career framework for sexual & reproductive health nursing

7/28/2019 Career Framework for Sexual & Reproductive Health Nursing

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Career Framework for Nursing in Sexual & Reproductive Health



3

Introduction 4

Level 5 - Practitioner Level* 7

Level 6 - Senior Level (Seual and Reproductive Health) 13

Level 7 - Advanced Practitioner (Seual and Reproductive Health) 21

Level 8 - Consultant Practitioner (Seual and Reproductive Health) 31

Appendices 39

Appendi 1 - Career Framework Model 40 Appendi 2 - Articulation of Career Framework with Scottish Credit

Qualification Framework 41 Appendi 3 - Higher Education Institutions offering Post-Registration Seual

and Reproductive Health Courses 42

Appendi 4 - Members of the Development Course 43

* Level 5 Practitioners need not work principally within a sexual and reproductive health setting however,aspects of their role will reflect Level 5 practice.

A Career Framework for Nursing in Sexual andReproductive Health

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4

IntroductionRationale

Modernisation and integration of services provideopportunities for nurses to lead on the design of

services and care delivery. Modernising NursingCareers (DOH 20061) is being taken forwardin Scotland under the auspices of “DeliveringCare, Enabling Health” (SEHD 20062), and hasprovided an opportunity to strengthen nursingcareers using the Career Framework for Health3 (Appendi 1) as an enabling tool. A number of Scottish initiatives such as the “The AdvancedPractice Toolkit” (2008)4 and the “Educationand Development Framework for Senior ChargeNurses” (2008)5 have used the NHS Career

Framework for Health to establish and sustainconsistent role benchmarks for professionalpractice.

Nurses6 are increasingly involved in the planning,delivery and evaluation of care to individualswithin a seual and reproductive health setting.This care will involve the management of comple emotional and physical conditions andas such requires advanced level communicationskills, clinical competence underpinned by

a sound education and research base anddelivered through strong and visible leadership.The development of this Career Framework for Nursing in Seual and Reproductive Healthwill assist senior nurses and service leadsidentify the practice and competence requiredto provide a high quality of care and allow for the benchmarking of eisting roles7. TheFramework will also inform nurses in their career progressions and in determining their

continuing professional development needs. Workforce planners and developers can use this

tool in decisions around capacity building withinthe Seual and Reproductive Health workforce.(Scottish Government 20088).

The development of this career frameworkwas facilitated by NHS Education for Scotlandand Quality Improvement Scotland using apartnership approach between the Special HealthBoards, Lead Seual Health Nurses and Higher Education Institutions. It responds to policyinitiatives such as “Delivering Care, Enabling

Health” (ibid) and “Better Health, Better Care”(Scottish Government 20079) which puts nursesat the forefront of service design and delivery,ensuring safe and effective patient centred care.

Structure

The Framework is comprised of templates whichmap progress through Levels 5-8 of the Career Framework for Health (Appendi 1), detailingthe sphere of responsibility/ role associated witha particular level, the key knowledge and skillsrequired and suggests eamples of applicationto the NHS Knowledge and Skills Framework10.The Career Levels in this Seual and ReproductiveHealth Framework do not directly “read” acrossto the Agenda for Change (AfC) pay bands asthe Career Framework has no direct link to pay.Four central themes : Leadership; Facilitation

4



5

9 The Scottish Government (2007) Better Health, Better

Care: Action Plan for NHS Scotland Edinburgh. Scottish

Government

10 Scottish Eecutive(2004) The NHS Knowledge and

Skills Framework (NHS KSF) and the Development and

review Process . Edinburgh . Scottish Government.

11 The Scottish Credit and Qualifications Framework: The

Level Descriptors. http://www.SCQF.org.uk

12 NHS Quality Improvement Scotland (2008)

Standards: Sexual Health Services :Standard 9

13 NHS Education for Scotland (2005) A Route toEnhanced Competence in Sexual and Reproductive

Health Nursing (Specialist Level) and A Route to

Enhanced Competence in Sexual and Reproductive

Health Nursing (2004) (Post-Registration pre-specialist

level).

14 RCN Competencies (2004) Sexual health

competencies: an integrated career and competency

framework for sexual and reproductive health nursing .

London.RCN

15https://tools.skillsforhealth.org.uk/competence/advancedSearch

of Learning: Research and Development andClinical Practice are used as organisers for each

level of practice. In the Level 7 and 8 templates,the themes reflect the key functions describedin the Advanced Practice Toolkit and these areadapted accordingly for Levels 6 and 5 to reflectthe scope of the role at these levels of practice.

Eamples are provided of appropriateeducational preparation including suggestedlevels of qualification as identified in the ScottishCredit and Qualifications Framework (SCQF11

Appendi 2). It is important to recognise that

practitioners need to incorporate new learningand skills required for seual health servicesat different levels of the SCQF, thus ensuringthat staff are adequately and appropriatelyprepared in order to support service delivery(NHS Quality Improvement Scotland 2008)12.Competency Frameworks such as the SpecialistLevel, and Post-Registration- pre-specialist levelcompetencies (NHS Education for Scotland2004,2005)13, Royal College of Nursing(2004)14,and Skills For Health15 can inform programmesof preparation and support the developmentalneeds of staff working at all levels in SpecialistSeual Health Services.

