Programme Specification A statement of the knowledge, understanding and skills that underpin a taught programme of study leading to an award from The University of Sheffield 1 Programme Title Community and Public Health Practice with the option to proceed to Postgraduate Certificate in Specialist Community Public Health Nursing Practice with registration 2 Programme Code COLU24 3 JACS Code (if applicable) NA 4 Level of Study Undergraduate/Postgraduate 5 Final Qualification Bachelor of Medical Science with Honours; Postgraduate Certificate 6 Intermediate Qualification(s) None 7 Teaching Institution Institute of Health Studies, Guernsey 8 Moderating Department School of Nursing and Midwifery 9 Home Department NA 10 Other Department(s) involved in teaching the programme None 11 Mode(s) of Attendance Full-time or Part-time 12 Duration of the Programme 45 weeks full-time or 90 weeks part-time (plus existing diploma/diploma equivalent in higher education) 13 Accrediting Professional or Statutory Body (if applicable) Nursing and Midwifery Council 14 Date of production/revision March 2005 15. Background to the programme and subject area The States of Guernsey government policy requires that all health and social care professionals practising on the island must be registered, and maintain their registration, with the appropriate United Kingdom (UK) professional regulatory body. School nurses and health visitors are required to undertake further study following initial registration as a nurse or midwife and to be registered on an additional part of the Nursing and Midwifery Council (NMC) register to practice under the title of specialist community public health nurse. This programme is designed to enable experienced registered nurses or midwives living in Guernsey and other Channel Islands, to develop their practice through further study to meet the requirements for registering the qualification of specialist community public health nurse with the NMC. The programme focuses on public health nursing in two settings - health visiting and school nursing. In addition to equipping practitioners to meet the delivery needs of contemporary health care in Guernsey, or their local community, the programme also affords students the opportunity for personal development and equips them with the knowledge, skills and attitudes required for lifelong learning. By the end of the programme successful candidates will also demonstrate transferable skills and attributes enabling them to deal with complex issues both systematically and creatively, make sound judgements and communicate their conclusions clearly as well as demonstrate self-direction and originality in tackling and solving problems The programme comprises six units of study at Level III leading to the degree of Bachelor of Medical Science in Community and Public Health Practice with the option to undertake two units of study at M Level leading to a Postgraduate Certificate in Specialist Community Public Health Nursing Practice which allows the candidate to apply for registration on Part III of the NMC register. Only candidates successfully completing all L III and M-level units may apply for NMC registration. The course builds on the existing knowledge and skills of candidates and previous specific Level I and II credit accrued through pre- and post-registration nursing/midwifery education. The programme comprises 50% theoretical and 50% practice-based learning, which are overseen by appropriately qualified academic and clinical staff. To meet professional requirements candidates must be registered nurses or midwives and employed in/able to undertake 22.5 weeks of work experience in a specialist community public health nursing setting and arrangements must be in place for the supervision and assessment of their clinical practice. The clinical setting drawn on must meet a standard specified by the NMC and be subject to regular audit for educational purposes. 1 533570591 – ver09-10 Nurses successfully completing this programme will possess a qualification which will allow them to seek employment as a registered specialist community public health nurse in Guernsey or anywhere else in the UK, a capacity in which they will be eligible to lead a team of other nurses working in the same area and progress along a career ladder from that point. For those intending to work in health visiting this will also include the community nurse prescribing recordable qualification. 16. Programme aims The aims of the programme are those of the Institute of Health Studies in general, which are to enable health care practitioners in Guernsey to develop existing knowledge and skills and further their education on island through access to high quality continuing education opportunities which increase clinical expertise, foster a positive attitude towards life-long learning and nurture the development of transferable personal, interpersonal and management skills. Specifically, the aim of this programme is to prepare nurses or midwives for, and to enable them to register, a professional qualification which requires them to demonstrate the graduate and postgraduate level knowledge, skills and attitudes to enable them to demonstrate proficiency in specialist community public health nursing practice in the domains of the search for health needs, stimulation of awareness of health needs, influence on policies affecting health and facilitation of health enhancing activities. 