Full-time

Not disclosed

Candidate Advanced Nurse Practitioner (cANP) Rheumatology

Clinical Nurse Manager 3 Grade         ( The successful candidate will be required to take up duty no later than October 2018)

The Candidate ANP  is required to progress to registration with Bord Altranais agus Cnáimhseachais na hÉireann (Nursing and Midwifery Board of Ireland) (NMBI) as a Registered Advanced Nurse Practitioner (RANP) within 3 years of commencement of this post.

 

The salary scale for this post is (as at 01/04/17):

€55,336 - €56,430 - €59,199 - €60,288 - €61,382 - €62,491

  1. Professional Qualifications, Experience, etc
    1. Eligible applicants will be those who on the closing date for the competition:Be a registered nurse with the Nursing and Midwifery Board of Ireland (Bord Altranais agus Cnáimhseachais na hÉireann) or entitled to be so registered.                                 
    2.  AND
    3.  
    4. Be registered in the division(s) of the Nursing and Midwifery Board of Ireland (Bord Altranais agus Cnáimhseachais na hÉireann) Register for which the application is being made or entitled to be so registered.
    5.  OR
    6. In recognition of services that span several patient/client groups and/or division(s) of the register, provide evidence of validated competences  relevant to the context of practice
    7.                                                                                     AND
    8. Have a broad base of clinical experience relevant to the advanced field of practice
      1.                                                                            AND

Be eligible to undertake a Master’s Degree (or higher) in Nursing or a Master’s Degree, which is relevant, or applicable, to the advanced field of practice.  The Master’s programme must be at Level 9 on the National Framework of Qualifications (Quality & Qualifications Ireland), or equivalent.   Educational preparation must include at least three modular components pertaining to the relevant area of advanced practice, in addition to clinical practicum

                                                                                                                        OR

Be currently undertaking a Master’s Degree in Nursing (Advanced Practice Pathway) or be eligible to register to undertake additional Level 9 National Framework of Qualifications (Quality and Qualifications Ireland) specific modules of a Master’s Degree in Nursing (Advanced Practice Pathway) within an agreed timeframe. Educational preparation must include at least three modular components pertaining to the relevant area of advanced practice, in addition to clinical practicum.

                                                                                                           OR

Possess a Master’s Degree (or higher) in Nursing or a Master’s Degree which is relevant, or applicable, to the advanced field of practice.  The Master’s programme must be at Level 9 on the National Framework of Qualifications (Quality & Qualifications Ireland), or equivalent. Educational preparation must include at least three modular components pertaining to the relevant area of advanced practice, in addition to clinical practicum.

                                                                                                                   AND

    1. Candidates must possess the requisite knowledge and ability including a high standard of suitability and clinical, professional and administrative capacity to properly discharge the functions of the role
    2. ANNUAL REGISTRATION:
    3. Practitioners must maintain live annual registration on the appropriate/relevant Division of the register of Nurses and Midwives maintained by the Nursing and Midwifery Board of Ireland (Bord Altranais agus Cnáimhseachais na hÉireann) for the role

       

    4. AND Confirm annual registration with NMBI to the HSE by way of the annual Patient Safety Assurance Certificate (PSAC).

The post holder’s practice is based on developing a higher level of capability across the six domains of competences as defined by Bord Altranais agus Cnáimhseachais na hÉireann Advanced Practice (Nursing) Standards and Requirements (NMBI 2017)

The main purpose of the post is to develop the job description and supporting documentation under the direction of the Health Care Provider’s Advanced Practice Stakeholder Governance Group, to enable the individual nurse to meet the NMBI Criteria for Registration as an Advanced Nurse Practitioner as set out in Advanced Practice (Nursing) Standards and Requirements (NMBI, 2017).

The individual will undertake the academic preparation and develop the clinical and leadership skills, competencies and knowledge required to meet the criteria to be registered as a RANP with NMBI. The scope of the cANP role must reflect the incremental development of expertise and as such, the cANP cannot deliver care as an autonomous practitioner.

Furthermore, the cANP will develop and submit their personal portfolio and all other necessary documentation to NMBI in order to register as a RANP.

 The value of the nursing contribution as a distinct profession must be safeguarded and articulated in the development of new services led by advanced nurse practitioners, complementing rather than replacing current services delivered by doctors (NMBI 2017 p.9).

The overall purpose of the post is to provide safe, timely, evidenced based nurse-led care to patients at an advanced nursing level .This involves undertaking and documenting a complete episode of patient care (assess, diagnose, plan, treat and discharge patients) according to collaboratively agreed protocols and scope of practice in the clinical setting; demonstrating advanced clinical and theoretical knowledge, critical thinking, clinical leadership and decision making skills.

The advanced practice role demonstrates a high degree of knowledge, skill and experience that is applied within the nurse-patient/client relationship to achieve optimal outcomes through critical analysis, problem solving and accurate decision-making (NMBI, 2017).

Central to this is the provision of quality care,  a safe environment and processes for patients by the use of evidence based clinical guidelines that  address patient expectations, promote wellness and evaluate care given.

The role will provide clinical leadership and professional scholarship in order to develop nursing practice and health policy at local, regional and national level.

