Adopting a State-Wide Approach to
Palliative Care Nurse Practitioner
Development in South Australia
Karen Glaetzer
Palliat...
SA Health
SA Health Palliative Care Plan
2009-2016
 Recognised the need for Nurse
Practitioners as a workforce strategy
...
SA Health
Process
Nurse Practitioner Sub-Committee
established under Palliative Care
Clinical Network
Membership include...
SA Health
Terms of Reference
NP Sub-Committee
 Ensure consistency
 Outcomes link with and contribute to the implementati...
SA Health
Opportunities
 COAG Funding to Sub-Acute Services
 SA Health Nursing and Midwifery
Scholarships
 State Govern...
SA Health
Achievements
 Training pathway developed
 Advisory panel established
 NP Chair
 Psychosocial Representative
...
Palliative Care NP Pathway
1. ACCEPTED IN TO A N URSE
PRACITION ER CAN DIDACY IN
A LEVEL 6 PALLIATIVE CARE
SERVICE.
2. AT ...
SA Health
First Candidates
SA Health
Positives
 Provided structure to training programme
 Forced State-wide and Multi-D approach
 Consistent train...
SA Health
Positives
 Resulted in credibility so influenced service
commitment to the roles
 Model adopted by other speci...
SA Health
Pitfalls
 Misunderstanding about advisory panel role
 Lack of engagement by some candidates
 Variable underst...
SA Health
2014
 2 endorsed candidates from first cohort
 1 has accepted role in renal
4 current candidates
 1 has rece...
SA Health
2014
COAG not refunded
Succession planning stalled
Palliative Care Clinical Network Workforce sub-
committee ...
SA Health
Holding on…
for dear life
State level
The organization
Mentorship
NPC as an
individual
Across the spectrum
The organization:
Southern Adelaide Palliative Service
 Metropolitan specialist palliative service
 2012-13
 1415 refer...
The organization
> Multi-disciplinary
> Demonstrated commitment
Provide contemporary best practice by
utilising a team tha...
The mentorship offered
> Qualities
• Availability
• Preparedness
• Willingness to commit
• Aspirational
• Personal philoso...
The NPC as an individual
> Robust
> Resilient
> Humble
Novice
Advanced
beginner
Competent
Proficient
Expert
Novice
Benner,...
The importance of a framework
for the NPC experience
> Diversity of settings offered
• Outpatient clinic with Palliative M...
Identifying the gaps
> Where can I have the greatest impact?
> What are the needs of my service /
patient cohort?
> What k...
SA Health
Key linkages
> Disability sector, Aged care
> Ambulatory care in x 2 GP Plus centres
> Motor Neurone Disease rel...
SA Health
Looking ahead
> the revolutionary notion that the practice
itself could and should inform theory
Role description
Heather Broadbent & Karen Glaetzer, Southern Adelaide Palliative Service - Adopting a State-Wide Approach to Palliative Ca...
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Heather Broadbent & Karen Glaetzer, Southern Adelaide Palliative Service - Adopting a State-Wide Approach to Palliative Care Nurse Practitioner Development in South Australia

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Karen Glaetzer and Heather Broadbent, Palliative Care Nurse Practitioner, Southern Adelaide Palliative Services delivered the presentation at the 2014 Developing the Role of the Nurse Practitioner Conference.

The Developing the Role of the Nurse Practitioner Conference 2014 is for organisations and managers looking to better understand, utilise and grow the role of the nurse practitioner in their health service.

For more information about the event, please visit: http://www.healthcareconferences.com.au/npconference14

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Heather Broadbent & Karen Glaetzer, Southern Adelaide Palliative Service - Adopting a State-Wide Approach to Palliative Care Nurse Practitioner Development in South Australia

