Transcript Reflecting back and feeding forward
Reflecting back and feeding forward
Nurturing, sustaining and developing the newly qualified nurse
Haven’t we been here before?
• • The idea of preceptorship is not new For many years it has been recognised that following qualification nurses should undertake a period of Preceptorship, whereby they can consolidate the pre-registration learning and work on areas of required growth and consolidation with the guidance of a clinical mentor/supervisor.
So what have we said about it in the past?
• • Preceptorship is an important element of the Post Registration Education and Practice Proposals put forward by the NMC (UKCC) in 1990 but is equally valid for all newly qualified clinical staff and for those moving on to new jobs or areas of work.
Preceptorship should be under the guidance of a preceptor who should be a first level clinician with at least 12 months experience in the clinical area where the preceptorship is to take place.
Competent to confident
• • ‘A foundation period of preceptorship for practitioners at the start of their careers will help them begin the journey from novice to expert. This will enable them to apply knowledge, skills and competences acquired as students, into their area of practice, laying a solid foundation for life-long learning.’
A High Quality Workforce: NHS Next Stage Review (2008)
A word from our sponsor
• • • • A leader: knows the way, goes the way, shows the way.
Nurses need to be more than tourists in our lives.
Supporters need support too.
“They wouldn’t have a job if I wasn’t living here; I have to remind them all the time!”
For some of us learning disability nursing has always been a positive choice; one made as a conscious decision at the start of our careers, for others it’s something that came along by chance following practice experience or a chance encounter ( www.learningdisabilitynurse.com
) Whatever the path that took the individual into learning disability nursing it is a career path that requires great resilience. Does that resilience need to be greater than any other field of nursing? Arguably no, but given recent spotlight issues in professional nursing services for people with a learning disability then one could argue yes.
Networking
• We (nursing) are an evolving profession; we develop alongside science and society, but in learning disabilities it’s often that bit quieter: changes is policy, philosophy and attitude often see the role of the RNLD/ID marginalised and the existence called into question, and when things go wrong in a small area (no matter how big that wrong is) the debate about the future and benefit of the RNLD is raised again.
For Marie, two weeks on the ward was long enough before her behaviour started to deteriorate and the old behaviour problems began to surface. Yet what made the nurses’ attitude different from other professional carers was their realistic acceptance of Marie and her capabilities. Her pretty looks and good manners often suggested a higher degree of intelligence than she had. This had been half the problem over the years with inexperienced ego tripping ADC staff. They had refused to accept her as she was and had their own ideas of how she should be. I had much more confidence in the nurses who were also trained to deal with complex medical issues. All these years later I am still an advocate of Learning Disability Nurse’ Training (Michelle Daly) REALLY Does what it says on the tin
Points to ponder!
• • • • A) Getting to know the environment ( but what about the culture?
) B) support and supervision to be confident in your competence ( with trusted role models and advisors ) C) enhancing your professional skill base in both nursing and life style facilitation ( be lead by example and given room to grow ) D) acquire skills to be more in your role ( but not necessarily have more!
)
‘If you run you don’t think, but if you think you don’t run!’
• • • • Protected time for both the preceptor and newly appointed/qualified RNLD Respect for the role More than just induction – planned, purposeful and developmental Feeding forward into service development
http://www.youtube.com
/watch?v=q3hn6fFTxeo
Becoming and being a learning disability nurse
The need to stand up, be counted and fly in the face of adversity Do or do not there is no try
Blowing in the wind – being more in your role
• To be able to stand up to bullies we need power and energy; and this comes from having good role models and trusted advisors that we can confide in. The same is true for people with a learning disability and their families.
With a little help from my friends!
• • • We can take on the bullies; Help shield us from our fears And help us do the right thing
Things to think about
• • • Partnerships in 21 st Century care To make sure total care doesn’t become total control And unrequited communication doesn’t become the accepted 30/04/2020 [email protected]
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We’ve done this before!
• • Oppression is your belief that you are better than I am, and mine that you might be right”.
Making a difference; Middleton, L (1996) Social Work with disabled children. Birmingham Venture Press
Who is the preceptor?
• • • Your preceptor MUST be someone who is qualified in the same field as you: Someone you can trust and go to for advice and support Someone who will give an honest opinion, and is confident to stand up for the rights of the people whose lives you are working in
What do we want and when do we want it?
• • • Here at POSITIVE CHOICES We would like to see commitment from the major employers here to a POSITIVE CHOICES preceptorship charter.
That enables the profession to develop in the most appropriate way, with strong leadership and feeding forward into world class personalised services for people with a learning disability
Maybe we should stop saying we can’t and considering ourselves the Cinderella Nurses.