Kilgore Clifford
Intermediate care and older people, Dorset HealthCare University NHS Foundation Trust, Poole, Dorset, England.
Nurs Older People. 2019 May 23;31(3):22-27. doi: 10.7748/nop.2019.e1088. Epub 2019 Apr 23.
Although there is a long history of advanced nursing practice in the UK, without registration it is difficult to ensure that all staff who regard themselves as advanced practitioners have the necessary clinical acumen. This article explores how a capability-based training programme was developed for one advanced nurse practitioner (ANP) in the care of older people in a community healthcare NHS trust. It also considers whether the programme could be replicated for other clinicians wishing to train for a specific advanced practice role. The programme was developed as part of a service improvement project and used work-based practice to identify the clinician's learning needs. Various learning tools were used and the trainee ANP recorded their development in a portfolio of work including reflections and clinical summaries. The main direction for learning was through the use of a written programme guide that set out benchmarks to be achieved during the two-year programme. The trainee ANP met the requirements of the programme and was appointed to a senior ANP post at the end of the two years. There is merit in using a standardised capability-based training programme when developing advanced practitioners. Standardisation allows an organisation to ensure that advanced practitioners can provide an appropriate level of clinical practice to older patients with complex needs.
尽管英国的高级护理实践有着悠久的历史，但如果没有注册，就很难确保所有自认为是高级从业者的员工具备必要的临床敏锐度。本文探讨了如何为国民保健服务体系（NHS）社区医疗信托机构中一名负责照顾老年人的高级护理从业者（ANP）制定基于能力的培训计划。文章还考虑了该计划是否能被希望接受特定高级实践角色培训的其他临床医生复制。该计划是作为一项服务改进项目的一部分而制定的，并利用基于工作的实践来确定临床医生的学习需求。使用了各种学习工具，实习ANP在包括反思和临床总结的工作档案中记录了自己的成长过程。学习的主要方向是通过一份书面的计划指南，该指南列出了在两年计划中要达到的基准。实习ANP达到了该计划的要求，并在两年结束时被任命为高级ANP职位。在培养高级从业者时，使用标准化的基于能力的培训计划是有价值的。标准化使一个组织能够确保高级从业者能够为有复杂需求的老年患者提供适当水平的临床实践。
