20    D   CW1: Written assignment (analysis of   100%        40% and Pass
            Threatening Care                 advanced management/treatments (3000
                                             words)
                                             CW2: Portfolio of evidence             Pass/fail
                                             demonstrating achievement of
                                             competencies

M07CPD      Managing individuals   20    D   CW1: Written case study (3000 words)   100%        40% and Pass
            with long term                   CW2: Portfolio of evidence
            conditions                       demonstrating achievement of           Pass/fail
                                             competencies

M01HLS      Research Methodology   20    D   CW1: 10 min presentation with supporting 40%       40%
            Design and Methods               documentation (500- 1000 words)
                                             CW2: Research proposal (2000 words)      60%


M05CPD      Advancing Practice     40M   Q   CWI: 10,000 word report                80%         40%
            project                          CW2 30 mins Presentation               20%




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M01CPD          Pathophysiology and     20   D   CW1: Viva voce (20 mins)               20%         40% in each
                pharmacology of                  Cw2: Written assignment (3000 words)   80%         component
                disease


M19CPD          Practice Teaching and   20   D   CW1: Achievement of NMC competencies   Pass/Fail   40% and Pass
                Learning                         for Practice Teachers
                                                 CW2: Reflective essay (2500 words)     100%


M08CPD          Law and Ethics for      20   D   Cw1: Case study report (4000 words)    100%        40%
                advancing
                practitioners

M09CPD          Contemporary issues     20   D   CW1: Numeracy exam                     20%         100%
                in non medical
                prescribing                      CW2: MCQ exam                          10%         60% and more than
                                                                                                    or equal to 60%

                                                 CW3: Short answer question exam        20%         40% and more than
                                                                                                    or equal to 40%
                                                                                                    Pass
                                                 CW4: Reflective critique paper         50%




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M10CPD      The practice of non       20   D   CW1: OSCE/Viva                              Pass/fail   Pass
            medical prescribing
                                               CW2: Prescribing case study                 100%        40%    and more than
                                                                                                       or equal to 40%

                                               CW2: Achievement of clinical
                                               competencies and verification of clinical   Pass/fail   Pass
                                               practice

M21CPD      Clinical leadership and   20   D   CW1 : Reflective critique (1000 words)      40%         40%
            management                         CW2: Service improvement proposal
                                               (2500 words)                                60%


M02HLS      Data analysis             20   D   CW1: Written assignment (qualititative      50%         40%
                                               analysis) (2000 words)
                                               CW2: Written assignment (quantitative       50%
                                               analysis) (2000 words)




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Mapping of the NMC approved competencies against the KSF

NMC Competence                                            KSF         Module where competence is Evidence    mapped      to
                                                          Dimension   assessed                   portfolio
ASSESSMENT AND MANAGEMENT OF PATIENT
HEALTH/ILLNESSSTATUS
Health promotion/health protection and disease                        Advanced health Assessment
                                                                      Acute management of emergency
prevention
                                                                      care
                                                                      Managing individuals with long term
                                                                      chronic conditions
                                                                      Complex Life Threatening Care
                                                                      Advancing Clinical Practice
Assesses individuals health education/promotion related HWB1 L4
needs                                                       HWB2 L4
                                                            HWB4 L4
Plans, develops and implements programmes to promote HWB1 L3
health and wellbeing and address individual needs           HWB2 L4
                                                            HWB3 L3
                                                            HWB4 L4
                                                            HWB5 L4
                                                            HWB6 L4
Provides health education through anticipatory guidance and HWB1 L3
counselling to promote health, reduce risk factors, and HWB3 L3
prevent disease and disability                              HWB4 L4
                                                            HWB5 L4
Develops and uses a follow-up system within the practice HWB3 L4
workplace to ensure that patients receive appropriate HWB5 L4
services                                                    HWB7 L4
                                                            IK1 L2



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Recognises environmental health problems affecting patients C3 L4
and provides health protection interventions that promote HWB3 L3
healthy environments for individuals, families and
communities
Assessment and Management of patient illness                              Advanced health Assessment
                                                                          Acute management of emergency
                                                                          care
                                                                          Managing individuals with long term
                                                                          chronic conditions
                                                                          Complex Life Threatening Care
                                                                          Advancing practice
                                                                          Advancing Clinical Practice
Obtains, analyses and interprets history, presenting           HWB6 L4
symptoms, physical findings, and diagnostic information to     HWB7 L4
develop the appropriate differential diagnoses
Diagnoses and manages acute and long term conditions while     C3 L4
attending to the patients response to the illness experience   HWB3 L4
                                                               HWB5 L4
                                                               HWB6 L4
                                                               HWB7 L4
Prioritises health problems and intervenes appropriately,      C3 L4
including initiation of effective emergency care               HWB3 L4
                                                               HWB5 L4
                                                               HWB7 L4
Employs     appropriate   diagnostic    and   therapeutic      C5 L3
interventions and regimens with attention to safety, cost,     IK3 L4
invasiveness, simplicity, acceptability, adherence, and        HWB5 L4
efficacy                                                       HWB7 L4
                                                               HWB8 L3
                                                               HWB10 L3



