Mentor Update 09/10

University Campus SuffolkUniversity Campus Suffolk

Session Aim & Objectives

By the end of the session:

You will be up to date with the role and responsibilities of mentors/sign off mentors

You will be aware of any changes to practice assessment requirements

There will be time for discussion and questions during the session

NMC Standards for Supporting Learning and Assessment in Practice

Revised 2008

Activity: Quick questionnaire covering key points

Triennial Reviews

• This review process has now started for ALL mentors, sign off mentors and practice teachers.

• Liaise with your practice development / practice education departments or line manager for further details

• You must provide evidence that demonstrates you meet all aspects of the NMC Stage 2 Mentor standard to remain on the local mentor register.

• The triennial review for most organisations will sit alongside your annual appraisal.

• The NMC will monitor each organisation’s live mentor register at their review visit to ensure the correct records are being kept and monitored.

ODP Mentoring Requirements-

• Stage 1: Associate mentor – can confirm learner’s aims and objectives. Must be counter signed by a Mentor.

• Stage 2: Mentor – assesses achievement of learning objectives & signs off competencies

• Stage 3: Practice Educator / Lecturer – Manages a network of mentors / supervising mentors.

• 6 months post registration experience

• Must have met section 4.1 of AODP Mentor standards.

• To attend update every 2 years

• Hold a mentor qualification at degree level.

• Updates every 2 years• Evidence of development every

2 years

• Mentor qualification must be at same of higher level than learners.

• Must meet all sections of AODP standards.

ODP Practice Assessment

• The student must complete all the competencies in the Practice Portfolio in order to pass the Professional Practice modules and pass the Diploma overall.

• The student must supply evidence to demonstrate their competence; this may include reflections, literature reviews, critical appraisals, posters etc.

• The mentor will then add comments and assess the student’s competence; students must reach a minimum standard of competent in order to pass.

ODP GradingBeginner (B)

• The student has no experience of the presenting clinical situation and operate by closely following rules laid down by others.

• They perform a series of tasks without understanding, or referring to, the context in which they are working.

Developing Learner (DL)

• The student demonstrates a degree of flexibility in their practice• Interprets the rules to meet the needs of the situation, maintaining the

safety of the patient, others and themselves. • They are able to relate to the current situation, based on prior learning.

Competent (C)

• The student is consciously aware of the long-term effects of their actions. • They are able to plan the most satisfactory outcome of a situation and

take the necessary actions in order to meet the required aims. • In order to successfully achieve this conscious, abstract and analytical

contemplation of the situation is required.

Nursing 2009 Curriculum

• Starts September 2009

• 2 semesters per year

• Diploma and Degree-Adult and Childrens Nursing

• Intakes September and February-Adult Dip. And Degree

• No Home Wards

• Less weeks without students on placement!

• Community experience in each year

• Credits awarded for practice each year

• Practice assessed differently in each year-skills, reflections, OSCE, Portfolio

• Grading of practice in 3rd yr-sample tri-partite meetings

Practice Assessment

• Students have 2 documents-Record of Achievement and Practice Assessment Document

• Only mentors/sign off mentors may complete assessment of skills/placements

• Registrants may contribute to assessment, but must not complete interviews or a significant number of skills assessment

• Initial Interviews, mid point interviews and final interviews must take place in a planned and timely manner throughout each placement.

• Mentors now signs students ‘Safe to progress’ & must provide a rationale for that decision

• Incomplete documentation or assessments signed by non-mentors will be invalid

• Mentors are accountable for completing all assessment documentation

• The student has a responsibility to make the documents available at all times and be available for planned feedback

• Where students miss time in placement, UCS must be informed.

• In cases where significant time is lost, a decision must be made as to whether the student can be assessed in practice or not.

Practice Assessment-Nursing 2009 curriculum

• Yr 1-Skills assessment and 4 reflective accounts

• Yr 2-Skills Assessment and OSCE

• Yr 3-Skills Assessment, graded proficiencies and Portfolio

• Skills within the Practice Assessment document signed off by mentor

• Reflections, OSCEs and portfolio graded by academic staff with practice input

• 3rd yr only: NMC Four domains of practice graded by Sign off Mentor

• Sign off Mentors award N,C,B,A

Signing off Skills

• Midwifery: Steinaker & Bell

• Students must meet a minimum of INTERNALISATION for each year.

• Nursing: New grading scheme

• Year 1: Beginner• Year 2: Developing

Learner• Year 3: Competent

• Mentors only sign when year level is achieved.