1 Department of Health, Social Services and Public

Safety (2006) Modernising nursing careers: setting the

direction. Belfast. DHSSPS

2 Scottish Eecutive Health Department (2006)

Delivering Care, Enabling Health: Harnessing the

Nursing, Midwifery and Allied Health Professions’

contribution to implementing Delivering for Health in

Scotland . Edinburgh. SEHD

3 Skills for Health.(2006) The Career Framework for

Health www.skillsfor health.org.uk

4 The Scottish Government (2008) Supporting the

Development of Advanced Nursing Practice-A Toolkit approach. Edinburgh. Scottish Government

5 The Scottish Government and NHS Education

for Scotland (2008) Education and Development

Framework for Senior Charge Nurses . Edinburgh. NES

6 Nurse is defined as an individual currently registered

on part 1 of the NMC register.

7 Scottish Government (2009) Health Workforce

Directorate: Communication providing Guidance on

the Career Framework for Health. Annees 1 -4 .11thMarch. Edinburgh. Scottish Government

8 Scottish Government (2008) Respect and

Responsibility: Delivering improvements in sexual health

outcomes 2008-2011.Action 3.6



6



7

7

Level 5

Practitioner Level



8

Career Framework Level 5 - Overview

8

Career Framework Level Central Themes Broad Sphere of responsibility/role

Minimum recommended– Professional/EducationRequirements

Examples of CoreEducational Themes

SCQF

LEVEL 5

Practitioner Level

1. Clinical Practice

2. Facilitation of Learning

3. Leadership

4. Research andDevelopment

• Deliver care as part of amultidisciplinary team

• Undertake personal andprofessional development

• Contribute to thesupervision of undergraduate/pre-registration nurses

• Registered on the Nursesor Midwives part of theNursing and MidwiferyCouncil register

• Educated to a minimumof Diploma Level.Working towards firstdegree in Seual andReproductive Health

• Working towards/Recognised PostRegistration Qualificationat degree level

• Mentorship preparation

• Contraception and Women’s Health

• Seually TransmittedInfections, Blood Borne Viruses and Non SeuallyTransmitted Infections

• Seual Health/Public Health (PN,Epidemiology, PolicyDrivers, Service Provision)

• Diversity• Seuality• Legal, Ethical, Religious

and Moral Issues• Research and Evidence

Based Practice• Reflective Practice

8-10



9

Career Framework Level CentralThemes

Aspects of Practice

Examples of Sphereof responsibility/role

Key Knowledge, Skillsand Behaviours

Examples of Educational Need

SuggestedLinks to KSF

LEVEL 5

Practitioner Level (Sexual

and Reproductive Health)

1. ClinicalPractice

• Appropriate andrelevant courses inassessed theory andpractice in seual andreproductive health

1.1 Demonstratedevelopingcompetence,and specialistclinical skillsin seual andreproductivehealth caredelivery andmanagementin all contets,appropriate toclients’ seualand reproductivehealth needs

Practitioner must workas part of a specialistseual and reproductivehealth team, using anddeveloping specialistknowledge and skills toprovide clinical care

Promote clinicalgovernance

Assume accountability andresponsibility for delivery of agreed specific aspects of care including:- Assessment, planningand defined areas of intervention, referral anddischarge

Improve health outcomes for individuals

Ensure delivery of safe

and effective care usingevidence informed practice

Work under direct/ indirectsupervision to provide e.g.asymptomatic, low riskseual health screening.,routine contraceptivesupply

A broad knowledgeand understanding of Seual and Reproductivehealth underpinned bytheoretical knowledgeand relevant clinicaleperience andcompetence

Knowledge andunderstanding of clinicalgovernance frameworkwithin own organisation

Assessment, planningand intervention,referral and dischargewhich meet Stage 4competencies in ARoute to EnhancedCompetence in Seualand ReproductiveHealth Nursing (Post-Registration pre-specialistlevel(NHS Education for Scotland (2004)1

Work with patient groupdirections

Additional specific clinicalcompetencies as requirede.g. cervical smear

Knowledge of range andneeds of vulnerable andhard to reach groups

Cervical screening theoryand practice

Core 1,2,34,5,6

SpecificHWB6,HWB7

Career Framework Level 5

1 NHS Education for Scotland (2004) A Route to Enhanced Competence in Seual and Reproductive Health Nursing (Post-Registration pre-specialist level) Edinburgh NES



10


Aspects of Practice





LEVEL 5

Practitioner Level (Sexualand Reproductive Health)

1.2 Promoteand influenceothers toincorporate non-judgemental,values-based

care into practice

Respect the dignity,wishes and beliefs of all patients involvingthem in shared decisionmaking and obtainingtheir consent

High level of awarenessof own values and beliefs. Adherence to the NMCCode (2008)Recognise and respectpeoples diversity,individual differencesand perspectives(Employability L5 P.11)2

Core 1,2,34,5,6

SpecificHWB6,HWB7

1.3 Work under direction withlimited freedomto eercisejudgementabout actionswhile acceptingprofessionalaccountability

and responsibility

Utilise critical thinkingto eplore and analyseevidence, cases andsituations in clinicalpractice. Draw on arange of sources inmaking judgementsguided by senior colleagues within

defined policies,procedures andprotocols.

