Health Visitor and School
Nurse Preceptorship
Programme:
Created in partnership - Cumbria
Partnership NHS Foundation Trust
and University of Cumbria
Jo Blake, Head of Department of Lifelong &
Interprofessional Learning, Faculty of Health & Science
Preceptorship – national direction
A Health Visitor Career (GB DH 2012): Part 1: Support in
first 2 years:
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•
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Induction Period 2-4 weeks
Preceptorship (6 – 12 months) – mentor/preceptor
Regular supervision
Team Support
http://www.nhsemployers.org/PlanningYourWorkforce/childrensandfamilesworkforce/Health
visiting/Pages/ToolsAndResources.aspx
Format
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Each participant has planned preceptorship in practice
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5 facilitated action learning workshops - themed
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John’s (2009) Model of Reflective Inquiry and Influencing
Grid
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Personal SOAR analysis (strengths, opportunities,
aspirations, results)
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Reflective log
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Accredited or non-accredited
Themes
1. Self Awareness
2. Confidence Building
3. Conflict Resolution
4. Managing Stress
5. Roles and Contributions within both Team
and Organisation
Specific Outcomes
Focussed on:
1. Role of the Health Visiting/School Nursing service in achieving the
outcomes of the Public Health Outcomes Framework and the
Healthy Child Programme
2.
Application of parenting approaches, including the Solihull
Approach to parenting
3.
Application of strategies to enhance effective time management
practices within the workplace.
4.
Decision making with regards to safeguarding children and young
people through appropriate assessment and analysis of risk.
5.
Professional and effectively communicate complex information at
appropriate levels within a multiagency arena.
John’s (2009) Influencing Grid
Conforming to normal
practice/habit?
The weight of tradition
Negative attitudes and
prejudices?
Racism?
Limited skills/confidence to
act in new ways?
Emotional
entanglement/over
identification?
Fear of sanction?
The weight of authority.
What Factors Influence My
Decision Making and
Actions?
Personal stuff/baggage?
Wrapped in self concern?
Pity? Stressed? Guilt?
Frustration? Other
feelings?
Expectations of others?
Need to be valued?
Misplaced concern? Loyalty
to colleagues versus loyalty
to client? Anxious about
ensuing conflict?
Knowledge to act in specific
ways?
The weight of theory.
Time/priorities?
Expectations from self
about how/should act?
Doing what was felt to be
right?
Double Loop Learning
Evaluation Comments
•Good preceptor support in practice – needs to be
consistent even when time pressures.
•There needs to be protected time for preceptor and
preceptee for critical reflection/clinical supervision.
Time sometimes compromised by work priorities
•Good to have time out to attend action learning
sets
•Useful to have specialist facilitators to explore
issues and challenges in practice
Evaluation Comments
•Would have preferred not to have to write anything
– just attend and discuss
•Influencing Grid very relevant to HV/SN practice
•Helps to establish a local network between new
HV/SN starters
•Should be available to all new starters
Any Questions?