Homework for today… Future Nurse: standards of proficiency for Registered Nurses (NMC, 2018)

So scholarship for today was to read the new ‘Standards of Proficiency…’, which I must admit, I have been looking forward to! (No honestly, I was curious!)

As someone who thinks in pictures, I use mind maps to highlight areas for further research/reading and decided to share my map using it to highlight new areas that I look forward to developing in the 2019 curriculum…

I guess this is the ‘new blue print’ for nursing and outlines what the foundations of the new ‘Architecture of Nursing’ need to support… New rooms and experiences that previously students were not ‘insured’ or allowed to enter, so I wonder if that will put the liability and building insurance up?!

The outcomes give us new windows into what we have said we need from new registrants, and the competence required for safe practice. Anythoughts on priorities would be most welcome, so that we can balance the curriculum for students who already have a lot in their minds….. I like the thought that they need to recognise vulnerability in themselves and others….

Sarah Adrienne

The Architecture of Nursing: New NMC standards, what do we want to achieve?

As part of my level 7 cpd for H819 (The Critical Researcher) I am interested to read the ideas posed by Cross (2018). With the ‘new’ NMC standards for Education, CHANGE is on my mind…

Cross poses three points of reference:

Change as progression of ideas V Disruptive thinking because old paradigms don’t serve us. Are the old paradigms of nursing outdated, if so, why are the new standards not more radical?!!!
What are we trying to achieve? In reviewing how we make changes to nurse training and the underpinning ‘givens’ that ensures patient safety in the 21st century, what competencies and ways of thinking do we need our newly qualified Registrants to develop?
What will be the significance of any change: real or an illusion? How can we actually manage the changes in practice, as well as in Education, if evidence of the impact of new ways of working are scarce? Time is often spent on recruiting and delivering nursing curriculum, which can get in the way of ‘producing the evidence’ for changing practices and ways of thinking…..

All thought gratefully received!

Sarah

Educating the nurses of 2025: Technology trends of the next decade (Risling, 2017)

Educating the nurses of 2025 considers nurses to be key in leading eHealth and mHealth innovations in a rapidly changing Healthcare arena and highlights the need for Nurse Educators to Lead the revolution!

What will our ‘Nurses’ Station’ of the future look like? Nagel et al (2016) also highlighted the potential care delivery in a ‘virtual world’ and the need for nurses to be able to form supportive relationships with their ‘virtual patients’. They considered that is is vitally important for nurses to be able to manage ‘disparate and disconnected’ information in understanding the holistic picture of a patient, to enable safe care when using technology for health……

‘Nursing Work’ by J. Jackson

So what does the modern nurse do? Jackson, in her twitter post http://jenniferjacksonrn.org/nursing-work/

plotted the development of nursing ‘work’ through the last century and into the 21st century. It makes interesting reading and I would say look out for her publications about the topic in the coming months.

She talks about the way we train nurses to undertake the ‘physical’ aspects of caring – and suggests that is how policy makers plan for their population, but emphasises the need for focus on ’emotional labour’ and the importance of ‘organisational labour’ for the modern nurse. So where does ‘Online labour’ fit in? Is that caring, or organisational ‘labour’? Many of the paradigms that she explored are more than 10 years old, so where next?

As a profession, I would say that we need to review the terminology that we use to describe what we do, and what our values are…. We have the 6 Cs…. and Leadership (NMC) But I think we need a new ‘picture’….

Any thoughts gratefully debated!!!

Sarah Adrienne

Empowering and engaging learners (JISC, 2018)

As I embark on further study to enhance my knowledge of eHealth and Digital literacy, I will be using many of the JISC resources. I am interested in how I can work with students as researchers in exploring what skills eHealth requires from our 21st century registered nurses….

https://www.jisc.ac.uk/guides/enhancing-the-digital-experience-for-skills-learners/empowering-and-engaging-learners

“Investigating students’ expectations of the digital environment”

https://digitalstudent.jiscinvolve.org/wp/skills-study/key-outputs/

Anniecoops

via Are you digitally ready?

So my answer is I am very ready, but I don’t know where to start!

I too trained around the same time…..

So am I:

change positive: yes, but I am also learning to negotiate the change with others!

curious: I have been researching this for a while now, which is why I am starting to collect ideas in this blog….

relentlessly focussed on improvement: I used to be, but am more curious when feeling resilient….

resilient: not so sure of this, how can we support each other more?!

and an ace networker: with practice and courage, yes!

Does that describe you?

Thank you for asking, Annie, what next?!!

Sarah Adrienne

The future of Nursing?

“Nurses: The way the profession is changing”

By Alex Therrien (2018)

Interesting to see the views of the BBC starting to look at the positive side of the modern nurse, but some of my colleagues feel that we are going away from the ‘Care’ side of Nursing…. The article considers how nursing is changing to involve managing our own ‘services’ including minor surgery and prescribing….

Nurse specialists nurse in ‘extended’ and specific ways and change the way that a group of service users experience care, but they are still accountable for all the care that their caseload receives.

So where does the caring begin and end, and how can we develop a ‘Nursing’ workforce where care is given through a team approach, but that acknowledges the accountability that each nurse plays? Where does registered Nuring sit, and how can we afford them, and attract the caring professionals back onto the wards?

Where should we ‘time’ travel to find the answers….

First blog post

So, I am starting my journey as an Nursing Architect….. This is my first post and I guess I need to give a definition of the role!

If you surf the net, you will find references to ‘designing buildings’ for people and processes… or in Computing, it is considered to be to ‘design and configure’ a system (Google Dictionary, 2017)

What if we were to develop nurses, who are able to ‘design and configure’ systems, or develop care spaces for those who need our services? I am tinking that as we become more experienced and specialised, Nursing develops from the important, but simple aspect of caring for those who are within our ‘duty of Care’ to managing systems and increasing complexity. We have tools for managing and leading, but what of the tools for strategic planning for the future?

Working together and undertaking social media activities as a ‘Networked Practitioner’ across social online spaces is something that I have been developing through scholarship #H818. Thus I intend to develop this space to collect my ideas and inspirations: I hope you feel able to contribute over time.

My passion for blended and accessable transportable learning and teaching has led me to some topics of interest surrounding the way we are starting to use technology and nursing, and the skills we will need in order to keep up and engage with our patients. If people can order their shopping online, research and book a holiday; give feedback and record their own life stories via social media, then how can we make healthcare communication and delivery easier?

So what do you know about:

And how does that relate to what we are preparing for now? The NMC have produced guidance on what we should be teaching, but skills change every day and not all nurses will be able to supervise some of the ‘tasks’ laid out for consultation. How can we ‘future proof’ this?

So I return to my original analogy of building a house….. Not a totally new idea, as it is one that my colleagues over the years have used, but it helps me to consider Nursing from a different perspective.

The blue prints need to make assumptions about the type of foundations that we need to have, and create ‘spaces’ and ‘enhanced’ entreprenurial skills and systems. As in Technology, how can we enable systems, teams and people to communicate clearly easily and effectively? How can we deal with information overload and ‘Big Data’ generated everyday in healthcare. How can we use technology to enhance safe care?

How can we design ‘rooms’ for specific types of nursing activity and changing roles within nursing. Registered Nursing is less about direct care and more about taking accoutability for the care given by others…..

Specialist Nurses are working as consultants, care co-ordinators and in strategic Leadership roles…. Is this greater that 20th Century requirements?

All I seem to have are questions…. So I have a long way to go!