17. Programme learning outcomes Level III (H) Knowledge and understanding: professional and graduate requirements Successful candidates will: PGK1 Critically evaluate arguments, assumptions, abstract concepts and data from the biological, behavioural, social and environmental sciences relevant to their area of public health nursing practice and frame appropriate questions to achieve a solution or identify a range of solutions to a problem in public health nursing. PGK2 Evaluate the ethical and professional aspects of their practice PGK3 Evaluate current strategies and processes used to identify, assess and plan for the health and well being of individuals, groups or populations within their area of practice. PGK4 Formulate plans and strategies to meet health needs for a given population, group or individuals PGK5 Critically appraise the political and economic influences on health and health policy. PGK6 Critically examine the concepts of social diversity and social exclusion PGK7 Evaluate theories of organisations and organisational leadership and management as applied to health care PGK8 Evaluate educational strategies which may be used with patients/clients and peers PGK9 Critically appraise a range of research methodologies applicable to public health practice. PGK10 Describe and evaluate aspects of current research, or equivalent advanced scholarship, in their area of public health nursing. Skills and other attributes: professional and graduate requirements: Successful candidates will: PGS1 Competently assess, plan, implement and evaluate interventions for individuals, groups and populations at a specialist level based on a systematic understanding of practice at the forefront of public health nursing practice PGS2 Demonstrate the ability to investigate the impact of inequality and discrimination when working with individuals, families and communities and to contribute to the formulation and implementation of appropriate interventions PGS3 Demonstrate high levels of interpersonal and professional skills within the multi-disciplinary team and multi-agency contexts PGS4 Demonstrate the ability to both lead and work in partnership with others in meeting the health needs of an identified population, group or individual. PGS5 Demonstrate an ability to deploy accurately established techniques of analysis and enquiry within public health nursing PGS6 Communicate information, ideas, problems, and solutions to both specialist and non-specialist audiences 2 533570591 – ver09-10 PGS7 Apply the methods and techniques that they have learned to review, consolidate, extend and apply their knowledge and understanding; and to initiate and carry out projects Knowledge and understanding: transferable Successful candidates will: TK1 Understand theories of communication and interpersonal relationships taken from social psychology TK2 Evaluate theories of leadership and management TK3 Critically appraise methods of data collection, analysis and presentation. TK4 Evaluate theories and models of reflection in and on practice. Skills and other attributes: transferable: Successful candidates will: TS1 Demonstrate competency in word processing and the presentation of data TS2 Demonstrate competency in use of libraries, databases and the internet as sources of information as a basis for life-long learning. TS3 Demonstrate excellent verbal and written communication skills. TS4 Demonstrate competent teaching and presentational skills. TS5 Work effectively within or at the head of a team TS6 Exercise initiative and personal responsibility (process outcome) TS7 Make decisions in complex and unpredictable contexts TS8 Demonstrate self motivation (process outcome) M Level Skills and other attributes: professional and postgraduate requirements: Successful candidates will: PPS1 Demonstrate the ability to reach judgements in practice by utilising the outcomes of experience, critical review and reflection. PPS2 Is developing a systematic understanding of knowledge, and a critical awareness of current problems and/or new insights, much of which is at, or informed by, the forefront of public health nursing practice. PPS3 Demonstrate the ability to assess and analyse human situations, taking into account the views of stakeholders, theoretical concepts, research evidence, legislation and organisational policies and procedures PPS4 Demonstrate originality in the application of knowledge, together with a practical understanding of how established techniques of research and enquiry are used to create and interpret knowledge in the discipline of public health nursing. Skills and other attributes: postgraduate transferable: Successful candidates will: PTS1 Deal with complex issues both systematically and creatively, make sound judgements in the absence of complete data, and communicate their conclusions clearly. PTS2 Demonstrate self-direction and originality in tackling and solving problems, and act autonomously in planning and implementing tasks. PTS3 Continue to advance their knowledge and