• No requirement to award different levels of practice

Skills Levels - NursingLevel of Performance

Level of support / supervision

Level of Practice

Competence achieved (some examples)

Competence not achieved (Some examples)

BEGINNER

(by end of Year 1)

Direct Observation / Supervision

Observes

Participates

Assists

Safe in all care supervised

Performs with few prompts

Professional attitude

Rationale for Care

Can discuss pertinent literature underpinning some practices

Unsafe

Can not explain rationale

Unprofessional attitude

Within level of practice does not respond appropriately when urgency required

Does not participate in daily routine

DEVELOPING LEARNER

(by end of Year 2)

Close to minimal supervision

Active participation

Planning most activities and leading some practice

Safe in all care with guidance

Does not require prompting

Beginning to prioritise care

Assess, plan, evaluate care

Rationale for practice

Evaluate effectiveness of care

Beginning to involve clients in care

Unsafe

Requires promoting in practiced activities

Not able to assess, plan or implement care

Can not explain rationale

Unprofessional attitude

Does not respond appropriately when urgency required

Does not participate in daily routine

COMPETENT

(by end of Year 3)

Minimal to indirect supervision

Active participation

( …in discussions with mentor if specialist area)

Safe with minimal guidance

Does not require prompting

Professional attitude

Evaluates effectiveness of care and make changes to care

Critiques evidence base

Actively involves clients in care

Unsafe

Requires prompting

Unprofessional attitude

Unable to organise care

Can not explain rationale or evidence base

Does not respond appropriately when urgency required

Does not participate in daily routine

Third Year NMC 4 domains of practice Grading (final placement only)

• All skills in PA document must be completed to Competent• Additionally, using the grading below, the sign off will grade the

student’s competence within the NMC four domains of practice• The student will self assess at midpoint interview and reviewed with their

sign off mentor• Each statement must be graded individually• The personal tutor will score each proficiency and this will go towards

the final practice grade for diploma students and the degree classification of degree students.

NOT COMPETENT

N

COMPETENT:

Competent C

GOOD:

Competent B

EXCELLENT:

Competent A

Student does not meet basic Competent criteria

Student meets basic Competent criteria

•Can modify own practice in response to events•Situations viewed holistically•Consistently demonstrates learning from practice

•Performance in practice is fluid, flexible and proficient•Demonstrate analytical thinking•Frequently plans ahead•Continuously reviews and manages own skills acquisition

NMC (2004) Standards of Proficiency for Pre-registration nursing

Not yet competent

N

COMPETENT:

Competent C

GOOD:

Competent B

EXCELLENT

Competent A

Midpoint formative assessment: Student self assessment

Final summative assessment: Mentor assessment

Domain of Practice: Professional and Ethical Practice

Maintains confidentiality and security of written and verbal communication

Does not demonstrate in practice

Demonstrated in practice

Good application in practice

Excellent application in practice

N C B A

Student Signature:

Mentor Signature:

Date:

N C B A

Student Signature:

Mentor Signature:

Date:

Practice Assessment – Midwifery 2009 curriculum

• Yr 1-Skills assessment and 2000 word reflection on the woman’s story

• Yr 2-Skills Assessment and OSCE

• Yr 3-Skills Assessment, graded proficiencies and Portfolio

• Skills within the Practice Assessment document signed off by mentor

(Internalisation for ALL years)

• Reflections, OSCEs and portfolio graded by academic staff with practice input

• In each year: each student has a tripartite assessment to award a % grade focused on NMC 4 domains of practice (student, mentor, tutor)

Group Activity

• Over to you:

– Look at the given scenario– Discuss the main issues as a group – List the actions you would follow

– Identify a spokesperson to feedback

Supporting students with learning needs

• Mentors role-Must treat all students with fairness, respect and understanding

• Provide clear instructions and expectations

• Encourage students to repeat back instructions

• Double check student documentation for errors

• Provide sufficient time for students to complete activities within the boundaries of safe practice

• Respect and support the student’s need to use special equipment or aids

• Law requires reasonable adjustments to be made to support your students’ learning needs

• Resources- http://www.ucs.ac.uk/study/facultiesAndCentres/healthWellbeingAndScience/HealthPartners/Learning%20Support.aspx

• Advice- CPFs, Link Lecturer, Student’s Personal Tutor, Student Support at UCS-for students to access

Open Forum -

This is your chance to have any mentorship queries answered

It’s over to you ……..

Further training

• Midwifery – Link Lecturers will be visiting all areas to discuss new curriculum % grading

• Nursing – Workshops for Sign off mentors for 2009 Grading

Useful Resources

• UCS Link Lecturers / Personal tutors / Programme Leader

• Allocations Office tel: (01473 338475)

• Clinical Practice Facilitators & Practice Education Facilitators ext: 8320 b:519/520

• UCS Mentor Newsletter – published Jan and July and available on the Trust intranet

• UCS dedicated placement/mentor website – http://www.ucs.ac.uk/study/facultiesAndCentres/healthWellbeingAndScience/HealthPartners/N%20M_Mentors.aspx

• www.practicebasedlearning.org.uk

• RCN (2007) Guidance for Mentors of Nursing & Midwifery students. RCN London

• AODP (2006) Standards and Guidance for Mentors. AODP, London

• NMC (2008) Standards to support learning & assessment in practice 2nd Edition. NMC, London