UCD School of Nursing, Midwifery and Health Systems Scoil na haltrachta, an Chnáimhseachais agus na gcóras Sláinte UCD in partnership with Health Service Executive Mental Health Services North Dublin Mental Health Services National Forensic Mental Health Service Dublin South Central Mental Health Services Child and Adolescent Mental Health Services (CAMHS), Linn Dara, Dublin South Central- Kildare Dublin South East-Wicklow Mental Health Services Dublin North City Mental Health Services Kildare-West Wicklow Mental Health Services St. Joseph s MHID Services, Dublin North Higher Diploma in Mental Health Nursing STUDENT HANDBOOK
Contents Welcome 4 Higher Diploma in Mental Health Nursing Education Team Higher Diploma in Mental Health Nursing Clinical Placement Sites 8 School Mission Statement 9 Programme outcomes 9 Programme structure, Modules and Credits 10 Attendance strategy 11 Annual Leave Entitlement 11 Reporting relationships 11 Assessment strategy 11 Clinical Modules 12 Progression on clinical placements 12 Meeting Schedule for Clinical Assessment 12 Preceptorship 13 Candidate Registration 13 Mechanism for temporary interruption 13 Notification of withdrawal 14 Educational Technology 14 Access for students with disability 14 Useful links to UCD, HSE, MHC and NMBI policies and guidelines 1 Contact Details for Higher Diploma Mental Health Nursing Students 17 Page UCD SNMHS Higher Diploma in Mental Health Nursing 2017 3
Welcome Dear Student, Congratulations on being selected to the Higher Diploma in Mental Health Nursing. We would like to take this opportunity to extend a warm welcome to all of you. This is a very exciting time for mental health services in Ireland with this first Higher Diploma in Mental Health Nursing programme led by UCD in partnership with the HSE. While working in mental health nursing can be challenging, it is also very rewarding and very much in the forefront of public needs and expectations. The role of the mental health nurse has changed dramatically over the years and nowadays there is so much scope and potential for the nurse to develop his or her own unique career pathways. On this programme, it is acknowledged that each student brings valuable personal and professional experiences which will contribute to the development of knowledge and skills in mental health nursing. Throughout your journey of learning, there are many people within UCD and the HSE services who will be available to help and support you. Take all opportunities to utilise these resources as you advance towards qualification as a Registered Psychiatric Nurse. This handbook has been designed to highlight key information about the programme and to provide links to essential websites. In conclusion, we wish you every success in your personal and professional development and look forward to reviewing your progress throughout the year. Best wishes, Dr Gabrielle O Kelly Mr Cormac Walsh Programme Director Area Director of Nursing Higher Diploma in Mental Health Nursing Community Healthcare Organisation 6 UCD SNMHS Higher Diploma in Mental Health Nursing 2017 4
Higher Diploma in Mental Health Nursing Education Team Dr Gabrielle O Kelly, PhD, MPhil, MSc, RPN, RGN, RNT, Programme Director gabrielle.okelly@ucd.ie +33 1 716691 Gabrielle is a Registered Psychiatric Nurse and Registered General Nurse with many years of clinical practice. She holds an Advanced Certificate in Group Analytic Psychotherapy awarded by the Institute of Group Analysis, London and trained as a Psychoanalytic Psychotherapist via an MSc in Psychotherapy at University College Dublin and an M Phil in Psychoanalytic Studies at Trinity College Dublin. Her PhD from Queen s University Belfast focused on the impact of nurses unconscious mental processes on their work with patients. She was awarded a HRB Clinical Fellowship in 2002. Gabrielle was Associate Dean of Undergraduate Nursing in the UCD School of Nursing Midwifery and Health Systems from 2010 to 2016. She is a registered nurse tutor and has been involved in nurse education since 1992. As an educator, she has a special interest in Cooperative Learning which she has studied over a number of years at the Cooperative Learning Institute, University of Minnesota. Dr Timothy Frawley, BNS, MEd., DGov., RPN Joint Clinical Lecturer Timothy.Frawley@ucd.ie +33 1 716 648 Timothy Frawley is Associate Programme Director for the Higher Diploma in Mental Health Nursing employed in a joint lecturer position with the UCD School of Nursing, Midwifery and Health Systems and the St. John of God Community Mental Health Services. Dr Frawley has worked at a number of Dublin academic teaching