The role will contribute to nursing research to shape and advance nursing practice, education and health care policy at local, national and international levels

The post holder’s practice is based on developing a higher level of capability across the six domains of competences as defined by Bord Altranais agus Cnáimhseachais na hÉireann Advanced Practice (Nursing) Standards and Requirements (NMBI 2017)

The domains are:

  • Professional Values and Conduct
  • Clinical-Decision Making
  • Knowledge and Cognitive Competences
  • Communication and Interpersonal Competences
  • Management and Team Competences
  • Leadership and Professional Scholarship Competences

Professional Values and Conduct

The cANP Rheumatology will be required to apply ethically sound solutions to complex issues related to individuals and populations by:

  • Demonstrating accountability and responsibility for professional practice as a lead healthcare professional
  • Articulating safe boundaries and engaging in timely referral and collaboration for those areas outside his/her scope of practice, experience and competence

Demonstrating leadership by practising compassionately to facilitate, optimise, promote and support the health, comfort, quality of life and wellbeing of persons whose lives are affected by altered health, chronic disorders, disability, distress or life-limiting conditions

  • Articulating and promoting the RANP role in clinical, political and professional contexts.

Clinical-Decision Making

The cANP Rheumatology will utilise advanced knowledge, skills, and abilities to engage in senior clinical decision making by:

  • Conducting a comprehensive holistic health assessment using evidenced based frameworks to determine diagnoses and inform autonomous advanced nursing care
  • Synthesising and interpreting assessment information particularly history including prior treatment outcomes, physical findings and diagnostic data to identify normal, at risk and subnormal states of health
  • Demonstrating timely use of diagnostic investigations to inform clinical-decision making
  • Exhibiting comprehensive knowledge of therapeutic interventions including pharmacological and non-pharmacological advanced nursing interventions.

Knowledge and Cognitive Competences

The cANP Rheumatology will actively contribute to the professional body of knowledge related to his/her area of advanced practice by:

  • Providing leadership in the translation of new knowledge to clinical practice
  • Educating others using an advanced expert knowledge base derived from clinical experience, on-going reflection, clinical supervision and engagement in continuous professional development
  • Demonstrating a vision for advanced practice nursing based on a competent expert knowledge base that is developed through research, critical thinking, and experiential learning
  • Demonstrating accountability in considering access, cost and clinical effectiveness when planning, delivering and evaluating care.

Communication and Interpersonal Competences

The cANP Rheumatology will negotiate and advocate with other health professionals to ensure the beliefs, rights and wishes of the person are respected by:

  • Communicating effectively with the healthcare team through sharing of information in accordance with legal, professional and regulatory requirements
  • Demonstrating leadership in professional practice by using professional language (verbally and in writing) that represents the plan of care, which is shared with the person and other members of the inter-professional team
  • Facilitating clinical supervision and mentorship through utilising one’s expert knowledge and clinical competences
  • Utilising information technology, in accordance with legislation and organisational policies and procedures, to record all aspects of advanced nursing care.

Management and Team Competences

The cANP Rheumatology will manage risk to those who access the service through collaborative risk assessments and promotion of a safe environment by:

  • Promoting a culture of quality care
  • Proactively seeking feedback from persons receiving care, families and staff on their experiences and suggestions for improvement
  • Implementing practice changes using negotiation and consensus building, in collaboration with the multidisciplinary team and persons receiving care.

Leadership and Professional Scholarship Competences

The cANP Rheumatology will lead in multidisciplinary team planning for transitions across the continuum of care by:

  • Demonstrating clinical leadership in the design and evaluation of services
  • Engaging in health policy development, implementation, and evaluation

 Identifying gaps in the provision of care and services pertaining to his/her area of advanced practice and apply the best available evidence

  • Leading in managing and implementing change.

Advanced Practice Performance Management and Evaluation

Performance Indicators (PI’s) are required to evaluate nursing interventions and implement initiatives to improve quality and quantity of the nursing care provided. They should have a clinical nursing focus as well as a breakdown of activity, including patients seen and treated. In addition, they identify areas of good practice that must be recognised and celebrated (HSE 2015).

The Department of Health (2017) Framework for National Performance Indicators for Nursing and Midwifery provides a guiding framework for the development of Nursing and Midwifery PI’s.

In collaboration with the Director of Nursing, the cANP will identify and develop Nursing PI’s for their area of practice, collect and collate data which will provide evidence of the impact and effectiveness of the interventions undertaken.

The cANP will evaluate audit results and research findings to identify areas for quality improvement in collaboration with nursing management and multidisciplinary team colleagues (primary and secondary care).

Professional / Clinical

The cANP Rheumatology will practice nursing according to:

  • Professional clinical guidelines
  • National Health Policy.
  • Local policies, procedures, protocols and guidelines
  • Current legislation
  • Values for Nursing and Midwifery – Care, Compassion and Commitment (DoH, 2016).

Education and Training

The cANP Rheumatology will:

  • Contribute to service development through appropriate continuous education, research initiatives, keeping up to date with nursing literature, recent nursing research and new developments in nursing practice, education and management.

Provide support and advice to those engaging in continuous professional development in his/her area of advanced nursing practice

 

GENERAL

Applications must be submitted ‘on-line’ at www.tallaght.ie by completing the application form and attaching your CV.

Candidates should be aware that, when applying for a post through the 'On-Line' Application System (Candidate Manager) they will receive an automated replying acknowledging receipt of their application.  Should you for any reason, not receive this automated acknowledgement, you should notify the Human Resources Department, before the closing date, otherwise your application will not be considered.

nformal enquires to: aine.lynch@amnch.ie or margaurita.obrien@amnch.ie 

 

Please see full JD for other details of Details of our Service, reporting arrangements, key working relationships, purpose of post.

Closing Date No later than Thursday 26th July 2018

Proposed Interview Date : Week 6th august 2018

 

 

 

nformal enquires to: aine.lynch@amnch.ie or margaurita.obrien@amnch.ie