UNIVERSITY OF NEWCASTLEMASTER OFNURSE PRACTITIONER

ENROLMENT PACKSchool of Nursing and Midwifery Faculty of Health and Medicine

CONTENTS WELCOME

Introduction 3

ADMISSIONS AND HOW TO APPLY

How to apply for the Master of Nurse Practitioner Program 4

Evidence required with application 4

Program Structure 5

Brief Description of Courses (Mandatory 80 units) 5

Nurse Practitioner Programs External Advisory Group 5

Academic Credit 6

Students New to Online University Study 6

Residential School NURS6620 – Biophysical and Integrated Clinical Diagnosis 6

Clinical Supervision and Clinical Practice Assessment 6

Inter-professional Support Network 7

Integrated Professional Practice 7

Student verification 8

Direct and Indirect Clinical Supervision Model for IPP 8

Reflective Clinical Supervision: Meetings and responsibilities 9

Assessment of satisfactory clinical practice 9

Unsatisfactory Clinical Performance 10

Summative Assessment- final VIVA VOCE 10

Support of Students 11

Support of Supervisors 11

Contacting the Program Convenor 12

Scholarships 12

Additional Information 12

APPENDIX

Appendix 1 Confirmation of advanced nursing practice template 10

Appendix 2 Clinical Supervision Nomination form 11

Appendix 3a- Organisational Approval Letter 12

Appendix 3b- Organisation offer of IPP experiences form 13

Appendix 4- Site Suitability Checklist 14

Appendix 5 IPP Clinical Case template for Supervision 17

Appendix 6: ANSAT Nurse Practitioner tool 18

Appendix 7: Nurse Practitioner Clinical Development Plan 21

Congratulations on considering the University of Newcastle to undertake the Master of Nurse Practitioner Program. This program is designed to meet the needs of students in the meta specialties of Mental Health, Primary Health Care, Aged Care, Palliative Care, Emergency and Acute Care, Midwifery, Child and Family Care, Care of people with Long Term Conditions and can be tailored to emerging NP specialties. This document provides you with the program requirements and the application process.

The University of Newcastle is ranked in the top 250 universities in the world by the 2018 QS World University Rankings, a climb of over 70 places in the past three years. The Faculty of Health and Medicine at The University of Newcastle ranks fourth in research excellence in health and medicine in Australia. The The University of Newcastle nursing discipline has been ranked in the top 100 in the QS World University Rankings by Subject in 2017 and 2018.

The first Nurse Practitioner (NP) program offered in Australia, commenced at The University of Newcastle in 2001.

INTRODUCTIONThis program of study is accredited by the Australian Nursing and Midwifery Accreditation Council and approved by the Nursing and Midwifery Board of Australia for registered nurses seeking to apply for endorsement as a Nurse Practitioner.

‘A nurse practitioner is a registered nurse who is educated and endorsed to function autonomously and collaboratively in an advanced and extended clinical role. The nurse practitioner role includes assessment and management using nursing knowledge and skills. The role may include, but is not limited to, the direct referral of patients to other health care professionals, prescribing medications and ordering diagnostic investigations. The role is grounded in the nursing profession’s values, knowledge, theories and practice, and provides innovative and flexible health care delivery that complements other health care providers’ (Australian Nursing and Midwifery Council, 2006).

WELCOME

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ADMISSION REQUIREMENTSThe Master of Nurse Practitioner program requires that students are registered nurses and engaged in advanced nursing practice in a clinical setting approved by the School of Nursing and Midwifery (SoNM).

Advanced nursing practice (ANP) is a continuum along which nurses develop their professional knowledge, clinical reasoning and judgement, skills and behaviours to higher levels of capacity (that is recognisable). Nurses practising at an advanced level incorporate professional leadership, education and research into their clinically based practice. Their practice is effective and safe. They work within a generalist or specialist context and they are responsible and accountable in managing people who have complex health care requirements.

The NMBA 2014 Nurse Practitioner Standards for Practice, distinguishes between ANP and the advanced level required as a Nurse Practitioner. They term this Advanced Practice Nursing.

Advanced Practice Nursing as a nurse practitioner is a qualitatively different level to the advanced nursing practice of the registered nurse due to the additional legislative functions and regulatory requirements. The requirements include a prescribed educational level, a specified advanced nursing practice experience; and continuing professional development. (NMBA Nurse Practitioner Standards for Practice, 2014)

The Master of Nurse Practitioner program requires that students complete a minimum of 300 hours of advanced Integrated Professional Practice (IPP) with embedded 20 hours of one on one clinical supervision.

