Welcome to the third newsletter of the Office of the Nursing and

Midwifery Services Director. It has been a busy summer for everyone.

The ONMSD received a Taoiseach Public Service Excellence Award in

July at Dublin Castle for the Nurse and Midwife Prescribing Initiative.

Congratulations also to the Bridging the Gap Initiative Roscommon

and Forensic Nursing, Team, Donegal, on also receiving awards.

We celebrated the centennial year of the death of Florence Nightin-

gale in August at Dublin Castle. The National Leadership and

Innovation Centre was established and launched the same day. A

series of National Networking events are planned in the autumn and

will provide a good opportunity to network with colleagues. I hope

you enjoy this issue.

Dr. Siobhan O’ HalloranDr. Siobhan O’ HalloranDr. Siobhan O’ HalloranDr. Siobhan O’ Halloran

The National Leadership and

Innovation Centre for Nursing

and Midwifery has recently

been established within the

HSE Office of the Nursing

and Midwifery Services Direc-

tor and was launched at the

recent Florence Nightingale

Centenary Celebrations. The

aim of the Centre is to work

with nurses and midwives in

building innovation and leader-

ship skills, knowledge and net-

works to transform healthcare

or patients and the public.

The Team consists of :

Michael Shannon-Area Direc-

tor/ Acting Deputy Director

(ONMSD Lead)

Cora Lunn-Interim Director

Elaine Fallon-Leadership and

Innovation Advisor

Loretto Grogan-Leadership and

Innovation Advisor

Michelle Frawley-Administrator

Message from Dr. Siobhan O’ Halloran

Leadership

Centre

1

Florence

Nightingale

2

Gestational

Diabetes

Guidelines

3

E-Rostering

Initiative

3

National Net-

working Events

4

Butler Report 4

Community

Cancer Care

Programme

5

Inside this Issue

Cognitive

Behavioural

Skills

5

Nurse and Mid-

wife Prescribing

6

Meet the Team

Maureen Flynn

6

Please forward any

comments or queries to

the email below.

Siobhan.ohalloran@hse.ie

ONMSD Newsletter The Office of the Nursing and Midwifery Services Director

S E P T E M B E R 2 0 1 0 V O L U M E 1 , I S S U E 3

The Centre will focus on devel-

oping the following four key

areas:

• Developing leadership skills

• Building workforce capacity

• Supporting innovation

• Influencing cultural change

Contact Details: National Leadership and Innovation Centre for Nursing and Midwifery

Office for the Nursing & Midwifery Services Director

C/O Nursing and Midwifery

Planning and Development

Unit,

HSE West,

31/33 Catherine Street,

Limerick

Tel: 061 483301

Email: nmleadership@hse.ie

National Leadership and Innovation Centre

L/R: Michelle Frawley, Cora Lunn, Elaine Fallon and Loretto Grogan

Office of the

Nursing and

Midwifery Services

Director

Room 250

Dr. Steevens

Hospital

Dublin 8

Phone: 01 6352471

Fax: 016352509

P A G E 2

Florence Nightingale

said in 1859

“It may seem a strange

principle to enunciate

as the very first

requirement in a

Hospital that it should

do the sick no harm”

Florence Nightingale 12 May 1820 –13 August 1910

A one-day conference to

mark the centennial year of

the death of Florence Nightin-

gale and the International

Year of Nursing took place in

Dublin Castle on September

7th.

The event, organised by the

Department of Health and

Children, the HSE and the

Irish Nurses and Midwives

Organisation (INMO) gave

nurses and midwives from

throughout Ireland the oppor-

tunity to celebrate the valu-

able contribution of Irish

nurse and midwives to health

care over the past century.

The Minister for Health and

Children, Ms Mary Harney

TD spoke of “the significant

development of the role,

function and education of

nurses and midwives in the

last 100 years. Florence

Nightingale would be very

proud of the achievements of

nursing and midwifery in Ire-

land in response to service

need,” she said.

A special feature of the cen-

tenary celebration was the

‘Ceremony of the Florence

Nightingale Lamp’,

a ceremonial event in which a

Nightingale lamp was passed

from one generation of

nurses to the next. The

event’s organisers felt that by

coming together to com-

memorate Florence Nightin-

gale, nurses and midwives are

restating their commitment to

Nightingale’s principles of

good nursing.