Knowledge of legislation,policies,procedures ,protocols,professional regulationand codes of practice

Core 1,2,34,5,6

SpecificHWB6,HWB7


• NMC MentorshipProgramme

• Informationtechnology skills

Core 2

2.1 Developmentof knowledgeand skills in self,professionals

and clientsunderpinned bythe principlesof teaching andlearning

Identify own trainingneeds and some staff asdelegated

Participate in workbasedlearning- teaching,supervising andassessing Pre-Registrationstudents and in thedevelopment of ClinicalSupport Workers

Deliver Health Promotionand Education to clients

Presentation skills

Apply the principles of life-long learning.

Motivate, stimulate,encourage and facilitatethe learning process

Participate in actionlearning sets

Core 1,2,4,5

2 Skills for Health (2008) Employability Skills Matri for the Health Sector http://skillsforhealth.org.uk/page/career-frameworks



11


Aspects of Practice





in line with NHSEducation for ScotlandPost-Registrationpre-specialist levelcompetencies (NHSEducation for Scotland

(2004)

Evaluate the effectivenessof educational/traininginterventions

Core teaching skillsto support workplacelearning

Reflective practitioner

Core 1,2,4,5

3. Leadership 3.1 Team Work Work with others towardsachieving shared goals(Employability L5 P.11)

Contribute towardsthe achievement of the

team’s purpose andobjectives

Recognise diversity,individual differences andperspectives

Give and receive feedback in aconstructive manner

Motivation skills

Knowledge,

understanding andutilisation of KSF and it’sapplication

Core 1,2 and 4

3.2 ClinicalLeadership

Develop clinicalleadership skills e.ginfluencing, organisation,problem solving

In conjunction withsenior nurses, monitor and evaluate standards of care adhering to definedguidelines, policiesstandards and protocolsto ensure the delivery of a high standard of care

Responsible for aspects of clinical effectiveness

Develop organisationalskills

Foster skills in criticalthinking, analysis andevaluation

Develop skills of persuasion andinfluencing

Apply local policy,protocol and standards

Core 1,2,3,4,5Specific HBW6.7G6



12


Aspects of Practice





Participate in clinicalsupervision

Identify and challengepoor performance and

non-evidence basedpractice


4.1 Accessresearch/useinformationsystems andenable/support others touse informationsystems toimprove areas of practice

Participate in clinicalaudit to enhance themanagement of change

Contribute to thedevelopment of Localguidelines and policy

Observe and record dataas directed for clinical

trials and audits.

Knowledge of clinicalaudit and local NHSresearch governancepolicy

Literature searching skills Ability to access research/use information systems

Information TechnologySkills

• Research Awareness• Audit Skills

Core 4,5



13 13

Level 6Senior Level

(Seual and Reproductive Health)



14


14


Minimum Professional/Education Requirements

Examples of BroadEducational Themes

SCQF

LEVEL 6

Senior Level(Sexual and ReproductiveHealth)

1. Specialist Clinical Practice

2. Facilitation of Learning 3. Leadership


• Responsible for maintenance of highlevels of evidence basedclinical care

• Skilled effectivepractitioner within adefined area of specialistseual and reproductivehealth

• Manage/ supervise workof others

• Provide mentorship,assessment andpreceptorship

• Registered on the NursesPart of the Nursingand Midwifery Councilregister

• Educated to degree level

• Recognised Postregistration qualificationin Seual &Reproductive

Health with evidence of consolidation within thepast 5 years

• Non Medical Prescribing(V 400)


• Seually TransmittedInfections, Blood Bourne Viruses and Non SeuallyTransmitted Infections





9-10



15


Aspects of Practice





LEVEL 6

Senior Level(Sexual and Reproductive

Health)

1.SpecialistClinical Practice

• Appropriate andrelevant courses inassessed theory andpractice in seual andreproductive health

1.1 Demonstratespecialistcompetence,innovationand clinicalleadership inseual andreproductivehealth caredelivery andmanagementin all contets,

appropriate toclients’ seualand reproductivehealth needs

Practitioner must work aspart of a specialist seualand reproductive healthteam, using specialistknowledge and skills toprovide and enhanceclinical care

Promote clinicalgovernance

Assume accountability

and responsibilityand for delivery of whole episodes of careincluding:- Assessment and diagnosisintervention, referral anddischarge


Ensure delivery of safeand effective care using

evidence informedpractice

Work independentlyby virtue of specialistknowledge and skills e.g.Provision of Nurse onlyclinics

Detailed specialistknowledge of Seualand Reproductivehealth underpinned bytheoretical knowledgeand relevant clinicaleperience andcompetence


Assessment and diagnosisintervention, referral anddischarge which meetStage 4 competenciesin A Route to EnhancedCompetence in Seualand Reproductive HealthNursing Specialist Level1

Non medical prescribingor work with patientgroup directions

Additional specific clinicalcompetencies as required

Knowledge of range andneeds of vulnerable andhard to reach groups

Core1,2,34,5,6

SpecificHWB6,HWB7


1 NHS Education for Scotland (2005) A Route to Enhanced Competence in Seual and Reproductive Health Nursing (Specialist Level) NES



16


Aspects of Practice





LEVEL 6


1.2 Promoteand influenceothers toincorporate non-judgemental,values-based

care into practice

Respect the dignity,wishes and beliefs of all patients involvingthem in shared decisionmaking and obtainingtheir consent

High level of awarenessof own values and beliefs.

