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District Nursing Skills Compendium -

7KNIM752 Level: 7

Credits: 15

Module leader: Michelle Burke

Tel: 020 7848 3654

Email: michelle.burke@kcl.ac.uk

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This handbook must be read in conjunction with module information provided on KEATS, the King’s E-Learning And Teaching Service. You will be given access to KEATS on enrolment. Important information relating to assessment and related regulations can be found in the Postgraduate Programme Handbook, available on KEATS and via the Student Services Centre. This handbook can also be provided in alternative formats (such as large print) upon request to asc@kcl.ac.uk.

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Contents

Module overview .......................................................................................................... 3 Module aim ............................................................................................................... 3

Learning outcomes ................................................................................................... 3

Teaching arrangements ............................................................................................ 3

Submitting coursework ............................................................................................ 4

Assessment criteria ................................................................................................... 4

Formative assessment .............................................................................................. 4

Summative assessment............................................................................................. 4

Results and resubmissions for coursework .............................................................. 5

Learning resources ....................................................................................................... 6 Session 1 – Caseload Profiling: Workload and Workforce Planning ....................... 6

Session 2 – Case Management 1 ............................................................................... 7

Session 3 – Managing and Developing a Team 1 ..................................................... 8

Session 4 – Advanced Communication Skills .......................................................... 8

Session 5 – Quality Improvement and Governance ................................................. 9

Session 6 –Service Development Methodologies ..................................................... 10

Session 7 – Case Management 2 .............................................................................. 10

Session 8 –Managing and Developing a Team 2...................................................... 11

Session 9 – Facilitating Self-care Inc. eHealth Technology ..................................... 11

Session 10 – Strategic, Innovative Leadership ......................................................... 12

Session 11 – Promoting the Mental Health and Well-being of People and their Carers ............................................................................................................... 12

Session 12 – Presentations, Reflections and Evaluation .......................................... 13

Module evaluation ........................................................................................................ 14 Action from previous evaluations ................................................................................ 14 Timetable...................................................................................................................... 15

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Module overview This module forms part of the MSc Advanced Practice. The module contributes to your programme of study by exploring and developing your district nursing clinical expertise and leadership and management skills.

Module aim The module aims encompass key aspects of the district nurse’s role, grouping them under the four domains of the QNI/QNIS (2015) Voluntary Standards that reflect the breadth of competence required for safe, effective, high quality person-centred care; clinical care, leadership and management, facilitation of learning and research and development.

Learning outcomes

1. Demonstrate a broad range of specialist district nursing clinical expertise that supports high quality person-centred care for the caseload population in a variety of community settings.

2. Lead, support, clinically supervise, manage and appraise a mixed skill/discipline team to

provide community nursing interventions in a range of settings to meet known and anticipatory needs, appraising those staff reporting directly to the District Nurse whilst retaining accountability for the caseload and work of the team.

3. Promote and model effective team working within the district nursing team and the wider

multi-disciplinary team and primary care.

4. Use a range of change management, practice development, service and quality improvement methodologies, evaluating the underpinning evidence of successful approaches that support the implementation of service developments to improve patient care.

Teaching arrangements All students will participate in university based seminars and will participate in e-learning modules that will provide theoretical knowledge of key long term health conditions and will form part of the learning contract process in the learning log. Depending on their previous clinical and academic experience and their chosen programme pathway students will attend relevant KCL FNFNM study day sessions and module sessions that will support the development of clinical expertise. The programme lead will meet with each student to identify their learning needs and attendance at sessions will be agreed with the student, module leader and practice teacher and form part of the learning contract process in the learning log.

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Submitting coursework For this module you are assessed by Michelle Burke, Julie Bliss and Irene Zeller.

Assessment criteria The module is assessed using a 3,500 word essay.

Formative assessment See KEATS module site for guidance on the formative assessment.

