Adult Nursing Stakeholder - Discussion Board by Carla Johnson

Opening thoughts

carlamjohnson14_ — 2023-11-06 14:33:07 UTC

different generation, paying for their course, what they are prepared to do on practice placement. There is a mismatch of learner expectation and practice expectation.

How do we prepare learners for practice? Katie undergoing project. What are students saying? financial pressures, caring responsibilities.

Engagement/sharing of data from PVI's in forum groups

2023-11-06 14:34:08 UTC

Need reciprocal placements between NHS and non-NHS areas. Difficult to arrange without involvement on PVI's in forums

carlamjohnson14_ — 2023-11-06 14:35:04 UTC

BU preparation for practice week in 1st year. Piloted last year and continuing this year.

Students and practice - improved feedback.

1st year students were going out in Acute, high acuity placements, was not appropriate. Looking at changing this placement.

Acuity bias

2023-11-06 14:38:13 UTC

Choosing placements for annexe B skills rather than annexe A

Social Care - Myth Busting

carlamjohnson14_ — 2023-11-06 14:40:05 UTC

great placement for 3rd year, practitioners are very autonomous, moving away from traditional mindset. Work to make these placements desirable to students

There is an opportunity with the preparation for practice workstream to do some of the myth busting about non- nhs placements

Proficiencies

2023-11-06 14:40:28 UTC

Mindset from some HEI's that proficiencies cannot be achieved in PB's

Wellbeing Mondays at PHUT

carlamjohnson14_ — 2023-11-06 14:40:54 UTC

Share thoughts in practice, have opportunities to express to practice education team

2023-11-06 14:41:04 UTC

UOP have done this (same as BU) too in the final week at Uni before they go on their first placement.

We invited practice partners in to work with the students

QR Code in placement areas

carlamjohnson14_ — 2023-11-06 14:41:39 UTC

similar to purple flag in Dorset, get feedback in real time

Student Council

carlamjohnson14_ — 2023-11-06 14:43:02 UTC

Any work doing in this workstream can take to council for review and support going forward

Exploring Student Expectations

carlamjohnson14_ — 2023-11-06 14:44:05 UTC

Where are these built? Does this need to be explored? Can this be included in the workstream?

Mismatch of expectations - younger student population not ever had to travel far before, so challenging. can we be more flexible in placement?

Action 1

2023-11-06 14:45:50 UTC

Managing students expectations on what a placement looks like right from the point of 'selling' a university course to potential students - Many settings and experiences not only a hospital ward

Flexible approach to placement

carlamjohnson14_ — 2023-11-06 14:48:36 UTC

blended approach to handover, e.g. can students who struggle to get to placement by 7am, can they listen into handover?

carlamjohnson14_ — 2023-11-06 14:49:30 UTC

Managing student expectations as means reviewing practice education expectations.

Action 2

2023-11-06 14:50:14 UTC

Acknowledge and utilise the breadth of opportunity for assessed placements in PVI settings

Action 3

2023-11-06 14:52:46 UTC

Support a change in culture to emphasise the importance and value of placements in PVI settings

Preparation for Practice Educators

carlamjohnson14_ — 2023-11-06 14:55:06 UTC

Practice Supervisor and Assessor training, separate and included in the preceptorship programmes.

Update regularly to include how to support students that require reasonable adjustments

Walk arounds

carlamjohnson14_ — 2023-11-06 14:55:50 UTC

Practice educators also walk the wards not just for students, but to gauge how PS/PA are doing

Simulated practice learning

2023-11-06 14:56:29 UTC

Sometimes used as default contingency position rather than pre-planned position.

Practice models

2023-11-06 14:58:00 UTC

How do we use what we already have?

Difficult to find evidence base re: requirements for courses.

Support Network

carlamjohnson14_ — 2023-11-06 14:58:35 UTC

Trust offers wellbeing resources for staff suffering burn out and compassion fatigue.

Reviewing capacity regularly.

Clinical education team are available to support staff with learners

Robust pathways for supporting learners in practice

carlamjohnson14_ — 2023-11-06 14:59:22 UTC

Creating/Sharing SOP for supporting learners and what to do if not able to.

Engagement from the TOP

carlamjohnson14_ — 2023-11-06 15:01:20 UTC

With LTWP we will be moving towards a situation where all registrants will be allocated a student.

Need the drive from the top, Chief nurses etc

Value & Protected Time

carlamjohnson14_ — 2023-11-06 15:02:54 UTC

We need to include this in a workstream. Investing in the teams that support our educators in practice

Preparing our Educators of the future

carlamjohnson14_ — 2023-11-06 15:05:00 UTC

HEI's need to be managing expectations during programme, prepare them for what being an educator in practice going forward.

Case studies

2023-11-06 15:05:35 UTC

Link every student to hospital/ GP/ nursing home and to a family so student gets to know area and health status of their community. Undertake case studies and look at the whole, holistic journey.

IOW

carlamjohnson14_ — 2023-11-06 15:08:03 UTC

Travel links difficult, so students coming to the island need to get accomodation. So to help with costs sending more that 1 student at a time to spread the cost will make the placements more possible

Apprentice Challenges

carlamjohnson14_ — 2023-11-06 15:11:42 UTC

Community placements difficult for apprentices as placements very far. Anyway for travel allowance from ICB?

2023-11-06 15:12:33 UTC

Promoting holistic placements that values non annexe B skills and focuses on annexe A skills predominantly.

Adjustment to hours?

carlamjohnson14_ — 2023-11-06 15:12:34 UTC

to support students with travel, can we allocate in their locality to help support?

Adjusting start and finish times?

carlamjohnson14_ — 2023-11-06 15:13:43 UTC

The reality in practice is very different than 3 years ago. Lots of new junior leaders in place and the main workforce very junior. We have lost the experience and role modelling. Also operational pressures are always prioritised

Parking

carlamjohnson14_ — 2023-11-06 15:14:45 UTC

localities, particularly Portsmouth, limited on street parking.

If can drive, can't park savely. fuel costs issue.

2023-11-06 15:15:30 UTC

Utilising split placement areas between both PVI and NHS for one placement block

HEI Carpool

carlamjohnson14_ — 2023-11-06 15:15:47 UTC

University of Leicester - have EV for hire and can the claim back and carpool together.

Can we follow the example?

Katie to share the presentation with the stakeholders.

Sending Groups of students

carlamjohnson14_ — 2023-11-06 15:17:37 UTC

allocating student groups rather than 1 student to placements.

Students support colleagues on the island?

carlamjohnson14_ — 2023-11-06 15:21:53 UTC

Can students living on the island have their colleagues stay with them during placement on the island

Upfront costs

carlamjohnson14_ — 2023-11-09 11:24:32 UTC

fronting costs and the length of time to claim back