L/R Sheila O’ Malley, Liam Doran, Minis-

ter Mary Harney and Dr. Siobhan O’

Halloran

According to Dr Siobhan O’

Halloran, Nursing and Mid-

wifery Services Director, HSE,

“nurses and midwives in Ire-

land have good reason to

commemorate Nightingale’s

centenary. Aside from her

importance as the founder of

modern nursing, Nightingale

had close connections with

Ireland. She visited Dublin in

1852 to observe the work of

the Irish Sisters of Charity,

and later in the Crimean War,

she worked alongside a con-

tingent of fifteen Irish Sisters

of Mercy including Mother

Frances Bridgeman”. The

fundamentals of good nursing

and midwifery are as relevant

today as they were 100 years

ago.

Excellent speakers such as Dr

Beverley Malone, CEO of the

National League of Nursing,

USA, spoke about Nightin-

gale’s leadership and caring

qualities in nursing and Dr

Marie Manthey, President

Emeritus, Creative Health

Care Management, USA, who

highlighted nursing values

from Nightingale's time to the

21st century.

The conference’s afternoon

session, facilitated by Tommie

Gorman, RTE’s Northern

Ireland Editor celebrated the

variety of experiences of Irish

nurses and midwives and

Florence Nightingale's influ-

ence on their practice. Nine

speakers from different nurs-

ing disciplines spoke about

their experiences of nursing

as a career. Liam Doran,

General Secretary of the

INMO, spoke about his time

as an Intellectual Disability

Nurse. “Florence Nightingale

is not traditionally associated

with Intellectual Disability

Nursing but her courage,

integrity and insistence upon

the highest standards of care

were hallmarks of the best

practice nursing that I en-

countered, and sought to

deliver, as a nurse working in

the field of intellectual disabil-

ity. Florence Nightingale was

a leader whose strengths and

vision have, without question,

stood the test of time.

L/R Sheila O’Malley, Chief Nursing Officer, Dept of Health and Children

presenting the ‘Florence Nightingale Lamp’ to Alice Leahy, Director &

Co-founder of the homeless agency Trust.

O N M S D N E W S L E T T E R

Launch of HSE National Guidelines for the Management of

Pre-gestational and Gestational Diabetes Mellitus

P A G E 3 V O L U M E 1 , I S S U E 3

The Nursing and Midwifery

Planning and Development Unit,

HSE (Dublin North) supported

by the National Council, have

developed National Guidelines for

the Management of Pre-

Gestational and Gestational Diabe-

tes Mellitus from Pre-Conception to

the Postnatal Period (HSE, July

2010) for use in the manage-

ment and treatment of women

with diabetes mellitus (Types 1

and 2) in pregnancy who use

primary, secondary and tertiary

health services.

The evidence-based guidelines

were developed by a team

mainly comprising clinical nurse

and midwife specialists and ad-

vanced nurse and midwife prac-

titioners in diabetes and in neo-

natology, and were launched in

August 2010 by Professor Rich-

ard Firth, Clinical Lead for Dia-

betes in the HSE.

The Guidelines will be used to

standardise the prevention, detec-

tion and treatment of women with

pre-existing diabetes mellitus in

pregnancy and gestational diabetes

mellitus.

By fostering best clinical practice

and assisting clinical decision-making

through the use of the guidelines,

integrated care pathways will

become more established within

the health services.

The NMPDU plan a comprehensive

health promotion campaign for health

professionals, clients and the general

public aimed at raising awareness of dia-

betes and the risks associated with preg-

nancy and supporting the implementation

of the guidelines.

The Office of the Nursing and Midwifery Services Director

are exploring a national initiative in e-Rostering. A national

steering group has been set up. A workshop with service

managers and unions was held in Donegal in August, in which

discussions took place in relation to Donegal ISA leading the

Pilot. The following objectives are planned.

Develop & strengthen nursing capacity in Donegal ISA by

providing an e-rostering system to introduce self rostering

and to achieve the optimal match between staff levels, service

activity levels and patient dependency

♦ Develop a Guiding Framework to support the intro-

duction of E-Rostering to include the following:

• Roster Governance, Decision Guidelines and Audit

• Self Rostering Guidelines

♦ Development of specification criteria to inform the

procurement and selection of an E-Rostering System that is

transferable across all employee groups within the Health

Service Executive and funded agencies.

♦ Conduct an analysis of existing E-Rostering systems in

use nationally with a view to informing the Guiding Frame-

work and procurement criteria.

♦ Engage in a process of Communication & Consulta-

tion with a broad range of key stakeholders in Donegal to

inform the development of the above objectives.

