Date: May 2016 Job Title : Registered Nurse (Respiratory) - Department : Medicine and Health of Older People Location : Waitemata District Health Board Reporting To : Nurse Team Leader management and clinical service strategies, professional leadership, practice standards, and skilled direction of the professional workforce Direct Reports : Nil Functional Relationships with : Internal Operations Managers Clinical Directors Chief Advisor Tikanga & Kaunihera Kaumatua Maori Clinical Governance Group Other Maori Registered Nurse/CNS Colleagues Other Registered Nurse/ CNS Colleagues He Kamaka Waiora Ward/Unit Nursing and Allied Health Team Medical Staff External Patients and their whanau Maori Community Providers Maori NGO s Maori Whanau Ora Providers Primary Care Providers including GP s and Practice Nurses Other DHB providers Volunteers and related groups Our Purpose, Values and Standards At the heart of Waitemata DHB is our promise of best care for everyone. This promise statement is the articulation of our three-fold purpose to: 1. promote wellness, 2. prevent, cure and ameliorate ill health and 3. relieve the suffering of those entrusted to our care. At the heart of our values is the need for all of us to reflect on the intrinsic dignity of every single person that enters our care. It is a privilege to be able to care for patients, whānau and our community, a privilege that is sometimes overlooked in our day to day work. Our standards and behaviours serve as a reminder to us all about how we are with our patients and with each other. CONDITIONS & MAORI HEALTH, 16 MAY 2016 Page 1
Purpose of the role : The registered nurse position focuses on the improvement of Maori Health outcomes and the reduction of Maori health inequalities. This role focuses on increasing Maori engagement through a whanau ora model of care with a view to improving outcomes and reducing nonattendance. Domain One Professional responsibility Includes accountabilities for professional, legal, ethical and culturally safe practice. This includes being able to demonstrate advanced critical thinking, judgement and accountability for own actions and decisions Practices nursing to demonstrate professional responsibility Meets the domains of competent practice as outlined by Nursing Council of New Zealand. Includes demonstrated ability to apply the principles of the Treaty of Waitangi/Te Tiriti o Waitangi to nursing practice Role models professional practice to a high standard to support nurses practice with competent professional standards of the professional, ethical and relevant legislated requirements. Supports preceptors to direct, monitor and evaluate new nurses Works as a highly proficient /expert registered nurse at Level 3/4, across to assist nurses assess patient needs, plan care and evaluate effectiveness. Assists with clinical care delivery, as nurses undertake interventions in a safe manner Supports nurses to ensure that there is a safe environment to enable client safety, independence, quality of life and health is achieved. Coaches new nurses about health and safety, infection control and quality and risk management. Personal and professional development Is highly clinically proficient and respected for ability to support the team with clinically difficult situations Seeks regular professional supervision to discuss how to address areas of difficulty and review quality of practice. Seeks advice from nurse leader in a timely manner regarding professional issues Pursues a program of self-development to broaden critical thinking and leadership skills. Engages in activities of continuous learning, including in-service, self-learning, study days, post graduate study. Participates in nursing and organisational activities and committees Has presented own portfolio for assessment that meets the Nursing Council of New Zealand competencies Understands support structure available for staff in PRDP processes and provides assistance and encouragement CONDITIONS & MAORI HEALTH, 16 MAY 2016 Page 2
Domain Two Management of nursing care Includes accountability related to patient/client assessment and management of advanced nursing care that is supported by evidence Provides respiratory nursing knowledge and skills in the assessment, planning, delivery and evaluation of care provided to people with chronic respiratory conditions Assists with case management across the hospital/community interface for Maori and other patients who would benefit from support in improving self-management and coordinated care. Engaging with patients and their whanau as inpatients and follow up community patients to follow up on any patients that need to come back for outpatient visits, reinforcing the importance of attending and linking with the whanau to support their relative to make the life style choices for health living and improving health literacy. Working alongside the CNS and supporting them in their roles. Works closely with GPs and other community and hospital healthcare providers. Provides advanced respiratory nursing care primarily for Maori and other patients to achieve improved access, health outcomes, and independent management. Shows understanding of and commitment to the principles of the Treaty of Waitangi (partnership, protection, participation) and importance of Te Whare Tapa Wha (the four cornerstones of health) te taha wairua (spiritual aspects), te taha hinegaro (mental and emotional aspects), te taha whanau (family and community aspects) and te taha tinana (physical aspects) Recognise culturally appropriate and safe practice in the nursing workforce and assist in initiatives developed to reduce inequalities and positively impact on Maori and non-maori health status Assists in the leadership and management of projects to improve Maori access to healthcare services. Follow up with patients and their whanau where there is disengagement with the service Model excellent consumer service with Maori communities Education and Teaching Primary resource for evidence based information for patients, their family, carers and health care professionals Contributes to nursing study days to ensure that nurses are enabled to provide appropriate clinical and cultural care Role models and maintains own clinical expertise in specialty area. Shares clinical and cultural knowledge with staff so that they emulate best practice Provides highly proficient clinical/cultural advice and best practice recommendations to staff across the WDHB in specialty Acts as a clinical/cultural resource for clinical staff Domain Three Interpersonal relationships and enhancing the patient experience Includes accountability for interpersonal and therapeutic communication with clients/patients and members of the health care team. Demonstrates clinical and professional leadership through effective teamwork and collaborative relationships Role models advanced therapeutic communication when establishing, maintaining and concluding relationships with patients, families / whanau, coordinating interdisciplinary team care planning in partnership with the patient/whanau Demonstrates strong relationship management skills that result in professional credibility, good patient outcomes and integrated care. Uses highly developed communication, change management and leadership skills to support strong morale and spirit in the team CONDITIONS & MAORI HEALTH, 16 MAY 2016 Page 3