hospitals before joining community services working in acute, rehabilitation and early intervention services. He holds a degree of Bachelor in Nursing Studies, a Master's in Education (Guidance and Counselling), and in 2014 he completed a Doctorate in Governance. He is former recipient of the National University of Ireland Dr. H.H. Stewart Scholarship in Nursing and the Daniel Murphy Memorial Gold Medal. He is a member of the Preliminary Proceedings Committee of the Nursing and Midwifery Board of Ireland. Deirdre MacNeill: BSc., B.A. (Hons), MSc., RPN, RGN, RM, Nurse Practice Development Coordinator deirdre.macneill@hse.ie 086-8209217 Deirdre is Nurse Practice Development Coordinator for Community Healthcare Organisation 6 (CHO 6). From her previous position of Assistant Director of Nursing, Deirdre has extensive nurse management experience in a variety of care setting catering for adults with intellectual disabilities and mental health problems within community care, residential, Day Services and Approved Centre in St Josephs I.D. Services, Portrane. She was awarded a B.Sc. (Practice Development), a Post-Grad Diploma (Infection Prevention /Control) and an MSc. (Nursing) from the Royal College of Surgeons, Ireland. In addition, she holds a B.A (Hons)(Applied Social Studies)(Disability) - HETAC and a Higher Diploma in Mental Health Nursing from Dublin City University. Deirdre is the Vice Chairperson of the Mental Health Nurse Managers Association of Ireland, a UCD SNMHS Higher Diploma in Mental Health Nursing 2017
member of the Irish Institute of Mental Health Nurses, the Irish Nursing & Midwifery Practice Development Association and Infection Prevention Control Ireland. Johnny Thomson, BSc, MSc, Dip Intellectual Disability, RPN, Joint Lecturer John.thompson@ucd.ie +33 1 716691 Johnny has worked in Forensic Mental Health Services for the past 32 years. He completed a BSc in Psychiatric Nursing in UCD in 2006 and completed an MSc in Mental Health in TCD in 2008. Johnny completed the Post Graduate Diploma in Intellectual Disability Nursing in Athlone Institute of Technology in 201. He has worked in various positions in the National Forensic Mental Health Service in the Central Mental Hospital, Dundrum. His current role is Assistant Director of Nursing, with particular responsibility for the Forensic Mental Health/Intellectual Disability Service. Johnny is a tutor in the Therapeutic Management of Violence and Aggression training programme, and has a keen interest in strategies to reduce the usage of seclusion and restraint in mental health nursing care. He has previously held the position of Adjunct Lecturer in the UCD School of Nursing, Midwifery and Health Systems. Thomas Glynn, BSc, MSc, RPN, Clinical Placement Coordinator thomas.glynn@hse.ie +33 1 268069/ 086-143887 Thomas graduated in 2006 with a BSc in Psychiatric Nursing from NUI Galway and commenced his career working in the National Forensic Service in the Central Mental Hospital. He has experience working in addiction services in Vancouver as well as the special care unit in St. Patrick s University Hospital. Thomas spent the last 7 years working in Dublin South Central Mental Health Services working in the acute setting, community and psychiatry of later life teams. He completed his MSc in Psychosocial Interventions in Mental Healthcare in 201 with the University of Limerick specialising in mindfulness and nurse s understanding of mindfulness-based therapies. Thomas has recently joined the NPDU as a CPC and is a key member of an evolving and dynamic team. His current work includes supporting students undertaking the Higher Diploma in collaboration with UCD along with other nurse practice and policy development activities. Preeti John, BSc, MSc (CP), MSc Mental Health, RPN, RGN, Clinical Placement Coordinator preeti.john@hse.ie +33 1 268069 /086-143886 Preeti has extensive nursing experience in both clinical settings and in nurse education. Preeti was awarded an MSc in Nursing Clinical Practice from UCD in 2013 and MSc in Psychiatric Nursing from Bharati Vidypeeth College of Nursing, Pune, India in 200. Preeti has special affinity in recovery in mental health nursing and has submitted her thesis titled Recovery oriented approach among mental health nurses in Ireland as part of her MSc. in Clinical Practice in UCD in 2013. Preeti has worked as a Nurse Tutor and Clinical Supervisor for both undergraduate and post graduate nursing students in India. She worked as a Clinical Nurse Manager and has been involved in streamlining local policies in CHO 6. UCD SNMHS Higher Diploma in Mental Health Nursing 2017 6