Summative assessment See KEATS module site for guidance on the summative assessment. Coursework submission are provided on the modules KEATS site. It is essential that you use your candidate number on all assignments/examinations. Your candidate number, which will begin with X for the academic year 2016/17, will be available via Student Records on the King’s Intranet approximately one month after you enrol. If you are unable to submit your work by the deadline please refer to the information in your programme handbook on “mitigating circumstances”. If you require further support in these circumstances you are advised to contact KCLSU. Submission date for coursework: 18 July 2017 Late submissions will be accepted for 24 hours following the submission date. All work submitted late will be marked as normal but will be capped at the pass mark for the module. If your assignment is a hard copy please ensure you date stamp it and submit it to the submission room G15 James Clerk Maxwell Building. If your assignment is submitted electronically through TurnItIn, information about how to submit late will be provided on KEATS module sites under assessment information. Please label the file with your candidate number and double-check you have submitted the correct file. The external examiner for this module is TBC. Students are not to make direct contact with external examiners, in particular regarding their individual performance in assessments. The College and its Examination Boards in the ten Faculties (Institutes/Schools, King's Learning Institute and the Association of King's College (AKC), work with over 500 external examiners to ensure the quality and standard of our taught awards. Find the latest report on the External Examiners Report page, navigate to the Faculty of Nursing and Midwifery section.

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Results and resubmissions for coursework Students will receive a provisional (unratified) mark for their coursework 4 weeks following submission. According to the method of submission as detailed on your KEATS site, if your work was submitted online you will be able to download marked coursework from KEATS; alternatively, if you completed a hard copy submission you can collect your coursework and feedback from the Student Services Centre. To collect a hard copy assignment, you must provide your candidate number. Alternatively, you may send a stamped addressed envelope to the Student Services Centre ensuring that this is large enough to accommodate your assignments and that you have applied sufficient postage. Hard copy assignments will be retained for four weeks; if you have not collected your assignment by then, it will be destroyed. Feedback will include the award of a numerical grade which remains provisional until ratified by the examination boards. The dates for the examination boards are available on KEATS. Ratified marks can be viewed via Student Records on the King’s Intranet, the Monday following the relevant examination board. The marking criteria by which your work is judged are provided in full in your programme handbook. Please also refer to the section in your programme handbook on plagiarism and how to avoid it. If you have a query about how to refer to a specific piece of work please ask your module leader, your group leader or a member of library staff for guidance or please use King’s Libguides site. The feedback you receive on your assignment will guide you towards how to do better next time or how to maintain your existing high standard! If you do not understand your mark or the feedback you receive please contact Michelle Burke. If you are unsuccessful, it is recommended that you contact the module leader before submitting your second attempt. This will enable the module leader to provide you with an appropriate level of support as you prepare to resubmit your work.

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Learning resources

Session 1 – Caseload Profiling: Workload and Workforce Planning During this session you will learn:

How to identify current and future trends in the characteristics and demands on the district

nursing service and use this, where appropriate, to inform workload and workforce planning

and strategic decision making.

Surveillance of caseload and local population needs

Reading material: Harper-McDonald B. & Baguley F. (2015) District Nurse’s role: Caseload Profiling, the journey from academia to effective practice implementation. Communicare. Volume 1 http://journals.rgu.ac.uk/communicare/article/view/34 QNI (2014) Developing a national District Nursing workforce planning framework A report commissioned by NHS England https://www.england.nhs.uk/wp-content/uploads/2014/05/dn-wfp-report-0414.pdf Jackson C. et al (2015) Making the complexity of community nursing visible: the Cassandra project. British Journal of Community Nursing. 20(3), 126, 128-33. National Quality Board (2015) How to ensure the right people, with the right skills, are in the right place at the right time: A guide to nursing, midwifery and care staffing capacity and capability. http://www.england.nhs.uk/wp-content/uploads/2013/11/nqb-how-to-guid.pdf. NICE (2015) Guideline Scope: Safe staffing for nursing in community care settings for over 18. http://www.nice.org.uk/guidance/gid-sgwave0700/resources/community-nursing-care-settings-draft-scope-for-consultation2.

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Session 2 – Case Management 1 During this session you will learn:

The role of delegation, supervision, responsibility and accountability in case management –

considering regulatory, professional, legal, ethical and policy frameworks

To explore practice relating to referral management, facilitating timely discharge planning

and reducing avoidable hospital admission

The role of the handover to support the delivery of evidence based person centred care

planning by the district nursing team, ensuring regular evaluation of care and systems that

support staff interventions and quality care

Using handover to recognize and manage risk (including safeguarding and managing

uncertainly) to staff, patients and their carers.