Demonstrates a non-confrontational approach and an ability to open up communication lines so that issues can be addressed. Communicate to a wide range of people using reports, meetings, and forums. Clear, formal and informal communication at all levels using a professional, diplomatic and concise approach using oral and written communication. Can get messages across that have the desired effect. Demonstrates a non-confrontational approach and an ability to open up communication lines so that issues can be addressed. Contributes to service strategic planning and implements changes Consistently demonstrates effective nursing leadership, management and consultancy, working across settings, including Maori settings, and within interdisciplinary environments Domain Four Interprofessional healthcare and quality improvement to deliver organisational objectives Includes accountability for evaluating the effectiveness of care and promotion of nursing perspective within the health care team Inter professional health care and quality improvement Ensures clinical effectiveness by critically appraising current research and applying it to practice Involved in clinical effectiveness issues Coordinates the development, implementation and review of relevant nursing policies, procedures and documentation, ensuring a consistent evidence based approach to patient care Collaborates with other Maori and non-maori Clinical Nurse Specialists to continually improve patient outcomes Clinical Effectiveness and Quality Improvement Audit and report upon key performance indicators as defined by the clinical team and Operations Manager Develop, undertake audit and report on key performance indicators (including Maori) Competent in data handling including analysis and reporting within the WDHB systems Identifies situations of clinical risk and take appropriate actions to ensure a safe environment. Participates in case review activity Appropriately challenges health care practice which could compromise client safety, privacy or dignity Contributes to the MHOPS program and complies with the Waitemata Health and Safety policies and relevant procedures applied to own work activities Fosters inquiry, critical thinking and research utilisation among the nursing workforce to advance nursing practice and patients car Critiques and uses national / international research findings Supports quality assurance systems to monitor the standard of services for people with respiratory conditions CONDITIONS & MAORI HEALTH, 16 MAY 2016 Page 4
KEY TASKS Statutory & Treaty of Waitangi obligations To recognise individual responsibility for workplace Health & Safety under the Health and Safety at Work Act 2015 EXPECTED OUTCOMES Ensures the professional and political integrity of WDHB by carrying out all functions in compliance of the Treaty of Waitangi and by demonstrating a serious commitment to keeping the treaty alive. Shows sensitivity to cultural complexity in the workforce and patient population All Employees Following & complying with H&S policies & processes & applying them to their own work activities, including using/wearing Personal Protective Equipment as required. Participating in activities directed at preventing harm & promoting wellbeing in the workplace Identifying, reporting & self-managing hazards where appropriate Early and accurate reporting of incidents at work and raising issues of concern when identified. VERIFICATION: Employee: Department Head: Date: CONDITIONS & MAORI HEALTH, 16 MAY 2016 Page 5
PERSON SPECIFICATION POSITION TITLE: Registered Nurse [Respiratory] Qualification Registered Nurse in New Zealand - RCpN, RGON, or BHSc Nursing. Current Annual Practicing Certificate Ongoing commitment to continuing education. Working towards Post graduate [PG] Diploma in Nursing/Masters Experience Minimum three years post registration experience. Current contemporary practice with an up to date portfolio demonstrating competency in practice at Level 3 minimum Competent in taha Maori me ona Tikanga Clinical practice reputation with excellent reputation for clinical expertise Skills/ Knowledge/ Behaviour Highly proficient, technically competent in core nursing practices e.g. respiratory nursing. Post registration knowledge in acute respiratory disease Highly competent in dealing with issues surrounding death/dying, grief/loss Understanding of the patient care processes and can map a more efficient service Demonstrated ability to work with patients, nurses and medical staff in a collaborative way to achieve best patient outcomes Computer skills for data management and clinical care management Proven skills in researching, accessing and synthesizing information and ability to produce reports High professional standards and motivates a team to achieve expectations Ability to effectively share clinical knowledge with others and seek guidance and advice from medical associates. Committed to continuous quality Participant in strategic developments across the continuity of care, integrating hospital, Maori community and primary health care Demonstrated confident collaborative approach in team practice, enhancing the capability and contribution of the team Personal Attributes Leadership Proactive attitude People management Excellent communicator Teamwork Articulate, good presentation skills Cultural safety Self directed and motivated Self-management Strong teamwork reputation, confident Patient/client population focused collaboration Communication / interpersonal Resilience skills Positive professionally mature Innovation Able to influence without conflict, accepts Flexibility constructive feedback Planning and monitoring Culturally safe practice CONDITIONS & MAORI HEALTH, 16 MAY 2016 Page 6