understanding, and to develop new skills to a high level (process outcome) 18. Teaching, learning and assessment Development of the programme learning outcomes is promoted through the following teaching and learning methods: To meet professional requirements, this programme is designed with 50% theoretical and 50% practice based teaching and learning 3 533570591 – ver09-10 Outcomes expressed are both process (as indicated) and product outcomes. As the programme is at Level III (Level H) and M Level, product outcomes have been developed to reflect the knowledge, skills and attributes necessary for specialist level professional practice and initial postgraduate level study. They also reflect a number of transferable skills as indicated. Achievement of the process outcomes is fostered through the experience of the programme and study at this level. An adult learning approach determines the teaching and learning methods used. In keeping with the androgogical philosophy behind the course, even sessions that are teacher-led will provide the opportunity for reflection and discussion by the candidates. A variety of teaching and learning methods will be used in the classroom – lectures and individual and group tutorials to convey core knowledge and stimulate reflection and discussion (PGK1 to 10; TK1 to 4), problem-solving sessions (PGK2, PGK3, PGS1, PGS2, PGS3, PPS1, PPS2, PTS2, PTS3), role-play (PGK8, PGS6, TK4, TS3) and other experiential strategies such as a group project (PGK4, PGK5, PGS6, PGS7, TS1, TS3, and TS7), and workshops (PGK9, PGK10, PGS7, TS1, TS2, TS6). The individual project which spans the graduate and postgraduate levels of the programme is designed to enable the development of professional, academic and transferable skills (PGS1 to PGS7, PPS1 to PPS4, TS1 to TS8 and PTS1 to PTS3) as well as advance the candidate’s knowledge of their professional practice in the areas indicated in PGK1 through PGK10. Teaching and learning in practice is directed by learning contracts negotiated between the candidate and the practice educator and is candidate-led within the parameters of the course outcomes. In the practice setting, learning is largely experiential with the candidate prepared to use experience as a source of knowledge and self-knowledge through critical reflection. Learning in the practice setting is based in clinical areas approved for the purpose by the Institute of Health Studies and reviewed by the NMC, through the NMC Visitor during the validation event. Clinical areas must meet specified criteria relating to the quality of the learning environment. Following approval, placements are monitored by the Institute and External Examiners. Practice learning is overseen by an appropriately qualified and prepared named practice educator. Academic staff support both the candidate and the practice educator and meet with them each semester in relation to practice learning. Practice learning addresses the skills and attributes outcomes specified in PGS1 through PGS7, PPS1 through PPS4 while reinforcing those specified for knowledge and understanding indicated in PGK1 to 10. Transferable knowledge and understanding outcomes which are integral to practice are TK1 and TK4. Transferable skills learned in the practice setting include TS3, TS5, TS6, TS7, TS8 and PTS1, PTS2 and PTS3. Opportunities to demonstrate achievement of the programme learning outcomes are provided through the following assessment methods: A variety of assessment methods are used to assess professional, graduate, postgraduate and transferable knowledge, skills and attributes. Theory and practice assessments are integrated - outcomes and professional proficiency may be assessed in theory, practice or in both theory and practice. Assessment of theory involves written assignments and presentations. These include a family-centred case study presented to colleagues (PGK1, PGK 2, PGK3 [and possibly PGK5, PGK6 depending on the nature of the study], PGS1, PGS2, PGS6, TS1, TS2, TS3, TS4 [formatively] and TS7), a policy paper recommending a policy change with an analytical account of a change undertaken (PGK5, PGK6, PGK7, TK2, TS1, TS3 TS4 [summatively]); a health promotion project with presentation (PGK 4, PGK8, PGS4, PGS6, TS1, TS2, TS3), a critique of published research (PGK9, PGK10, PGS7, TK3, TS1, TS2), a case study or profile identifying and assessing a risk to health and wellbeing and identifying evidence-based strategies for intervention (PGK4, PGK5, PGK6. PGK10, PPS1, PPS2, TS1, TS2, TS3, PTS1, and PTS2), a seen examination (PGK1, PGK5, PGK6, TS2) and an extended project (PGK1, PGK3, PGK9, PGK10, PGS4, PGS6, PGS7, PPS1, PPS2, PPS3, PPS4, TK3, TS1, TS2, TS3, TS4, PTS1 and PTS2). Practice is assessed through portfolio evidence which comprises direct observations of the candidate’s practice by the practice educator as well as learning diaries, critical incident/reflective accounts, projects or case studies written by the candidate and supplemented by the testimony of others or other supportive evidence (PGK1 to 10, PGS 1 through 7, TK1, TK4, TS1, TS2, TS3, TS4, TS5, TS7, PPS1 through 4, PTS1 and PTS2). All methods of assessment for each unit are identified directly with the unit outcomes and professional