The London Association of Mental Health Nursing Practice (LAMP) Placement and Mentor Operational Standards March 2015 London Association Mental Health Nursing Practice Placement & Mentor Operational Standards Clinical placements that have a positive learning environment, support the development of mental health student nurses to deliver safe and effective person centred care, and help build and develop the emotional strength and intelligence required in the world of nursing that new registrants face in today’s NHS. These standards are a collaborative piece of work by the Trusts and Higher Education Institutes (HEIs), who deliver pre- registration nurse training in mental health settings across London and nearby areas. They have been developed so the organisations who support student nurses, make explicit their understanding of the responsibilities and expectations in relation to practice placement learning. The standards apply to any structured placement learning provided by placement providers that is accessed by Student mental health nurses who are supported through an educational programme. These standards support existing professional regulatory standards. The Standards 1. Students on Practice Placements (As part of formal programmes of study) Standards Indicators 1.1 Students Nurses will have an allocated 1.1 Evidence of a joint approach placement that is suitable to their learning between service and education needs. institutions to the preparation, audit and allocation of practice placements. 1.2 Access to information about the 1.2 Pre placement information is placement and learning opportunities will available and accessible in written, be available. verbal and electronic formats. 1.3 Access to quality standards for practice 1.3 Students will have access to the placements will be available. placement education audit. 1.4 Students Nurses will receive support 1.4 A relevant named individual is from a named individual who is prepared available to the student via the for the role of supporting student nurses in placement details posted or via the mental health settings. education audit. 1.5 Student Nurses will have an 1.5 Attendance at Trust inductions. opportunity to discuss their learning needs First interviews in practice are early in the placement. (Preferably the first discussed, recorded and documented 48 hours – no later than the end of the first through initial group meeting with the week). Student link/ Lead mentor or with the allocated mentor and recorded in the individual students PAD. 1.6 Student Nurses will be allocated to an 1.6 Evidence exists through student environment which is welcoming, evaluation forms and real time verbal supportive of their learning and in which feedback; that learning and learners they feel part of the team. are welcomed, valued and have a positive learning experience. Information to be collected through various mechanisms such clinical visits by the *Practice Experience Manager (PEM)/ *Practice Experience Facilitator (PEF)/ *Practice Development Manager (PDM). Student Nurse reflection sessions that are Trust based. Term by term student nurse evaluation form completion. HEI Placement of the year award nominations. * Titles may vary from one organisation to another. 1.7 Student Nurses will have access to a range of learning and teaching opportunities. 1.8 Student Nurses will experience a team approach to their support. 1.9 Regular and timely feedback on their performance and progress is given by individuals supporting the student nurses learning experience. 1.10 The Student Nurse will receive fair, timely and objective assessment. 1.11 Students will have access to support from their HEI when required. 1.12 Student Nurses will be prepared for the practice placement and will have access to pre –placement information. 1.13 Student Nurses will contribute as a partner in the achievement of their learning outcomes. 1.14 Student Nurses will be encouraged to raise any concerns about the practice placement experience. There is evidence in the Students PAD that they have used their supernumery status to undertake visits outside their allocated placements and had an interprofessional learning experience. 1.8 Experience gained with, from and about the wider team takes place and is evidenced in the students PAD. 1.9 Regular feedback and review of achievement and progress toward learning outcomes is documented in the students PAD by mentors and comentors. 1.10 Assessment documentation is completed in line with the HEI and NMC requirements. 1.11 Lines of communication between the HEI and student during practice placements are clear. 1.12 Students will have access to preplacement information via their HEI websites. Placement provider websites, Education Audit. Trust inductions. PEFs / PEMS/PDM. Placement allocation postings. 1.13 Students will be encouraged to take responsibility for their own learning and record their evidence in the PAD. 1.14 Student Nurses will be informed of all reporting systems available. This will be supported by meetings with senior nursing staff/ Student reflection sessions/ clinical visits by the PEF / PEMS / PDM.Meetings with the student link/ Lead Mentor/ meetings with their personal tutor/ Where they exist Student Nurses will have access 1.15 Student Nurses will have the opportunity to evaluate their practice placement experience. 