Recognise and respectpeoples diversity,individual differences

and perspectives(Employability L6 P.12)2

Core1,2,34,5,6

SpecificHWB6,HWB7

1.3 Worksindependentlyhas freedomto eercisejudgementabout actionswhile acceptingprofessionalaccountabilityand responsibility

Utilise critical thinkingto eplore and analyseevidence, cases andsituations in clinicalpractice. Draw on arange of sources inmaking judgements

Freedom to act but isguided by precedentand clearly definedpolicies, procedures andprotocols.

Manage team andresources to provide anethical service within thecontet of the currentlegal framework for seual and reproductivehealth care whileremaining accountable

for own professionalpractice


Core1,2,34,5,6

SpecificHWB6,HWB7

2.Facilitation of Learning

• Mentorship/PracticeTeacher

• Programme of preparation for clinicalsupervision


2 Skills for Health (2008) Employability Skills Matri for the Health Sector http://www.skillsforhealth.org.uk/page/career-frameworks



17


Aspects of Practice





LEVEL 6


2.1 Developmentof knowledgeand skills in self,professionalsand clientsunderpinned by

the principlesof teaching andlearning

Support the learningand development of some staff. Participatein the creation of alearning environmentthat ensures effective

learning opportunities for staff and studentsincluding:- appropriateorientation and inductionprogrammes;range of clinical supportstrategies (mentoring,coaching, clinicalsupervision and actionlearning) ;support ongoingmandatory training and

relevant educational/developmentopportunities(adapted from SCN p.10)3

Identify the trainingneeds of self and somestaff

Undertake PersonalDevelopment Planning asdelegated

Participation in theteaching, supervision andassessment of Pre andPost Graduate students


Presentation skills


Motivate, stimulate,

encourage and facilitatethe learning process

Participate in actionlearning

Core skills to supportworkplace learning

Reflective practitioner

Core 1,2,4,5Specific G1

3 The Scottish Government and NHS Education for Scotland (2008) Education and Development Framework for Senior Charge Nurses. Edinburgh. NES



18


Aspects of Practice





LEVEL 6


3. Leadership 3.1 ChangeManagement

Support themanagement of change.Participate in monitoringthe effectiveness andimpact of change

Leadership skills • Evidence of CPD inleadership

Core 1,2, 4,SpecificG6Specific IK2

3.2 TeamDevelopment

Act as a positive rolemodel

Contribute to andmanage some membersof a team by sharinginformation and epertise

Contribute towardsthe achievement of theteam’s purpose andobjectives

People management

Receptive to contributionof others

Give feedback in aconstructive manner

Motivation skills

Knowledge,understanding and

utilisation of KSF and it’sapplication


Core 1,2 and 4Specific G6


Promote teamworkwithin defined area of responsibility

In conjunction with

senior nurses, monitor and evaluate standards of care adhering to definedguidelines, policiesstandards and protocolsto ensure the delivery of a high quality service

Possess organisationalskills

Skills in critical thinking,analysis and evaluation

Report effectively for a range of complesituations and contets

Assess situations andidentify the root causesof a comple problem




19


Aspects of Practice





LEVEL 6


Responsible for aspects of clinical effectiveness

Promote/undertakeclinical supervision

Identify and challengepoor performance andnon-evidence basedpractice

Creativity and innovationin eploring andimplementing possiblesolutions

Evaluate solutions to

make recommendationsor decisions


• Research awareness• Audit skills• Research governance

awareness

IK2


Initiate audit to enhancethe management of change

Contribute to thedevelopment of Localguidelines and policyand where appropriate,Regional and National

Observe and recorddata using appropriatemethods, tools andtechnology for comple

audits or clinicaltrials or projects (SFHEmployability L6)

Participate in audit andresearch as appropriate

Critical appraisal andevaluation skills

Knowledge of clinicalaudit and local NHSresearch governancepolicy

Literature searching skills

Ability to access research/use information systems

Information Technology

Skills

Core 4,5Specific IK2



20



21 21

Level 7 Advanced Practitioner




22


Mimimum Professional/Education Requirements


SCQF

LEVEL 7

Advanced PractitionerSexual and ReproductiveHealth

1. Leadership2. Advanced Clinical Practice3. Facilitation of Learning4. Research

• Team leader withinspecialist seual andreproductive health team

• Responsible for a specificarea of service delivery

• Manage/supervise workof others

• Provide training, support

and supervision to staff

• Ensure the delivery of evidence informed careand participate in practicedevelopment


• Educated to degree level

• Recognised Postregistration qualificationin (S&RH) with evidenceof consolidation within

the past 5 years

• Evidence of workingtowards relevant Masterslevel Award

• Non Medical Prescribing V. 400

• Management/Leadership• Contraception and

Women’s Health• Seually Transmitted

Infections, Blood Borne Viruses and Non SeuallyTransmitted Infections





9-11


22



23


Aspects of Practice





LEVEL 7

Advanced Practitioner(Sexual and Reproductive

Health)


