Preparing for revalidation – making participatory CPD work for you

Linda Nazarko Consultant Nurse London

Aims and objectives To be aware of: � What participatory CPD is and is not ? � How to utilise audit data to meet such

requirements � How to prepare a portfolio of

evidence � How to tailor the portfolio to

encompass your practice � How to prepare your portfolio

A history of Registration

� Nurses first became registered in 1919 by General Nursing Council (GNC)

� UKCC formed in 1983 and live register introduced � NMC 2002 formed and PREP introduced

What is re-validation?

“The new process by which nurses and midwives demonstrate that they practice safely”

Aims of re-validation � To protect the public � To support nurses � To empower nurses to take

responsibility for continued professional development and fitness to practice

� To promote quality and safety

Re-validation Provisional revalidation requirements � 450 practice hours � 35 hours of CPD � 5 pieces of practice-related feedback � Five pieces of reflections � A reflective discussion � Confirmation from a third party � Health and character declaration � Professional indemnity arrangement Will begin April 2016

Education- Continuing professional development

� 35 hours of relevant Continuing Professional Development (CPD) in the three years prior to registration renewal

� 20 must be through participatory learning

What is participatory learning � Any learning activity which involves interacting with

other people e.g.: � Study day � Learning events, such as a conference or workshop � Peer review � Coaching and mentoring � Participation in clinical audit, practice visits and group

meeting Maintain accurate records of your CPD and

demonstrate how you have used it to reflect on and improve your practice in your written reflections.

What isn't participatory learning

� Reading nursing journals � Reviewing publications � MAST training � Enquiry based research

Using audit in CPD � Audit part of a cycle

of quality improvement

� Many of the processes involved in this can be recorded in CPD

Scenario � Patients on orthopaedic ward are

developing grade three and four pressure ulcers

� Why is this happening and what can be done?

Actions � Reflect on issue – reflective practice � Discuss with mentor – participatory

learning � Audit – participatory learning � Identify problems – practice visit -

participatory learning � Introduce change and re-audit –

participatory learning

Results � Greater awareness

pressure ulcer risk A&E � New equipment � Changes in practice � Reduced pressure

damage � Improved quality of

care � CPD completed

Scenario � Community nurse identifies high levels

of urinary tract infection in people with urinary catheters living at home.

� What is happening and what can be done?

Results � Education to reduce

misdiagnosis � Changes in practice � Reduced levels

inappropriate antibiotic prescribing

� Improved antibiotic stewardship

� Better care for people with catheters

� CPD completed

Actions � Reflect on issue – reflective practice � Discuss with mentor – participatory

learning � Audit – participatory learning � Identify problems – practice visit -

participatory learning � Introduce change and re-audit –

participatory learning

Be imaginative � Our work and our learning

has many aspects. � Think how you can use your

work to meet CPD � Think reflection and practice

hours as well as CPD � Use your portfolio to

demonstrate your development as a nurse

Gathering evidence

� Prove you participated in the audit � Provide details of your role � Signed letter of participation � Notes of observations and outcomes Remember patient confidentiality

Nothing to fear

� Some nurses working at advanced level fearful of re-validation

� Principles are same for all nurses, identification, participation, recording participation, evidence relevance and any change practice.

CPD for advanced practice

� Attending conferences, workshops, � Peer reviews, audit research. � Coaching and mentoring � Education, leading, delivering, attending

Maintaining your portfolio 1 450

Practice hours Date, number hours, where, scope, work setting. descriptors, evidence - timesheets, JD for scope

2 35 CPD hours

Accurate & verifiable, methods, description & relation to practice, date, hours, individual or participatory, relevant part of code

3 5 Practice related feedback

Notes of the content of the feedback & how used to improve practice. No personal data

4 5 Reflective accounts

Written reflective accounts explaining what learnt from CPD activity and/or feedback and/or an event or experience in practice, how changed or improved work & relevance to code

5 Reflective discussion

Paper copy only. Reflective discussion form which includes the name & NMC Pin number of NMC-registered nurse discussed with & date discussion

6 Health & character

Online declaration

7 Professional indemnity

Evidence appropriate indemnity, employer, professional body, private. If not employer name & details

8 Confirmation Paper copy only

Recording CPD in your portfolio � Maintain accurate records of your CPD,

including: � CPD method � Description of the topic and how it

relates to your practice � Dates and number of hours � Relevance to Code � Evidence that CPD has taken place

NMC resources � The NMC website has guidance and

resoucres.

� http://www.nmc.org.uk/standards/revalidation/revalidation-guidance-and-resources/

Reflections

� NMC standards may make education more interactive

� Re-validation is a tool that we can use to move nursing forward

� Maybe, just maybe we can figure out a way to record it all electronically

Thank you for listening

Any questions?