: November 20142013 Job Title : Nurse Educator Special Care (SCBU) Department : Child Women and Family Service Location : Child Health services including but not limited to North Shore and Waitakere Hospitals or other localities where Neonatal/Child Health Nurses are employed at WDHB Reporting To : Head of Division Nursing Child Women and Family Service operationally to meet service requirements and financial KPIs and for the maintenance of professional standards, the development of professional practice and the development of the professional workforce Direct Reports : Nil Functional Relationships with : Internal Nursing staff-scbu, Rangatira Unit, HC4Ks, Charge Nurse Managers Allied Health Professionals Nurse Consultant Nursing Development Nurse Consultant PDRP Clinical Nurse Specialists Nurse Educators other services Midwifery staff Director of Nursing & Midwifery Medical staff from various teams Quality team External Consumers & their families Well child providers NICU/Starship Children s Services Kidzfirst Services CMDHB Lecturers from Schools of Nursing Purpose : Continuously improves the standard of nursing care of nurses for practice developments, updating reference resources, challenging and coaching, role modeling practice excellence and auditing learning and practice outcomes. Waitemata District Health Board -JOB DESCRIPTION - Nurse Educator Page 1 of 6
General Manager Child Women & Family Head of Division Nursing Child Women & Family Director of Nursing & Midwifery CNM Rangatira CNM Homecare for Kids Nurse Educator Child Women & Family CNM Wilson Centre RN + HCA RN + HCA RN + EN + HCA Team Title Waitemata District Health Board -JOB DESCRIPTION - Nurse Educator Page 2 of 6
KEY RESPONSIBILITIES Develops and delivers (teaching load) education programmes to prepare nurses and others to meet clinical care needs, service requirements, technological advances and clinical safety priorities across the service. Includes additional projects Prepares policies, procedures and resources to assist nurses with learning and for reference to achieve safe practice, especially with new services and new technology Audits the effectiveness of the learning and safety of clinical implementation Works alongside nurses and role models good nursing practice to assess competence assessment EXPECTED OUTCOMES Learning programs (on-line, self-learning, inpatient ward coaching, inservice and study days) are designed and delivered to reflect the strategic direction of the service and future practice expectations Innovative, flexible learning models used to meet the needs of nurses at differing levels of practice Risk is minimized because staff are prepared proactively to manage new patient care developments Clinical safety priorities are addressed through targeted learning programmes Undertakes clearly defined projects to meet service and Department of Nursing requirements e.g. IV certification, SUDI Facilitates staff learning to apply the principles of the Treaty of Waitangi/Te Tiriti o Waitangi to nursing practice Staff are coached in customer service requirements and patient teaching to provide patients with adequate explanation of the effects, consequences and alternatives of proposed treatment options Maintains records of staff attendance at training and provides monthly reports Policies, procedures and resources developed for staff utilisation are evidence-based, contemporary and produced to the highest standard Consultation occurs on policy development processes Introduction of new technology is supported by well researched, benchmarked training and referenced materials Facilitates resources that have multi-disciplinary team input and are used by the team. Practice issues are audited examples available. Audits of care are regularly generated Audit reports provide evidence of compliance with training objectives and change in practice as a result of learning programmes. Reports are presented with recommendations Participates in ward based audits providing resources and assistance Participates in change processes arising from incident review, assisting with education and staff coaching. Contributes to continuous quality improvement to achieve care of the highest standard possible Innovative ideas are offered and implemented to address identified deficits in practice Demonstrates responsibility for ensuring professional practice and conduct meets the standards of the professional, ethical and relevant legislated requirements. Role models use of policies, procedures and professional standards of practice Has a reputation of proficient practice. Works clinically each week alongside nurses in the service (at least 50% of the time) providing skilled nursing care, role modeling advanced assessment skills and care planning ability. Coaching provided to staff, stimulating critical thinking/ clinical reasoning to enable early intervention for the sickest / deteriorating patients Waitemata District Health Board -JOB DESCRIPTION - Nurse Educator Page 3 of 6