Assess, lead and managechange. Monitor theeffectiveness and impactof change

Change managementskillsLeadership skills

• Evidence of having undertakena LeadershipProgramme/CPDmodule

Core 1,2, 4, Spe-cificG6

1.2 Networking Network with peersacross professionalgroups promotingechange of knowledge,skills and resources Work in partnership witha range of clinicians andmanagers in planningdevelopment of ownservice, promotinginvolvement of patients/public

Negotiating andinfluencing skills

Advancedcommunication andinterpersonal skills

Core 1.2

1.3 Negotiatingand Influencing

Participate and influencelocal policy makingactivities which relate tothe sphere of professionalpractice by support anddeveloping lateral thinkingin self and others Advanced Practice Toolkit

(p. 70)1

Listen to, and understandcomple information bothimplicit and eplicit

Listen to, and appreciatethe compleity of a rangeof views, adopt effectivequestioning techniques

Respond appropriately toqueries and complaints,negotiate assertively andpresent a positive self imageDisplay a sensitive manner and use appropriatelanguage within a range of situations

Lead, persuade andinfluence others effectively(Employability Level 7 SkillsFor Health (SFH)2


1 Scottish Government (2008) Supporting the Development of Advanced Nursing Practice - A Toolkit Approach http://www.advancedpractice.scot.nhs.uk/home.asp2 Skills for Health (2008) Employability Skills Matri for the Health Sector http://www.skillsforhealth.org.uk/page/career-frameworks



24


Aspects of Practice





LEVEL 7

Advanced Practitioner(Sexual and ReproductiveHealth)

1.4 TeamDevelopment


Create a supportive ethosto empower seual andreproductive health staff

Contribute to, andmanage, members of a specialist seual andreproductive health teamby sharing informationand epertise

Contribute to deliveryof high quality – client/person centred seualand reproductive healthcare

Review strategicimpact/outcomesand effectiveness of interventions(Adapted from SFHEmployability Skills Level 7)

Deal with people,problems and situations(Employability Level 7SFH)

Receptive to contributionof others


Give feedback in aconstructive manner

Motivation skills

Knowledge,understanding andutilisation of NHS KSF

and it’s application

Core 1,2 and 4Specific G6


Provide leadership acrossorganisational teamsin improving patient focused care

Promote teamworkwithin defined area of responsibility

Responsible for clinicaleffectiveness

Promote/undertakeclinical supervision

Possess ecellentorganisational skills

Display skills in criticalthinking, analysis


Evaluate a variety of tetsand make judgementsbased on a range of comple facts, options,analysis and interpretation(Employability Level 7 SFH)




25


Aspects of Practice





LEVEL 7


Lead team delivery of aclinically ecellent highquality service in seualand reproductive health

Identify and challenge

poor performance andnon-evidence basedpractice

Assess situations andidentify the root causesof a comple problem

Creativity and innovationin eploring and

implementing possiblesolutions

Evaluate solutions tomake judgements withincomplete or limitedinformation

1.6 Political andstrategic aware-ness

Ensure that organisationalgoals are reflected inpersonal objectives.

In partnership with a

range of clinicians andmanagers demonstratethe ability to contributeto policy and strategydevelopment at adepartmental andorganisational leveland, where appropriate,national level(Adapted from Senior Charge Nurses (SCN)

Role Profile p.9)3

Develop and maintaina working knowledgeof local, national andprofessional strategy andpolicy. e.g. Respect and

Responsibility, HealthyRespect, Child Protectionguidelines and policies,Equalities legislation,SIGN Guidelines,Nursing policies, NMCRegulations

Core,1,2,3,4,5,6

2.AdvancedClinical Practice

• Appropriate andrelevant courses andtraining in seual andreproductive health

Core 2

3 The Scottish Government and NHS Education for Scotland (2008) Education and Development Framework for Senior Charge Nurses. Edinburgh. NES



26


Aspects of Practice





LEVEL 7


2.1 Demonstrateadvanced com-petence, innova-tion and clinicalleadership inseual and repro-

ductive healthcare delivery andmanagementin all contets,appropriate toclients’ seualand reproductivehealth needs

Practitioner must work aspart of a specialist seualand reproductive healthteam, using advancedknowledge and skills toprovide and enhance

specialist clinical care

Responsible for clinicalgovernance within adefined area

Assume accountabilityand responsibility and for delivery of whole episodesof care including:- Assessment and diagnosisintervention, referral anddischarge


Ensure delivery of safeand effective care usingevidence informedpractice

Practice with autonomyby virtue of advanced

knowledge and skills.

