Citation. What's your experience of using our hospitals and services? If nurse practitioner chooses not to participate, the employer shall pay the nurse practitioner additional salary, an amount equal to the cost of the maximum annual premiums (NAPNA, 2013). The work is being shared with all relevant interested parties across Wales as well as other areas of the UK. This process has been extremely challenging for all involved but particularly the original nurses because the “goal posts” shifted significantly throughout the process as alternative evidence and structures were repeatedly proposed. In hindsight this period highlighted the diverse opinions on what was required from a portfolio. London: The Stationery Office. Health News - Rounding up all the latest news within NHSGGC. Anderson C (2018) Exploring the role of advanced nurse practitioners in leadership. Trainees are expected to build up a portfolio of evidence throughout their 2-year training. doi: 10.7748/ns.2018.e11044. We agreed to use this as the initial template and adjust it as required by individual ANPs. The group found it difficult to decide on suitable evidence to show a level of practice. The portfolio is a … On admission her international normalised ratio (INR) was 2.2, slightly below the desired therapeutic range of 2.5-3.5. It highlights the challenges encountered by nurses in a Welsh health board when producing the portfolio, which will be introduced in Wales to demonstrate clinical governance and ensure patient safety. The Advanced Nurse Practitioner [ANP] is an experienced and autonomous registered nurse who has developed and extended their practice and skills beyond their previous professional boundaries. robust portfolio can demonstrate advanced nursing practice is essential, but is not easily compiled because of the nature and complexity of the individual advanced nurse practitioner’s role. The health board co-opted a member of Swansea University’s faculty; throughout the summer the group met regularly and examined a range of documents and information including: During this period the academic member of the group suggested shifting towards more reflective evidence and excluding the robust competencies and protocols required to meet the governance element such as peer review of skills and risk assessment. Use the: • Professional Journey Plan template to identify, plan and evidence your learning. Advanced Nurse Practitioner E Portfolio For an advanced practice nurse like myself, the relevance of establishing a system and culture that guarantees the … When trying to wrap your mind around a nursing portfolio, think of it as a scrapbook that contains everything you have done up to that current moment in your nursing career. The reason for the sudden rise in the INR was unknown. The evidence can be used for many purposes including supervision, appraisal and NMC revalidation. Medical history included mechanical aortic valve replacement (taking warfarin), chronic obstructive pulmonary disease and hypertension. The health board portfolio guidance agreed by the group included a completed evidence matrix to help others decide what evidence was appropriate and relevant to demonstrate advanced practice. A blank template can be found on the trainee ANP moodle site. Health protection, screening, services, improvement and more. We currently use the Turas ePortfolio available from NHS Education for Scotland. Developed in collaboration with expert clinical practitioners, this course is suitable for registered nurses, health and social care professionals working in or towards an advanced practice role.The course has been designed to comply with the Scottish Government requirements for advanced practitioners. The nursing executive subsequently used this data to create a database of ANPs, and quickly recognised a need to ensure robust governance arrangements were in place to protect the public, organisation, and the ANPs - particularly in light of how many of the roles had evolved. Those working in more supporting, rather than medically grounded, roles struggled to decide what evidence was appropriate. Practice was therefore assessed using the health board’s risk matrix and the areas requiring formal competencies or protocols were identified. They have the freedom and authority to act, making I'm an Advanced Nurse Practitioner, how can Turas Portfolio support me? UCLan is committed to the principle of an apprenticeship being the development of an individual into a role of which the course is one component. Authors: Alison Townsend is advanced nurse practitioner for urology services; Andrea Croft is lead advanced nurse practitioner in anticoagulation, both at Princess of Wales Hospital, Abertawe Bro Morgannwg University Health Board. Advice and guidance on Freedom of Information. Table 1 (attached) outlines what could be included in a portfolio for an ANP in endoscopy. Trainees are expected to record the following in their ePortfolio: Remember – no patient identifiable information should be kept in your portfolio. Information and guidance for public, NHSGGC staff, and community-based services. A primary concern for all members of the group was what evidence to include in the portfolio. Teaching and mentorship are fundamental parts of registered nurses’ roles, and learning should be managed and promoted in clinical practice to ensure excellence. The group comprised several specialist nurses and nurse practitioners with diverse roles in an attempt to ensure it was as inclusive as possible. This Welsh treat, exceptionally high in vitamin K, had kept her INR steady for the past 10 years, until she came into hospital and did not have her usual Saturday tea. A key element of the educational preparation of Advanced Nurse Practitioners is achievement of advanced-level skills, knowledge, competences and attributes, both at core level and specific to the context in which they practice. Competencies should be signed as complete when the assessor has seen satisfactory evidence, within the ePortfolio, that the competency has been met. Following the audit the executive nurse for workforce planning invited some of the more experienced ANPs to join a task group to assist with the process of governance. We would recommend all ANPs consider