competencies. The three process outcomes (TS6, TS8 and PTS3) are not formally assessed. Not everything that is valuable can be separately tested, measured or quantified. It is widely recognised, for example, that one of the distinctive benefits of a university education is the development of qualities of personal organisation and time management which follow on from the attribution to candidates of considerable responsibility in directing their own learning. Independence and self-motivation can be fostered but not taught in academic departments. The depth or extent of such personal qualities cannot be directly examined, though successful acquisition of them is expected to show through in the application of other skills which are explicitly assessed. In this programme achievement of outcomes TS6, TS8 and PTS3 is indicated by successful completion of the programme. 4 533570591 – ver09-10 19. Reference points The learning outcomes have been developed to reflect the following points of reference: This programme has been developed in consultation with Nursing and Midwifery Council representatives and reflects the current requirement for entry on to Part III of the professional register. The programme is validated conjointly by the NMC and the University. The requirements of the Standards of proficiency for specialist community public health nurses (NMC, 2004) and the Benchmark statement: health care programmes – health visiting (QAAHE, 2001) have provided the framework for the overall aim of the programme and course and unit outcomes. While meeting this standard, which governs the practice of specialist community public health nurses in the United Kingdom, conscious effort has been made to adapt the programme to reflect the local health care context at unit level with candidates examining Guernsey society, policy and practice alongside that of the UK. For candidates from outside Guernsey joining the course, similar adjustments to the content will be made to accommodate their needs. As a final year undergraduate programme and postgraduate certificate, the course has been designed to reflect The framework for higher education qualifications in England, Wales and Northern Ireland (QAAHE, 2001) descriptors for candidates achieving Level III (Level H) outcomes and some of those required for candidates studying at M Level. The Institute values the existing knowledge and skills of candidates. This philosophy underpins its Teaching and Learning Strategy and is reflected in the use of adult learning/student centred teaching and learning methodologies The programme has been developed in close consultation with representatives of health care providers in Guernsey who sat on the curriculum development group and participated in the course approval process. User representatives were also involved. 20. Programme structure and regulations To meet professional body requirements, the programme must comprise study at a minimum of Level III (Level H). As the length of the programme (see below) exceeds the time required for 120 credits, the extension of the programme to include the postgraduate certificate allows for recognition of the length of study needed to meet the professional requirements as well as the level of knowledge, skills and attributes necessary to demonstrate proficiency in practice. Candidates must be registered nurses or midwives and are admitted to the programme holding 240 specific credits gained through pre or post registration nursing programmes. The programme consists of 50% theoretical and 50% practice-based learning comprising a common preparation in specialist community public health nursing and specific study related to health visiting or school nursing. This programme is 52 weeks in length (104 week part-time), 45 weeks (90 weeks part-time) of which are ‘programmed’ weeks during which students must be supernumerary. A period of practice equivalent to at least 10 weeks at the end of the programme is required to enable students to consolidate the knowledge, skills and attitudes, which the course aims to promote and the proficiency gained in the practice field. During the required 22.5 weeks of practice, candidates will have short placements in practice settings other than where they will eventually work. The programme is normally delivered on a part-time basis over a period of two calendar years although the option is available for full time study should this be required. Candidates undertake study blocks at the beginning and end of each semester and are supported in work-based and self-directed learning in the intervening periods by Institute lecturers and practice educators. To meet professional requirement of 45 programmed weeks, units are scheduled to run over the period between semester II of year one and semester I of year two. There are two ‘routes’ within the programme – health visiting and school nursing. Candidates on the both routes share learning in all units but are expected to focus assignments on the area in which they are working. Sixteen point three (16.3) weeks of practice, which are assessed through portfolio learning, must also be spent in the area in which the individual will eventually practise. Shared learning takes place in the Health Promotion