KEY RESPONSIBILITIES Works alongside nurses and role models good nursing practice to assess competence assessment continued Supports Quality Improvement initiatives strong customer-focused service quality systems and professional standards Risk Management Effectively manages change in practice and service delivery EXPECTED OUTCOMES Role models skilled administration of interventions, treatments and medications within legislation, codes and scope of practice and according to authorised prescription, established policy and guidelines Monitors clinical practice delivery with the CNM S to ensure that nursing care is planned and delivered to achieve identified outcomes Monitors through regular audit that staff undertake comprehensive and accurate nursing assessment. Documentation is accurate and maintains confidentiality. Resources are explained to nurses so that the client receives explanation of the effects, consequences and alternatives of proposed treatment options. Includes health education key messages appropriate to the needs of the client within a nursing framework. Staff receives education that ensures they act appropriately to protect self and others when faced with unexpected client responses. Role models case review to assist staff reflect upon and evaluate with peers and experienced nurses the effectiveness of nursing care Assists with the management of emergencies and complex situations. Able to provide clinical assistance in care delivery, especially in emergencies Provides clinical supervision of staff and provides coaching where this is required. Advice and support provided for staff in PDRP processes Patient safety issues are targeted and quality improvement methods used to achieve change Takes a lead on projects in quality improvement activities to monitor and improve standards of nursing practice Contributes to the development and update of policy and procedures. Leads and advocates for continuous improvement and quality within the team Assists with incident investigations and corrective action implementation Projects undertaken to address trends and gaps in practice are well scoped, researched, planned, implemented and evaluated to show continuous quality improvement. Communication is appropriate with all parties. Change is managed appropriately. Staff satisfaction with the process is articulated. Undertakes audit and prepares corrective action plans (PDCA), completing the projects effectively Copes well in a changing environment, makes decisions without having the complete picture and has the ability to comfortably handle risk and uncertainty. Ensures that the Waitemata s Health and Safety policies are understood and relevant procedures applied to own work activities. Raises issues with the Health & Safety rep on workplace hazards to ensure these are identified and reported. Waitemata District Health Board -JOB DESCRIPTION - Nurse Educator Page 4 of 6
KEY RESPONSIBILITIES EXPECTED OUTCOMES Contributes to interdisciplinary health care using professional knowledge and effective interpersonal relationships Personal and professional development - Strong relationship management skills that result in professional credibility, good patient outcomes and integrated care - Demonstrates highly developed communication and change management leadership skills - Communicates effectively with clients and members of the health care team - Communicates 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 including oral and written communication. - A non-confrontational approach and an ability to open up communication lines so that issues can be addressed. - Feedback shows satisfaction with the contribution to internal advisory groups and level of good relationships reported - Feedback shows style/manner is respectful, respected and relied on - Defusing and debriefing processes facilitated as required, involving multi-disciplinary team members - Advises on professional nursing practice issues to enhance practice effectiveness and safe clinical outcomes. This includes portfolio assessment and representation on external advisory groups - Is highly clinically proficient and respected for ability to support the team with clinically difficult cases. - Is up to date with international best practice in the specialty and attends conferences, on-line learning and reads journals to maintain currency - Seeks regular professional supervision to discuss how to address areas of difficulty and review quality of practice. Seeks advice from CNM and professional advisor in a timely manner regarding professional issues as required. - 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 - Maintains professional development. Professional development is actively pursued through active participation in in-service or post Waitemata District Health Board -JOB DESCRIPTION - Nurse Educator Page 5 of 6
