The group initially examined the available tools for demonstrating a level of practice - none appeared to cover all relevant aspects for each role and some were difficult to apply. Nurse Practitioners (NP) will often ask if they can start a business or practice doing “x.” Frequently, this question makes its way to me after the NP has called their state Board of Nursing to ask the same, often without getting the information they need. I'm an Advanced Nurse Practitioner, how can Turas Portfolio support me? The development and production of a robust portfolio can demonstrate advanced nursing practice is essential, but is not easily compiled because of the nature and complexity of the individual advanced nurse practitioner’s role. This article discusses the advanced nurse practitioner role and the need for the portfolio. The anticoagulation advanced nurse practitioner was asked to speak to the patient to establish a cause for the high INR. A database identifies all recognised ANPs within the health board. This Level 7 training course will qualify you to independently assess, diagnose, treat and manage the care of people with complex clinical problems. Create a professional Portfolio of a nurse practitioner that provides evidence of education, skill sets, accomplishments, goals, competencies, professional background, a dedication to life-long learning, and anything else that validates your commitment to your profession. Build on your existing professional skills and knowledge to become an advanced nurse practitioner on this University of Southampton master’s degree. Those working in more supporting, rather than medically grounded, roles struggled to decide what evidence was appropriate. Barton TD et al (2012) A governance framework for advanced practice. Most were “unconsciously competent” in their roles, and found it difficult to articulate what made their practice advanced. In October 2009, the portfolio guidelines were proposed to the health board’s nursing and midwifery professional forum and gained approval. Hospital visiting restrictions now in place. Cardiff: NLIAH. The INR was generally stable. Health News - Rounding up all the latest news within NHSGGC. The health board portfolio guidance agreed by the group included a completed evidence matrix to help others decide what evidence was appropriate and relevant to demonstrate advanced practice. The workforce group continues to support the portfolio development and revalidation processes on an annual basis for practitioners on the advanced database, thereby continuing to comply with governance requirements. Advanced Practitioner UCLan works with employers to design and deliver degree apprenticeships and establishes the content and delivery of a programme according to their needs on an individual basis. Advanced Nurse Practitioner E Portfolio For an advanced practice nurse like myself, the relevance of establishing a system and culture that guarantees the … Record of Learning - All learning activities (these can be grouped into themes e.g. A key element of the educational preparation of Advanced Nurse Practitioners is achievement of advanced-level skills, knowledge, competences and attributes, both at core level and specific to the context in which they practice. Sign in or Register a new account to join the discussion. The ANP is able to use their expert knowledge and complex decision making skills, guided by The Code 17 There are plans for a … Reducing pressures in consultant outpatient clinics - using ANPs to review patients in clinic or using telephone consultations/letters; Taking on traditional medical procedures, making diagnoses and initiating treatment (the portfolio enables the health board to provide vicarious liability insurance); Initiating new service models as a result of audits/research - portfolios have raised the profile of the ANPs, who are now seen as a valuable resource; Using some portfolio work to demonstrate cross-boundary and cross-health board work at an external level; Replacing some medical staff with consultant nurses or ANPs to deliver work such as endoscopy and care of older people inpatient services. The group found it difficult to decide on suitable evidence to show a level of practice. Copies of the transcripts from the program to educate an advanced practice registered nurse completed by the APRN and from any other institution of higher education attended ... and include: nurse practitioner, clinical nurse specialist, and nurse midwife. In 2009 the nurse in charge of workforce planning in our hospital trust recognised the need to evaluate the “off-ward” nurses. The aim was to ensure the portfolios contained Master’s-level actions and decision making in line with NLIAH recommendations that all ANPs be working at this level. Cardiff: NLIAH. Citation: Townsend A, Croft A (2015) Developing a portfolio for advanced practice. Nursing Times; 111: 23/24, 23-26. Edinburgh: Scottish Government. The Advanced Practice ePortfolio Trainees are expected to build up a portfolio of evidence throughout their 2-year training. The evidence can be used for many purposes including supervision, appraisal and NMC revalidation. Trainees are expected to record the following in their ePortfolio: Remember – no patient identifiable information should be kept in your portfolio. The recommendation of the International Council of Nurses, the Department of Health in England, and the equivalents in Scotland and Wales, the Association of Advanced Nurse Practitioner Educators (which consists of 40 universities in the UK), and our North American cousins (from where the role first emerged), is that preparation for the role should be a masters level academic programme. The portfolio is a … Advice and guidance on Freedom of Information. increased understanding of Advanced Practitioner roles and will support NHS organisations and individual Advanced Practitioners to achieve the workforce and service priorities aimed at improving the quality of care to the population of Wales. The trainee