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Formulates an action-plan based on scientific rationale, HWB5 L4
evidence-based standards of care, and practice guidelines     HWB6 L4
                                                              HWB7 L4
Provides guidance, counselling, advice and support regarding CI L4
management of the health/illness condition                    HWB1 L4
                                                              HWB3 L4
                                                              HWB5 L4
Initiates appropriate and timely consultation and/or referral C1 L4
when the problem exceeds the nurse’s scope of practice IK1 L3
and/or expertise                                              HWB6 L4

Assesses and intervenes to assist the patient in complex,
urgent or emergency situations:

A. Rapidly assesses the patient’s unstable and complex HWB2 L4
health care problems through synthesis and prioritisation of HWB6 L4
historical and immediately-derived data                      HWB8 L4

B. Diagnoses unstable and complex health care problems C1 L4
using collaboration and consultation with the multi- IK1 L3
professional health care team as indicated by setting, HWB8 L4
speciality, and individual knowledge and experience

C. Plans and implements diagnostic strategies and              C1 L4
                                                               C3 L4
therapeutic interventions to help patients with unstable and   IK1 L3
complex health care problems regain stability and restore      HWB3 L4
health, in collaboration with the patient and multi-           HWB5 L4
                                                               HWB7 L4
professional health care team                                  HWB8 L4




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D. Rapidly and continuously evaluates the patient’s changing C3 L4
condition and response to therapeutic interventions and HWB3 L4
modifies the plan of care for optimal patient outcome        HWB5 L4
                                                             HWB7 L4
                                                             HWB8 L4
                                                             HWB10 L3
For health promotion /health protection and disease                        Advancing practice
                                                                           Advanced health assessment
prevention, and management of patient illness
                                                                           Pathophysiology and pharmacology
                                                                           of disease
                                                                           Non medical prescribing
                                                                           Advancing Clinical Practice
                                                                           Acute management of emergency
                                                                           care
                                                                           Managing individuals with long term
                                                                           chronic conditions
                                                                           Complex Life Threatening Care
Demonstrates critical thinking and diagnostic reasoning skills HWB5   L4
in clinical decision-making                                    HWB6   L4
                                                               HWB7   L4
Obtains a comprehensive problem focused health history C1 L4
from the patient or carer                                      HWB2   L4
                                                               HWB6   L4
Performs a comprehensive problem focused age appropriate HWB2         L4
physical examination                                           HWB6   L4

Analyses the data collected to determine health status of C1 L4
the patient                                               HWB2 L4
                                                          HWB6 L4
Formulates a problem list and prioritised management plan HWB2 L4
                                                          HWB6 L4


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Assesses, diagnoses, monitors, co-ordinates, and manages HWB2 L4
the health/illness status of patients during acute and HWB5 L4
enduring episodes                                              HWB6 L4
                                                               HWB7 L4
                                                               HWB8 L3
Demonstrates knowledge of the patho-physiology of HWB6 L4
conditions commonly seen in practice
Communicates the patient’s health status using appropriate C1 L4
terminology, format, and technology                            IK1 L3
                                                               HWB2 L4
                                                               HWB3 L4
Applies principles of epidemiology and demography in clinical IK1 L3
practice by recognising populations at risk, patterns of HWB2 L4
disease, and effectiveness of prevention and intervention      HWB3 L3
                                                               HWB6 L4
                                                               HWB7 L4
Acquires and uses community/public health assessment HWB2 L4
information in evaluating patient needs, initiating referrals, HWB6 L4
co-ordinating care and programme planning
Applies principles of evidence-based practice pertinent to C5 L4
their area of practice.                                        IK2 L3
                                                               IK3 L4
                                                               HWB7 L4
Provides information and advice to patients and carers C1 L4
concerning drug regimens, side-effects and interaction, in an HWB1 L4
appropriate form                                               HWB5 L4

If legally authorised – prescribes medications based on HWB3 L4
efficacy, safety, and cost from the formulary           HWB5 L4