1.16 Student Nurses will have access to action plans drawn up from their practice placement experience feedback. to the placement provider harassment and bullying officers/ Students will retain access to HEI counselling services whilst on clinical placement. The placement provider and HEI will be able to evidence a partnership approach to data collection on the quality of placements. The placement provider and HEI will draw up a joint action plan where needed to demonstrate to students that a quality process exists and student evaluations form part of an improvement plan. 2. Individuals supporting students in the clinical area (Mentors/ sign off mentors/ Assessors/ Educators) Individuals supporting student nurses in the workplace have a Responsibility to: Standards Indicators 2.1 Be prepared for their role in supporting 2.1 These individuals will have access Student Nurses. to relevant educational preparation, development and support. A pathway to an academic award at Degree level and beyond, will be available to individuals wishing to pursue a career path in education and or research. 2.2 Support, teach, facilitate and supervise 2.2 Students are supported to achieve student nurses according to the learning outcomes. programme requirements and the students identified learning needs. 2.3 Provide guidance and constructive 2.3 Constructive feedback is evident feedback to the student. within the student nurse PAD or documentation maintained by the staff member such as a mentor portfolio. 2.4 Conduct a fair, objective and timely 2.4 Assessment documentation is assessment of student performance, where completed in line with education assessment is required. institution requirements. 2.5 Raise concerns in a timely manner, 2.5 Processes agreed jointly by the HEI when a student nurse is not achieving and placement provider for raising agreed learning outcomes. concerns are in place and followed. 2.6 Contribute to the review of the 2.6 Joint education institution/ service learning environment and student quality process includes evaluation experience. from individuals supporting students in the workplace. 2.7 Participate in self and peer evaluation 2.7 Support network is available and to facilitate personal development and accessed by individuals supporting contribute to the development of others. students. 2.8 To be educationally prepared to fulfil 2.8 Relevant education and continuing their role in supporting student nurses. 2.9 To receive information about the students and their learning needs. 2.10 To receive information about students where additional support to maximise the students learning potential may be required. 2.11 To receive additional support with those students who require an additional action plan to meet their learning objectives. 2.12 A support network inclusive of service and education colleagues, managers and peers is available and accessible. professional development needs are incorporated into professional development plans aligned to the agenda for change / Knowledge and skills framework. 2.9 Information about the students learning needs is provided by the HEI. 2.10 Information about the students learning needs is provided by the HEI. 2.11 Pathways to access additional support exist and are known to individuals who support student nurses in clinical placements. 2.12 Support networks exist and are accessible to individuals supporting student nurses. 2.13 Time to support Student Nurses to 2.13 Workload expectations take achieve their learning outcomes and account of support students’ require. complete the required supporting documentation. 3 Managers and Facilitators Supporting Education in Practice Managers and Facilitators supporting education in practice have a responsibility to: Standards Indicators 3.1 Support the implementation and 3.1 Evidence of periodic review / audit review of the Core National Placement of the practice placement Indicators for Contract monitoring as part environment. of the audit process for maintaining and where necessary improving the clinical learning environment. 3.2 Work with service and education 3.2 Evidence of partnership between colleagues to ensure processes are in place placement providers and education in for continuous quality improvement of relation to the quality of placement practice placements. experience. For example action plans resulting from Student and mentor evaluations presented at Trust Board and Board of studies level. 3.3 Ensure Student Nurses within their 3.3 Evidence exists that every student allocated placement area have a named, is aware of a named lead in their prepared individual to support their allocated placement area and has a learning. named individual directly supporting them. 3.4 Ensure individuals who support 3.4 Evidence of support networks students in the workplace are able to raise where concerns can be raised in concerns regarding individual students. relation to students. 3.5 Ensure individuals who support 3.5 Evidence of support networks students in the workplace are able to raise concerns regarding issues that may impact on the quality of the student learning experience. where concerns can be raised in relation to placement issues which may impact on the quality of the placement as a learning environment. Managers and Facilitators supporting Education in practice can expect. 3.6 A network of support to share and Networks exist which can be accessed develop practice. by managers and facilitators supporting education in practice. 4 Organisations providing Practice Placements Organisations providing practice placements have a responsibility to: Standards Indicators 4.1 Ensure access to educational 4.1 Evidence of preparation of preparation and support of individuals individuals supporting students is supporting student nurses. available. 