producing a portfolio to support their roles in this way; they can also be used to support revalidation. While the Scottish toolkit clearly sets out the “novice to expert” continuum, all the ANPs were very experienced and it was difficult to explain and demonstrate to others what made practice advanced. Nursing Times; 110: 9, 22-23. Nurse Practitioners & Clinical Nurse Specialists, Advanced Nurse Practitioners in General Practice, Recognition and Management of the Acutely Unwell Adult Module (RAM), Care Assurance System (CAS) & Excellence in Care (EiC), Policy, Best Practice and Success Stories, Registered Nursing and Midwifery Induction. However, the executive nursing team were concerned the revised portfolio did not meet the criteria for ensuring safe practice. modules completed, eLearning, supervised practice etc). Record of Learning - All learning activities (these can be grouped into themes e.g. increased understanding of Advanced Practitioner roles and will support NHS organisations and individual Advanced Practitioners to achieve the workforce and service priorities aimed at improving the quality of care to the population of Wales. 7. From April 2021 clinicians should have started either the portfolio route of have started an FCP HEI level 7 module to prospectively and retrospectively to meet this deadline. An anonymised list of patients seen (gender, approx age, presenting complaint, diagnosis, management/referral and any key learning points). Ultimately, the ePortfolio will become a central part of the final sign-off process and trainees should familiarise themselves with the requirements for this on the Final Sign-Off area on this web page. Commonly used documents included: A 71-year-old woman presented in accident and emergency complaining of shortness of breath with chest pain over the past six weeks. In 2009 the nurse in charge of workforce planning in our hospital trust recognised the need to evaluate the “off-ward” nurses. This was subsequently used to develop an Abertawe Bro Morgannwg University Health Board governance framework (Barton et al, 2012). 60 seconds with homeless health advanced nurse practitioner Wendy Ann Webb. So far, 49 health professionals have gone through the process and been accredited as advanced level. Buddies would be ANPs who had already successfully completed the process. Trainees may wish to keep this as a spreadsheet or word file and upload into their portfolio periodically. Although advanced nursing practice has existed for decades there is no universally agreed definition, Wide variations in roles and job titles make it difficult for patients to understand what they can expect from ANPs, Effective clinical governance requires evidence from ANPs to demonstrate the advanced nature  of their practice, A portfolio tailored to ANPs’ needs can help them to define and collate this evidence, Evidence clarifying the nature of advanced practice can increase understanding among both patients and other health professionals. 6 Framework for Advanced Nursing, Midwifery and Allied Health Professional Practice in Wales Nursing Times has produced a series of videos on infection control and…, Please remember that the submission of any material is governed by our, EMAP Publishing Limited Company number 7880758 (England & Wales) Registered address: 7th Floor, Vantage London, Great West Road, Brentford, United Kingdom, TW8 9AG, We use cookies to personalize and improve your experience on our site. We suggest that you use this model Trainees are encouraged to regularly write up anonymised reflective accounts relating to patients they have seen or from appropriate learning situations. RCN definition of advanced practice: “Advanced practice is a level of practice, rather than a type of practice. A key element was that the evidence would demonstrate safe practice, as governance was high on the health board agenda. Advanced Critical Care Practitioners (ACCPs) are clinical professionals that form part of the multidisciplinary team responsible for patient care during their critical care admission. The audit showed that, although many roles evolved in an unregulated way, ANPs played an integral part in the successful management of the patient journey. Advanced Practitioner UCLan works with employers to design and deliver degree apprenticeships and establishes the content and delivery of a programme according to their needs on an individual basis. Build on your existing professional skills and knowledge to become an advanced nurse practitioner on this University of Southampton master’s degree. Information for patients and service users, and support for staff. As well as passing MSc-level modules, you will need to compile a portfolio of evidence to demonstrate your competencies. Trainees will begin to build this early in their training and continually contribute evidence to the ePortfolio as they progress through training. The article concludes that while advanced nurse practitioners can positively influence clinical outcomes and cost efficiency, they must also be adequately prepared to undertake a leadership role. National Leadership and Innovation Agency for Healthcare (2010) Framework for Advanced Nursing, Midwifery and Allied Health Professional Practice in Wales. Help shape your hospital and community services. Development and maintenance of a structured process for the consistent recognition and acknowledgement of the … Press Office, latest news and media resources. Every Saturday evening since before her valve replacement, she ate 250g of laverbread for her tea. 06/2003 to present. They have the freedom and authority to act, making autonomous decisions in the assessment, diagnosis and treatment of patients. Most of the work involved in collating portfolios involved the ANPs physically collating their evidence and organising it within the portfolio so others were able to easily read and digest it, resulting in their feeling reassured that the ANP was fit for practice at the advanced level. Cardiff: NLIAH. The group focused on obtaining evidence that demonstrated the actions taken regularly as a part of their roles. London: Stationery Office. These are free to nurses working within Scotland. Copies of the transcripts from the program to educate an advanced