Jonathan Durning, BSc, MSc, RPN, RGN, RNT Joint Clinical Tutor Mental Health Nursing jonathan.durning@ucd.ie Jonathan currently works in the National Forensic Mental Health Service based at Dundrum in practice development. He graduated from Letterkenny Institute of Technology, in partnership with Donegal Mental Health Service, with a BSc (Hons) in Psychiatric Nursing in 2006, completed an MSc (Clinical Heath Science Education) at Trinity College Dublin in 2011 and a BNS in Adult Nursing at Edinburgh Napier in 2014. He has extensive working and teaching experience across acute and long term enduring mental health, community care, forensic mental health and care of the older person. He has acted as Nurse Lecturer over the past three years with Letterkenny Institute of Technology and continues to deliver guest lectures within the institute. Clare Flanagan, BSc, MSc, RPN, Joint Clinical Tutor Mental Health Nursing clare.flanagan@ucd.ie Clare graduated with a Diploma in Psychiatric Nursing from DCU and St Ita s Hospital, Portrane in 2002. She has worked as a Registered Psychiatric Nurse in acute psychiatry in both Ireland and Australia and is currently working as a Community Mental Health Nurse/ Clinical Nurse Specialist in Psychiatry of Old Age in St Vincent s University Hospital. Clare completed a BSc in Nursing in the Royal College of Surgeons in 2003, a Post Graduate Diploma in Care of Older People in 2010 and an MSc in Nursing Clinical Practice in UCD in 2013. Clare facilitates the National Dementia Training Programme within CHO 6. Clare was a member of the Living Well with Dementia consortium, one of four successful demonstration sites nationally for the first Genio Dementia Project. She has a special interest in community services for older people with mental health difficulties and dementia. She strongly believes in the continued development of interpersonal skills in mental health nursing and has recognised over the years how the individual approach of nurses and other clinicians impacts on patient outcome and recovery. UCD SNMHS Higher Diploma in Mental Health Nursing 2017 7
Higher Diploma in Mental Nursing Clinical Placement Sites 3 2 1 6 4 7 8 Community Healthcare Organisation (CHO) AREA Associated Hospitals/ Centres 1. North Dublin Mental Health Services (CHO 9) Ashlin Centre, Beaumont 2. Dublin North City Mental Health Services (CHO 9) Phoenix Care Centre 3. St. Joseph s MHID Services, Dublin North (CHO 9) St Ita s Hospital, Portrane 4. Kildare-West Wicklow Mental Health Services (CHO 7) Lakeview Unit, Naas Hospital. Child and Adolescent Mental Health Services (CAMHS), Cherry Orchard Hospital Linn Dara, Dublin South Central-Kildare (CHO 7) 6. National Forensic Mental Health Service (CHO 6) Central Mental Hospital 7. Dublin South Central Mental Health Services (CHO 7) St James and Tallaght Hospitals 8. Dublin South East-Wicklow Mental Health St Vincents s University Services (CHO 6) Hospital, Vergemount and Newcastle Hospitals UCD SNMHS Higher Diploma in Mental Health Nursing 2017 8
UCD School of Nursing, Midwifery and Health Systems Mission Statement The mission of the School is to prepare nurses, midwives and other professionals to promote and protect health, wellbeing and dignity across the lifespan through skilled, ethical and careful practice based on best evidence and prudent judgement, and to develop and disseminate disciplinary knowledge through research and scholarship. Higher Diploma in Mental Health Nursing Programme Outcomes The post-registration Higher Diploma in Mental Health Nursing is an intense twelve-month programme leading to registration as a Psychiatric Nurse with the Nursing and Midwifery Board of Ireland (NMBI). As a Level 8 course, the programme represents a challenging yet rewarding path to becoming a mental health nurse. Regular assessment will help students to keep abreast of the new knowledge, skills and competencies required for success. This exciting Higher Diploma prepares you to meet the mental health needs of individuals and their families in the 21st century. You will learn to engage with those experiencing mental distress or illness, as well as their families, in a positive and collaborative way, empowering them to cope and recover. The nursing graduates of the Higher Diploma in Mental Health Nursing will: Demonstrate the acquisition of theoretical principles, national and international frameworks, policies and therapeutic modalities underpinning mental health nursing. Utilise their acquired knowledge to responsibly deliver high quality, skillful, safe, legal and accountable care to clients. Be able to engage in meaningful, effective, therapeutic