Highly developedspecialist knowledge of Seual and Reproductivehealth underpinned bytheoretical knowledge andrelevant clinical eperienceand competence


Assessment and diagnosisintervention, referral anddischarge which meetStage 4 competenciesin A Route to EnhancedCompetence in Seualand Reproductive Health

Nursing (SpecialistLevel(NHS Education for Scotland (2005)4

Non medical prescribing

Additional specific clinicalcompetencies as requirede.g. comple symptomatictesting and managing,IUCD fitting

Knowledge of range andneeds of vulnerable and

hard to reach groups

PGCE Core 1,2,4,5

4 NHS Education for Scotland (2005) A Route to Enhanced Competence in Seual and Reproductive Health Nursing (Specialist Level) NES



27


Aspects of Practice





2.2 Promote andinfluence othersto incorporatenon-judgemen-tal, values-basedcare into practice

Negotiate care withpatients/carers as an equalpartner. Puts the values,views and understandingof individual service usersand carers at centre of care ( Advanced PracticeToolkit )

High level of awareness of own values and beliefs.

Works in a positive waywith difference anddiversity(Advanced Practice Toolkit)

Core 1,2,34,5,6

SpecificHWB6,HWB7

2.3 Practiceautonomouslyhave freedomto eercisejudgementabout actionswhile acceptingprofessionalaccountabilityand responsibility

Utilise critical thinkingto eplore and analyseevidence, cases andsituations in clinical practiceenabling a high level of judgement and decisionmaking.(Adapted from(NES 2008)5

Freedom to act but isguided by precedent andclearly defined policies,procedures and protocols.

Manage professional andethical service deliverywithin a defined area and inthe contet of the currentlegal framework for seualand reproductive healthcare while remainingaccountable for ownprofessional practice

Knowledge of legislation,policies, procedures,protocols, professionalregulation and codes of practice

Core 1,2,34,5,6

SpecificHWB6,HWB7


• Managing the learningenvironment


• Information technologyskills

Core 2

5 NHS Education for Scotland (2008) Capacity Framework for the Advanced Practitioner: Nursing in the Community. NES



28


Aspects of Practice





3.1 Developmentof knowledgeand skills in self,professionalsand clientsunderpinned bythe principles

of teaching andlearning

Support the learning anddevelopment of all staff.

Create a learningenvironment thatensures effective learningopportunities for staff

and students including:-appropriate orientation andinduction programmes;range of clinical supportstrategies (mentoring,coaching, clinicalsupervision and actionlearning); planningongoing mandatorytraining and relevanteducational/developmentopportunities(adapted from SCN p. 10)

Identify the training needsof self and staff

Responsible for team PDP

Participate in the teaching,supervision and assessmentof Pre and Post Graduatestudents

Plan and deliver HealthPromotion and Educationto clients in line with

NHS Education for Scotland Specialist Levelcompetencies (NHSEducation for Scotland(2005)



Manage the learningenvironment

Motivating, stimulate,encourage and facilitate thelearning process


Core skills to supportworkplace learning

Reflection on, and, inpractice

PGCE Core 1,2,4,5



29


Aspects of Practice







Act as a change agent,developing clinicallyeffective practice through:-effective utilisation andintegration of evidence;setting, implementingand monitoring evidenceinformed policies,procedures and protocols(Adapted from SCN p. 9)

Contribute to the researchagenda through initiatingaudit/research

Critical appraisal skills

Knowledge of researchgovernance

Knowledge of clinicalaudit

Literature searching skills

Ability to access research/use information systems



30



31 31

Level 8Consultant Practitioner




32


Minimum Professional/Education Requirements


SCQF

LEVEL 8

Consultant PracticionerSexual and ReproductiveHealth

1. Leadership2. Facilitation of Learning3. Research and

Development4. Advanced Clinical Practice

• Act as a highly specialistclinical epert in the fieldof seual health

• Provide epert adviceNationally, Regionally andlocally

• Lead on nursingresearch in seual andreproductive health ,establishing relationshipsacross the NHS and with

HEIs• Take a lead role in

implementing local,regional and nationalstrategy.


• Educated to Master’s level• Recognised Post

registration qualificationin S&RH with evidence of consolidation within thepast 5 years

• Advanced Leadership/

Management Programme• Non Medical Prescribing

V400


• Seually TransmittedInfections, Blood Borne Viruses and Non SeuallyTransmitted Infections




Based Practice• Reflective Practice• Leadership and

management

11-12


32



33



Aspects of Practice





LEVEL 8

Consultant Practitioner

(Sexual and ReproductiveHealth)


Identify need for changeLead and managechange at a National and

Local level. Monitor theeffectiveness and impactof change

Change managementskillsLeadership skills

High level mentorship/critical companion

Core 1,2, 4,Specific IK2

1.2 Networking Network with a widerange of organisationsand individuals toshape and respond toPolicy and Strategy at aNational and Local level.Represent seual healthnurses widely nationally

and internationally

Influencing skills

Advancedcommunication andinterpersonal skills

Core 1 and 2

1.3 Negotiatingand Influencing

Participate and influenceNational and Local policymaking activities whichrelate to the sphere of professional practice bysupport and developinglateral thinking in self andothers. Advanced Practice Toolkit

(p. 70)1

Influence service planningusing research evidenceto improve and developservices

Listen to, and understandcomple information bothimplicit and eplicit

Listen to, and appreciatethe compleity of a rangeof views, adopt effectivequestioning techniques

Display a sensitive manner and use appropriatelanguage within a range of situations

Core 1,2,4,

1 Scottish Government (2008) Supporting the Development of Advanced Nursing Practice - A Toolkit approach http://www.advancedpractice.scot.nhs.uk/home.asp



34


Aspects of Practice





LEVEL 8

Consultant Practitioner(Sexual and ReproductiveHealth)

1.4 TeamDevelopment


Support teams intheir development by

developing networks andsharing information

Act as a criticalcompanion and mentor

People management

Contribute to the strategicmanagement of specialistseual and reproductivehealth teams by sharing

information and epertise


Motivation skills

Organisational skills

Core 1,2 and 4


Provide leadership

across professions and

organisational teams in

improving patient focusedcare

Contribute to the

strategic review of clinical

effectiveness

Ensure provision of clinical

supervision

Ensure delivery of a clinically

ecellent high quality

service in seual and

reproductive health.

