Expert Registered Nurse Level Guidelines
ACKNOWLEDGMENTS
We acknowledge the following in the development of the PDRP Guidelines:
National Framework for Nursing Professional Development & Recognition Programmes & Designated role Titles (December 2005). Report to the National Nurses Organisations from the National Professional Development and Recognition Programmes Working Party
Professional Development and Recognition Programme (PDRP) Evidential Requirements Working Party Report (November, 2009). Report developed through joint sponsorship of Nurse Executives of New Zealand and New Zealand Nurses’ Organisation (NZNO).
Their assistance is sincerely appreciated.
· The PDRP RN Expert Guidelines is current at the time of printing, and is subject to regular review. It is bound by the constraints of Nursing Council of New Zealand (NCNZ) and NZNO with regard to legislative or employment changes.· All efforts will be made to publicise significant changes, however any concerns or issues may be raised with the PDRP Advisory Committee.
Table of Contents
NATIONAL FRAMEWORK DESCRIPTORS FOR REGISTERED NURSE 4
PDRP APPLICATION FORM EXPERT LEVEL 5
PERSONAL DECLARATION 6
CHECKLIST FOR PDRP APPLICATION EXPERT LEVEL 7
EVIDENCE EXPERT NURSING COMPETENCIES - REGISTERED NURSE 9
NATIONAL FRAMEWORK DESCRIPTORS FOR REGISTERED NURSE[1]Registered Nurses
Registered nurses utilise nursing knowledge and complex nursing judgment to assess health needs and provide care, and to advise and support people to manage their health. They practise independently and in collaboration with other health professionals, perform general nursing functions and delegate to and direct enrolled nurses, healthcare assistants and others. They provide comprehensive assessments to develop, implement, and evaluate an integrated plan of health care, and provide interventions that require substantial scientific and professional knowledge, skills and clinical decision making. This occurs in a range of settings in partnership with individuals, families, whanau and communities. Registered nurses may practise in a variety of clinical contexts depending on their educational preparation and practice experience. Registered nurses may also use this expertise to manage, teach, evaluate and research nursing practice. Registered nurses are accountable for ensuring all health services they provide are consistent with their education and assessed competence, meet legislative requirements and are supported by appropriate standards. There will be conditions placed in the scope of practice of some registered nurses according to their qualifications or experience limiting them to a specific area of practice.
The Expert Registered Nurse:
§ Guides others to implement culturally safe practice to clients and apply the principles of Te Tiriti o Waitangi
§ Engages in Post Graduate level education (or equivalent)
§ Contributes to specialty knowledge
§ Acts as a role model and leader
§ Demonstrates innovative practice
§ Is responsible for clinical learning/development of colleagues
§ Initiates and guides quality improvement activities
§ Initiates and guides changes in the practice setting
§ Is recognised as an expert in her/his area of practice
§ Influences at a service, professional or organisational level
§ Acts as an advocate in the promotion of nursing in the health care team
§ Delivers quality client care in unpredictable challenging situations
§ Is involved in resource decision making/strategic planning
§ Acts as leader for nursing work unit/facility
PDRP APPLICATION FORMRN EXPERT LEVEL
Applicant (please print)
First Name Surname
Employee number
Nursing Council Registration Number
Work area
Ward / Dept, Location / Hospital / Division
Telephone contact
Work (Internal Extension) Home / Cell-phone
Email contact
If transferring from another PDRP
Name of PDRP Programme & DHB / organisation
Date of last assessment (if applicable)
□ I have completed the checklist form in the guidelines
□ I have notified my Line Manager of my intent to apply for PDRP, before submitting my Portfolio
Name
□ I have met with PDRP Resource Person prior to submitting my portfolio
Name Area Signature
Signature of Applicant
Date
PERSONAL DECLARATION
To be signed no more than 2 weeks prior to submission.
1. I declare that I have assessed myself against the competencies for the Registered Nurse scope of practice (Nursing Council of New Zealand 2007, reprinted May 2012) and I meet the required standard of competence.