E-Rostering Initiative

L-R) Dr Anne Flood, Letterkenny General, Liam Doran, INMO, Dr. Siobhan O’

Halloran, Director ONMSD, Annette Kennedy, INMO, Mary Frances O’ Reilly,

NMPDU HSE West, Julian Theseria, Intellectual Disability Service Donegal,

Bernie Walsh - Employee Relations HSE West, Patrick Glackin, Area Director

NMPD, Edith Mullin, Older Person Service Donegal, Dolores Gallagher, Public

Health Nursing Donegal, Catherine Cannon, CNME Donegal, Kevin Mills,

Mental Health Service Donegal, Anne Gallen, NMPDU HSE West

At the launch of the National Guidelines for the Management of Pre-gestational and Gestational Diabetes Mellitus: Professor Richard Firth (Clinical Lead for Diabetes, HSE), Michelle Waldron (Project Officer), Dr Siobhan O'Halloran (Nursing and Midwifery Services Director, HSE) and Eithne

Cusack (Director, NMPDU)

P A G E 4

Butler Report

One of the first activities of the National Leader-

ship and Innovation Centre for Nursing and

Midwifery is the delivery of a series of National

Networking Events for Senior Nurse and Mid-

wife Managers and Directors.

These events will provide a good opportunity to net-

work with colleagues and to learn more about the

development of the National Leadership and Innova-

tion Centre.

Guest speakers will attend each of the events which

are being held in each of the four regions.

O N M S D N E W S L E T T E R

National Leadership and Innovation

Centre for Nursing and Midwifery

Continued work is progressing in relation to the Butler Report. However, further consideration by the

HSE and all stakeholders remains outstanding with regard to the review of the CNME's (Butler Report).

At the request of the INMO, the matter has been referred back to the Labour Relations Commission.

As stated previously by the HSE any future discussions must take account of actual developments that

have occurred over the recent past and most particularly in the Voluntary / Acute hospital settings.

ONMSD are

on the Web

Look us up:

1 Website:

www.hse.ie/go/

onmsd

2 Twitter

www.Twitter.com

/siobhanonsd

3 Facebook:

www.facebook.com

Nursing Services (ONSD)

HSE

HSE/NCCP launches National Community Cancer Care Programme

P A G E 5 V O L U M E 1 , I S S U E 3

Ms Mary Wynne Office of the

Nursing and Midwifery Services

Director HSE and Dr Marie

Laffoy National Cancer Control

Programme (NCCP) launched

the National Cancer Control

Education Programme for

Community Nurses in the

Centre for Nurse /Midwifery

Education (CNME) Letterkenny,

Donegal on June 23rd 2010.

Eleven Public Health Nurse

participated in the six-month

pilot programme.

This programme is in response to

the recommendations of The

National Cancer Strategy (2006),

which involves reforming and

restructuring services with the

key objective of improving patient

outcomes. The HSE/NCCP are

committed to supporting the inte-

gration of cancer services across

primary care settings and acute

hospital services, through the

provision of a standardised cancer

education and training programme

for community nurses.

This programme is based on a curriculum developed by the

NCCP: Community Oncology Division. It will be offered in

association with designated Centres for Nursing and Mid-

wifery Education. Donegal was chosen as the base for the

pilot programme because of the skills and expertise of the

nursing body at both hospital and community level. Follow-

ing evaluation of this pilot project it will be rolled out na-

tionally benefiting cancer patients across the country.

The aim of this pilot programme is to ensure upon comple-

tion that community based nurses are equipped with the

knowledge, skills and competence to safely provide care to

individuals with cancer at all stages of the cancer trajectory

in the community care setting within his/her scope of prac-

tice.

The collaborative approach between acute cancer service

providers, community nursing services and CNMEs will

provide and promote sustainable learning, so as education

and practice are augmented and seamlessly transferred to

the community in an efficient, effective and safe manner.

We in the CNME are delighted to be part of this national

pilot programme and will continue to work collaboratively

with all stakeholders in the journey ahead to ensure the

success of the programme. Further information can be

obtained from Catherine Cannon A/Director CNME

Donegal Email: catherine.cannon@hse.ie

with a broad range of psychosocial

problems with a substantial body

of research evidence supporting

its efficacy.

The Centre of Nurse Education

(CNE) and the Nursing and Mid-

wifery Planning and Develop-

ment Unit (NMPD), HSE South

(Carlow, Kilkenny, South Tippe-

rary, Waterford, Wexford),

supported by the National

Council and Directors of Mental

Health Nursing, have developed

an innovative model for the de-

livery of Cognitive Behaviour

Therapy (CBT) training for the

Irish Mental Health Services.

This multidisciplinary programme

focuses on enhancing skills for

clinical practice amongst Nurses

and Allied Health Professionals.

CBT is amongst the most exten-

sively evaluated of interventions

It is therefore essential that frontline mental health

professionals have the requisite skills and competencies to

provide treatments based upon these evidence based ap-

proaches. In developing our programme we have a number of

success indicators in mind:

• Delivering high quality training derived from evidence

based CBT methods,

• Ensuring integration of theory and practice,

• Linking to service developments & change initiatives,

• Ensuring access, transfer and progression in learning,

• Supporting collaborative working and multidisciplinary

interventions.

