Developing a professional portfolio Elaine Whitton 1
Objectives identify the requirements of PREP in relation to registered nurses describe the functions of a professional portfolio describe the structure and content of a professional portfolio describe the skills required in putting one together 2
Revalidation is the process that allows you to maintain your registration with the NMC; builds on existing renewal requirements; demonstrates your continued ability to practise safely and effectively, and is a continuous process that you will engage with throughout your career. Revalidation is the responsibility of nurses and midwives themselves. You are the owner of your own revalidation process. 3 http://revalidation.nmc.org.uk/what-you-need-to-do http://www.nmc.org.uk/globalassets/sitedocuments/revalidation/ how-to-revalidate-booklet.pdf
Portfolio A portfolio is a private collection of evidence that demonstrates learning and development as well as a tool for planning future learning (CSP, 2001) 4
'A personal portfolio is a private collection of evidence which demonstrates the continuing acquisition of skills, knowledge, attitudes, understanding and achievement. It is both retrospective and prospective as well as reflecting the current stage of development and activity of the individual.' 5
'A portfolio is a purposeful collection of student work that exhibits the student's efforts, progress and achievements in one or more areas. The collection must include student participation in selecting contents, the criteria for selection, the criteria for judging merit and evidence of selfreflection.' 6
Portfolio/profile? Not interchangeable terms Profile = subset of a portfolio Portfolio = broad compilation of skills, knowledge, attitudes, understanding and achievement Profile is constructed from evidence selected from the portfolio for a particular purpose and for the attention of a particular audience 7
Profile A profile is an extraction of evidence from your portfolio for a particular purpose Your portfolio may be made up of a number of profiles You can extract profiles for different purposes/audiences 8
Functions of a portfolio 1. evidence of your personal expertise 2. account of your career 3. record of your learning and development 4. record of professional development 5. helps you to identify your learning needs and develop action plans (future planning) 6. a focus for organising your learning 7. to facilitate reflection on practice
What format should it take? Ring binder Electronic Commercially produced package 10
Developing a portfolio requires commitment and effort is an ongoing process done properly it is a useful tool shouldn t be a burden! 11
Your portfolio needs to show evidence of your: qualities achievements development ambitions Personal and professional 12
Professional portfolio Quinn identifies six main elements for portfolio content: factual information, e.g. qualifications, employment history self-appraisal of professional performance action plans and outcomes (SWOT analyses) record of formal learning record of informal or unstructured learning record of hours worked within three-year period between registrations. 13
For you: 1.CV 2.APEL documentation 3.Details of courses/experiences 4.Practice assessment documentation 5.Clinical skills passport 6.Records of tutorials with personal tutor 7.Reflective pieces/writing/records/critical incidents 14
and. 8. Observed visit records 9. Other evidence of achievements letters from patients testimonies 8. Learning summaries 9. Life sciences packages 10. Patient journeys 11. Mandatory session records 12. IP learning forms 13. Medicines proforma 15
Qualities of a personal portfolio Flexible Comprehensive Well-organised Concise Manageable Up-to-date Accessible Well-presented Accurate Relevant Accessible 16
Patient journeys Unit 1 = 2 patient journeys Aims: To offer students the opportunity to develop critical insights into the experiences that patients have as they navigate through the range of health care services To enable students to critically examine the role of nursing and nurses within the patient health experiences and evaluate the contribution 17
Patient journeys Identify 2 patients with your mentor s help Obtain the patient s consent Maintain confidentiality 18
Patient journeys Patient history Condition and diagnosis Normal anatomy and physiology Bio-psycho-social impact Assessment e.g. tools used, how undertaken Problems identified Care planned Evaluation of care Reflection 19
Interprofessional learning Complete 2 In conjunction with patient journeys Identify: which professionals were involved in the patient s care who made the referrals, and how they were made how well people worked together what was positive/less so about the experience reflect upon the impact of the referrals on the patient s care 20
PRPGDip Nursing (Adult) EU directives
EU Directives In order to meet the requirements of the EU Directives you must track your exposure to other branches of nursing and midwifery. Failure to do so may compromise your registration and your ability to work in the EU community.
Aims To develop a critical and reflective knowledge and understanding of the nature of the different fields of nursing and midwifery. To develop a critical and reflective knowledge and understanding of the knowledge, skills and attitudes required for future professional practice in relation to different patient groups.
Learning Outcomes Following completion of the open learning packages and by the end of the programme you will be able to demonstrate a critical and reflective knowledge of: the different perspectives of nursing the uniqueness of each of the fields of nursing and the difference between them the importance of professional and ethical practice in relation to the different client groups the different competency emphasis within and across the different branches of nursing the different philosophies and frameworks of care utilised in caring for different client groups the primacy of user and carer choice in contemporary health care services the specific skills relating to meeting the needs of different client groups in adult care delivery settings.
Mechanisms Taught sessions Directed packages Opportunistic exposure Reflection on Practice Progress meetings with mentors and personal tutors
Initial reflections Write 500 words on your current perception of the different patient groups Think about: understanding attitudes fears/hopes.
Work packages 1 for each field To be completed by unit 3 Practice Opportunity Provision Policy
Mental Health Caring for acutely confused post anaesthesia/sedation Caring for acutely confused post admission Caring for the anxious patient Caring for the patient with altered body image Any psychological aspects of care irrespective of setting Dependency issues e.g. alcohol and drugs Anxiety on admission/prior to investigations/operation Motivation issues Care of the self-harming patient Caring for clients who survive suicide attempts Care of the para-suicide Care of the confused patient Depression as a dual diagnosis with physical illness Special aspects of psychological care in terminal illness
Learning Disability Caring for patients with learning disabilities Empowerment issues Advocacy roles Role of carers Recognising particular needs of client group when admitted to an acute area.
Mother and Child Caring for patients who are pregnant/nursing mothers baby clinics Children of patients Practice nurse visits
Child Caring for children visiting relatives: A visitor arrives with a very young baby pre-immunisations A child wants to visit having just recovered from an infectious disease A young adult is admitted to the ward A child with a chronic condition has an acute exacerbation whilst visiting e.g. asthma, epilepsy Dietary advice for children Maintaining safety on the ward when children are visiting Health promotion issues teenage pregnancies, smoking, longterm implications of an unhealthy lifestyle Child protection issues, especially whilst on community placement Children as carers of parents Giving information to children regarding a patient s condition.
Recording exposure Brief overview of event in practice placement documentation to be signed by mentor 200 word reflection for each exposure
Consolidation by Unit 3 Portfolio review with personal tutor each unit Reflective sessions with lecturers of due regard 1000 word overall reflection on each field