Celebrating 10 years of Practice Education Facilitation in Scotland

Quality Education for a Healthier Scotland

Celebrating 10 years of Practice Education Facilitation in Scotland

Dr Colette Ferguson

Director of Nursing, Midwifery and Allied Health Professions

NHS Education for Scotland

Karen Wilson

Director of Health Professions and Nursing

Scottish Ambulance Service


10 years of Practice Education Facilitation in Scotland

Plan

Looking Back

Context, policy, driversCore purpose, role development and network

Key Milestones

Evidence of Success

Looking ForwardChallenges and Opportunities


Background

Early 2000s

• Clinical Teachers• Student’s fitness for

practice• Mentor’s ability to

assess & ‘Failure to Fail’

• Recruitment Crisis – Facing the Future


Practice Education Drivers 2004The Policy Context


Facing the Future

• Careers• Leadership• Flexibility• Education & Training• Working Conditions &

Tools for the Job• Employment Packages• Research & Evaluation• New Roles


Philosophy

High quality practice placement experiences

Joint responsibility

Practice led

Learning environment

Developing appropriate placements

Career development

NES

Boards

HEIs


The early days ……

Funding Secured: £3m over three years

• Need to develop a sustainable solution

• Address evidence of gap in support for learning and for mentors

Therefore:• Aim to focus on mentor s so that they could support, supervise and

assess students through engaging in high quality care.

• Invest in and develop the learning environment

• Build a national infrastructure of support for learning in practice


Aim .......

• Maximise the number of student nurses and midwives who can be supported in clinical practice

• CAPACITY

• Ensure the student experience is of the highest quality and enables greatest benefit from the individual learning experience

• QUALITY

• Ensure support and supervision for staff engaged in CPD/educational programmes

• SUPPORT


Practice Educ ation Roles Pathway

JOINTAPPOINTMENTS

PRACTICE EDUCATORS

PRACTICE EDUCATIONFACILITATORS

PRECEPTORS & MENTORS

OTHERROLES

ServiceInfrastructurePolicy Drivers

Service Redesig nClinical & Staff

Gove rnance

EducationInfrastructurePolicy DriversLink Lecturers/

Clinical Tea chingFellowsLiaison/

Partn ershipCom mittees

The Clinical Learning Environment


Milestone

2004/5 2009/10

The PEFs ‘Toolkit’ Revised



Key Milestone: 2006/7

Preparation of Mentors

Annual Update

Triennial Review

Criteria for ‘Signing off’

Establishing and Maintaining a ‘live’ register


2007


The Evidence

PEF Evaluation Report Pre-registration nursing and midwifery education Evaluation

2008 2008


Evidence of Success

Practice Education Evaluation Report – Carlisle (2008)

PEFs …..a valuable addition to the support and development of quality clinical learning environments for pre and post registration students.

Heard numerous accounts of where the PEF role worked well in supporting mentors with 'failing' students’

Pre-registration Nursing and Midwifery Evaluation - Lauder etal (2008)

PEFs ….a crucial link between the university and service. There was a great sense of 'valuing' of the PEFs by academic and clinical staff.

Found a positive perception of role from both service and education settings


Other Sources of Evidence

• Performance Management Reports from Universities and Nurse Directors (NES 2009 – 2013)

• Student, Mentor and Senior Charge Nurse Surveys (NES 20010-13)

• Board Annual Reports on Practice and Care Home Education Facilitators

• NMC Quality Assurance Reports

"The practice education facilitators impressively support practice learning and enhance links between education and practice".

Mott MacDonald (NMC 2011)


Broad areas of success

• Increased placement capacity and range of learning opportunities

CAPACITY• Robust systems in place to monitor NMC Standards for supporting

learning and assessment in practice

Mentor Database (including preparation and updates)

National approach to preparation of mentors

QUALITY• National Network of Support for mentors

• Increased support for complex decision making and earlier action for students failing to meet competencies

SUPPORT• Strengthened collaboration between universities, NHS Boards, Care

Homes


Specific Indicators of success

During 2013

1,160 Mentors responded to the annual survey • 91.3% had participated in regular mentor updates• 88% reported on good support from PEF

PEFs and CHEFs:• supported over 19,000 mentors in NHS and care homes

• helped to deliver over 206 mentor programmes across Scotland

• supported 720 mentors to put in place reasonable adjustments for students


Opportunities and Challenges Ahead

2020 Vision

How do we maximise the contribution of the practice education infrastructure to extend beyond traditional boundaries and ensure robust learning and care environments?

Quality Management of the Learning Environment

How we develop a robust data system to monitor and recognise impact

Setting the Direction

Opportunity to improve, strengthen and further develop the infrastructure and the quality of the learning environment


Going Forward

How to we continue to improve, strengthen and develop the learning environment further?

What does the learning environment of the future look like?

What do we need to build and strengthen?

What do we need to change?

Documents

Celebrating 10 years of Practice Education Facilitation in Scotland