2. I declare that I have maintained the NCNZ requirements related to practice hours, professional development hours and standards of practice.
3. I declare that the personal portfolio I have presented as evidence contains my own work, or, where I have submitted joint work, I have fairly and accurately described my personal contribution.
4. I declare that the submitted evidence relates to current practice situations, which have occurred in the previous three years, and relate to my current scope of practice.
5. I understand that my portfolio may be audited for purposes of authentication.
6. I understand that my portfolio may be subject to internal moderation by the PDRP Facilitator or an external moderator, i.e. other South Island DHB PDRP assessors.
7. I understand that none of my work will be used for other purposes unless it has my specific consent. I understand, however, if during the assessment process an assessor identifies any issues of potentially unsafe or concerning practice, they will discuss this with the Nurse Coordinator-PDRP in the first instance and the issue may be followed up further.
I attest that I am not currently under Performance Management or being investigated by Nursing Council of New Zealand for any reason.
By signing I declare the information I have given is true and correct.
Applicant Signature: / Date:All documents enclosed are verified as photocopies of originals.
I support / do not support (circle one) the nurse’s application for Expert Level.
Manager* Signature: / Date:Print Name / Designation:
* May be nominated other by the Line Manager e.g. NE, CNS, NC
RN Expert Level PDRP Guidelines July 2012 endorsed by Regional Committee
6
CHECKLIST FOR PDRP APPLICATION EXPERT LEVEL / Hours of practice worked* validated by Nurse Manager
*Minimum of 450 hours nursing practice in previous three years
2. / Annual Practicing Certificate
Current copy
3. / Performance Appraisal / Review (Must be within the last 12 months)
a) Measured against NCNZ competencies
b) Line manager is a registered nurse and
c) Includes a Self Assessment
*One piece of evidence for one indicator in each competency is required.
Example is to be from current area of practice and be within the previous 12 months. It should describe how the nurse’s day to day practice meets the indicator for the competency at expert level of practice
Each competency has been commented upon
OR
Performance Appraisal / Review (Must be within the last 12 months)
a) Is not measured against the NCNZ competencies or
b) Line manager is not a registered nurse then also provide the following:
Peer review by a registered nurse
Measured according to NCNZ competencies
*One piece of evidence for one indicator in each competency is required.
Example is to be from current area of practice and be within the previous 12 months. It should describe how the nurse’s day to day practice meets the indicator for the competency at expert level of practice
Self assessment verified by a registered nurse
Measured according to NCNZ competencies
*One piece of evidence for one indicator in each competency is required.
Example is to be from current area of practice and be within the previous 12 months. It should describe how the nurse’s day to day practice meets the indicator for the competency at expert level of practice
4. / Professional Development and Competencies
*Minimum of 60 hours over last three years, including organisational mandatory (e.g. CPR, Fire training)/essential requirements. E.g. training and competency database printout and certificates if not listed on printout
Reflection on PD
Must include an overall statement of learning including 3 key activities attended within the last 3 years. You need to explain what you did, what you learned and how each activity affirmed or influenced your practice. Validation by someone who can verify your attendance, certificate or organisational education record
Reflection Tools are available on the PDRP internet site
5. / Current CV
Nursing employment, education history and overview of current role
6. / Verification that application discussed with CNM or equivalent senior nurse (if line manager is not a nurse)
Nurse must have a professional relationship with a senior nurse. The senior nurse’s support may also be noted on the application, e.g. on performance appraisal
7. / Consent form completed and placed in portfolio
8. / Post graduate education relevant Level 8, or equivalence in education and practice Postgraduate Certificates, Diplomas and Masters Degree all meet this requirement (transcripts required).