practice registered nurse completed by the APRN and from any other institution of higher education attended ... and include: nurse practitioner, clinical nurse specialist, and nurse midwife. Personal details including NMC PIN Number. This framework provides a standard and greater clarity on the capabilities for nurses working at the advanced clinical practice level within general practice. Reducing pressures in consultant outpatient clinics - using ANPs to review patients in clinic or using telephone consultations/letters; Taking on traditional medical procedures, making diagnoses and initiating treatment (the portfolio enables the health board to provide vicarious liability insurance); Initiating new service models as a result of audits/research - portfolios have raised the profile of the ANPs, who are now seen as a valuable resource; Using some portfolio work to demonstrate cross-boundary and cross-health board work at an external level; Replacing some medical staff with consultant nurses or ANPs to deliver work such as endoscopy and care of older people inpatient services. Most were “unconsciously competent” in their roles, and found it difficult to articulate what made their practice advanced. Interestingly, the review of the use of the NLIAH (2013) framework for advanced practice illustrated that the exact number of ANPs working in Wales was still unknown and there was a huge variation between the findings across individual health boards; this is disappointing. In October 2009, the portfolio guidelines were proposed to the health board’s nursing and midwifery professional forum and gained approval. Go to and follow links to register for an account. For everyday ailments, minor injuries or serious emergencies. All practitioners gained a sense of their own roles and the complexity of them; they also felt more comfortable that the health board was aware of their roles and able to fully support them from a governance perspective once the portfolio was accredited. Citation: Townsend A, Croft A (2015) Developing a portfolio for advanced practice. Nursing Times; 111: 23/24, 23-26. The development of these roles presents significant opportunities for workforce/service development and innovation (National Leadership and Innovation Agency for Healthcare (NLIAH), 2013). These are free to nurses working within Scotland. Like other trusts, ours had limited data for managers and peers to understand the diverse nature of these roles, making their contribution difficult to define. It has also led to successful rebanding to  a  higher band of roles in some instances and protection of these jobs for future nurses. This framework provides a standard and greater clarity on the capabilities for nurses working at the advanced clinical practice level within general practice. Nurses are not generally encouraged to keep copies of complex cases indicating decision-making and judgement skills, and do not routinely participate in recorded case-based discussions unless working at specific levels and completing these alongside medical colleagues. It concludes with production of a personal portfolio of evidence of academic and … The directorate of the chief nursing office for Scotland has developed an advanced practice toolkit (Scottish Government, 2008) that has been adopted as a platform to develop and support advanced practice in Wales. The INR was generally stable. Scottish Government (2008) Supporting the Development of Advanced Nursing Practice: A Toolkit Approach. Advanced Practice The Portfolio have used an adapted version of Benner’s (1984) model of skill acquisition and skill development, that describes five levels or stages of nursing performance: novice, advanced beginner, competent, proficient and expert. ‘Congratulations to our 2020 Nursing Times Awards winners’, 01 June, 2015 Learning Plan – the ‘Professional Journal Plan’ in the ePortfolio can be used for this purpose. The patient was admitted for investigations. Create a professional Portfolio of a nurse practitioner that provides evidence of education, skill sets, accomplishments, goals, competencies, professional background, a dedication to life-long learning, and anything else that validates your commitment to your profession. Items listed below can contribute towards evidence of competence achievement and should be cross referenced within the ePortfolio. Advanced nurse practitioners (ANPs) are a senior clinical resource at the front line of care delivery, particularly in terms of addressing the challenges of workforce shortages in the NHS and managing long-term conditions and the ageing population (Townsend, 2014; Department of Health, 2007). What to expect, treatment, care, travel, rights and responsibilities. Examples of criteria demonstrating advanced practice. Department of Health (2010) Advanced Level Nursing: A Position Statement. Advanced Nurse Practitioner - National Competencies. They are highly experienced and educated practitioners who have developed their skills and theoretical knowledge to a very high standard. In early 2012 five group members’ portfolios were successfully signed off and the health board decided that to be able to use the title “advanced practitioner” all ANPs must complete a portfolio, which must be verified by the group and the university. A database identifies all recognised ANPs within the health board. advanced nurse practitioner. The patient was asked to stop eating the laverbread until her INR was stabilised. She is now home on 6mg of warfarin daily with a stable INR - but, sadly, no more laverbread for tea. As a result of completing these portfolios the initial members have been able to use them to demonstrate to managers how their roles can support service change by: In spring 2012 this process was rolled out across the health board and is now being used, evaluated and managed by the multidisciplinary workforce group. Advanced Practice Advanced clinical practitioners come from a range of professional backgrounds such as nursing, pharmacy, paramedics and occupational therapy. The structured forms in TURAS Portfolio are designed to help you identify, plan and evidence your learning and development.

advanced nurse practitioner portfolio

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