HOW TO APPLY FOR THE MASTER OF NURSE PRACTITIONER PROGRAMApplications for admissions are submitted online, direct to The University of Newcastle at:

askuon.newcastle.edu.au/app/apply/postgraduate/

For assistance in submitting an application. Please contact Student Central at: Online: askuon.newcastle.edu.au/ Email: admissions@newcastle.edu.au Phone: 02 4921 5000

EVIDENCE REQUIRED WITH APPLICATIONAll applicants must meet the following criteria to be eligible for entry to the course:

• Current general registration as a registered nurse, including the provision of registration number.

• Submission to the University of a Curriculum Vitae including RN registration number, two years full time equivalent (FTE) as a registered nurse in a specified clinical field and two years FTE of current advanced nursing practice in this same clinical field

Please refer to Appendix 1. A form to evidence advanced nursing practice from two referees on enrolment.

• Prior completion of a postgraduate qualification at Australian Qualifications Framework (AQF) Level 8 in a clinical field. An AQF 8 qualifications include Graduate Certificates, Graduate Diplomas. Bachelor Honours Degrees, and Master degrees (AQF 9).

• All applicants are required to have a minimum of two clinical supervisors, for the duration of the program.

Your primary supervisor should be an endorsed nurse practitioner (NP). If an endorsed NP is unavailable then a senior clinical nurse working in the same field as the student, with advanced practice knowledge and skills and a recognised qualification at a minimum level of a master’s degree

The second clinical supervisor should be a medical practitioner in the applicant’s specialty area of practice

It is recommended that you have a Pharmacist Supervisor to mentor you when enrolled in the two Pharmacotherapeutics courses, PHAR6701 and PHAR6702.

Please refer to Appendix 2. A form to nominate your two supervisors at the time of application

• Support / acknowledgement for the enrolment by the Director of Nursing (DON) or head of department or equivalent clinical manager (if line management is not to the DON)

Please refer to Appendix 3a. A template for an organizational approval Letter/s

• Access to complete a minimum of 300 hours of supervised supernumerary integrated professional clinical practice hours in a range of health settings. A site suitability checklist form is completed by the student for each IPP experience that is to be conducted at a different site and is approved by the School or Nursing and Midwifery.

Please refer to Appendix 3b. A form that identifies the organisations offer or additional offers of IPP experiences in other organisations to complete.

Please refer to Appendix 4. A site suitability checklist to complete.

SUMMARY OF DOCUMENTATION REQUIRED WITH APPLICATIONPlease ensure that the following documentation is uploaded with your online application.

• a cover letter that includes your specialty

• contents table including your enrolment documents

• Certified Copies of prior educational qualifications (not required for studies completed with The University of Newcastle)

• 100 points of identification (not required for applicants with a University of Newcastle student I.D.)

• a comprehensive CV that addresses and provides evidence of the application requirements

• 4 x Attachments; Appendices 1, 2, 3b and 4 in this enrolment pack completed to forward with your application.

2 | The University of Newcastle

The M NP is an 80-unit Master degree, comprising 7 core courses. The M NP program is delivered in three teaching periods a year, called trimesters. Each 10 unit course is designed to involve you in course related learning activity for 10 hours per week. That is 20 hours per week minimum including reading, literature searching, assignment writing and engagement in direct teaching-learning activities. The teaching periods or trimester dates are available at: newcastle.edu.au/current-students/study-essentials/key-dates

The course coordinator for each of these courses will be your first point of call for all course related questions and support. Course coordinator contact details are always available within the course outlines for each of your enrolled courses and they are available on Blackboard for each course. Your supervisors will be given all course coordinators contact details and the Program Convenor’s contact details within their Clinical Supervisors Handbooks.

Brief Description of Courses (Mandatory 80 units)

PROGRAM STRUCTURE

COURSE CODE COURSE NAME RELATIONSHIP OF CLINICAL CONTENT TO STRENGTHENING CLINICAL PRACTICE

DIRECTED OR CORE COURSE

NURS6621 Clinical Practice A Developing NP’s scope of practice and situate self within their organisation.

Core

NURS6801 Primary Health Care Provides exposure to contemporary models of care that integrate public health with primary care. Explore the evolving changes in burden of disease, national health reforms, interaction between communities and their social and physical environment, social and cultural determinants on health behaviour.

Core

NURS6120 Contemporary Nursing Focus on developing an understanding of the role of nurse practitioners in contemporary health care; the impact on the discipline of emerging models of care delivery.

Core

NURS6620 Biophysical and Integrated Clinical Diagnosis

Advanced knowledge of pathophysiology, health assessment and diagnostic skills related the NP’s scope of practice. Simulated Learning Environment (SLE); Telehealth: physical Assessment; Student Case Presentation – 35 hour residential workshop.

