Competencies for Advanced Nursing Practice

282 Pages·2008·1.16 MB·English

by  Sue Hinchliff

COMPETENCIES FOR ADVANCED
NURSING PRACTICE
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COMPETENCIES FOR ADVANCED
NURSING PRACTICE
Edited by
Sue Hinchliff RGN RNT BA MSc
Consultant in Advanced Nursing Practice to the Nursing and Midwifery
Council, UK
Visiting Professor in Nursing & Nursing Education, London South Bank
University, UK
and Consultant to RCN Accreditation Unit, London, UK
Rosemary Rogers BA RGN
Projects Director (Public Sector), Emap Inform, UK
PART OF HACHETTE LIVRE UK
First published in Great Britain in 2008 by
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CONTENTS
Contributors vii
How to use this book ix
Foreword by Barbara Stilwell xi
Preface xiii
Acknowledgements xv
1. What is advanced nursing practice? 1
Heather Griffith
2. The legal and regulatory implications of advanced nursing practice 21
Caroline Pennels
3. Domain 1: The nurse–patient relationship 50
Renate Thome
4. Domain 2: Respecting culture and diversity 71
Audrey Callum
5. Domain 3: Management of patient health/illness status 95
Annaliese Willis
6. Domain 4: The education function 125
Fiona Smart
7. Domain 5: Professional role 148
Alison Crumbie
8. Domain 6: Managing and negotiating health care delivery systems 171
Dave Barton
9. Domain 7: Monitoring and ensuring the quality of health care practice 192
Nicola Whiteing
10. Collecting the evidence 220
Sue Hinchliff
Appendix 1:Mapping of the NMC-proposed competencies against the
knowledge and skills framework 235
Appendix 2: Nurse practitioner radiograph referral guidelines 245
Appendix 3: Portfolio development 249
Appendix 4: Learning contract example 251
Appendix 5: Learning contract guide 253
Index 255
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CONTRIBUTORS
Thomas D Barton PhD, MPhil, Bed, DipN, RNT, RGN Caroline J Pennels BSc, MSc, MA, RGN, Barrister
Chair of the Association of Advanced Nursing Head of Legal Services, Gloucestershire Hospitals
Practice Educators, Council Member of the Welsh NHS Foundation Trust, UK
Nursing Academy, Senior Lecturer, Coordinator of
Advanced Clinical Studies, School of Health Science, Fiona Smart PhD, MEducation (Child Development), BEd (Hons)
Faculty of Health and Human Sciences, University of Nurse Education, RGN, RSCN, RNT, DipN
Wales Swansea, UK Director of Studies for Learning Beyond Initial
Registration, School of Nursing and Midwifery,
Audrey M Callum MSc, BSc(Hons), Pg Dip Ed, NP Dip, FETC, RGN University of Cumbria, Carlisle
Senior Lecturer, Community Nursing and Nurse
Practitioner Programme, Buckinghamshire New Renate Thome MSc, BA, RN, HV, PGCE, Dip Couns
University, Faculty of Society and Health, Lecturer, Course Director Advanced Clinical
Department of Continuing and Advanced Practice, Practice, Faculty of Health and Human Sciences,
Buckinghamshire, UK Swansea University, UK
Alison Crumbie RGN,Dip App SC N, BSc, MSN, NP, PGCE, Nicola Whiteing PGDip HE, MSc, BSc (Hons), RN, RNT
Doctorate NSc Lecturer in Adult Nursing, St Bartholomew School
Nurse Practitioner and Nurse Partner, Windermere of Nursing and Midwifery, City University,
and Bowness Health Centre, Cumbria, UK London, UK
Heather Griffith MA, BSc (Hons), RGN, RSCN, RNT Annaliese Willis MSc, BSc (Hons), NP Dip, Cert Ed, RN
Registered Independent Prescriber Senior Lecturer and Course Director for MSc
Lecturer Practitioner for Advanced Nurse Nurse Practitioner Programme at London
Practitioner Programmes, School of Health and South Bank University, London, UK
Social Care, Bournemouth University, UK;
Committee member of the Association of Advanced
Nursing Practice Educators; Advanced Nurse
Practitioner, Royal Crescent Surgery, Weymouth, UK
Sue Hinchliff RGN, RNT, BA, MSc
Consultant in Advanced Nursing Practice to the
Nursing and Midwifery Council, UK; Visiting
Professor in Nursing & Nursing Education, London
South Bank University, UK; and Consultant to RCN
Accreditation Unit, London, UK
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HOW TO USE THIS BOOK
In 2002 the Royal College of Nursing Accreditation Unit (RCN AU), working with the course
leaders of RCN accredited nurse practitioner programmes, developed a document called Nurse
Practitioners – an RCN guide to the nurse practitioner role, competencies and programme
accreditation. This detailed the domains and competencies for UK nurse practitioner practice.
As explained in the Preface, these domains and competencies later formed the basis for the NMC
standards of proficiency for advanced nurse practitioners, that were consulted on in 2005 and
signed off by the NMC Nursing Committee in September 2006. The profession is still awaiting (as
of May 2008) confirmation by the Privy Council that advanced nursing practice will be registerable
within the UK.
During the process of consultation and presentation to lay personnel and focus groups the
ordering of the domains was altered and the working of some of the competencies was subtly
changed. This text uses the order of domains and wording of competencies used in the NMC
consultation document (NMC 2005) – but they differ only very slightly from the original RCN
version. The differences are minor and not of substance.
We started to compile this text at a time when the NMC was confident that a level of practice
beyond initial registration would be in place within a shorter timeframe than presently appears to be
the case. However, the decision has been taken to go ahead with publication. This may mean that
some of the wording may alter slightly when (and if) NMC finalise their standards. Essentially,
though, this text contains the essence of what practitioners will be required to demonstrate in order
to prove that they are competent to practice at an advanced level.
As editors it was our intention that the reader (most frequently we saw him or her as someone
who was undertaking a course of preparation for practicing at an advanced level, or someone who
was hoping to gain accreditation as an ANP by virtue of being able to produce a portfolio of
evidence of practice at this level) would dip in and out of the book, rather than reading it from
cover to cover.
It should be seen as a handbook, a guide to putting together credible evidence of advanced
nursing practice. The reader might want to start off by studying chapters 1, 2 and 10 for
background information on what advanced practice is, how it started in the UK, the legal and
regulatory context and frameworks for it – and how to compile a portfolio and collect relevant and
compelling evidence.
In chapters 3 to 9 the text explains each of the seven domains and the competencies that they
contain. Readers will find that these chapters – each written by a different lecturer in advanced
practice – differ in how they approach the various domains and competencies. Some take a micro
approach, discussing each competency in turn – others are more broad brush. We hope that each
will be of value.
Scenarios are frequently used to illustrate how ANPs might demonstrate their competence
within a portfolio. Sometimes the authors offer reflective points where the reader is encouraged to
draw on their own practice.
Essentially, each reader will use and apply what they find here in a different way – but we hope
that it will become a key tool in the journey towards recognition of practising at an advanced level.
We wish you a satisfying journey and a fulfilling outcome!