Reading material: Age UK (2012) Right care right time. http://www.ageuk.org.uk/documents/en-gb/for-professionals/research/id200060%20right%20care%20first%20time%2028ppa4.pdf?dtrk=true Ross S., Curry N. & Goodwin N. (2011) Case management: what it is and how it can best be implemented. King’s Fund. http://www.kingsfund.org.uk/sites/files/kf/Case-Management-paper-The-Kings-Fund-Paper-November-2011_0.pdf NHS England (2013) How to ensure the right people, with the right skills, are in the right place at the right time A guide to nursing, midwifery and care staffing capacity and capability https://www.england.nhs.uk/wp-content/uploads/2013/11/nqb-how-to-guid.pdf Lyndon H & Stevens G. Toolkit for general practice in supporting older people with frailty and achieving the requirements of the unplanned admissions enhanced service (2014). NHS IQ. [Online] 2014. [Cited: 15 August 2015.] http://www.nhsiq.nhs.uk/media/2630779/toolkit_for_general_practice_in_supporting_older_people.pdf. Purdy S. (2010) Avoiding hospital admissions, what does the research evidence say? http://www.kingsfund.org.uk/sites/files/kf/Avoiding-Hospital-Admissions-Sarah-Purdy-December2010.pdf Public Health England (2014) A framework for personalised and population health for nurses, midwives, health visitors and allied health professional. PHE 2014532. https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/377450/Framework_for_personalised_care_and_population_health_for_nurses.pdf. NHS Yorkshire and Humber (2012) Making every contact count http://www.makingeverycontactcount.co.uk/

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Session 3 – Managing and Developing a Team 1 During this session you will learn:

Skills to promote and model effective team working and staff well-being

Skills to develop a collaborative interdisciplinary positive teaching/learning environment

and workplace and a shared purpose to deliver high quality patient care

Reading material: Ball J., Philippou J., Pike G. & Sethi G. Survey of district and community nursing in 2013: report to the Royal College of Nursing. [Online] 2014. [Cited: 16 August 2015.] https://www.kcl.ac.uk/nursing/research/nnru/publications/Reports/DN-community-RCN-survey-report---UPDATED-27-05-14.pdf. Jackson C and Royal College of Nursing (2015) The Buurtzorg Nederland (home care provider) model: Observations for the UK: Updated Edition. Royal College of Nursing. http://www.rcn.org.uk/__data/assets/pdf_file/0003/618231/02.15-The-Buurtzorg-Nederland-home-care-provider-model.-Observations-for-the-UK.pdf. Markos S. & Sri Devi M.S. (2010) Employee engagement: the Key to improving performance International Journal of Business and Management 5(12), 89-95. Tasa K. (2011) Personality and teamwork behaviour in context: The cross-level moderating role of collective efficacy. Journal of Organizational Behaviour 32, 65–85. Timmins F. (2011) Manager’s duty to maintain good workplace communication skills Nursing Management 18(3), 30-34. Toren O. & Wagner (2010) Applying an ethical decision-making tool to a nurse management dilemma. Nursing Ethics 17(3), 393-402. Burtson P.L. & Stichler J.F. (2010) Nursing work environment and nurse caring: relationship among motivational factors. Journal of Advanced Nursing 66(8), 1819-1831.

Session 4 – Advanced Communication Skills During this session you will learn:

Assertive communication skills

Emotional intelligence and resilience

Reading material:

Bramhall E. (2014) Effective communication skills in nursing practice. Nursing Standard. 29, 14, 53-59. http://journals.rcni.com/doi/pdfplus/10.7748/ns.29.14.53.e9355 Clancy C. (2014) The importance of emotional intelligence. Nursing Management. 21(8), 15-15. http://journals.rcni.com/doi/full/10.7748/nm.21.8.15.s21 Timmins F & MaCabe C. (2005) Nurses' and midwives' assertive behaviour in the workplace. Journal of Advanced Nursing 51(1), 38-45. Phillips A. (2014) Developing Assertiveness Skills for Health and Social Care Professionals. Radcliffe.

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Session 5 – Quality Improvement and Governance During this session you will learn:

Collation, monitoring and evaluation of data relating to service improvement

Quality assurance, quality improvement and governance: key performance indicators, measuring clinical outcomes

Reporting incidents and ensuring that learning from these, where appropriate, is disseminated to a wider audience to improve patient care.