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                                                         HWB7 L4
                                                         HWB10 L4
Evaluates the use of complementary/alternative therapies HWB5 L4
used by patients for safety and potential interaction    HWB10 L4

Integrates appropriate non-drug-based treatment methods HWB1 L4
into a plan of management                               HWB5 L4
                                                        HWB7 L4

Orders, may perform, and interprets common screening and HWB2 L4
diagnostic tests                                         HWB6 L4
                                                         HWB8 L3

Evaluates results of interventions using accepted outcome C1 L4
criteria, revises the plan accordingly, and consults/refers IK1 L3
when needed                                                 HWB3 L4
                                                            HWB5 L4
                                                            HWB7 L4
                                                            HWB8 L3

Works collaboratively with other health professional and C1 L4
agencies as appropriate                                  C4 L3
                                                         IK1 L3

Plans and conducts follow-up visits appropriately to monitor HWB3 L4
patients and evaluate health/illness care                    HWB5 L4
                                                             HWB7 L4

2. THE NURSE PATIENT RELATONSHIP                                       Advancing Clinical Practice



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                                                                             Acute management of
                                                                             emergency care
                                                                             Managing individuals with long
                                                                             term chronic conditions
                                                                             Complex Life Threatening Care
                                                                             Law and ethics for advancing
                                                                             practitioners
Creates a climate of mutual trust and establishes                  C1 L4
partnerships with patients, carers and families.
Validates and checks findings with patients.                       C1 L4
Creates a relationship with patients that acknowledges their       C1 L4
strengths and knowledge and enabling them to address their         HWB4 L4
needs
Communicates a sense of ‘being there’ for the patient,             C1 L4
carers and families and provides comfort and emotional
support
Evaluates the impact of life transitions on the health/illness     C1 L$
status of patients, and the impact of health/illness on
patients’ lives (individuals, families, carers, and communities)
Applies principles of empowerment in promoting behaviour           C1 L4
change
Develops and maintains the patient’s control over decision-        C1 L4
making, assesses the patient’s commitment to the jointly           HWB4 L4
determined plan of care, and fosters personal responsibility
for health
Maintains confidentiality, while recording data, plans, and        C1 L4
results in a manner that preserves the dignity and privacy of      C3 L4
the patient                                                        HWB2 L4

Monitors and reflects on own emotional response to C1 L4
interaction with patients, carers and families and uses this C2 L4


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knowledge to further therapeutic interaction
Considers the patient’s needs when bringing closure to the C1 L4
nurse-patient relationship and provides for a safe transition HWB4 L4
to another care provider or independence
2.1 THE EDUCATION FUNCTION                                              Advancing Clinical Practice
                                                                        Acute management of emergency
                                                                        care
                                                                        Managing individuals with long term
                                                                        chronic conditions
                                                                        Complex Life Threatening Care
2.2 Timing
Assesses the on-going and changing needs of patients,
carers and families for education based on the following:
A. needs for anticipatory guidance associated with growth C2 L4
and the developmental stage                                  HWB4 L4
                                                             G1 L3
B. care management that requires specific information or C2 L4
skills                                                       G1 L3
C. the patients understanding of their health condition      C2 L4
                                                             G1 L3
Assesses the patient’s motivation for learning and C2 L4
maintenance of health-related activities using principles of G1 L3
change and stages of behaviour change

Creates an environment in which effective learning can take C2 L4
place                                                       G1 L3

Eliciting
Elicits information about the patient’s interpretation of HWB2 L3
health conditions as a part of the routine health assessment G1 L3


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Elicits information about the patient’s perceived barriers, G1 L3
supports, and modifiers to learning when preparing for
patient’s education

Elicits the patient’s learning        style   to   facilitate   an G1 L3
appropriate teaching approach

Elicits information about cultural influences that may affect G1 L3
the patient’s learning experience

Enabling
Enables patients by displaying a sensitivity to the effort and     C2 L4
emotions associated with learning about how to care for            G1 L3
one’s health condition
Enables patients in learning specific information or skills by     C2 L4
designing a learning plan that is comprised of sequential,         G1 L3
cumulative steps, and that acknowledges relapse and the            HWB1 L3
need for practice, reinforcement, support, and re-teaching         HWB4 L4
when necessary

Enables patients to use community resources when needed            C2 L4
                                                                   HWB4 L4
Providing
Communicates health advice and instruction appropriately, C1 L4
using an evidence based rationale                         HWB1 L3
                                                          G1 L3
Negotiating
Negotiates a jointly determined plan of care, based on C2 L4
continual assessment of the patient’s readiness and HWB4 L3


