Health Visitor and School Nurse Preceptorship

Programme:

Created in partnership - Cumbria Partnership NHS Foundation Trust

and University of CumbriaJo Blake, Head of Department of Lifelong &

Interprofessional Learning, Faculty of Health & Science

Preceptorship – national direction

A Health Visitor Career (GB DH 2012): Part 1: Support in first 2 years:

• Induction Period 2-4 weeks• Preceptorship (6 – 12 months) – mentor/preceptor• Regular supervision• Team Support

http://www.nhsemployers.org/PlanningYourWorkforce/childrensandfamilesworkforce/Healthvisiting/Pages/ToolsAndResources.aspx

Format

• Each participant has planned preceptorship in practice

• 5 facilitated action learning workshops - themed

• John’s (2009) Model of Reflective Inquiry and Influencing Grid

• Personal SOAR analysis (strengths, opportunities, aspirations, results)

• Reflective log

• Accredited or non-accredited

Themes1. Self Awareness

2. Confidence Building

3. Conflict Resolution

4. Managing Stress

5. Roles and Contributions within both Team and Organisation

Specific OutcomesFocussed on:

1.Role of the Health Visiting/School Nursing service in achieving the outcomes of the Public Health Outcomes Framework and the Healthy Child Programme

2.Application of parenting approaches, including the Solihull Approach to parenting

3.Application of strategies to enhance effective time management practices within the workplace.

4.Decision making with regards to safeguarding children and young people through appropriate assessment and analysis of risk.

5.Professional and effectively communicate complex information at appropriate levels within a multiagency arena.

John’s (2009) Influencing Grid

Conforming to normal practice/habit?The weight of tradition

Negative attitudes and prejudices?Racism?

Expectations of others? Need to be valued?

Limited skills/confidence to act in new ways?

What Factors Influence My Decision Making and

Actions?

Fear of sanction? The weight of authority.

Emotional entanglement/over identification?

Misplaced concern? Loyalty to colleagues versus loyalty to client? Anxious about ensuing conflict?

Personal stuff/baggage? Knowledge to act in specific ways? The weight of theory.

Wrapped in self concern? Pity? Stressed? Guilt? Frustration? Other feelings?

Time/priorities? Expectations from self about how/should act? Doing what was felt to be right?

Double Loop Learning

Evaluation Comments• Good preceptor support in practice – needs to be

consistent even when time pressures.

• There needs to be protected time for preceptor and preceptee for critical reflection/clinical supervision. Time sometimes compromised by work priorities

• Good to have time out to attend action learning sets

• Useful to have specialist facilitators to explore issues and challenges in practice

Evaluation Comments

• Would have preferred not to have to write anything – just attend and discuss

• Influencing Grid very relevant to HV/SN practice

• Helps to establish a local network between new HV/SN starters

• Should be available to all new starters

Any Questions?