  1. 1. Adopting a State-Wide Approach to Palliative Care Nurse Practitioner Development in South Australia Karen Glaetzer Palliative Care Nurse Practitioner Heather Broadbent Palliative Care Nurse Practitioner Southern Adelaide Palliative Services Flinders University
  2. 2. SA Health SA Health Palliative Care Plan 2009-2016  Recognised the need for Nurse Practitioners as a workforce strategy  Proposed up to 20 Palliative Care NP’s working across SA by 2016
  3. 3. SA Health Process Nurse Practitioner Sub-Committee established under Palliative Care Clinical Network Membership included representation from SA Health, University Sector, Specialist Palliative Care Services, Senior Nursing, Service Directors
  4. 4. SA Health Terms of Reference NP Sub-Committee  Ensure consistency  Outcomes link with and contribute to the implementation of the palliative care service plan and the goals of the palliative care clinical network  Develop and clearly articulate a training pathway  Integrate the Nurse Practitioner into palliative care service delivery and outcomes informed by evolving practice and research  Contribute to health professionals and the communities understanding of the role of the Nurse Practitioner within the SA Health system  Develop a nurse practitioner workforce development program
  5. 5. SA Health Opportunities  COAG Funding to Sub-Acute Services  SA Health Nursing and Midwifery Scholarships  State Government commitment to establishing 100 NP positions with palliative care recognised as priority area
  6. 6. SA Health Achievements  Training pathway developed  Advisory panel established  NP Chair  Psychosocial Representative  Palliative Medicine Consultant  Nursing Director  3 initial Candidates appointed in each Metropolitan Palliative Care Service in August 2010
  7. 7. Palliative Care NP Pathway 1. ACCEPTED IN TO A N URSE PRACITION ER CAN DIDACY IN A LEVEL 6 PALLIATIVE CARE SERVICE. 2. AT EN TRY: THREE YEARS OF STUDY ELECTIVE 4. IN FRASTRUCTURE SUPPORT RESEARCH PROJECT 5. ADVISORY PAN EL ESTABLISHMEN T OF A PLAN 9 COMMUN ITY IN PATIEN T CON SULTATION LIAISON 10. MIN IMUM TW O PLACEMEN TS IN OTHER THAN ‘HOME’ LEVEL 6 SERVICE RURAL SETTIN G 7. COMMUN ITY 6. IN PATIEN T 8. LIAISON 3. AT EN TRY: TW O YEARS OF STUDY
  8. 8. SA Health First Candidates
  9. 9. SA Health Positives  Provided structure to training programme  Forced State-wide and Multi-D approach  Consistent training across multiple settings  Academic requirements varied so allowed some consistency  Assisted candidates to identify learning needs  Guided mentors
  10. 10. SA Health Positives  Resulted in credibility so influenced service commitment to the roles  Model adopted by other specialties as process viewed as tangible  Joint fortnightly tutorials with Oncology NPC’s  Resulted in interstate collaboration  Nurse Advisor to Victorian Collaborative  Shared Competencies
  11. 11. SA Health Pitfalls  Misunderstanding about advisory panel role  Lack of engagement by some candidates  Variable understanding of the expectations  Confusing around governance responsibilities  Panel unable to mandate only recommend  Resignation of one candidate after 18 months  Personal Reasons  Local Health Networks variable supervision and support to the roles
  12. 12. SA Health 2014  2 endorsed candidates from first cohort  1 has accepted role in renal 4 current candidates  1 has recently moved to country Victoria  1 has submitted for endorsement 3 candidates appointed in Country SA 1 endorsed in Aged Care/Palliative Care  Mentoring extended to 2 Oncology candidates
  13. 13. SA Health 2014 COAG not refunded Succession planning stalled Palliative Care Clinical Network Workforce sub- committee put on mothballs NP sub-committee reconvened in late 2013 Advisory Panel re-established with State-wide role Consistent scope of practice and P-list with local variations allowable
  14. 14. SA Health
  15. 15. Holding on… for dear life
  16. 16. State level The organization Mentorship NPC as an individual Across the spectrum
  17. 17. The organization: Southern Adelaide Palliative Service  Metropolitan specialist palliative service  2012-13  1415 referrals, 470 current patients  age: 84% > 61 years, 14% 41-60 years  site of care : 76% in own homes at referral  diagnosis
  18. 18. The organization > Multi-disciplinary > Demonstrated commitment Provide contemporary best practice by utilising a team that is made up of advance practice clinicians* *SAPS Mission statement
  19. 19. The mentorship offered > Qualities • Availability • Preparedness • Willingness to commit • Aspirational • Personal philosophy
  20. 20. The NPC as an individual > Robust > Resilient > Humble Novice Advanced beginner Competent Proficient Expert Novice Benner, P. (1984). From novice to expert: Excellence and power in clinical nursing practice. Menlo Park, CA: Addison-Wesley.
  21. 21. The importance of a framework for the NPC experience > Diversity of settings offered • Outpatient clinic with Palliative Medicine Consultant • Introductory clinics: Nurse–led • Consultant liaison • Inpatient unit • Community • Rural/peri-urban > Accountability and reporting > Encouragement, negotiating clinical experience
  22. 22. Identifying the gaps > Where can I have the greatest impact? > What are the needs of my service / patient cohort? > What key partnerships should I look to develop or nurture? > Linking to my interests and strengths
  23. 23. SA Health Key linkages > Disability sector, Aged care > Ambulatory care in x 2 GP Plus centres > Motor Neurone Disease related groups > Mental health services in southern Adelaide > ECP’s > Other NPs and NPCs
  24. 24. SA Health Looking ahead > the revolutionary notion that the practice itself could and should inform theory
  25. 25. Role description

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