Reading material: Quality improvement in healthcare https://www.youtube.com/watch?v=jq52ZjMzqyI Published on Nov 26, 2014. St. Michael's Hospital http://www.stmichaelshospital.com, Health Quality Ontario http://www.hqontario.ca, and Institute for Healthcare Improvement http://www.ihi.org Berwick D. (2013) A promise to learn - a commitment to act https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/226703/Berwick_Report.pdf. Foot C. et al (2014) Managing quality in community health care services. The Kings Fund. http://www.kingsfund.org.uk/sites/files/kf/field/field_publication_file/managing-quality-in-community-health-care-services.pdf. Public Health England (2014) From Evidence into Action. Opportunities to Protect and improve the Nation’s Health https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/366852/PHE_Priorities.pdf. Department of Health (2014) The NHS outcomes framework 2015/16. https://www.gov.uk/government/publications/nhs-outcomes-framework-2015-to-2016. NHS Bridgewater Community Healthcare NHS Foundation Trust (2015) Demonstrating the value of community services. http://www.bridgewater.nhs.uk/demonstratingthevalueofcommunityservices/. Croydon CCG and London Borough of Croydon (2015) Provider considerations for delivering an outcome based contract. Croydon CCG http://www.croydonccg.nhs.uk/about-us/our-plans/info%20for%20providers/Croydon__OBC_Self-Assessment.pdf. OFFICIAL 28

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Session 6 –Service Development Methodologies During this session you will learn:

the skills and knowledge required to design and deliver service development projects in order to improve care quality, service user experiences, health outcomes and population health

project management principles and change management

Reading material: NHS Institute for Innovation and Improvement (2013) Managing the human dimensions of change: personal and organisational development http://www.nhsiq.nhs.uk/media/2594818/ilg_-_managing_the_human_dimensions_of_change.pdf NHS Institute for Innovation and Improvement (2013) Plan, Do, Study, Act (PDSA) http://www.institute.nhs.uk/quality_and_service_improvement_tools/quality_and_service_improvement_tools/plan_do_study_act.html Taylor et al (2013) Systematic review of the application of the plan–do–study–act method to improve quality in healthcare. BMJ Qual Saf doi:10.1136/bmjqs-2013-001862

Session 7 – Case Management 2 During this session you will learn:

Collaboration with the multidisciplinary/multiagency teams and primary care

To apply the principles of risk stratification to identify those at risk of poor health outcomes

and the role of anticipatory care in case management

The patient journey — managing and co-ordinating of programmes of care

Reading material: NHS England & the Coalition for Collaborative Care (2015) Personalised care and support planning handbook: The journey to person-centred care http://www.england.nhs.uk/resources/resources-for-ccgs/out-frwrk/dom-2/ltc-care/ RCN (2014) The nursing role in integrated care models, reflecting on the United States’ experience https://www2.rcn.org.uk/__data/assets/pdf_file/0009/581346/02.14_The_nursing_role_in_integrated_care_models_Reflecting_on_the_United_States_experience.pdf NHS England (2015) Using case finding and risk stratification: A key service component for personalised care and support planning http://www.england.nhs.uk/wp-content/uploads/2015/01/2015-01-20-CFRS-v0.14-FINAL.pdf. England, NHS (2015) Next Steps for risk stratification in the NHS England, NHS (2014) Multi-disciplinary team (MDT) working- working toward an effective multidisciplinary/multiagency team http://www.england.nhs.uk/resources/resources-for-ccgs/out-frwrk/dom-2/ltc-care/

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Session 8 –Managing and Developing a Team 2 During this session you will learn:

Further skills to promote and model effective team working and staff well-being.

Reading material: Health Education England (2016) Transforming nursing for community and primary care https://hee.nhs.uk/our-work/developing-our-workforce/nursing/transforming-nursing-community-primary-care Health Education England (2015) Developing people for health and healthcare - Education and Career Framework District Nursing and General Practice Nursing Service Primary Care Workforce Commission. The future of primary care: creating teams for tomorrow. Health Education England. [Online] July 2015. [Cited: 17 August 2015.] http://hee.nhs.uk/work-programmes/primary-and-community-care-programme/primary-care-workforce-commission/.

Session 9 – Facilitating Self-care Inc. eHealth Technology During this session you will learn:

How to facilitate shared decision making – developing therapeutic relationships — involving families and informal carers

Behaviour change in LTC management

Motivational interviewing

Reading material: BMJ Group. (2015) Shared decision making. http://sdm.rightcare.nhs.uk/. Fuller S. (2015) Building brief intervention into your everyday work. Nursing Times. http://www.nursingtimes.net/Journals/2015/01/23/s/k/d/280115-Building-brief-intervention-into-your-everyday-work.pdf. Hibbard J & Gilbert H. (2014) Supporting people to manage their health: An introduction to activation. http://www.kingsfund.org.uk/sites/files/kf/field/field_publication_file/supporting-people-manage-health-patient-activation-may14.pdf NICE (2014) Behaviour Change: Individual approaches. NICE guidelines (PH49). https://www.nice.org.uk/guidance/ph49. Queens Nursing Institute. (2015) District nursing in the digital age. http://vimeopro.com/qni/district-nursing-in-the-digital-age/video/122652830. Queens Nursing Institute. Smart New World: Using technology to support patients in the home. [Online] 2015. [Cited: 16 August 2015.] http://www.qni.org.uk/docs/smart_new_world_final_web.pdf.