For equivalence not meeting this criteria, please apply separately prior to submitting your portfolio at expert level. For more information, go to http://www.cdhb.govt.nz/pdrp/equivalence
Evidence should include:
Post registration experience and education relevant to current area of practice which impacts on practice at expert level
Changes in attitudes and skills which have occurred as a result of this
Demonstration of expert practice, critical analysis and reflection consistently in nursing practice and evidence throughout portfolio evidence
Expert Level of Practice Requirements
Evidence of achievement of the specific Expert requirements / indicators may be evidenced in standard requirements, e.g. performance appraisal. If so, NO ADDITIONAL evidence is required*.
*If it is not, then separate statements validated by line manager should be provided of the following:
9. / Contribution to specialty knowledge or innovation in practice and the change process in quality activities*
See Quality Templates on Internet
10. / Evidence of describing and reflecting on responsibility or learning and/or development of colleagues*
11. / Evidence of engagement and influence in wider service, professional or organisational activities*
Advocacy for nursing needs to be shown (this could be an attestation)
12. / Evidence showing expert knowledge and application of expert practice to care of the complex patient and clinical leadership in care coordination*
Expert Level Practice Discussion Meeting / All initial submissions will include an Expert Level Practice Discussion with your assessors.
All resubmissions (every 3 years) applicants may request a meeting with their assessors, although this is not a requirement. Please notify our office should you wish to have this arranged.
RN Expert Level PDRP Guidelines June 2010 endorsed by Regional Committee
12
EVIDENCE EXPERT NURSING COMPETENCIES - REGISTERED NURSENAME: AREA:
Introduction· This section outlines suitable forms of evidence used in the assessment of Nursing Council’s (2007) Competencies for the Registered Nurse Scope of Practice. As a legal requirement of practice, you must demonstrate competency to the Nursing Council of New Zealand in order to receive your Annual Practising Certificate.
· Some templates have been developed to assist you in this process (also refer to Internet site under PDRP).
Instructions
· All documentation within your portfolio should be appropriately numbered.
N. B. Please remember the privacy of others and ensure that there are no identifying names or NHI numbers in case studies, documentation or exemplars. Patient notes, nursing care plans and referrals are not to be included as evidence.
· One piece of evidence may apply to several competencies (remember to include its number in each relevant competency domain).
· Column B has been developed as possible suggested forms of evidence you may wish to utilise. However, please do include any other evidence you consider to be relevant.
· Please complete Column C with the appropriate examples. Please indicate which evidence you are submitting.
· Please use Column D to reference your assessor to the appropriate page in your Portfolio.
· Please include TWO STAPLED COPIES (these can be photocopies) of the completed competencies form. Completed
· Please complete the competencies electronically or in INK
It is your responsibility to ensure that you have supplied adequate and appropriate examples and evidence of your practice, however, please see a PDRP Resource person for assistance prior to submitting your portfolio.
Domain 1: Professional Responsibility
Competency 1.1 Accepts responsibility for ensuring that his/her nursing practice and conduct meet the standards of the professional, ethical and relevant legislated requirements
A. Indicators. (Please tick the indicator you have chosen. Only one indicator is required.) / B. Suggested Examples / C. My Evidence / D. Portfolio Page #
q Provides leadership to colleagues in meeting the standards of the professional, ethical and relevant legislated requirements
q Monitors and ensures that the team is managing health care within the ethical dimensions of activities such as policy and audit
q Role models ethical principles in own practice and provides education, facilitation to encourage discussions/debate on legislated requirements in this area / · Case study or reflection demonstrating role modelling of professionalism and ethical principles within own practice
· Appropriate education presented, e.g. lesson plan, content and evaluations
· Performance appraisal (PA), self assessment or peer review supports professionalism and role modelling /leadership of colleagues in relation to ethical and relevant legislated requirements
Domain 1: Professional Responsibility
Competency 1.2 Demonstrates the ability to apply the principles of the Treaty of Waitangi/Te Tiriti o Waitangi to nursing practice