Core

PHAR6701 Introduction to Pharmacotherapeutics for Advanced Nursing Practice

Specific knowledge of Quality Use of Medicines (QUM), principles of pharmacotherapeutics and prescribing as related to the NP’s scope of practice.

Core

PHAR6701 Integrated Pharmacotherapeutics for Clinical Practice

Case based scenarios to further develop the knowledge of the mechanism of action of drugs and QUM required to safely prescribe medications.

Core

NURS6622 Clinical Practice B Critical analysis of the student’s clinical practice and development/ completion of a professional portfolio aligning with the NMBA NP Standards for Practice, case study for oral viva voce examination.

Core

NURSE PRACTITIONER PROGRAMS EXTERNAL ADVISORY GROUPThis program has been developed in consultation with an advisory group comprising industry partners, academic, professional advisors, student and nurse practitioner advisors. The Master of Nurse Practitioner Program External Advisory Group meets on a bi-annual basis and communicates by email as necessary. The purpose of this Advisory Group is to evaluate and advise on the quality, structure and delivery of the program. Students are welcome to nominate themselves for this advisory group. Please forward enquiries to the Program Convenor.

TABLE 1: COURSES WITHIN THE M NP PROGRAM

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ACADEMIC CREDITStudents can apply for academic credit based on previously completed postgraduate studies at the time of application for entry into the program. To be awarded credit, you must demonstrate that the course you have completed is at least 80% equivalent to the course offered at this University. For details of how to apply for academic credit go to: How do I apply for credit?. For credit transfer to apply, a student must also meet the Admission Requirements for the Program.

STUDENTS NEW TO ONLINE UNIVERSITY STUDYAll courses in the M NP program are delivered online via Blackboard or blended with some face-to-face workshops. If you have not previously studied online, you can review the information available at newcastle.edu.au/new-students/orientation/studying-online. These resources provide information on how to get the most out of Blackboard (Learning Management System). Once you have enrolled in a course, you will need to purchase or borrow from the library, any prescribed textbooks (identified within the course outlines), all other course materials are available online through BlackBoard. To avoid late identification of required texts, please ensure you complete your enrolment for each course as far in advance as possible.

Successful completion of an online Academic Integrity Module (AIM) is mandatory during your first course of study. AIM covers the method of referencing and the University’s policy on Plagiarism.

The University offers a range of student support services and please make use of these to assist you in your learning, visit: newcastle.edu.au/current-students/support

RESIDENTIAL SCHOOL NURS6620 – BIOPHYSICAL AND INTEGRATED CLINICAL DIAGNOSISStudents enrolled in NURS6620, may attend a 5-day residential school at Callaghan Campus. The residential will also be accessible on-line. Accommodation is not provided by the University. Sharing apartments with other students seems to be a popular option which keeps the costs down. Further details regarding the residential school are provided in your letter of offer.

CLINICAL SUPERVISION AND CLINICAL PRACTICE ASSESSMENTApart from your two Clinical supervisors (criteria above), it is recommended that you have a Pharmacist Supervisor to mentor you when enrolled in the two Pharmacotherapeutics courses, PHAR6701 and PHAR6702.

The supervisors will be approved by the School of Nursing and Midwifery and receive support from the Program Convenor and Course Coordinators of the Master of Nurse Practitioner program. The student and supervisors can meet face-to-face or via communication technology such as tele/videoconferencing and Zoom. Additionally, the supervisors are required to report unusual, illegal and/or unethical practice by the student disclosed during supervision. Avenues for reporting such practice will be discussed with the Program Convenor.

Clinical Supervision hours and activities are recorded in the students Portfolio Supervision Log. Students are required to provide evidence of 15 hours of 1:1 supervision for NURS6621 and five hours of 1:1 supervision for NURS6622. It is expected that reflective practice supervision meetings will take place at least monthly during the entire program of study and more frequently during the two clinical courses, NURS6621 and NURS6622. More information is provided below.

Supervisors will be provided with a handbook of information to understand their role and an orientation session with a University program convenor (face to face or via Zoom/teleconference).

Your supervisors will also provide supervision and assess your clinical practice during Integrated Professional Practice experiences.

In accordance with the National Law (NSW), the University is required to notify AHPRA if the University reasonably believes that:

• A student enrolled in a program of study offered by the University has an impairment that, in the course of the student undertaking clinical training as part of the program of study, may place the public at substantial risk of harm; or

• A student for whom the University has arranged clinical training has an impairment that, in the course of the student undertaking the clinical training, may place the public at substantial risk of harm.