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Session 10 – Strategic, Innovative Leadership During this session you will learn:

Leadership in service development and quality improvement in older persons care – awareness of social, political and economic drivers

Articulating and evidencing the role of the contemporary district nurse: reporting to commissioners and demonstrating value of the service.

Reading material: West M., Armit K., Loewenthal L., Eckert R., West T. & Lee A. (2015) Leadership and Leadership Development in Healthcare: The Evidence Base. London, Faculty of Medical Leadership and Management http://www.kingsfund.org.uk/sites/files/kf/field/field_publication_file/leadership-leadership-development-health-care-feb-2015.pdf NHS Confederation (2014) Beginning with the end in mind: how outcomes - based commissioning can help unlock the potential of community services http://www.nhsconfed.org/resources/2014/09/beginning-with-the-end-in-mind NHS England (2015) Framework for commissioning community services The Kings Fund (2012) Leadership and engagement for improvement in the NHS - Together we can www.kingsfund.org.uk/sites/files/kf/field/field_publication_file/leadership-for-engagement-improvement-nhs-final-review2012.pdf

Session 11 – Promoting the Mental Health and Well-being of People and their Carers During this session you will learn:

Insight into the work of voluntary agencies e.g. Age UK

Insight into the work of the Carers Association

Identifying condition specific patient and carer support groups

Assessing patient and carer health related quality of life

Reading material: Age UK Sunderland (2016) Patient and Public Engagement Service http://www.ageuk.org.uk/sunderland/our-services/patient-and-public-engagement-service-/ Health and Social Care Information Centre (2016) Health-related quality of life for carers (NHSOF 2.4) https://data.gov.uk/dataset/health-related-quality-of-life-for-carers-nhsof-2-4 Brown J., Bowling A. & Flynn T. (2004) Models of Quality of Life: A Taxonomy, Overview and Systematic Review of the Literature. European Forum on Population Ageing Research. https://lemosandcrane.co.uk/resources/European%20Forum%20on%20Population%20Ageing%20Research%20-%20Models%20of%20Quality%20of%20Life.pdf

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Session 12 – Presentations, Reflections and Evaluation During this session you will learn:

Formative presentations — peer review

Personal and group reflections on the year

Evaluation of the module

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Module evaluation At the end of the module you are requested to complete the short online evaluation which will be available on your module KEATS site. Student evaluations are very important to us and are required by Health Education England and the regional London Local Education and Training Boards.

Action from previous evaluations Not currently applicable for this module.

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Timetable

District Nursing Skills Compendium 7KNIM752 Teaching mode

Date Type of session

Title Time Room Lecturer

University based study

Monday 10 October

Seminar Caseload Profiling 10.00-13.00 TBC Michelle Burke

Seminar Case Management 1 14.00-17.00 TBC

University

based study

Wednesday 16

November

Seminar Managing and Developing a Team 1 10.00-13.00 TBC Michelle Burke

Seminar Advanced Communication Skills 14.00-17.00 TBC

University based study

Wednesday 25 January

Seminar Quality Improvement and Governance 10.00-13.00 TBC Michelle Burke

Seminar Service Development Methodologies 14.00-17.00 TBC

University

based study

Friday 10 March

Seminar Managing and Developing a team 2 10.00-13.00 WBW LG3

Michelle Burke

Seminar Case Management 2 14.00-17.00

University

based study

Friday 12 May

Seminar Facilitating Self-care inc. eHealth Technology 10.00-13.00 WBW LG3

Michelle Burke

Seminar Strategic, Innovative Leadership 14.00-17.00

University

based study

Friday 23 June

Seminar Promoting the Mental Health and Well-being of People and their Carers

10.00-13.00 TBC Michelle Burke

Seminar Formative Presentations 14.00-17.00 TBC

Location key: WBW – Waterloo Bridge Wing, Waterloo campus.