The Nurse Practitioner Panel:
A Crucial Step In The
Endorsement Process?
Jo Begbie
Deputy Director of Nursing and Midwifer...
Overview
•
•
•
•

The evolution of the Nurse Practitioner panel
Why have a panel?
– the organisational perspective
Why not...
Southern Health (now Monash Health)
Southern Health
•
•
•
•
•

14,000 employees
6,000 nurses and midwives
5 Nurse Practitioners
4 Nurse Practitioner Candidate...
Southern Health NPs & candidates
Emergency

1 NP endorsed in 2006

Chronic Heart Failure

1 NP endorsed 2011

Diabetes

1 ...
In development
•
•
•
•
•
•
•

Paediatric Palliative Care NP
Paediatric Oncology/Palliative Care NP
Chronic disease
Aged Ca...
The evolution of the NP panel
•
•
•

Part of the previous Nurses Board of Victoria
endorsement process
Not continued at th...
Southern Health Panel Process
Clinical Panel
• Site or program DON
• Clinicians:
Medical
+/- Allied Health
• Clinical case...
Why have a panel?
The organisational perspective
•
•
•
•
•

Consistency
Readiness for endorsement
Support for endorsement
...
Why not have a panel?
•
•
•
•

Additional time and therefore expense
Additional stress for candidate
Not required for endo...
Why have a panel?
the candidate perspective
• Reliance on the organisation to assess readiness
of NPC
• Readiness to submi...
Competency Standards
• ANMAC competencies established
• Competencies endorsed by all Nursing and
Midwifery Regulatory Auth...
Application requirements
• Current RN / RM registration with AHPRA
• Equivalent 3years full-time in advanced practice
role...
Clinical panel
•
•
•
•

Southern Health developed own internal process
First clinician to undertake process
Panel members ...
Professional panel
•
•
•
•

Measures professional practice capabilities
Highlight strategic vision and goals
Broader persp...
Consistency
• Consistency of panel members
• Clear understanding of model of care and role
• Clarity of scope of practice ...
Reflections
• Uniqueness of role
• Mock panels highlighted areas for improvement in
knowledge, skills and practice
• Super...
Questions??
Jo Begbie
Deputy Director of Nursing and Midwifery - Professional Practice
Nursing and Midwifery Education and...
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Jo Begbie and Alyson Wheelhouse, Southern Health: The Nurse Practitioner Panel: A Crucial Step In The Endorsement Process?

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Jo Begbie, Deputy Director of Nursing and Midwifery - Professional Practice, Nursing & Midwifery Education & Strategy and
Alyson Wheelhouse, Nurse Practitioner, Wellness and Recovery Centre - Eating Disorders of Southern Health delivered this presentation at the 2013 Developing the Role of the Nurse Practitioner conference. The event is designed 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 annual event, please visit the conference website: http://www.healthcareconferences.com.au/nursepractitionersconference

Published in: Health & Medicine, Education
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Jo Begbie and Alyson Wheelhouse, Southern Health: The Nurse Practitioner Panel: A Crucial Step In The Endorsement Process?

  1. 1. The Nurse Practitioner Panel: A Crucial Step In The Endorsement Process? Jo Begbie Deputy Director of Nursing and Midwifery - Professional Practice Nursing and Midwifery Education and Strategy, Southern Health Alyson Wheelhouse Nurse Practitioner Wellness and Recovery Centre – Eating Disorders, Southern Health March 2013
  2. 2. Overview • • • • The evolution of the Nurse Practitioner panel Why have a panel? – the organisational perspective Why not? Why have a panel? – the candidate perspective
  3. 3. Southern Health (now Monash Health)
  4. 4. Southern Health • • • • • 14,000 employees 6,000 nurses and midwives 5 Nurse Practitioners 4 Nurse Practitioner Candidates Nursing and Midwifery Executive: • • • • Executive Director of Nursing and Midwifery 11 Directors of Nursing / Midwifery 3 Professors of Nursing / Midwifery 1 Human Resources member
  5. 5. Southern Health NPs & candidates Emergency 1 NP endorsed in 2006 Chronic Heart Failure 1 NP endorsed 2011 Diabetes 1 NP endorsed in 2011 Renal 1 NP endorsed 2012 Mental Health & Eating Disorders 1 candidate 1 NP endorsed in 2013 Oncology 1 candidate - commenced 2010 Neonatal Care 1 candidate - commenced 2012 Paediatric Oncology 1 candidate - commenced 2012 Aged Palliative Care Recruiting 2013 Mental Health & Addiction Medicine Recruiting 2013
  6. 6. In development • • • • • • • Paediatric Palliative Care NP Paediatric Oncology/Palliative Care NP Chronic disease Aged Care Palliative Care – Aged and General Pain Management Mental Health – various roles
  7. 7. The evolution of the NP panel • • • Part of the previous Nurses Board of Victoria endorsement process Not continued at that level since the transition to national registration Request for a standardised approach across the Nursing Directorates
  8. 8. Southern Health Panel Process Clinical Panel • Site or program DON • Clinicians: Medical +/- Allied Health • Clinical case presentations by candidate • Question time Professional Panel • EDONM • DDON Professional Practice • Independent DON • Professional practice presentation by candidate • Question time
  9. 9. Why have a panel? The organisational perspective • • • • • Consistency Readiness for endorsement Support for endorsement Celebration of achievements Feedback for future development
  10. 10. Why not have a panel? • • • • Additional time and therefore expense Additional stress for candidate Not required for endorsement Not consistent with other organisations
  11. 11. Why have a panel? the candidate perspective • Reliance on the organisation to assess readiness of NPC • Readiness to submit the application to AHPRA • Completion of studies (masters program) • Completion of 2 year candidacy journey
  12. 12. Competency Standards • ANMAC competencies established • Competencies endorsed by all Nursing and Midwifery Regulatory Authorities to assess performance to obtain and retain licence to practice • Provide framework for assessing performance
  13. 13. Application requirements • Current RN / RM registration with AHPRA • Equivalent 3years full-time in advanced practice role within the last 6yrs • Completion of board approved Nurse Practitioner program of study at masters level or equivalent • Compliance with national competency standards • Compliance with the Board’s registration standards for continuing professional development • Letter of support from within the organisation
  14. 14. Clinical panel • • • • Southern Health developed own internal process First clinician to undertake process Panel members from a range of clinical areas Measures clinical knowledge, clinical skills, clinical practice and prescribing practice • Mock panels with recommendations for further improvement • Final panel • Letter of support
  15. 15. Professional panel • • • • Measures professional practice capabilities Highlight strategic vision and goals Broader perspective of role and its impact Transparency of role – innovative and flexible health care that is complimentary to the service as a whole
  16. 16. Consistency • Consistency of panel members • Clear understanding of model of care and role • Clarity of scope of practice – determined by context of practice • Clear and consistent goals • Clarity around the standard the NPC is to achieve • Regular steering committee meetings • Collaboration
  17. 17. Reflections • Uniqueness of role • Mock panels highlighted areas for improvement in knowledge, skills and practice • Supervision is a priority • Organisational assurance • Own personal confidence • Opportunity to show case role • Influential capacity to drive further roles
  18. 18. Questions?? Jo Begbie Deputy Director of Nursing and Midwifery - Professional Practice Nursing and Midwifery Education and Strategy, Southern Health 03 9594 7629 0427 001 962 Jo.Begbie@southernhealth.org.au Alyson Wheelhouse Nurse Practitioner Eating Disorders Wellness and Recovery Centre – Eating Disorders, Southern Health 03 9594 1300 0438 353 722 alyson.wheelhouse@southernhealth.org.au

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