Nursing and Midwifery

Supporting Nurse Practitioner

Professional Growth

Jo Begbie Deputy Director of Nursing and Midwifery - Professional Practice Nursing and Midwifery Education and Strategy, Monash Health

Nursing and Midwifery

Summary

• Strategic alignment: aligning the NP role to organisation and service strategy

• NP governance: who should NPs report to?

• The evolution of the Monash Health NP Professional Panel

• NPs as mentors and the role of clinical supervision

• Getting your Nurse Practitioners working together

Nursing and Midwifery

Monash Health, Victoria

Nursing and Midwifery

Our Nurse Practitioner Workforce

• 14,000 employees

• 6,000 nurses and midwives

• 7 Nurse Practitioners

• 4 Nurse Practitioner Candidates

Clinical Areas:

• Emergency

• Chronic Disease

• Diabetes

• Nephrology

• Eating Disorders

• Mental Health

• Oncology

• Neonatal Care

• Paediatric Oncology

Recruiting in 2014: Paediatric Oncology/Palliative Care

Gerontology

Aged Palliative Care

Mental Health – 3rd role

Chronic Disease – 3rd role

Mental Health & Addiction Medicine

Pain

Nursing and Midwifery

Strategic alignment:

aligning the NP role to

organisation and service

strategy

We put our patients first

We drive innovation

We partner strategically for

outstanding outcomes

We lead sustainable healthcare

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Profession

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Identity

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• You are safe in our care • We embed the Foundations of Care • Our contemporary models of practice

deliver exceptional patient centred care

• We influence beyond our traditional boundaries

• Our education and research supports and drives innovation

• We are committed to life-long learning

• We are globally recognised • Our governance framework supports

our shared vision, values, purpose and direction

• Our research partnerships drive contemporary, evidence based practice

• Our workforce is highly skilled, responsive and sustainable

• We have contemporary resources that enable us to deliver exceptional care

• We have information and technology that enables us to transform care

Our Values Integrity Compassion Accountability Respect Excellence

Nursing and Midwifery

Nursing and Midwifery

Clarity

http://www.theage.com.au/victoria/nurses-take-on-doctors-tasks-20130209-2e5oy.html

Nursing and Midwifery

NP governance: who

should NPs report to?

Who does a Nurse Practitioner report to?

• Nurse practitioners are registered nurses and are fully accountable for their own practice in law. Complaints against nurse practitioners would be made to the employer, the NMBA or health ombudsman in the same way as for any other nurse

• Within an employment setting, the most appropriate reporting arrangements for NPs will depend on both the organisation and the role/services the nurse practitioner is accountable for

• Some nurse practitioners have multiple reporting arrangements, for example, as a senior nursing position they may report to the Director of Nursing for professional matters; the clinical or divisional head for clinical/service matters and they may even have a functional or operational reporting arrangement to a business manager/unit manager

• In smaller interdisciplinary service models there may be simpler reporting arrangements direct to a General Manager. In this case, developing professional links (even external) to a nursing mentor are recommended for nurse practitioners

http://www.health.vic.gov.au/nursing/furthering/practitioner/nurse-practitioner-frequently-asked-questions#16

Nursing and Midwifery

Direct v. Matrixed Reporting

Jennifer Stewart Managing Director, Advisory Board

http://content.bitsontherun.com/previews/jN5pgUg7-5mJFEEbO

Nursing and Midwifery

@ Monash Health

• All NPs and candidates report to a Director of Nursing

• Many also report to an operational manager

• Collaborative relationship with a doctor

Nursing and Midwifery

The evolution of the

Monash Health NP

Professional Panel

Nursing and Midwifery

Purpose of the pre-endorsement NP

Panel

• Consistency

• Readiness for endorsement

• Support for endorsement

• Celebration of achievements

• Feedback for future development

Nursing and Midwifery

Nurse Practitioner Panels

Clinical Practice Panel

• Site or program DON

• Clinicians – Medical +/- Allied Health

• 2 Clinical case presentations by candidate

• Question time

• Post endorsement this evaluation process becomes the annual performance enhancement / appraisal by line manager DON

Professional Practice Panel

• EDONM

• DDON Professional Practice

• Independent DON

• Professional practice presentation by candidate

• Question time

• Post endorsement this panel reconvenes every 12 months for ongoing evaluation and support of the role

Nursing and Midwifery

Post Endorsement Professional Panel

• Each NP gives a yearly professional panel presentation to the EDONM and panel members

• Endeavour to reconvene the same panel members

• Presentation and question time

• 1 hour

• This is in addition to the annual performance enhancement cycle and mentoring

Nursing and Midwifery

Mentoring

• Initially all NPCs were mentored by a DON

• Now moving into a phase where the candidates can be mentored by our endorsed NPs

Nursing and Midwifery

http://www.aitsl.edu.au/verve/_resources/

Essential_Guide_Leading_Culture.pdf

Nursing and Midwifery

Clinical Supervision

Clinical supervision is a formally structured arrangement to support staff in human service agencies, that has a long and established history in many health care professions, including social work and psychology/psychotherapy (Kadushin 1976; Watkins 1997)

Further information:

Australian College of Mental Health Nurses inc

www.acmhn.org/about-clinical-supervision

Nursing and Midwifery

Getting your NPs working together

• Engagement

• Opportunity

• Support

Nursing and Midwifery

8 Great ideas to get the best from your

people Nurse Practitioners

1. Right person in the right role

2. Set clear expectations

3. Equip your people

4. Coach, coach, coach

5. Provide effective feedback

6. Celebrate success

7. Inspirational leadership

8. Ethics to be proud of Sheralyn Guy, Director HRhelp

www.hrhelp.com.au/8great_ideas_for_getting_the_best_from_your_employees

Nursing and Midwifery

Contact details

Jo Begbie

DDON Nursing and Midwifery Education and Strategy, Professional Practice

Monash Health

e Jo.Begbie@monashhealth.org

m 0427 001 962

t @jobegbie