and person-centered communication with recipients of mental health care in a range of settings. Engage in respectful and ethical collaborative practice with clients and with colleagues of all disciplines. Continuously develop learning, including self-awareness, as a necessary process in the context of their professional and personal self-development, self-care, resilience and the development of professional scholarship. Apply evidence from the critical appraisal of research to deliver evidence based practice in mental health nursing care. Apply leadership, management, teamwork and organizational skills for the promotion of mental healthcare delivery. UCD SNMHS Higher Diploma in Mental Health Nursing 2017 9
Programme Structure, Modules and Credits Programme Structure From To Theory 16/1/17 12/2/17 Clinical Practice 13/2/17 16/4/17 Annual Leave 17/4/17 23/4/17 Theory 24/4/17 21//17 Clinical Practice 22//17 27/8/17 Annual Leave 28/8/17 3/9/17 Theory 4/9/17 24/9/17 Clinical Practice 2/9/17 24/12/17 Annual Leave 2/12/17 8/1/18 Theory 9/1/18 1/1/18 Modules and Credits NMHS 3260 Recovery Based Frameworks NMHS 32600 Specific Populations NMHS 3290 National Legislation, Leadership and Regulation in Mental Health NMHS 3280 Acute Mental Health and Illness NMHS 3270 Therapeutic Interventions NMHS 320 Psychosocial interventions for people with severe and enduring mental illness NMHS 32630 Clinical modules 1 A NMHS 3260 Clinical module 1B MAY EXAM BOARD NMHS 3260 Clinical Module 2 A NMHS 32660 Clinical Module 2 B SEPTEMBER EXAM BOARD NMHS 3240 Evidence Based Practice for Mental Health Nursing NMHS 32620 Quality and Safety in Contemporary Mental Health Nursing Practice NMHS 3270 Therapeutic Interventions NMHS 320 Psychosocial interventions for people with severe and enduring mental illness NMHS 32670 Clinical Module 3 A NMHS 32680 Clinical Module 3 B JANUARY EXAM BOARD Total Credits 10 10 10 (one year module) 10 (one year module) (one year module) (one year module) 90 ECTS UCD SNMHS Higher Diploma in Mental Health Nursing 2017 10
Attendance Strategy Students are required to attend all lectures and clinical modules to meet the UCD and NMBI standards in order to graduate with a Higher Diploma in Mental Health Nursing. A record of attendance is maintained for each individual placement and all absenteeism will be monitored. Clinical time must be completed in full before students are signed off as having fulfilled the programme requirements. In addition, HSE Sick Leave Policy and National Guidelines are to be followed. Students need to make themselves familiar with the attendance policy of their allocated placement. Where a student is unable to attend for duty they must contact the clinical nurse managers of the relevant unit or centre, the CPCs, and mental health nursing administration/ ADON in the sponsoring CHO centre (see contact numbers on page 18). Accumulation of days-off in block periods is not acceptable for educational reasons. All time owing will be repaid at the end of the programme. Annual leave days may not be used to repay time owed. Annual Leave Entitlement Students will be entitled to a total of 24 (twenty four) days annual leave in respect of the calendar year, starting on the first day the course commencing 16 th January, 2017. The annual leave year will run from the 16 th January 2017 to the 1 th January, 2018. All annual leave must be taken over the 12 month period as allocated. Four weeks of annual leave is fixed throughout the year. Annual leave (4 days) outside of this dedicated time may be taken as single days during core placements only, in accordance with service need with the agreement of the Clinical Nurse Manager (CNM) and the CPCs for Higher Diploma must be informed. Reporting Relationships The Higher Diploma student is accountable on clinical matters to the CNM2 and preceptor. He or she is professionally accountable to the Area Director of Nursing of the sponsoring agency and also to the Nurse Practice Development Coordinator for the Higher Diploma. Assessment Strategy Theoretical and clinical assessment is directly linked to programme outcomes. There is continuous assessment across the programme linking theory to practice. Portfolio work carried out during clinical placements is part of the assessment of theoretical modules. All assignments are submitted online to Blackboard. The clinical assessment tool for the Higher Diploma in Mental Health Nursing is the Domains of Competence Assessment Tool (DoCAT ). Presentation of Domains of Competence Assessment Tool The Domains of Competence Assessment Tool is presented to the personal tutors on return to UCD at commencement of theory blocks. A copy of the Record of Attendance sheet is to be photocopied and given to the personal tutor at this meeting. These photocopied records are given to and kept by the Nurse Practice Development Coordinator for the purpose of meeting NMBI Standards and Requirements. UCD SNMHS Higher Diploma in Mental Health Nursing 2017 11
