Transcript Slide 1

Mentor Update 09/10
University Campus Suffolk
Session Aim &
Objectives
By the end of the session:
You will be up to date with the role and
responsibilities of mentors/sign off mentors
You will be aware of any changes to practice
assessment requirements
There will be time for discussion and
questions during the session
NMC Standards for
Supporting Learning and
Assessment in Practice
Revised 2008
Activity: Quick questionnaire
covering key points
Triennial Reviews
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This review process has now started for ALL mentors, sign off
mentors and practice teachers.
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Liaise with your practice development / practice education
departments or line manager for further details
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You must provide evidence that demonstrates you meet all
aspects of the NMC Stage 2 Mentor standard to remain on the
local mentor register.
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The triennial review for most organisations will sit alongside
your annual appraisal.
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The NMC will monitor each organisation’s live mentor register
at their review visit to ensure the correct records are being kept
and monitored.
ODP Mentoring
Requirements• Stage 1: Associate
mentor – can confirm
learner’s aims and
objectives. Must be
counter signed by a
Mentor.
• 6 months post registration
experience
• Must have met section 4.1 of
AODP Mentor standards.
• To attend update every 2
years
• Stage 2: Mentor –
assesses achievement of
learning objectives &
signs off competencies
• Hold a mentor qualification
at degree level.
• Updates every 2 years
• Evidence of development
every 2 years
• Stage 3: Practice
Educator / Lecturer –
Manages a network of
mentors / supervising
mentors.
• Mentor qualification must be
at same of higher level than
learners.
• Must meet all sections of
AODP standards.
ODP Practice Assessment
• The student must complete all the competencies in the
Practice Portfolio in order to pass the Professional
Practice modules and pass the Diploma overall.
• The student must supply evidence to demonstrate
their competence; this may include reflections,
literature reviews, critical appraisals, posters etc.
• The mentor will then add comments and assess the
student’s competence; students must reach a
minimum standard of competent in order to pass.
ODP Grading
Beginner (B)
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The student has no experience of the presenting clinical situation and
operate by closely following rules laid down by others.
They perform a series of tasks without understanding, or referring to,
the context in which they are working.
Developing Learner (DL)
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The student demonstrates a degree of flexibility in their practice
Interprets the rules to meet the needs of the situation, maintaining the
safety of the patient, others and themselves.
They are able to relate to the current situation, based on prior learning.
Competent (C)
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The student is consciously aware of the long-term effects of their
actions.
They are able to plan the most satisfactory outcome of a situation and
take the necessary actions in order to meet the required aims.
In order to successfully achieve this conscious, abstract and analytical
contemplation of the situation is required.
Nursing 2009 Curriculum
• Starts September 2009
• Community experience in each
year
• 2 semesters per year
• Diploma and Degree-Adult
and Childrens Nursing
• Credits awarded for practice
each year
• Intakes September and
February-Adult Dip. And
Degree
• Practice assessed differently in
each year-skills, reflections,
OSCE, Portfolio
• No Home Wards
• Grading of practice in 3rd yrsample tri-partite meetings
• Less weeks without
students on placement!
Practice Assessment
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Students have 2 documentsRecord of Achievement and
Practice Assessment Document
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Only mentors/sign off mentors
may complete assessment of
skills/placements
Incomplete documentation or
assessments signed by nonmentors will be invalid
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Mentors are accountable for
completing all assessment
documentation
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The student has a responsibility
to make the documents available
at all times and be available for
planned feedback
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Where students miss time in
placement, UCS must be
informed.
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In cases where significant time is
lost, a decision must be made as
to whether the student can be
assessed in practice or not.
Registrants may contribute to
assessment, but must not
complete interviews or a
significant number of skills
assessment
Initial Interviews, mid point
interviews and final interviews
must take place in a planned and
timely manner throughout each
placement.
Mentors now signs students ‘Safe
to progress’ & must provide a
rationale for that decision
Practice AssessmentNursing 2009 curriculum
• Yr 1-Skills assessment
and 4 reflective accounts
• Yr 2-Skills Assessment
and OSCE
• Yr 3-Skills Assessment,
graded proficiencies and
Portfolio
• Skills within the Practice
Assessment document
signed off by mentor
• Reflections, OSCEs and
portfolio graded by
academic staff with
practice input
• 3rd yr only: NMC Four
domains of practice
graded by Sign off Mentor
• Sign off Mentors award
N,C,B,A
Signing off Skills
• Midwifery: Steinaker &
Bell
• Students must meet a
minimum of
INTERNALISATION for
each year.
• Nursing: New grading
scheme
• Mentors only sign when
year level is achieved.
