Annual mentor update 2012 - Bangor University

Implemented September 2007 updated 2008 Overview Criteria for mentorship NMC domains for mentors

Triennial review Protecting the public NMC revalidation Reliability & validity of assessments Curriculum Nursing 2012 Mentoring students on other programmes Mentoring students in the bilingual setting Advantages of being a mentor Criteria to remain a Mentor/Sign off Mentor Mentor at least two students within a three year period. For Sign off Mentors this MUST be 2 final placement students Attend an annual update Demonstrate maintenance and development of knowledge skills and

competence as a mentor during Triennial Review Maintain a record of all mentorship activity Establishing effective working relationships Facilitation of learning Assessment and accountability Evaluation of learning Creating an environment for learning (Audit/BM tool)

Context of practice Evidence based practice Leadership TRIENNIAL REVIEW It is the responsibility of each Mentor/Sign off Mentor to undertake a self assessment and complete documentation prior to their Triennial Review. Who can review Mentors/Sign off Mentors? The ward/department Sister or Charge Nurse or a designated deputy who is: A nurse mentor with a minimum of two years experience as a mentor or sign off mentor who is able to facilitate any development and/or action plans that may arise from the review

NMC revalidation & mentorship Revalidation aims to protect the public, increase public confidence in nurses and midwifes and helps those on the NMC register to meet the standards required of them. (NMC 2015) Always provide a professional assessment of your student - avoid giving benefit of the doubt. Deal with any concerns you have about a student appropriately, in a timely manner & DOCUMENT!

Be aware of the Escalation of Concerns policy (BCHUB and AEIs) which supports students to raise concerns about patient care NMC revalidation & mentorship By using practice related feedback to improve the quality of care, revalidation also aims to help promote a culture of professionalism and accountability through on-going reflection on the Code and standards Under revalidation, nurses and midwives will be required to declare they have: met the requirements for practice hours and continuing professional development (CPD)

reflected on their practice, based on the requirements of the Code, using feedback from service users, patients, relatives, colleagues, students and others What is a reliable assessment?? An assessment is said to reliable if it gives similar results when used on separate occasions, and with different assessors. Stuart (2007) identifies three key issues: 1) Consistency of student performance how consistent is the students performance across different care giving situations? 2) Consistency of interpretation would I interpret the students performance of a particular skill in the same way if I saw it again? 3) Consistency between assessors would other assessors agree with my interpretations of the

students performance. What is a valid assessment?? An assessment is said to be valid if it measures what it is designed to measure. (Stuart 2007). Two key areas are important: how and what we measure. This means that you should use appropriate methods, depending on what is being assessed. For example: You would not assess performance of aseptic technique by verbal questioning alone; you would need to observe the skill being performed. However, using both methods to test theory and practice of technique capability will enhance validity.

How do we identify a weak student? Lack of practical skills commensurate with the students level of training Inconsistent clinical performance Exhibits poor preparation and organisational skills Poor communication / interpersonal skills Lack of interest Absence of professional boundaries (Duffy, 2004) Nursing 2012 Students

Service Users and Carers I ncrease in student numbers in 2015/ 16 = 260 New placements and mentors needed can you help? Generic and Field Year 3 FIELD SPECIFIC Year 2 GENERIC Year 1

More generic elements in year 1 which reduce as course progresses Fewer field elements in year 1 which increase as course progresses Overview of year 1 9 weeks theory 3 weeks placement 8 weeks theory 16 weeks theory 16 weeks theory 10 week placement

with 7 study days 11 week placement with 8 study days Overview of 12 week HUB year placement with 2 SPOKE placements arranged by HEI. 12 week placement as Short spokes negotiated between for placement 1 but student & mentor. with 8 set study

PLUS 7 study days set by HEI days Overview of year 11 week HUB placement with 3 SPOKE placements arranged by HEI. Short spokes negotiated between 13 week placement with NO SPOKE placement student & mentor. Plus 5 set study days PLUS 5 study days set by HEI Holidays and reading weeks interspersed throughout the

Attendance at placement Students are provided with written dates in regard to any study days they should attend whilst on placement. Mentors should see these dates in order to record them on the off duty and to ensure student attendance in placement at other times Student attendance during Spoke placements should also be recorded on student timesheet and signed by Spoke supervisor HUB placements Hub mentor facilitates insight visits (mini Spokes) Students assessed in terms of Learning Contract/ Attitude Scale and Learning Outcomes

Responsibility of hub mentor to assess and sign Learning Outcomes (competencies) This decision will informed through liaison with and documentation by SPOKE supervisor HUB - Placement 2 each year ALL practice outcomes must be completed the end of each year to enable the student to progress into the next year. Student documentation will be submitted to personal tutors part way through placement 2 in each year, so they can be checked. Please note: Learning outcomes, attitude scales and leaning contracts DO NOT need to be completed at this point. However the submitted documentation should accurately reflect the students progression to date, at the time of this

midway submission. Any subsequent student needs can then be identified (including any makeup time that may be required) This is in line with NMC requirements that students should have two attempts at portfolio completion before each progression point SPOKE placements No formal summative assessment required in Spoke placements, BUT all learning must contribute to students ability to achieve NMC competencies. Learning outcomes/competencies should not be completed in a Spoke placement. Appropriate learning opportunities must be identified to ensure student learning needs are achieved in SPOKE