Identify and challenge poor

performance and non-

evidence based practice

Possess ecellentorganisational skills

Display skills in critical

thinking, analysis andsynthesis


Readily use highlyspecialised theoreticaland practice knowledgeto think, gain and shareinformation,solve problemsand make decisions.

(Employability Level 8 SFH)

2

Assess situations andidentify the root causeof a comple problemin environments that areunfamiliar, comple andunpredictable and havemany interacting factors(Employability Level 8 SFH)

Core 1,2,3,4,5Specific HBW6.7

2 Skills for Health (2008) Employability Skills Matri for the Health Sector http://www.skillsforhealth.org.uk/page/career-frameworks



35


Aspects of Practice





LEVEL 8


1.6 Politicaland strategicawareness

Ensure that organisationalgoals are reflected in ownand others objectives.

Work collaboratively

across boundaries to raiseawareness of relevantpolicies, guidelines andstrategies and influencechange

Identify and act onopportunities to influencethe development of policyand guidelines

Respond to nationaland local requests

for document review(e.g.strategy, policyguidelines)

Maintain a workingknowledge of local,national and professionalstrategy and policy.

Critical reading skills,ability toanalyse and synthesiseinformation

Ability to interpret healthinformation ,statistics andresearch data

Core,1,2,3,4,5,6

2. Facilitator of Learning

• Managing the learningenvironment



Core 2Specific G1

2.1 Developmentof knowledgeand skills in self,professionalsand clientsunderpinned bythe principlesof teaching andlearning

Design, plan, implementand evaluate learningand developmentprogrammes

Work collaborativelywith Higher EducationInstitutions Work with stakeholders

Motivate, stimulate,encourage and facilitate thelearning process


Core skills to supportworkplace learning and



36


Aspects of Practice





LEVEL 8


to review and developappropriate seual healthprogrammes/training

Manage and develop thelearning environment

In response to strategy,policy and patientneed, plan and deliver educational interventionsat a local and nationallevel informed by trainingneeds analysis.


assessment

Reflective Practice

PGCE Core 1,2,4,5Specific G1

3. Research • Research methods• Audit skills• Research governance

awareness• Writing for Publication

IK2

3.1 Promoteand undertakenursing research

Work with colleagues toidentify areas for research

Build links with ResearchForums e.g. ResearchConsortia, HEIs

Participate in andcontribute to research,acting as principalinvestigator whereappropriate

Contribute to developmentand implementation of nursing research strategy

Present research findings

Knowledge of researchgovernance

Literature searching andreviewing skills

Ability to access research/use information systemsSkills in writing for publicationEcellent PresentationSkills

Core Core1,4,5,6Specific IK2



38 4 NHS Education for Scotland (2008) Capability Framework for the Advanced Practitioner: Nursing in the Community. Edinburgh. NES


Aspects of Practice





LEVEL 8


4.2 Promoteand influenceothers toincorporate non-judgemental,

values-basedcare into practice

Act as a championand role model for values based care andensure that professionaldevelopment and quality

improvement plansreflect the importance of this approach to care.

High level of awareness of own values and beliefs.

Works in a positive waywith difference and

diversity( Advanced Practice Toolkit

Core 1,2,34,5,6

SpecificHWB6,HWB7

4.3 Practiceautonomouslyhave freedomto eercisejudgementabout actionswhile acceptingprofessional

accountabilityand responsibility

Model and promotecritical thinking to eploreand analyse evidence,cases and situations inclinical practice enablinga high level of judgementand decision making.(Adapted from CapabilityFramework for the

Advanced Practitioner:Nursing in theCommunity (NES 2008)4

Manage professional andethical service deliverywithin the contetof the current legal framework for seualand reproductive healthcare while remainingaccountable for ownprofessional practice

Has freedom to act,guided by precedentand clearly definedpolicies,guidelines,protocols and procedures.Demonstrate ability toeercise advance levels of clinical decision making


Core 1,2,34,5,6

SpecificHWB6,HWB7



39 39

Appendices



40

Appendix 1

CAREER FRAMEWORK MODEL

Taken with Permission from the Scottish Government Health Workforce

Directorate “Guidance to NHS Boards on the Career Framework for Health”

11 March 2009 (Anne 2).

The diagram outlines the Career Framework Levels, the appropriate Clinical

level title (in brackets), a brief clinical level descriptor and, for illustration,

some possible non-clinical role eamples.