A. Indicators (Please tick the indicator you have chosen. Only one indicator is required.) / B. Suggested Examples / C. My Evidence / D. Portfolio Page #
q Collaborates with others to ensure the principles of the Treaty of Waitangi / Te Tiriti o Waitangi are applied to nursing practice and facilitates skilled professionals to educate colleagues on how to integrate processes appropriate for Māori. For example whānau hui, karakia, whakawhanaungatanga
q Guides others in the application of Treaty of Waitangi principles, to ensure the integration of appropriate and safe processes for Maori
q Developing approaches and policies to ensure all team members have an understanding of Tikanga Maori to enhance the effectiveness of the care provided within the practice environment / · Reflection / case study demonstrating knowledge and facilitation of education of colleagues on integrating processes appropriate for Maori
· Project or policy/procedure showing development of resources or education to assist team members in the understanding of Tikanga Maori
· PA, self assessment or peer review shows demonstration of guiding, supporting or facilitation of the integration of processes appropriate for Maori
Domain 1: Professional Responsibility
Competency 1.3 Demonstrates accountability for directing, monitoring and evaluating nursing care that is provided by enrolled nurses and others
A. Indicators (Please tick the indicator you have chosen. Only one indicator is required.) / B. Suggested Examples / C. My Evidence / D. Portfolio Page #
q Acts as a role model and provides leadership to colleagues, for directing, monitoring and evaluating nursing care that is provided by enrolled nurses and others
q Assists in the growth, competence, and confidence of colleagues through the delegation of work assigned to them
q Acts as a role model and coach by ensuring delegation/ direction is effectively managed and critiqued
q Promotion of a safe staffing environment through the prioritisation of care, effective time management and team motivation
q Coaches and supports the nursing team to provide safe patient care through the evaluation of patients with multiple needs / · Reflection on practice demonstrating role modelling and leadership in effective direction/delegation activities
· PA, self assessment or peer review describes role modelling and coaching and promotion of a safe staffing environment within practice setting
Domain 1: Professional Responsibility
Competency 1.4 Promotes an environment that enables client safety, independence, quality of life, and health.
A. Indicators (Please tick the indicator you have chosen. Only one indicator is required.) / B. Suggested Examples / C. My Evidence / D. Portfolio Page #
q Acts as a resource and guides colleagues in complex situations to maximise client safety, independence and quality of life and health
q Acts as a resource for the development of safe practice skills and provides clear insight and facilitates collective responsibility
q Acts as a role model and leader in risk management, including knowledge and promotion of safe practice of medication administration, evidence based treatments and interventions
q Is actively involved in resource role for ensuring safe environments, e.g. Infection control link nurse, health and safety / environmental safety, restraint minimisation / de-escalation, CPR instructor / · Reflection on practice demonstrating role modelling and leadership in risk management of complex situations
· PA/self assessment or peer review provides evidence of resource role and articulation of responsibilities and evaluation of activities for promotion of safe environment (e.g. Infection control rep, IV link nurse, CPR instructor, etc)
Domain 1: Professional Responsibility
Competency 1.5 Practices nursing in a manner that the client determines as being culturally safe.
A. Indicators (Please tick the indicator you have chosen. Only one indicator is required.) / B. Suggested Examples / C. My Evidence / D. Portfolio Page #
q Takes a lead role in the implementation of culturally safe practice to meet clients individual needs, beliefs and values
q Coaches colleagues to respond to the individual needs, beliefs and values of clients in complex situations
q Role models education and coaching of health team members to ensure culturally appropriate communication and information is used to ensure an effective outcome for the client
q Guides others to access resources/education that assist in understanding of cultural differences (e.g. beliefs, gender, sexual orientation or disability) and the impact beliefs and values can have on own practice / · Reflection/case study demonstrating facilitation and leadership in the provision of culturally appropriate practices
· PA, self assessment or peer review supports the ability to lead, coach and guide others in providing culturally safe practice
RN Expert Level PDRP Guidelines June 2010 endorsed by Regional Committee