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Mentorship in Clinical Practice

Mentorship in Clinical Practice. Overview of Pre-Registration Midwifery Programme and related Clinical Assessment Documentation. Midwifery Team January 2010. Current Programme. BA (Hons) Midwifery Three year programme (152 programmed weeks) leading to Registered Midwife status

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Mentorship in Clinical Practice

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  1. Mentorship in Clinical Practice Overview of Pre-Registration Midwifery Programme and related Clinical Assessment Documentation Midwifery Team January 2010

  2. Current Programme BA (Hons) Midwifery Three year programme (152 programmed weeks) leading to Registered Midwife status • validated 2007 • first intake started September 2007

  3. Programme Themes • Midwifery theory and practice • Essential Skills • Woman Centred Care • Research / Evidence-based practice • Communication / Interpersonal Skills • Anatomy / Physiology • Pathophysiology • Health Promotion / Public Health • Multi-professional working • Psychology / Sociology • Equity, Equality and Diversity • Law / Ethics • Management / Leadership • Supervision of Midwifery • Teaching and Learning strategies

  4. Clinical Assessment Documentation The Standards for Registration are set by :- NMC (2009) Standards for pre-registration midwifery education The Standard 17 competencies are assessed in the PAD standards of proficiency. These are grouped under four domains • Effective Midwifery Practice • Professional and Ethical practice • Developing the individual midwife and others • Achieving quality care through evaluation and research and added for grading • Communication and Record Keeping

  5. The NMC required all programmes from September 2008 to include Essential Skills Clusters (ESC’S) for Pre-Registration Programmes (NMC 2007). These are incorporated in each module PAD at every level (1,2,3). They consist of • Communication • Initial Consultation between the woman and the midwife • Normal Labour and Birth • Initiation and Continuation of Breastfeeding • Medicinal products Management The students continue to record their clinical care experience for EC Directives evidence .

  6. Assessment of Theory/Practice Modules • From September 2009, Clinical practice assessment is graded. • Modules with a practice component also have a theory assessment. • Weighting of marks is • 50% of the theory assessment marks:50% of the clinical assessment marks = module mark% • Mentors are responsible for assessing the clinical component of the programme • Students have 2 opportunities to pass each practice module outcome

  7. Core Practice Assessment Tools • At the start of the placement the all students must bring their relevant :- - Practice Assessment Document (PAD) which contains the relevant proficiencies for the module/practice experience the domains (graded) the essential skills clusters - EC Directives Document -Ongoing Assessment Record (OAR) which includes Placement Summary sheets Students must bring an attendance sheet. The following details should be recorded in the PAD:- - student/mentor/ support mentor - placement area name/placement dates -placement orientation check list should be completed on the first day

  8. Process of Assessment Preliminary interview – to be conducted during first week on placement area and to include orientation on the first day • Review previous placement summary sheets within OAR (first placement ever- ask to see OAR) • Ascertain skills to be achieved • Complete developmental learning agreement to reflect:- • module learning outcomes • the richness of the experience available on the placement • any areas for improvement identified on the previous placement • identify appropriate visits/personnel relevant to placement experience

  9. Mid – term Assessment (Formative) It is essential that it is conducted at the mid-point as students need to have an understanding of their performance. In the case of a student failing to achieve, not carrying out a mid-point assessment gives the student grounds for appeal in the event of failure. Contact module leader/academiclink lecturer/PEF where there are concerns regarding achievement. • Review learning agreement plan • Comment on the student’s development / progress with reference to the standards of proficiencyand essential skills • Complete the formative section of the domains (grading) • Review EC directives document • Review attendance • Agree plan of action to facilitate subsequent learning experience

  10. Guidelines for comments on student’s development / progress • Attitude towards patients/relatives/members of the Multi Disciplinary Team • Communication skills : verbal / non-verbal • Motivation to learn • Quality of care provided • Professional behaviour e.g. punctuality, attendance pattern, appearance • Management of patient care e.g. ability to prioritise/organise care, delegation and supervision (as appropriate) • Team working • Ability to recognise limitations and seek assistance when required • Ability to use initiative • Ability to administer drugs safely and competently, including drug calculations, under supervision

  11. Final assessment ( Summative) To be completed during final week of placement • Review and complete the Practice Assessment Document including learning agreement plan • Sign standards of proficiencies • Grade the domains • Discuss with student • Complete the essential skills clusters • Complete attendance sheet • Complete EC Directives Document as appropriate • Complete ongoing assessment record including placement summary sheet NB Full signature and date is necessary to verify all the forms Please inform the module leader/academic link lecturer and/or Practice Education Facilitator if the student leaves the placement area without having the above documents completed

  12. Final Assessment (Summative)Guidance for Decision Making Re Practice Learning Outcomes • Practice Assessment Document • Standards of proficiencies are pass: fail • Domains are graded 39% and below = fail; 40% and above pass • Demonstrate practice in accordance with The Code (NMC,2008) • Demonstrate participation in the decision-making process • Demonstrate ability to apply relevant knowledge/policy/research to inform practice • Practices in a safe manner • Demonstrate awareness of their strengths and limitations

  13. Resources • NMC (2009) Standards for pre-registration midwifery education • http://www.nmc-uk.org/aDisplayDocument.aspx?DocumentID=5700 • NMC (2008) Standards to supportlearning and assessment in practice 2nd edition • http://www.nmc-uk.org/aDisplayDocument.aspx?documentID=4368 • NMC (2009) Additional information to support implementation of NMC Standards to support learning and assessment in practice • http://www.nmc-uk.org/aDisplayDocument.aspx?DocumentID=5653 • NMC (2008) The Code • http://www.nmc-uk.org/aDisplayDocument.aspx?DocumentID=5982 • NMC (2008) Standards for medicines management • http://www.nmc-uk.org/aDisplayDocument.aspx?DocumentID=6978 • NMC (2004) Midwives rules and standards • http://www.nmc-uk.org/aDisplayDocument.aspx?documentID=169

  14. NMC (2009) Guidance on Professional conduct for nursing and Midwifery students • http://www.nmc-uk.org/aDisplayDocument.aspx?DocumentID=6572 • Record keeping: Guidance for nurses and midwives (2009) • http://www.nmc-uk.org/aDisplayDocument.aspx?DocumentID=6269

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