Staff in SPOKE to liaise with mentor in HUB if there are areas of concern or excellence. Documentation in Spoke Placements If a student is with you for up to 1 week: Please complete a Short Placement Record, documenting the students experiences and achievements/on-going learning needs If a student is with you for over a week: Please complete the first and final sections on the Learning Contract and one Attitude Scale Mentoring students on other programmes

When mentoring students on post registration, post graduate courses and other HCPs mentors should have knowledge of: course structure and content (handbook) learning outcomes assessment requirements for each programme Return to Practice students (NMC PREP requirement)

Part time over 3 months 2 weeks theory and study days, , Manual Handling, BLS IT distance learning packages, drug calcs, IC, Nutrition etc clinical placement (av. min 15hrs per week over 3 months) placement hours determined by profile and time out of practice assessment of summative ''On-going record of achievement of competencies' document utilised supervised practice placement competencies' other competences and learning outcomes may be considered Formative in response to identified needs Sign off mentor required to assess safe and effective practice for entry to register Mentoring Coleg Cymraeg

Cenedlaethol Welsh scholarship students Two types of scholarships available- Incentive or Full/ Lead 500 a year if they complete a 40 credit module through the medium of Welsh each academic year 1000 a year if they complete a 80 credit module through the medium of Welsh each academic year 50% of the credits are achieved in the clinical setting, highlighting the key role the mentor plays in helping them achieve the credits Supports the principle of Active Offer and for students to be able to learn in their language of choice

Needs and responsibilities of the CCC nursing students Portfolio-Need to identify what has been taught / learnt through the medium of Welsh by means of placing a Working Welsh sticker next to the relevant competence/ learning outcome, reflective reports and so on ( stickers can be obtained from Link Tutors or Practice Educators) Feedback to be discussed and written in Welsh when appropriate ( N.B Mentors are not obliged to write reports in Welsh but are encouraged to do so if they are happy to do so)

Use the bilingual/ Welsh documentation Complete a Welsh Language Skills Certificate Support for CCC and bilingual student Mentors Mentor updates and resources available in Welsh Improve your Welsh courses available at the Health Board Can refer to and utilise the Mentoring in the Bilingual setting pages on the University and Health Boards internet sites Discuss any concerns with the Practice Educators Support available from University link Sharon Pierce at [email protected] extension 8622

Remember to record your skills as a Bilingual Mentor on the E roster system! So whats in it for you? Students are up to date with evidence based information A conversation with a student, regarding what they have been learning can enhance your continuing professional development. Reflect on it and put it in your professional portfolio as evidence for your NMC revalidation Student Mentor Relationship Student

Student PD PD practice development Mentor Mentorship is not all about the students development, it is about your development too and ultimately, the on-going improvement of nursing practice

Thank you all for being mentors and for your essential role in preparing and supporting future nursing colleagues Accessing information at BCUHB How to access mentor information & student documentation on the BCUHB intranet.

(This can only be accessed on site within intranet BCUHB) Go to BCUHB home page then: 1.Scroll down page to Nursing and Midwifery I Z link and click on this. 2.Click on the picture below Local learning and Development 3.Click on Mentor Information on top right hand side of page in the LINKS section (in blue) 4.Scroll down for all mentor information This BCUHB intranet link provides useful mentorship information, including mentor newsletters and all current mentor training/ update dates. You can also access the electronic mentor update at the website address below:

References / useful websites Aston L; Hallam P. (2014) Successful Mentoring in Nursing .London, Sage, Learning Matters Bailey McHale J; Hart D. (2013) Mastering Mentorship. London, Sage Publications. Barker, B. (2013) Evidence based Practice for Nurses. London, Sage Publications. Gopee, N; (2010), Mentoring and Supervision in Healthcare, 2nd edition London: SAGE Publications Ltd Kinnell, D; Hughes, P; (2010) Mentoring, Nursing and Healthcare students. SAGE Publications Ltd Nash, S., Scammell, J., (2010), Skills to ensure success in mentoring and other workplace learning approaches. Nursing Times, 106, 2. Nursing & Midwifery Council (2008) Standards to Support Learning and Assessment in Practice, 2nd edition. London: NMC RCN Toolkit (2007) Rhodes, C ;Stokes M Hampton G (2004) A practical Guide to Mentoring, Coaching and Peernetworking London: Routledge Falmer Stuart C.C, (2007) Assessment, Supervision and Support in Clinical Practice: A Guide for

Nurses, Midwives and Other Health Professionals, 2nd edition. Oxford: Churchill Livingstone Veeramah, V., (2012), What are the barriers to good mentoring? Nursing Times,108, 39, pp12-15 Walsh, D (2010) The Nurse Mentors Handbook: Supporting Students in Clinical Practice. Berkshire: Open University Press Useful contacts Karen Hughes: [email protected] 01978 316318 Sandra Roberts: [email protected] 01978 316356

Gill Truscott: [email protected] 01978 293116 Carol Griffiths: [email protected] 01978 293595 Sharon Pierce [email protected] 01248 388622

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