*** PLEASE COMPLETE THE APPLICATION FORM FULLY, CV'S ARE NOT ACCEPTED*** The post holder's practice is based on developing a higher level of capability across the six domains of competences as defined by Bord Altranais agus Cnáimhseachais na hÉireann Advanced Practice (Nursing) Standards and Requirements (NMBI ****)
The domains are:
Professional Values and Conduct Clinical-Decision Making Knowledge and Cognitive Competences Communication and Interpersonal Competences Management and Team Competences Leadership and Professional Scholarship Competences Domain 1: Professional Values and Conduct Standard 1
The RANP/CANP Neurology – Epilepsy will gain increased competence in applying ethically sound solutions to complex issues related to individuals and populations by:
Demonstrating accountability and responsibility for professional practice as a lead healthcare professional in the Neurology – Epilepsy Services Collaborating with his/her supervisor and local stakeholder group to scope the caseload and scope of practice for the RRANP/CANP/CRANP/CANP Neurology – Epilepsy Collaborating with his/her supervisor and local stakeholder group to determine the inclusion criteria for the RRANP/CANP/CRANP/CANP Neurology – Epilepsy Collaborating with his/her supervisor and local stakeholder group to determine the exclusion criteria for the RRANP/CANP/CRANP/CANP Neurology – Epilepsy Articulating safe boundaries and engaging in timely referral and collaboration for those areas outside his/her scope of practice, experience, and competence by establishing, in collaboration with key stakeholders, referral pathways and locally agreed policies, procedures, protocols and guidelines to support and guide the RRANP/CANP/CRANP/CANP Neurology – Epilepsy service Demonstrating leadership by practising compassionately to facilitate, optimise, promote and support the health, comfort, quality of life and wellbeing of persons whose lives are affected by altered health, chronic disorders, disability, distress or life-limiting conditions.
Selecting a professional practice model that provides him/her latitude to control his/her own practice, focusing on person centred care, interpersonal interactions and the promotion of healing environments The chosen professional practice model for nursing will emphasise a caring therapeutic relationship between the cRANP/CANP/RRANP/CANP/CRANP/CANP Neurology – Epilepsy and his/her patients, recognising that cRANP/CANPs/RRANP/CANP/CRANP/CANPs work in partnership with their multidisciplinary colleagues2 Articulating and promoting the advanced practice nursing service in clinical, political and professional contexts for example presenting key performance outcomes locally and nationally; contributing to the service's annual report; participating in local and national committees to ensure best practice as per the relevant national clinical and integrated care programme.
Domain 2: Clinical-Decision Making Competences Standard 2
The RANP/CANP NEUROLOGY – EPILEPSY will enhance his/her advanced knowledge, skills, and abilities to engage in senior clinical decision-making by increasing his/her capability to:
Conduct a comprehensive holistic health assessment using evidenced based frameworks, policies, procedures, protocols and guidelines to determine diagnoses and inform autonomous advanced nursing care Synthesise and interpret assessment information particularly history including prior treatment outcomes, physical findings and diagnostic data to identify normal, at risk and subnormal states of health Demonstrate timely use of diagnostic investigations / additional evidence-based advanced assessments to inform clinical-decision making Exhibit comprehensive knowledge of therapeutic interventions including pharmacological and non-pharmacological advanced nursing interventions, supported by evidence-based policies, procedures, protocols, and guidelines, relevant legislation, and relevant professional regulatory standards and requirements Initiate and implement health promotion activities and self-management plans in accordance with the wider public health agenda Discharge patients from the service as per an agreed supporting policy, procedure, protocols, guidelines and referral pathways Domain 3: Knowledge and Cognitive Competences Standard 3
The RANP/CANP NEUROLOGY – EPILEPSY will actively contribute to the professional body of knowledge related to his/her area of advanced practice by enhancing his/her capability to:
Provide leadership in the translation of new knowledge to clinical practice (for example teaching sessions; journal clubs; case reviews; facilitating clinical supervision to other members of the team) Educate others using an advanced expert knowledge base derived from clinical experience, on-going reflection, clinical supervision and engagement in continuous professional development Demonstrate a vision for advanced practice nursing based on service need and a competent expert knowledge base that is developed through research, critical thinking, and experiential learning Demonstrate accountability in considering access, cost and clinical effectiveness when planning, delivering and evaluating care (for example key performance areas, key performance indicators, metrics).