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motivation, re-setting goals, and optimal outcomes             G1 L3
Monitors the patient’s behaviours and specific outcomes as a   C2 L4
guide to evaluating the effectiveness and need to change or    HWB5 L4
maintain educational strategies
Coaching
Coaches the patient by reminding, supporting and               C2 L4
encouraging, using empathy                                     G1 L3
2.3 PROFESSIONAL ROLE                                                        Advancing practice
                                                                             Independent study
                                                                             Clinical leadership and management
                                                                             Advancing practice project
                                                                             Law and ethics for advancing
                                                                             practitioners
Develops and implements the role
Acquires and uses evidence and research to implement the       IK3 L4
role of the advanced nurse practitioner
Functions in a variety of role dimensions: advanced health     C2 L4
care provider, co-ordinator, consultant, educator, coach,      HWB2 L4
advocate, administrator, researcher, role model and leader     G7 L3
Interprets and markets the role to the public, legislators,    C4 L3
policy-maker, and other health care professions                G8 L2
Directs care
Prioritises, co-ordinates, and meets multiple needs for    HWB5         L4
culturally diverse patients                                HWB7         L4
                                                           HWB2
Uses sound judgement in assessing conflicting priorities and            L4
needs                                                      HWB6         L4
                                                           HWB7         L4
Builds and maintains a therapeutic team to provide optimum C1 L4
therapy                                                    C4 L4
                                                           C5 L4


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                                                            G7 L2
Obtains specialist and referral care for patients while     C1 L4
remaining the primary care provider                         C4 L3
                                                            HWB7 L4
Acts as an advocate for the patient to ensure health needs  C6 L3
are met consistent with patients’ wishes                    HWB3 L2
Consults     with other health          care providers      C1 L4
                                                          and
public/independent agencies                                 C4 L3
Incorporates current technology appropriately in care       HWB6 L3
delivery                                                    HWB7 L3
Uses information systems to support decision-making and to  C5 L4
improve care                                                IK3 L4
Provides leadership
Is actively involved in a professional association            C2 L3
Evaluates implications of contemporary health policy on C4 L3
health care providers and consumers                           HWB1 L4
                                                              G2 L2
                                                              G7 L2
Participates in legislative and policy-making activities that C4 L3
influence an advanced level of nursing practice and the HWB1 L4
health of communities                                         G2 L2
Advocates for access to quality, cost-effective health care   C4 L3
                                                              C6L3
Evaluates the relationship between community/public health C4 L3
issues and social problems as they impact on the health care HWB1 L3
of patients (poverty, literacy, violence, etc.)
Actively engages in continuous professional development and C2 L3
maintains a suitable record of this development



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MANAGING AND NEGOTIATING                   HEALTH      CARE              Advancing practice
                                                                         Independent study
DELIVERY SYSTEMS
                                                                         Clinical leadership and management
                                                                         Advancing practice project
                                                                         Law and ethics for advancing
                                                                         practitioners
                                                                         Research methodology , design and
                                                                         methods
                                                                         Data analysis
Managing
Demonstrates knowledge about the role of the advanced          C3 L3
nurse practitioner
Provides care for individuals, families, and communities       C5 L3
within integrated health care services                         HWB7 L4
Considers access, cost, efficacy, and quality when making      C5 L3
care decisions
Maintains current knowledge of their employing organisation    C5 L3
and the financing of the health care system as it affects      G4 L2
delivery of care
Participates in organisational decision-making, interprets     C5 L3
variations in outcomes, and uses data from information         IK2 L2
systems to improve practice
Manages organisational functions and resources within the       C5 L3
scope of responsibilities as defined in a job description       IK2 L2
                                                                G5 L3
Uses business and management strategies for the provision C5 L3
of quality care and efficient use of resources                  G5 L3
Demonstrates knowledge of business principles that affect C5 L3
long term financial viability of an organisation, the efficient G4 L2



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use of resources, and quality of care
Demonstrates knowledge of, and acts in accordance with, C3 L3
relevant regulations for this level of practice and the NMC C5 L3
Code of Professional Conduct; standards for conduct,
performance and ethics
Negotiating
Collaboratively assesses, plans, implements, and evaluates     C1 L4
care with other health care professionals, using approaches    HWB5 L4
that recognise each one’s expertise to meet the
comprehensive needs of patients
Undertakes risk assessments and manages risk effectively       C3 L4
Participates as a key member of a multi-professional team      G2 L3
through the development of collaborative and innovative
practices
Participates in planning, development, and implementation of   HWB1 L3
public and community health programmes