The programme offers a model of training which may be

adapted within the HSE Mental Health Services at National

level. A number of HSE areas in Dublin and Cork have already

expressed an interest in collaborating with us and four Nurses

from the North Lee Mental Health Services will participate in

our next programme in Waterford. For further details on this

model of training, please contact the Centre of Nurse Educa-

tion on 051 842656 or Sandra.Kennedy@hse.ie.

Cognitive Behavioural Skills for Practice:

A Model for Delivery in the Irish Mental Health Service

Maureen took up her position within the Health Service Executive, in

October 2007, where she has responsibility for the introduction of

nurse and midwife medicinal product prescribing in the HSE Dublin

Mid Leinster Area. She was appointed national lead for the project in

July 2010. Prior to this she held the position of Assistant Director of

Nursing at St. Vincent’s University Hospital with responsibility for

the Intensive Care and High Dependency Units, Thoracic and Vascu-

lar Surgery, Hepatitis C and Liver Transplantation services (2002-

2007).

Maureen was previously employed as a Nurse Researcher with the

Nursing Policy Division at the Department of Health and Children

(1998-2002). Her main role was leading the Study of the Nursing and

Midwifery Resource, which culminated in the publication of the final report

– Towards Workforce Planning in September 2002. She was also a

member of the Project Team preparing the Irish Health Strategy

Quality and Fairness a Health System for You (2001).

In 1997 Maureen was appointed Nurse Researcher with the Irish

Commission on Nursing during this time she worked with the Cen-

tral Statistics Office in undertaking a national survey of the percep-

tion of nurses and midwives, she coordinated the preparation of six

literature reviews on behalf of the Commission and was the principle

author of the report Management in the Health Services: The Role of

the Nurse (1998).

Nurse and Midwife Prescribing

Meet the ONMSD Team- Maureen Flynn RGN, RNT, MEd, MSc (Health Services Management)

Since the enactment of legislation and regulations giving

prescriptive authority to nurses and midwives in May 2007,

471 nurses and midwives have been funded by the Office of

the Nursing and Midwifery Services Director, Quality and

Clinical Care Directorate, HSE, to undertake the six-month

education programme provided in the Royal College of

Surgeons Ireland (RCSI) and University College Cork

(UCC).

Since April 2010 there has been a significant rise in the

number of nurses and midwives registered as nurse

prescribers (RNP’s) with An Bord Altranais. There are now

215 RNP’s (including 5 from private health service provid-

ers).

The candidate and registered nurse prescribers are from 71

clinical areas and 123 (44 acute hospitals and 79 primary

and community services) health service providers across the

four administrative areas of the HSE.

From 1 July 2010 to 31 August 2010, RNPs working in 53

health service providers reported writing 3,020 prescrip-

tions for 2,600 individual patients involving 4,371 items.

It is anticipated that from 2011, the education programme

will also be provided by three additional Higher Education

Institutions: University College Dublin (three educational

pathways); Dublin City University; and National University

Ireland Galway.

Check out the ONMSD Nursing and Midwifery Prescribing

Website on www.hse.ie/go/nurseprescribing

Details for the next Nurse/Midwife Prescribing Courses

Royal College of Surgeons

Closing Date: 5th Nov 2010 (Winter) 14 Jan 2011 (Spring)

Start Date: 17 January 2011 4 April 2011

Contact: chanelwatson@rcsi.ie

University College Dublin

Closing Date: 19th Nov 2010

Start Date: 18 January 2011

Contact: aine.mchugh@ucd.ie

University College Cork

Closing Date: 14 Jan 2011

Start Date: 16 February 2010

Contact: r.creedon@ucc.ie

Congratulations to the Nurse/Midwife Prescribing Team

on receiving one of the

Taoiseach Public Service Excellence Awards July 2010

P A G E 6

Maureen Flynn

Acting Director of Nursing,

Office of the Nursing and

Midwifery Services Director,

Quality and Clinical Care

Directorate, Health

Services Executive

Maureen trained as a Registered General Nurse at St.

Vincent’s University Hospital, Dublin, Ireland where she

worked as a Theatre Nurse, Anaesthetic and Recovery

Room Sister and Anaesthetic Sister Course

Co-ordinator. Maureen has thirteen years Operating

Department Nursing experience.

During this time she established the first post-registration

course for Anaesthetic Nurses in Ireland in 1992. She

has completed both a Masters Degree in Education and

an MSc in Health Services Management at Trinity College

Dublin.