and Education (Community and Public Health Practice), Evidence-based Community and Public Health Practice and Leadership and Management in Public Health Practice with students on the BMedSci (Hons) Specialist Practice (Adult Nursing) and the BMedSci (Hons) Community Specialist Nursing Practice programmes. Elements of the preparation for the dissertation are also shared. To complete the requirements for professional registration candidates must undertake 6 units at L III: Public Health Policy and Practice; Practising Public Health 1; Health Promotion and Education (Community and Public Health Practice); Evidence-based Specialist Community and Public Health Practice; Leadership and Management in Public Health Practice; Extended Project Part 1 (Dissertation) and 2 units at M Level: Practising Public Health 2 and Extended Project Part 2. Students leaving the programme after successfully completing all units at L III will be awarded the Bachelor of Medical Science Degree with honours. 5 533570591 – ver09-10 Detailed information about the structure of programmes, regulations concerning assessment and progression and descriptions of individual modules are published in the University Calendar available on-line at http://www.shef.ac.uk/govern/calendar/regs.html. 21. Candidate development over the course of study in the subject This programme builds on the candidate’s existing knowledge and skills gained through study at Level I (Level C) and Level II (Level I) and professional and personal experience. At the beginning of the programme, candidates are expected to have some skills of critical analysis and evaluation, be able to communicate ideas effectively and engage in arguments and debates and to have a broad knowledge of nursing and its underpinning theories. They should demonstrate proficiency in all areas of personal, interpersonal and professional skills. By the end of the course, it is expected that candidates will have developed their evaluative and analytical skills and be able to synthesize new ideas based on their examination of current theories and research. They should be able to deal with complex issues both systematically and creatively, make sound judgements in the absence of complete data, and communicate their conclusions clearly. They should demonstrate self-direction and originality in tackling and solving problems, and act autonomously in planning and implementing tasks. They should be able to present cogent arguments and discussions and debate effectively. Their knowledge of the underpinning theories and concepts of school nursing or health visiting will have developed to the level of proficiency and they will use this knowledge to problem solve and plan care at individual, group and population levels. Most personal and interpersonal skills should have developed and be approaching the expert level. Although proficiency is required in the professional skills of searching for health needs, stimulating awareness of health needs, influencing policies affecting health and facilitating health-enhancing activities, candidates should be approaching the expert level in some of these areas. 22. Criteria for admission to the programme All candidates must be nurses registered on the Nursing Part of the Nursing and Midwifery Council (NMC) Register (equating to Parts 1, 3, 5, 8, 12, 13, 14 or 15 of the United Kingdom Central Council for Nurses, Midwives and Health Visitors1 [UKCC] Register) or midwives registered on the Midwifery Part of the NMC Register (equating to Part 10 of the UKCC Register) and normally have 2 years experience in nursing/midwifery practice. Candidates must also hold a diploma in nursing from a UK university or equivalent credit determined through AP(E)L by the Institute of Health Studies. 23. Additional information As candidates are required to spend 50% of the time on this course in supervised and assessed clinical practice, they must either be employed in the area in which they wish to obtain the qualification or have a written agreement that they will be able to spend a minimum of 16.3 weeks working and being supervised and assessed in the field in which they wish to qualify. For candidates already working in the field, support of managers should be sought before applying because of the implications of supervision, assessment and the requirement for supernumerary status This course may be accessed by candidates living in other Channel Islands, the Isle of Man and, NMC approval permitting, Gibraltar providing they can travel to the island for study blocks and the Institute of Health Studies approves the clinical placement and supervision arrangements for the practice element of the course. Supervision of learning between study blocks by Institute staff will incur additional costs for the candidate or seconding employer. Course costs and a detailed Course Handbook is available on request to the Course Administrator, Institute of Health Studies, Le Vauquiedor, St Andrew’s, Guernsey, GY6 8TW This specification represents a concise statement about the main features of the programme and should be considered alongside other sources of information provided by the partner institution and the University. 1 The predecessor of the NMC 6 533570591 – ver09-10