should self-assess and then the Practice Assessor should go through with the trainee. The development of these roles presents significant opportunities for workforce/service development and innovation (National Leadership a… Ultimately, the ePortfolio will become a central part of the final sign-off process and trainees should familiarise themselves with the requirements for this on the Final Sign-Off area on this web page. Department of Health (2007) Trust, Assurance and Safety: The Regulation of Health Professionals in the 21st Century. In the absence of national regulation of advanced nursing practice roles, employers need to ensure adequate governance arrangements are in place. Vacancies, career advice, job packs, Modern Apprenticeships and more. Box 1. Personal details including NMC PIN Number. London: The Stationery Office. London: Stationery Office. We would recommend all ANPs consider producing a portfolio to support their roles in this way; they can also be used to support revalidation. A primary concern for all members of the group was what evidence to include in the portfolio. As clinical knowledge and scope of practice of a post nursing graduate is expanded, an advanced practice nurse, whether in the scope of clinical nurse specialist, nurse practitioner, nurse midwife, or nurse anesthetist, will strive to bring his/her patients to good health through plans of care and disease prevention practices and education. From April 2021 clinicians should have started either the portfolio route of have started an FCP HEI level 7 module to prospectively and retrospectively to meet this deadline. Advanced nursing practice has existed for decades but, due to the complexities surrounding its development, the field has been led essentially by innovation in practice (Barton et al, 2012). We currently use the Turas ePortfolio available from NHS Education for Scotland. So far, 49 health professionals have gone through the process and been accredited as advanced level. For everyday ailments, minor injuries or serious emergencies. The directorate of the chief nursing office for Scotland has developed an advanced practice toolkit (Scottish Government, 2008) that has been adopted as a platform to develop and support advanced practice in Wales. Practice was therefore assessed using the health board’s risk matrix and the areas requiring formal competencies or protocols were identified. The nursing executive subsequently used this data to create a database of ANPs, and quickly recognised a need to ensure robust governance arrangements were in place to protect the public, organisation, and the ANPs - particularly in light of how many of the roles had evolved. The patient was admitted for investigations. Advanced nurse practitioners (ANPs) are a senior clinical resource at the front line of care delivery, particularly in terms of addressing the challenges of workforce shortages in the NHS and managing long-term conditions and the ageing population (Townsend, 2014; Department of Health, 2007). Professional Portfolio. National Leadership and Innovation Agency for Healthcare (2010) Framework for Advanced Nursing, Midwifery and Allied Health Professional Practice in Wales. Press Office, latest news and media resources. Examples of criteria demonstrating advanced practice. The article concludes that while advanced nurse practitioners can positively influence clinical outcomes and cost efficiency, they must also be adequately prepared to undertake a leadership role. It concludes with production of a personal portfolio of evidence of academic and … Having worked at this level for a long time, ANPs did not appreciate the level of know-ledge behind daily decision making that informed their practice. Most of the work involved in collating portfolios involved the ANPs physically collating their evidence and organising it within the portfolio so others were able to easily read and digest it, resulting in their feeling reassured that the ANP was fit for practice at the advanced level. As well as passing MSc-level modules, you will need to compile a portfolio of evidence to demonstrate your competencies. What to expect, treatment, care, travel, rights and responsibilities. Advanced Nurse Practitioner - National Competencies. On admission her international normalised ratio (INR) was 2.2, slightly below the desired therapeutic range of 2.5-3.5. Visit our, Developing a portfolio for advanced practice, 100 years: Centenary of the nursing register, 2020: International Year of the Nurse and Midwife, Nursing Times Workforce Summit and Awards, Advanced Level Nursing: A Position Statement, Trust, Assurance and Safety: The Regulation of Health Professionals in the 21st Century, Supporting the Development of Advanced Nursing Practice: A Toolkit Approach, 030615_Developing-a-portfolio-for-advanced-practice.pdf, Table 1 Examples of evidence for endoscopy advance nursing practice.pdf, Fig 1 Four pillars of advanced practice.pdf, Don’t miss your latest monthly issue of Nursing Times, Winners of the 2020 Nursing Times Awards revealed, Announcing our Student Nursing Times editors for 2020-21, Watch: Infection prevention in the community during the Covid-19 crisis, Expert nurses share their knowledge of pressure ulcers in free-to-watch videos, Open letter from an ICU nurse: ‘I need to be strong enough to fight for a bit longer’, Chancellor confirms NHS nurses will be spared from public sector pay freeze, Nursing Times Awards pays tribute to shortlisted nurse following death, New support network launched for Indian nurses in the UK, ‘Nurses forget that health is a human right for them too’, ‘Thank you for your efforts and sacrifices this year’, ‘Nurses are tired and, again, frightened – support is crucial’, Two more FTs sign pledge to support Nursing Times staff campaign, NMC reveals new council member for Scotland and first associates, Copyright © 2020 EMAP Publishing Limited, This content is for health professionals only, This article has been double-blind peer reviewed.