• Year 1: Beginner
• Year 2: Developing
Learner
• Year 3: Competent
• No requirement to
award different levels of
practice
Skills Levels - Nursing
Level of
Performance
Level of
support /
supervision
Level of
Practice
Competence achieved
BEGINNER
(by end of Year
1)
Direct
Observation /
Supervision
Observes
Participates
Assists
Safe in all care supervised
Performs with few prompts
Professional attitude
Rationale for Care
Can discuss pertinent literature
underpinning some practices
Unsafe
Can not explain rationale
Unprofessional attitude
Within level of practice does not
respond appropriately when
urgency required
Does not participate in daily
routine
DEVELOPING
LEARNER
(by end of Year
2)
Close to
minimal
supervision
Active
participation
Planning most
activities and
leading some
practice
Safe in all care with guidance
Does not require prompting
Beginning to prioritise care
Assess, plan, evaluate care
Rationale for practice
Evaluate effectiveness of care
Beginning to involve clients in care
Unsafe
Requires promoting in practiced
activities
Not able to assess, plan or
implement care
Can not explain rationale
Unprofessional attitude
Does not respond appropriately
when urgency required
Does not participate in daily
routine
COMPETENT
(by end of Year
3)
Minimal to
indirect
supervision
Active
participation
( …in
discussions
with mentor if
specialist
area)
Safe with minimal guidance
Does not require prompting
Professional attitude
Evaluates effectiveness of care and
make changes to care
Critiques evidence base
Actively involves clients in care
Unsafe
Requires prompting
Unprofessional attitude
Unable to organise care
Can not explain rationale or
evidence base
Does not respond appropriately
when urgency required
Does not participate in daily
routine
(some examples)
Competence not
achieved (Some
examples)
Third Year NMC 4 domains of practice
Grading (final placement only)
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All skills in PA document must be completed to Competent
Additionally, using the grading below, the sign off will grade the student’s
competence within the NMC four domains of practice
The student will self assess at midpoint interview and reviewed with
their sign off mentor
Each statement must be graded individually
The personal tutor will score each proficiency and this will go towards
the final practice grade for diploma students and the degree
classification of degree students.
NOT COMPETENT COMPETENT:
N
Competent C
GOOD:
Competent B
EXCELLENT:
Competent A
Student does not meet
basic Competent criteria
•Can modify own practice
in response to events
•Situations viewed
holistically
•Consistently
demonstrates learning
from practice
•Performance in practice
is fluid, flexible and
proficient
•Demonstrate analytical
thinking
•Frequently plans ahead
•Continuously reviews
and manages own skills
acquisition
Student meets basic
Competent criteria
NMC (2004)
Standards of
Proficiency for
Pre-registration
nursing
Not yet
competent
N
COMPETENT:
Competent C
GOOD:
Competent
B
EXCELLENT
Competent A
Midpoint
formative
assessment
: Student
self
assessment
Final summative
assessment:
Mentor
assessment
Excellent
application in
practice
N C B A
N
Student
Signature:
Student Signature:
Mentor
Signature:
Mentor Signature:
Date:
Date:
Domain of Practice: Professional and Ethical Practice
Maintains
confidentiality
and security of
written and
verbal
communication
Does not
demonstrate
in practice
Demonstrated in
practice
Good
application in
practice
C
B
A
Practice Assessment –
Midwifery 2009 curriculum
• Yr 1-Skills assessment
and 2000 word reflection
on the woman’s story
• Yr 2-Skills Assessment
and OSCE
• Yr 3-Skills Assessment,
graded proficiencies and
Portfolio
• Skills within the Practice
Assessment document
signed off by mentor
(Internalisation for ALL years)
• Reflections, OSCEs and
portfolio graded by
academic staff with
practice input
• In each year: each student
has a tripartite assessment
to award a % grade
focused on NMC 4
domains of practice
(student, mentor, tutor)
Group Activity
• Over to you:
– Look at the given scenario
– Discuss the main issues as a group
– List the actions you would follow
– Identify a spokesperson to feedback
Supporting students with
learning needs
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Mentors role-Must treat all
students with fairness, respect
and understanding
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Provide clear instructions and
expectations
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Encourage students to repeat
back instructions
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Double check student
documentation for errors
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Provide sufficient time for
students to complete activities
within the boundaries of safe
practice
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Respect and support the
student’s need to use special
equipment or aids
Law requires reasonable
adjustments to be made to
support your students’
learning needs
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Resourceshttp://www.ucs.ac.uk/study/fac
ultiesAndCentres/healthWellb
eingAndScience/HealthPartne
rs/Learning%20Support.aspx
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Advice- CPFs, Link Lecturer,
Student’s Personal Tutor,
Student Support at UCS-for
students to access
Open Forum This is your chance to have any mentorship
queries answered
It’s over to you ……..
Further training
• Midwifery – Link Lecturers will be
visiting all areas to discuss new
curriculum % grading
• Nursing – Workshops for Sign off
mentors for 2009 Grading
Useful Resources
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UCS Link Lecturers / Personal tutors / Programme Leader
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Allocations Office tel: (01473 338475)
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Clinical Practice Facilitators & Practice Education Facilitators ext: 8320
b:519/520
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UCS Mentor Newsletter – published Jan and July and available on the
Trust intranet
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UCS dedicated placement/mentor website –
http://www.ucs.ac.uk/study/facultiesAndCentres/healthWellbeingAndScien
ce/HealthPartners/N%20M_Mentors.aspx
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www.practicebasedlearning.org.uk
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RCN (2007) Guidance for Mentors of Nursing & Midwifery students. RCN
London
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AODP (2006) Standards and Guidance for Mentors. AODP, London
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NMC (2008) Standards to support learning & assessment in practice 2nd
Edition. NMC, London