Participates in legislative and policy-making activities that HWB1 L3
influence health services/practice

Advocates for policies that reduce environmental health C3 L4
risks                                                   HWB1 L4
Advocates for policies that are culturally sensitive    C3 L3
                                                        C6 L3
Advocates for increasing access to health care for all  C3 L3
                                                        C6 L3
MONITORING AND ENSURING THE QUALITY OF                                   Practice Teaching and Learning
                                                                         Advancing practice
ADVANCED HEALTH CARE PRACTICE
                                                                         Clinical leadership and management



550.4 doc                                                                                                     November 2008
42                                                                                                              Faculty of Health and Life Sciences

                                                                            Advancing practice project
                                                                            Law and ethics for advancing
                                                                            practitioners
                                                                            Research methodology , design and
                                                                            methods
                                                                            Data analysis
Ensuring quality
Incorporates professional/legal standards into advanced        C5 L4
clinical practice
Acts ethically to meet the needs of the patient in all         C5 L4
situations however complex                                     HWB5    L4
Assumes accountability for practice and strives to attain      C4 L3
the highest standards of practice                              C5 L3
Engages in clinical supervision and self-evaluation and uses   C2 L4
this to improve care and practice                              C5 L2
Collaborates and/or consults with members of the health        C5 L3
care team about variations in health outcomes                  HWB5    L4
Promotes and uses an evidence-based approach to patient        C5 L3
management that critically evaluates and applies research      HWB7    L4
findings pertinent to patient care management and outcomes     G2 L4
Evaluates the patients’ response to the health care provided   HWB5    L4
and the effectiveness of the care
Interprets and uses the outcomes of care to revise care      C4 L3
delivery strategies and improve the quality of care          C5 L3
                                                             HWB7 L4
Accepts personal responsibility for professional development C2 L4
and the maintenance of professional competence and C5 L2
credential
Monitoring quality
Monitors quality of own practice and participates in C5 L4


550.4 doc                                                                                                                       November 2008
Faculty of Health and Life Sciences                                                                                            43

continuous quality improvement
Actively seeks and participates in peer review of own          C2 L4
practice
Evaluates patient follow-up and outcomes, including            C5 L3
consultation and referral                                      HWB7 L4
Monitors current evidence based literature in order to         C5 L3
improve quality care                                           G2 L4
3.    RESPECTING CULURE AND DIVERSITY                                    Advancing Clinical Practice
                                                                         Acute management of emergency
                                                                         care
                                                                         Managing individuals with long term
                                                                         chronic conditions
                                                                         Complex Life Threatening Care
                                                                         Advanced health assessment
Demonstrates respect for the inherent dignity of every         C6 L4
human being, whatever their age, gender, religion, socio-      HWB4 L4
economic class, sexual orientation, and ethnic or cultural
group
Accepts the rights of individuals to choose their care         C6 L4
provider, participate in care, and refuse care                 HWB4 L4
Acknowledges their own personal biases and actively seeks      C2 L4
to address them whilst ensuring the delivery of quality care   C6 L3
Actively promotes diversity and equality                       C6 L4

Incorporates cultural preferences, health beliefs and C6 L4
behaviours into management plans as appropriate
Provides patient-appropriate educational materials that IK3 L3
address the language and cultural beliefs of the patient
Accesses patient appropriate resources to deliver care   C5 L2
                                                         C6 L4


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44                                                                                    Faculty of Health and Life Sciences

Supports patients from marginalized groups to access                       C6 L4
quality care
Spiritual competencies
Respects the inherent worth and dignity of each person and     C6 L4
the right to express spiritual beliefs                         HWB5 L4
Assists patients and families to meet their spiritual needs in C6 L4
the context of health and illness experiences, including       HWB4 L4
referral for pastoral services                                 HWB5 L4
Assesses the influence of patients’ spirituality on their      C6 L4
health care behaviours and practices                           HWB4 L4
                                                               HWB5 L4
Incorporates patients’ spiritual beliefs in the care plan      C6 L4
                                                               HWB4 L4
                                                               HWB5 L4
Provides appropriate information and opportunity for C6 L3
patients, carers and families to discuss their wishes for end- IK3 L4
of-life decision-making and care                               HWB L4

Respects wishes of patients                    and     families   regarding C6 L4
expression of spiritual beliefs                                             HWB4 L4
                                                                            HWB5 L4




n/s/edpol/postregistration/postconsultation/ANPKSFmapping1609



550.4 doc                                                                                             November 2008
Faculty of Health and Life Sciences                        45




                                Module Descriptors




550.4 doc                                            July 2007