Celebrating 10 years of the Nursing and Midwifery Practice

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Celebrating 10 years of Practice Education Facilitation
in Scotland
Dr Colette Ferguson
Director of Nursing, Midwifery and Allied Health Professions
NHS Education for Scotland
Karen Wilson
Director of Health Professions and Nursing
Scottish Ambulance Service
Quality Education for a Healthier Scotland
10 years of Practice Education Facilitation
in Scotland
Plan
Looking Back
Context, policy, drivers
Core purpose, role development and network
Key Milestones
Evidence of Success
Looking Forward
Challenges and Opportunities
Quality Education for a Healthier Scotland
Background
Early 2000s
• Clinical Teachers
• Student’s fitness for
practice
• Mentor’s ability to
assess & ‘Failure to
Fail’
• Recruitment Crisis –
Facing the Future
Quality Education for a Healthier Scotland
Practice Education Drivers 2004
The Policy Context
Quality Education for a Healthier Scotland
Facing the Future
•
•
•
•
•
Careers
Leadership
Flexibility
Education & Training
Working Conditions &
Tools for the Job
• Employment Packages
• Research & Evaluation
• New Roles
Quality Education for a Healthier Scotland
Philosophy
High quality practice
placement experiences
Joint responsibility
Practice led
Learning environment
Developing appropriate
placements
Career development
HEIs
Boards
NES
Quality Education for a Healthier Scotland
The early days ……
Funding Secured: £3m over three years
•
Need to develop a sustainable solution
•
Address evidence of gap in support for learning and for mentors
Therefore:
• Aim to focus on mentor s so that they could support, supervise and
assess students through engaging in high quality care.
•
Invest in and develop the learning environment
•
Build a national infrastructure of support for learning in practice
Quality Education for a Healthier Scotland
Aim .......
•
Maximise the number of student nurses and midwives who can be
supported in clinical practice
• CAPACITY
•
Ensure the student experience is of the highest quality and enables
greatest benefit from the individual learning experience
• QUALITY
•
Ensure support and supervision for staff engaged in
CPD/educational programmes
•
SUPPORT
Quality Education for a Healthier Scotland
T he Clin ical L earnin g En viro nm en t
Ac
ad
em
ic
Pr
og
Edu cation
In frastru ctu re
Policy Drivers
Link Lecturers/
Clinical Tea ching
F ellows
Liaison/
Partn ership
Com mittees
ts
os
PRA CTIC E EDUC ATION
F ACIL ITA TORS
fP
ro
be
um
nd
PRAC TICE ED UCAT OR S
gN
Ca
re
er
a
in
sh
Service
In frastru ctu re
Policy Drivers
Service Redesig n
Clinical & Staff
Gove rnance
JOINT
APPOINTMENTS
ni
mi
Di
re
ss
io
n
OTHER
ROLES
PREC EPT ORS & MENT OR S
Practice Ed uc atio n Ro les Path way
Quality Education for a Healthier Scotland
Milestone
2004/5
The PEFs ‘Toolkit’
2009/10
Revised
Quality Education for a Healthier Scotland
Quality Education for a Healthier Scotland
Key Milestone:
2006/7
Preparation of Mentors
Annual Update
Triennial Review
Criteria for ‘Signing off’
Establishing and Maintaining
a ‘live’ register
Quality Education for a Healthier Scotland
2007
Quality Education for a Healthier Scotland
The Evidence
PEF Evaluation Report
2008
Pre-registration nursing and
midwifery education Evaluation
2008
Quality Education for a Healthier Scotland
Evidence of Success
Practice Education Evaluation Report – Carlisle (2008)
PEFs …..a valuable addition to the support and development of quality
clinical learning environments for pre and post registration students.
Heard numerous accounts of where the PEF role worked well in
supporting mentors with 'failing' students’
Pre-registration Nursing and Midwifery Evaluation - Lauder etal (2008)
PEFs ….a crucial link between the university and service. There was a
great sense of 'valuing' of the PEFs by academic and clinical staff.
Found a positive perception of role from both service and education
settings
Quality Education for a Healthier Scotland
Other Sources of Evidence
•
Performance Management Reports from Universities and Nurse
Directors (NES 2009 – 2013)
•
Student, Mentor and Senior Charge Nurse Surveys (NES 20010-13)
•
Board Annual Reports on Practice and Care Home Education
Facilitators
•
NMC Quality Assurance Reports
"The practice education facilitators impressively support practice learning
and enhance links between education and practice".
Mott MacDonald (NMC 2011)
Quality Education for a Healthier Scotland
Broad areas of success
•
•
•
•
•
Increased placement capacity and range of learning opportunities
CAPACITY
Robust systems in place to monitor NMC Standards for supporting
learning and assessment in practice
Mentor Database (including preparation and updates)
National approach to preparation of mentors
QUALITY
National Network of Support for mentors
Increased support for complex decision making and earlier action for
students failing to meet competencies
SUPPORT
Strengthened collaboration between universities, NHS Boards, Care
Homes
Quality Education for a Healthier Scotland
Specific Indicators of success
During 2013
1,160 Mentors responded to the annual survey
• 91.3% had participated in regular mentor updates
• 88% reported on good support from PEF
PEFs and CHEFs:
• supported over 19,000 mentors in NHS and care homes
•
helped to deliver over 206 mentor programmes across Scotland
•
supported 720 mentors to put in place reasonable adjustments for
students
Quality Education for a Healthier Scotland
Opportunities and Challenges Ahead
2020 Vision
How do we maximise the contribution of the practice education
infrastructure to extend beyond traditional boundaries and ensure
robust learning and care environments?
Quality Management of the Learning Environment
How we develop a robust data system to monitor and recognise impact
Setting the Direction
Opportunity to improve, strengthen and further develop the infrastructure
and the quality of the learning environment
Quality Education for a Healthier Scotland
Going Forward
How to we continue to improve, strengthen and develop
the learning environment further?
What does the learning environment of the future look
like?
What do we need to build and strengthen?
What do we need to change?
Quality Education for a Healthier Scotland
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