Nursing Leadership and Advancing Nursing Practice

Wendy Preston RN MSc RCN Head of Nursing Practice

Honorary Respiratory Nurse Consultant

Advanced Nurse Practitioner - OOH

@wendypresto

We will cover:

• Where are the standards for advanced roles and nursing within speciality

• Recognition of advanced practice

• Implications for nurse prescribers

• What support do nurse prescribers need

• Ensuring nurse prescribing practice is integral to service development

Nursing within a speciality

• Practice across all levels of nursing

• As practice has advanced independenct prescribers

• Scope of practice

• Practice guidance

• NICE/ SIGN

• Speciality specific e.g BTS

• Setting specific

• Peer support e.g. RCN Forums

• Websites/ closed facebook pages

Forum membership

Are you signed up to forums?

It’s part of your membership offer

Go to MyRCN or visit forum page

Staffing for safe and effective care

https://www.rcn.org.uk/employment-and-pay/safe-staffing

The RCN represents nurses and nursing, promotes excellence in practice and shapes health policies.

Professional resources:

Medicine Management: Overview for nursing

https://www.rcn.org.uk/clinical-topics/medicines-management

Support independent prescribers need

• Organisation prescribing lead

• Clinical supervision and peer support

• Quality assurance (audit ect)

• Job descriptions

• Indemnity and vicarious liability

• Contracts inc honorary if req

• Job plan & CPD

Key Prescribing Principles

• Scope of competence

• Authority

• Responsibility

Inhaler prescribing example

Career Frameworks….

Consultant

Registered

Advanced Clinical

Practice

Clinical Lead

Clinical Director

https://www.rcn.org.uk/professional-development/your-career

RCN definition of Advanced Practice

As a body concerned with the developing profession we define Advanced Practice as:

“Advanced practice is a level of practice, rather than a type of practice. Advanced Nurse Practitioners are educated at Masters Level in advanced practice and have been assessed as competent in practice using their expert knowledge and skills. They have the freedom and authority to act, making autonomous decisions in the assessment, diagnosis and treatment of patients.”

Pillars of Advanced Practice

RCN Advanced Practice Standards

Registered nurses working at this advanced level must meet the following standards. They must:

• have an active registration with the NMC

• practice within the four pillars

• have a Job Plan that demonstrates advanced nursing practice and has equity with peers working at this level

• be educated to Masters level

• be an independent prescriber

• meet NMC revalidation requirements

• demonstrate autonomous evidence

www.rcn.org.uk/professional-development/advanced-practice-standards

Why are we doing this work?

Employer -assurance of the advanced level of

practice of nursing staff

Profession –build upon the

reputation of the nursing

profession as a continuously

improving and high quality

service

Public -confidence and assurance in the

continuing development, capability and

professionalism of their nurses

Nurse - formal recognition of

advanced level of practice and creation of

advanced career pathwayDrive up

standards of practice and

skills of nursing profession

Experience Qualifications

Competence Job Plan

Criteria for the credential

• Relevant Masters degree.

• Prescribing rights.

• Experience and competence mapped against the 4 pillars of advanced practice.

• Work plan and clinical reference.

• Evidence of CPD over previous 3 years.

• Aligned to revalidation requirements

Advanced Level Nursing Practice

Credentialing Models

ARCN Accredited Msc Advanced

Practice

BMsc Advanced Practice

COther clinical masters + Health

Assessment & Prescribing

DExperience+ Health assessment +

prescribing + assignment

What do nurses get?• Name added to a public facing directory maintained

by the RCN

• Clinical governance & recognition of level

• Access to education resources e.g. webinars

• Ambassador opportunities re advanced practice

• Research opportunities (longitudinal study)

• A certificate showing achievement of the credential

• A badge RCN ALNP

Credential renewal

• Like revalidation the initial credential is for 3 years

• There is a fee of £275 for the assessment

• Renewal is required every 3 years; there is a fee of £125 to renew.

Further information

The credentialing team at:

credentialing@rcn.org.uk

Register your interest:

rcn.org.uk/credentialing

@wendypresto

Thank You

Questions…..