4.2 Ensure the practice placement experience contributes to preparing students to become safe practitioners. 4.3 Form partnerships with HEI’s to facilitate practice learning. 4.4 Provide access to facilities and learning opportunities to allow student learning outcomes to be achieved. 4.5 Provide a supportive learning environment for educators and students on placement. 4.6 Establish systems and processes to ensure that issues identified in relation to the quality of practice placements are addressed. 4.9 Promote Equality and Diversity in all aspects of the placement. 4.2 Student assessment documentation provides evidence of achieving learning outcomes and that assessments undertaken are fair but robust. 4.3 Formal structures exist between HEI’s and placement providers to promote partnership in placement learning. 4.4 Evidence of access for learning opportunities exist. 4.5 Education governance standards are met. 4.6 Systems and processes to address placement issues are in place. 4.7 Educators and staff have received Equality and Diversity training and learning arrangements /reasonable adjustments take account of students needs. Organisations providing practice placements can expect Standards Indicators 4.8 Support from and liaison with their 4.8 Lines of communication and HEI(s) decision making are clear. 4.9 Involvement in curricula development 4.9 Placement providers’ views are including the simulated practice represented in all aspects of curricula programme. design and reviews. 4.10 Formal agreements exist on practice 4.10 Agreements exist. E.G. Service placements between the service and level agreements, Placement provider HEI(s). agreements, Memorandum of understanding. 5 Student Link / Lead Mentor Role descriptor Standards 5.1 Monitor that student nurses are rostered to work alongside suitable prepared supervisors. 5.2 Match Student Nurse to Mentor Indicators 5.1 Off – Duty Electronic records such as Healthroster and or Hard copies based in clinical areas. 5.2 Student PAD. Education Audit. Mentor Database. 5.3 Ensure student orientation has been completed within the first week of placement. 5.4 Liaise with PEF / PEM/PDM on issues that may impact on the students’ progress or their own teams ability to support the student. 5.5 Act as a role model to other Mentors in the support of student nurses. 5.6 Act as a source of support to other mentors and their students. 5.7 Support mentors in accessing mentor updates. 5.3 Student PAD. 5.8 Be the first point of contact for student complaints/ concerns. Escalate to PEF/ PEM. Keep PEF/ PEM informed whether escalated or not. 5.9 Report issues to line manager/ PEF/ PEM/PDM where nurses need support to teach and or mentor. 5.10 Report issues to line manager/ PEF/ PEM/PDM where quality of mentoring does not meet required standard. 5.11 Monitor that initial, midpoint and final interviews are scheduled and occur on time. 5.4 Mentor Portfolio and or Triennial Review. PEM/PEF/PDM records. 5.5 Mentor Portfolio and or Triennial Review. 5.6 Mentor Portfolio and or Triennial Review. 5.7 Liaise with line manager on inviting PEF/ PEM/PDM to facilitate team updates or organising protected study leave to attend mentor update session. 5.8 Record of meeting with Student / PEF / PEM. 5.9 Record of discussion with Nurse / Line Manager/ PEF/ PEM/PDMMentor development action plan. 5.10 Record of discussion with Nurse / Line Manager/ PEF/ PEM/PDM. Mentor development action plan. 5.11 Student PAD. 5.12 Maintain local placement information and that this is accessible to student nurses. 5.13 Have an overview of the students learning experience. 5.14 Assist with completion of the placement education audit. 5.15 Assist Clinical lead and PEF/ PEM/PDM with advice of students allocated to placement area. 5.16 Encourage co-mentors pathway into mentorship training. 5.17 Encourage Mentor pathway into sign off mentor training. 5.18 Participate in HEI Pre – registration student recruitment. ( Band 7 and above) 5.19 Maintain Live mentor status. 5.20 Keep up to date with NMC & HEI developments. 5.12 Student Evaluation forms. 5.13 Feedback meeting with student nurses based in clinical area. 5.14 Education Audit. 5.15 HEI has recorded details of Student link/ Lead Mentor. 5.16 Education Audit and monitoring of Mentor training applications by PEF/ PEM/PDM & Trust education leads. 5.17 Monitoring of applications for sign off mentor training by PEF/ PEM/PDM & Trust education leads. 5.18 HEI Pre registration interview panels. 5.19 Live Mentor database. 5.20 Attendance at Mentor updates and or Tri-ennial Review. Mentor portfolio. Acknowledgements: Barts Health NHS Trust NHS Education for Scotland University College London Hospitals NHS Foundation Trust LAMP Contributors: • East London NHS Foundation Trust • South London and Maudsley NHS Foundation Trust • Barnet, Enfield and Haringey Mental Health NHS Trust • Camden and Islington NHS Foundation Trust • North East London NHS Foundation Trust • Oxleas NHS Foundation Trust • South West London and St George’s Mental Health NHS Trust • West London Mental Health NHS Trust • Central and North West London NHS Foundation Trust • University of West London • City University • Middlesex University • Greenwich University • Bucks New University • London Southbank University • Kings College London Enquires should be directed to: lamp@city.ac.uk LAMP