Note: This diagram at is a slight adaptation of the version on the Skills

for Health website and from the one formally launched in 2006. These

adaptations are simply to reflect generally recognised terms in Scotland,

which may differ from those used elsewhere in the UK (eg at level 4 we

have used the term assistant practitioner rather then assistant/associate

practitioner). They do not affect the substance of the Career Framework or

represent a departure from the Career Framework launched in 2006.



41

Appendix 2

ARTICULATION OF CAREER FRAMEWORK WITH SCOTTISH CREDIT AND

QUALIFICATION FRAMEWORK

Taken from Scottish Government Health Workforce Directorate “Guidance to

NHS Boards on the Career Framework for Health”11th March 2009. Anne 2,

a range of post-registration seual and reproductive health courses.

Note: The levels on the framework are indicative only. They can be broadly

linked to qualifications and SCQF levels but this will only be a rough guide –

there will be eceptions.

Learning required at each level will vary according to the occupational groups

into which the role falls and the KSF outline for each particular role. However,

in general, the following level(s) of qualification (in areas related to the work

being undertaken) might be epected for roles which appear at the same

level of the Career Framework.

The learning required for each role should be considered in conjunction withthe Career Framework level descriptors www.skillsforhealth.org.uk/page/

career-framework.

CAREER FRAMEWORK LEVEL INDICATIVE SCQF LEVELS ExAMPLE QUALIFICATIONS

Level 9 Level 11/12

Masters Degree

Doctorate

SVQ5

Level 8 Level 11/12

Masters Degree

Doctorate

SVQ5

Level 7 Level 11

Post Grad Certificate/Diploma

Masters Degree

Level 6 Level 9/10

Ordinary or Honours Degree

Graduate Diploma

SVQ 4

Level 5 Level 8-10

Diploma HE Ordinary or

Honours Degree

SVQ 4

Level 4 Level 7/8

HNC

HND

Level 3 Level 6/7

SVQ3

HNC

Level 2 Level 5/6

SVQ 2

Level 1

Induction Standards For

Healthcare Support Workers

(HCSW)



42

Appendix 3

Information on a range of seual and reproductive health courses available from Higher EducationalInstitutions can be obtained by accessing the web sites listed below:

Edinburgh Napier University

www.napier.ac.uk/fhlss/NMSC/cdp/StandAloneModules/Pages/StandAloneModules-Midwifery.asp

University of the West of Scotland

www.uws.ac.uk

Glasgow Caledonian University

www.caledonian.ac.uk/nmch

Email: [email protected]

Glasgow Caledonian University (Postgraduate link)

www.gcal.ac.uk/study/postgraduate/courses/p01053.html

University of Abertaywww.abertay.ac.uk/Courses/CDetails.cfm?CID=424&Key=004.003Short Courses: www.health.abertay.ac.uk/Courses/Course61.htm

Queen Margaret Universitywww.qmu.ac.uk

Robert Gordon Universitywww.rgu.ac.uk/nursing/courses/page.cfm?pge=26150;



43

Appendix 4

The development group for the career framework for Nursing in seual and reproductive health was facilitated byNHS Education for Scotland and comprised representation from the Lead Nurses for Seual Health in Scotland,NHS Health Scotland and Educational Providers who deliver post registration Seual Health Education.

Isla Barton Service Coordinator Tayside Seual and Reproductive Health Services

Lynn Chalmers Senior Nurse NHS Highland

Cathy Courtney FP Coordinator NHS Lanarkshire

Alison Craig Consultant Nurse Seual Health Lothian Family Planning Services

Lorna Docking Lead Nurse, GUM NHS Lothian

Lorraine Forster Head of Nursing The Sandyford, NHS Greater Glasgow and Clyde

Shirley Fraser Health Improvement Programme Manager NHS Health Scotland

Heather Gourlay Infection Control Adviser Scottish Prison Service

Nancy Graham Seual & Reproductive Health Module Leader Glasgow Caledonian University

Denise Gray Education Project Manager NHS Education for Scotland

Lora Green Lead Nurse Lothian Family Planning Services

Theodora Kwansa Lecturer University of Abertay Dundee

Margaret McArthur Seual Health Practice Development Nurse Stirling Royal Infirmary

Jackie McFadyen Senior Lecturer, Community School of Health University of West of Scotland

Eileen McKenzie Health Advisor Department of GUM, NHS Grampian

Julie McNutt Service Manager Aberdeen City CHP

Catriona Merry Seual Health Practice Development Nurse NHS Ayrshire & Arran

Martin Murchie Senior Seual Health Advisor The Sandyford, NHS Greater Glasgow and Clyde

Clodagh Ross Lecturer/Practitioner in Seual Health Edinburgh Napier UniversityMonica Thompson Programme Director NHS Education for Scotland

Janet Thompson Lecturer - Nursing and Midwifery The Robert Gordon University

Julia Trowell Lead Nurse for CASH Service The Beeches Centre, Forth Park Hospital, NHS Fife

David Wilson Senior Seual Health Adviser Coathill Hospital

Iolanda Serci Midiwfery Lecturer The Robert Gordon University



NHS Education for Scotland

Thistle House

91 Haymarket Terrace

Edinburgh EH12 5HE

Tel: 0131 313 8000

Fax: 0131 313 8001

Email: [email protected]

www.nes.scot.nhs.uk

career framework for sexual & reproductive health nursing

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