Clinical Modules Students will experience a variety of placements with site specific learning outcomes. While on placement students will follow the roster of the designated clinical area. Clinical environments present varied learning experiences and students are encouraged to avail of these learning opportunities to maximize and refine clinical skills. Higher Diploma students must take responsibility for directing their own education through interaction with their preceptor and other staff. It is important that each Higher Diploma nursing student adheres to the NMBI Scope of Nursing and Midwifery Practice Framework (201) and takes responsibility for his or her actions. Higher Diploma students form part of the staff compliment while on core placements and are supernumerary whilst on specialist placements. On all clinical placements, documentation, including medication records must be countersigned by a Registered Psychiatric Nurse. There are 36 weeks of clinical placement within the Higher Diploma in Mental Health Nursing. There is no night duty or protected reflective time. On commencement of the programme, students will receive their clinical placement allocations for the year. Students are advised to contact the clinical sites in the week prior to commencement of placement regarding local uniform policy, rosters, parking and access to sites. Mandatory and statutory training will be scheduled prior to commencement of clinical placements. Progression on Clinical Placements Students undertaking the Higher Diploma in Mental Health Nursing are entitled to two attempts in clinical placements and are then ineligible to continue in the nursing programme. Repeat placements are at the end of the programme. Students who require a subsequent third attempt may apply to the Programme Board. This subsequent attempt will be at the discretion of the Programme Board. Meeting Schedule for Clinical Assessment During each clinical placement, three formal meetings will take place with the Higher Diploma student and their preceptor or co-preceptor. The initial meeting will focus on the student s learning needs and goals and potential learning opportunities will be identified. At the initial meeting, a date will be agreed to conduct the intermediate meeting as this is a critical point of the assessment process. The focus of the intermediate meeting will identify whether the student is achieving competencies and linking theory to practice. Any issues or concerns need to be addressed during the intermediate meeting and any areas for improvement recorded with related learning plan in the Intermediate Learning Plan page in the DoCAT. The Higher Diploma student and his or her preceptor is encouraged to use the support of their designated CPCs and Clinical Tutors throughout the clinical placement. The final meeting and assessment takes place in final week of UCD SNMHS Higher Diploma in Mental Health Nursing 2017 12
the placement and the student is deemed to either pass or fail. In the event of Higher Diploma student having difficulties meeting standards during a clinical placement, please refer to the UCD Difficulties Meeting Standards Protocol (Appendix 2 in DoCAT). Preceptorship Preceptorship in nursing is a one-to-one educational relationship between a registered nurse and a nursing student for the purpose of clinical practice learning and development. The Clinical Nurse Manager is responsible for preceptor and co-preceptor allocation upon commencement of each placement. As the student progresses through his or her placements and programme, supervision may gradually move from direct supervision to indirect and distant supervision as appropriate. As per Domain One Professional and Ethical Practice, the student must determine his or her own scope of practice using the NMBI Scope of Nursing and Midwifery Practice Framework. The Higher Diploma nursing student does not work in isolation or be placed in or delegated situations where he/she may be required to function beyond his/her level of educational preparation, competence and scope of practice. Candidate Registration Students shall apply to the Nursing and Midwifery Board of Ireland to have their names entered on the Candidate Register on commencement of the Higher Diploma programme. Mechanism for temporary interruption A student seeking a temporary interruption on the programme i.e., maternity leave, sick leave, parental, compassionate and special leave, must request/ notify the sponsoring area Director of Nursing or delegate and the Dean and Head of UCD School of Nursing Midwifery and Health Systems. UCD SNMHS Higher Diploma in Mental Health Nursing 2017 13
