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Developing The Role Of The Assitants in Nursing: Delivering Patient Care In The Acute Care Environment
 

Developing The Role Of The Assitants in Nursing: Delivering Patient Care In The Acute Care Environment

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Brett Evans, Principle Nursing Advisor Nursing and Midwifery Office, Department of Health, WA and ...

Brett Evans, Principle Nursing Advisor Nursing and Midwifery Office, Department of Health, WA and
Myra Book, Senior Nursing Officer, Nursing and Midwifery Office, Department of Health, WA delivered this presentation as part of the 2012 Assistants in Nursing Conference – A conference for organisations and managers looking to better understand and utilise the assistant in nursing role. For more information about the event, please visit the conference website: http://goo.gl/fvWjc

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    Developing The Role Of The Assitants in Nursing: Delivering Patient Care In The Acute Care Environment Developing The Role Of The Assitants in Nursing: Delivering Patient Care In The Acute Care Environment Presentation Transcript

    • Nursing and midwifery: great care is our businessDeveloping the role of the AIN…delivering patient care in the acute care environmentwithin WA metropolitan health servicesBrett Evans, Principal Nursing AdvisorMyra Book, Senior Nursing OfficerAugust 2012
    • Nursing and midwifery: great care is our businessDeveloping the role of the AIN in WA Health Preamble: a quick profile of the WA context Drivers: why do we need assistance? Destination: where are we heading? Solutions: preparing an assistive workforce Specifics: what does our approach look like? Outcomes: early results, lessons learnt Re-cap: chasing the “win | win | win”
    • Nursing and midwifery: great care is our businessPreamble: a quick profile of the WA context 2.3M people in WA, 1.7M living in metro Perth Population growing 2.5% pa Resource boom About 35,000 nurses and midwives N&M average age 43 10,000 more needed by 2025
    • Nursing and midwifery: great care is our businessPreamble: a quick profile of the WA context FSH $2b 6,300 rooms, 783 beds, 83% single rooms Precinct = four city blocks, five buildings New PMH $1.2b Midland campus 367 beds, Albany Regional hospital Kalgoorlie, Esperance, Karratha, Bunbury
    • Nursing and midwifery: great care is our businessDrivers: why do we need assistance? Increasing workload Changing patient profile Length of stay compression Increased activity We’re already reliant on agency supports …but poor value for money
    • Nursing and midwifery: great care is our businessDrivers: why do we need assistance? Nursing supply vs. demand Inflows Retirements System growth Staff satisfaction & retention Retention – a key variable in 2025 modelling
    • Nursing and midwifery: great care is our businessDestination: where are we heading?
    • Nursing and midwifery: great care is our businessSolutions: preparing an assistive workforce 2008 AIN training program “introduction of the AIN to support RNsin the workforce, making a differenceto workload and direct patient care intangible ways” CONTROL … in-house training 147 trained over 12 months Scope of practice established
    • Nursing and midwifery: great care is our businessSolutions: defining AIN scope 2008 Operational Directive Negotiated WA Health IR & LHMU Solidify AIN scope of practice Prevent the erosion to EN scope Works under direction of RN Certificate III HSA (Acute Care)
    • Nursing and midwifery: great care is our businessSolutions: preparing an assistive workforce (v2.0) 2010 AIN project Business case: key points SEDONM agreement SHEF approval VET-sector partner
    • Nursing and midwifery: great care is our businessSpecifics: what does our approach look like? 2011 AIN traineeship Implementation working party VET sector partner Site engagement & preparation Recruitment & selection process Traineeship model
    • Nursing and midwifery: great care is our businessSpecifics: implementation working party Established Oct 2010 Range of expertise required Traineeship considerations Recruitment and selection
    • Nursing and midwifery: great care is our businessSpecifics: VET sector partner Cert III HSA (Acute Care) Designated coordinator Traineeship compliance Competencies
    • Nursing and midwifery: great care is our businessSpecifics: site engagement & preparation Identification of participating wards VET visit to explain… course structure competency sign-off: who, when, how
    • Nursing and midwifery: great care is our businessSpecifics: recruitment & selection process Advertising in community newspapers On-line application Literacy assessmentApplications & literacy assessments 2011 2012Applications received 503 289Applicants sitting literacy assessment 352 228Literacy assessed as low (ineligible) 74 25Literacy assessed high or medium (eligible) 278 203
    • Nursing and midwifery: great care is our businessSpecifics: traineeship structure NMO sponsored class-time Site sponsored practical Commonwealth incentive Competency sign-off &consolidation
    • Nursing and midwifery: great care is our businessSpecifics: traineeship resources
    • Nursing and midwifery: great care is our businessOutcomes: early results Life changing opportunities Survey of participants 90% enjoyed traineeship 84% “manageable” work/study 90% enjoyed workplace 95% felt supported by SDNs 95% good working relationships 90% felt work-ready at the end 65% interested in further study
    • Nursing and midwifery: great care is our businessOutcomes: celebrating achievements 94% qualified in 2011 60% enrolled in further EN or RN studies AIN Graduation Ceremony Outstanding AIN Award
    • Nursing and midwifery: great care is our businesswww.nursing.health.wa.gov.auDavid
    • Nursing and midwifery: great care is our businessOutcomes: 2012 AIN traineeship 74 trainees started Currently at week 19 … 7 weeks to go! Training Coordinators x 2 Most indicating willingness to go further
    • Nursing and midwifery: great care is our businessOutcomes: some lessons learnt Continuous improvement Additional health sites Being more sensitive to barriers Models of Care Aboriginal engagement School-based traineeships
    • Nursing and midwifery: great care is our businessRecap: win : win : win Patients | Staff | System Patient safety Wards love their AINs System efficiency