KEY RESPONSIBILITIES Key Performance Indicators for this role. Reviewed annually as part of the Performance Development Recognition Programme EXPECTED OUTCOMES graduate education, keeping up to date with relevant literature or using other resources to maintain knowledge - Has presented own portfolio for assessment that meets the Nursing Council of New Zealand competencies expected of a senior nurse KPIs - 100% new staff receive orientation - 100% of staff have access to learning opportunity and achieve personal development hours - 12 teaching sessions organised each quarter on each site - 12 teaching sessions provided each quarter on each site - 100% staff have a current portfolio - staff supported to meet PDRP requirements and 5% increase in Level 3 and 4 s annually i.e. progression through the Levels of Practice. - Evidence of effective time allocation: 85% dedicated to clinical professional teaching responsibilities. 15% dedicated to resource and quality improvement activities. VERIFICATION: Employee: Department Head: Date: KEY BEHAVIOURAL REQUIREMENTS OF THE ROLE Waitemata District Health Board -JOB DESCRIPTION - Nurse Educator Page 6 of 6
Adheres to Waitemata District Health Boards Best Care For Everyone: Everyone matters With Compassion Connected Better best brilliant Behavioural Competencies Communicates and works cooperatively Is committed to Learning Is transparent Is Customer Focused Works in partnership to reduce inequality in outcomes Improving Health Prevent Harm Behavior Demonstrated Actively looks for ways to collaborate with and assist others Proactively follows up on own development needs and learning opportunities Enacts agreed decisions with integrity Responds to peoples needs appropriately and with effective results Identifies opportunities for innovation and improvement Works in a way that demonstrates awareness of partnership obligations under the Treaty of Waitangi Works in a way that shows sensitivity to cultural complexity in the workforce and patient population Provides service that does not vary because of peoples personal characteristics Work practices show a concern for the promotion of health and well-being for self and others Follows policies and guidelines designed to prevent harm Acts in ways that ensure the safety of themselves and others To recognise Individual Responsibility for Workplace Health and Safety under the Health and Safety in Employment Act 1992 Has read and understood the WDHB H&S policies & relevant procedures and apply these to work activities Identify, report and self manage hazards where appropriate Identify Health & Safety reps in your work area Waitemata District Health Board -JOB DESCRIPTION - Nurse Educator Page 7 of 6
PERSON SPECIFICATION Nurse Educator Nurse Educator Special Care Minimum Qualifications Registered Nurse Scope of Practice in New Zealand with a practising certificate Post graduate [PG] certificate in specialty practice. Highly desirable working to achieve Masters level Train the Trainer / Clinical Teaching Experience Minimum of 5+ years in a neonatal/paediatric clinical role with excellent reputation for clinical expertise Experience in clinical professional leadership and team teaching Current and up to date portfolio demonstrating competency in practice at Level IV Practices nursing to demonstrate professional responsibility Meets management of nursing care competencies: - to achieve patient focused care; and - to the highest professional standard possible. Consistently demonstrates advanced inter-professional, health care and quality improvement competencies. Consistently demonstrates advanced interpersonal relationship competencies. Personal attributes Positive manner, flexible, able to influence without conflict, motivating Excellent communicator, highly articulate, an active listener, has a way of valuing everyone s opinions Strong leader and team member Strong commitment to quality improvement Excellent customer service focus and skills Calm, even, consistent and mature personality Professional and sensitive approach when dealing with the needs of individuals and groups balanced with the needs of the service Self-directed, proactive, uses initiative, confident skill in negotiation and consultation Demonstrates resilience Manages personal stress effectively Skills / Knowledge / Behaviour Contemporary nursing knowledge and skill with knowledge of evidence-based practice requirements. High professional standards and motivates a team to achieve expectations Quality leadership and improvement at ward level Experience with performance development and management of challenging scenarios Dynamic and creative approach to nursing care and education Understanding of and commitment to the principles of the Treaty of Waitangi Reputation for excellent nursing practice and ability to coach and guide others to meet patient needs. A credible role model. Demonstrated ability to effectively share clinical knowledge with others and help transform practice Upholds confidentiality with a reputation for high integrity and discretion Demonstrated confident collaborative approach in team practice, enhancing the capability and contribution of the team Waitemata District Health Board -JOB DESCRIPTION - Nurse Educator Page 8 of 6