Notification of withdrawal To withdraw officially from this programme, the student must return his/her student card and notify the following personnel in writing: Head of UCD School of Nursing, Midwifery and Health Science Programme director, School of Nursing Midwifery and Health Science, UCD Sponsoring Area Director of Nursing Nurse Practice Development Coordinator of HDip programme. Registration Office, UCD, stating date of withdrawal. Educational Technology A variety of methods of educational technologies will be utlised during this programme and students are encouraged to avail of the support of the educational technologist within the UCD School of Nursing Midwifery and Health Systems. Aoife.mccormac@ucd.ie Access for students with disability All students with a disability in UCD have the opportunity to receive supports. To receive these supports students are invited to register with UCD Access & Lifelong Learning. Students already registered for support who have a query should email disability@ucd.ie. UCD SNMHS Higher Diploma in Mental Health Nursing 2017 14
Useful links to UCD, HSE, MHC and NMBI policies and guidelines UCD Academic Regulations http://www.ucd.ie/registry/academicsecretariat/docs/academic_r.pdf Extenuating Circumstances Policy http://www.ucd.ie/registry/academicsecretariat/extc.htm Student Desk http://www.ucd.ie/students/ UCD Disability Guidelines http://www.ucd.ie/all/supports/disabilitysupport UCD Maps http://ucdestates.ie/information/ucd-maps/ UCD Student Union http://www.ucd.ie/students/guide/studentsunion.html UCD Student Societies http://www.ucd.ie/students/guide/societies.html Dignity and Respect Policy http://www.ucd.ie/t4cms/ucd%20dignity%20&%20respect%20policy.pdf HSEland https://www.hseland.ie/dash/account/login HSE Policies and Procedures There are mandatory and statutory training requirements as well as recommended training in a variety of areas related to mental health nursing. A list is provided to each student. Mental Health Commission http://www.mhcirl.ie/ There are mandatory and statutory training requirements as well as recommended training in a variety of areas related to mental health nursing. A list is provided to each student. NMBI Code of Professional Conduct http://www.nmbi.ie/nmbi/media/nmbi/publications/code-of-professional-conduct-and- Ethics.pdf?ext=.pdf Scope of Nursing and Midwifery Practice Framework http://www.nmbi.ie/nmbi/media/nmbi/publications/scope-of-nursing-midwifery-practice- Framework.pdf?ext=.pdf UCD SNMHS Higher Diploma in Mental Health Nursing 2017 1
NMBI Guidance to Medication Management http://www.nmbi.ie/nmbi/media/nmbi/publications/guidance-medicines- Management.pdf?ext=.pdf NMBI Recording Clinical Practice: Professional Guidance http://www.nmbi.ie/nmbi/media/nmbi/publications/recording-clinical-practice-professionalguidance.pdf?ext=.pdf Guidance to Nurses and Midwives on Social Media and Social Networking http://www.nmbi.ie/nmbi/media/nmbi/publications/guidance-to-nurses-midwives-on-social- Media-Social-Networking.pdf?ext=.pdf NMBI Quality Clinical Learning Environment: Professional Guidance http://www.nmbi.ie/nmbi/media/nmbi/publications/quality-clinical-learning-environmentprofessional-guidence.pdf?ext=.pdf UCD SNMHS Higher Diploma in Mental Health Nursing 2017 16
Contact Details for Higher Diploma Mental Health Nursing Students Nurse Practice Development Unit Deirdre MacNeill NPDC 086-8209217 deirdre.macneill@hse.ie Thomas Glynn CPC 086143887 thomas.glynn@hse.ie Preeti John CPC 086143886 preeti.john@hse.ie Mental Health Services Nursing Admin/ADON Phone no CPC Allocation Dublin South East Mental Health Services 0874162764 Preeti John Wicklow Mental Health Services 01-201170 Preeti John National Forensic Mental Health Service 01-217429 Thomas Glynn Dublin South Central-Tallaght Services 0872316398 Preeti John Dublin South Central-St James s Hospital 087-908321 Thomas Glynn Kildare Mental Health Services 04-84978 Thomas Glynn North Dublin Mental Health Services 01-8836033 Thomas Glynn Dublin North City Mental Health Services 0872367419 Thomas Glynn St.Joseph s MHID Services, Dublin North 01-8836426/7 Thomas Glynn Child and Adolescent Mental Health Services (CAMHS) 087-4006788 Thomas Glynn UCD SNMHS Higher Diploma in Mental Health Nursing 2017 17