Domain 4: Communication and Interpersonal Competences Standard 4
The RANP/CANP NEUROLOGY – EPILEPSY will negotiate and advocate with other health professionals to ensure the beliefs, rights and wishes of the person are respected by gaining increased competence and capability to:
Communicate effectively with the healthcare team through sharing of information in accordance with legal, professional and regulatory requirements as per established referral pathways Demonstrate leadership in professional practice by using professional language (verbally and in writing) that represents the plan of care, which is developed in collaboration with the person and shared with the other members of the inter-professional team as per the organisation's policies, procedures, protocols and guidelines Facilitate clinical supervision and mentorship through utilising one's expert knowledge and clinical competences Utilise information technology, in accordance with legislation and organisational policies, procedures, protocols and guidelines to record all aspects of advanced nursing care.
Domain 5: Management and Team Competences Standard 5
The RANP/CANP NEUROLOGY – EPILEPSY will manage risk to those who access the service through collaborative risk assessments and promotion of a safe environment by:
Promoting a culture of quality care Proactively seeking feedback from persons receiving care, families and staff on their experiences and suggestions for improvement Implementing practice changes using negotiation and consensus building, in collaboration with the multidisciplinary team and persons receiving care.
Domain 6: Leadership and Professional Scholarship Competences Standard 6
The RANP/CANP NEUROLOGY – EPILEPSY will lead in multidisciplinary team planning for transitions across the continuum of care by enhancing his/her competence and capability to:
Demonstrate clinical leadership in the design and evaluation of services (for example findings from research, audit, metrics, new evidence) Engage in health policy development, implementation, and evaluation (for example key performance indicators from national clinical and integrated care programme/HSE national service plan/ local service need to influence and shape the future development and direction of advanced practice in Neurology – Epilepsy
Identify gaps in the provision of care and services pertaining to his/her area of advanced practice and expand the service to enhance the quality, effectiveness and safety of the service in response to emerging healthcare needs Lead in managing and implementing change.
Advanced Practice Performance Management and Evaluation Performance Indicators (PI's) are required to evaluate nursing interventions and implement initiatives to improve quality and quantity of the nursing care provided.
They should have a clinical nursing focus as well as a breakdown of activity, including patients seen and treated.
In addition, they identify areas of good practice that must be recognised and celebrated (HSE ****).
The Department of Health *****) Framework for National Performance Indicators for Nursing and Midwiferyprovides a guiding framework for the development of Nursing and Midwifery PI's.
In collaboration with the Director of Nursing, the RANP/CANP will identify and develop Nursing PI's for their area of practice, collect and collate data which will provide evidence of the impact and effectiveness of the interventions undertaken.
The RANP/CANP will evaluate audit results and research findings to identify areas for quality improvement in collaboration with nursing management and multidisciplinary team colleagues (primary and secondary care).
Professional / Clinical The RANP/CANP NEUROLOGY – EPILEPSY will practice nursing according to:
· Professional clinical guidelines
· National Health Policy.
· Local policies, procedures, protocols and guidelines
· Current legislation
· Values for Nursing and Midwifery – Care, Compassion and Commitment (DoH, ****).
Education and Training The RANP/CANP NEUROLOGY – EPILEPSY will:
· Contribute to service development through appropriate continuous education, research initiatives, keeping up to date with nursing literature, recent nursing research and new developments in nursing practice, education and management.
Provide support and advice to those engaging in continuous professional development in his/her area of advanced nursing practice.