The AHPRA Mandatory Notification and Complaint Reporting Procedure outlines the procedure to be followed if a notification is required policies.newcastle.edu.au/document/view-current.php?id=232.

Appendix 2. A form to nominate your two supervisors on enrolment.

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INTER-PROFESSIONAL SUPPORT NETWORKThe Inter-professional support network is a multi-disciplinary group nominated by the student in consultation with their supervisors and the Program Convenor after enrolment in the program, to support the student’s learning and development in an advanced nursing practice role. The group should be formed by the student.

The composition of the Inter-professional support network is to be determined in the context of the student’s practice setting and will include the student, the supervisors, a pharmacist or pharmacologist and other members as required including for example a clinical psychologist, a psychiatrist, an emergency physician, a consumer or carer consultant, and wherever possible a nurse practitioner.

The Inter-professional support network should arrange a meeting schedule, which can comprise formal and informal meetings of the whole group where this is possible and one to one meetings with the student when considered necessary. Meetings can be conducted using available communication technology such as tele/videoconferencing, Skype, or similar. Members of the Inter-professional support network will have ongoing access to the Course Coordinators and program convenor for the duration of the program.

Forming and working with the Inter-professional support network will be discussed during Clinical Practice A.

INTEGRATED PROFESSIONAL PRACTICEIntegrated professional practice (IPP) provides a supported learning environment for the development of clinical skills and capability in episodes of care. Throughout the program students are required to gain 300 hours of supernumerary integrated professional practice (IPP). The student requires a range of health care experiences that supports knowledge and skills development in patient centred care that is consistent with the principles of primary health care and complements the student’s specialty skills and knowledge.

Students accumulate their 300 IPP hours including 20 supervision hours in the following way. IPP is attached to the two clinical courses, NURS6621 and NURS6622. Students complete a minimum of 220 hours IPP including 15 hours clinical supervision for NURS6621, and a minimum of 80 hours IPP including 5 hours clinical supervision for NURS6622.

YEAR 1, TRIMESTER 1 – CLINICAL PRACTICE A (NURS6621)The first course of the M NP is NURS6621 Clinical Practice A. NURS6621 requires students to complete the 220 hours of IPP over a period of 12 months. This is a hurdle requirement. Students are required to achieve a satisfactory clinical practice rating in the ANSAT NP in order to move forward to their final trimester and enroll in NURS6622 Clinical Practice B. Appendix 6. ANSAT Nurse Practitioner tool

YEAR 2, TRIMESTER 3 - CLINICAL PRACTICE B (NURS6622)For completion of this final course of the program, The ANSAT-NP is used as a comprehensive, summative assessment item to determine the required achievement of the NMBA Nurse Practitioner Standards for Practice 2014. This is a hurdle requirement; students complete 80 hours (2 weeks) of IPP, over the duration of NURS6622. On assessment of the 80 hours of IPP, the ANSAT-NP tool is reviewed by the course coordinator to confirm satisfactory clinical practice and achievement of the NMBA Nurse Practitioner Standards for Practice 2014 in order for the student to move forward in their final semester and present to the final assessment, the long case Viva Vice and then onto graduation. Appendix 6. ANSAT Nurse Practitioner tool

As described above, the enrolling student is required to provide a letter of approval from their employer and/or Head of Department and from any external organisations, dependent on where the student seeks to undertake their IPP, which includes documented confirmation of support of the student for IPP. A letter and form to complete by the employing organisation (or another identified organisation) to support IPP on enrolment is available in Appendix 3a and Appendix 3b. IPP can only be undertaken in the student’s chosen venues when a site suitability checklist has been completed by the student and the site is approved by The University of Newcastle (Appendix 4) and an agreement is in place which clearly outlines responsibilities of students, the University and the organisation prior to engaging in IPP within any facility, including the management of indemnity and insurance. Agreements are organised through the Program Convenor.

Please contact the Program Convenor for any questions about sites for IPP, site suitability and agreements.

The University of Newcastle Department of Rural Health, can provide information and contacts to students wishing to gain suitable rural and Aboriginal and Torres Strait Islander IPP experiences. Our program has contacts for sites that students can approach for IPP and Nurse Practitioners and Medical Practitioners who may be approached to be supervisors. The department of Rural Health provides student orientation, cultural awareness training and other supports, including linking students to suitable accommodation. We have facilities located in NSW at Tamworth, Taree, Armidale, Moree, Port Macquarie and Coffs Harbour. These areas can provide a range of suitable IPP experiences e.g. Aboriginal Medical Services, primary care and mental health services - giving students the opportunity to enjoy a unique lifestyle while completing IPP in minimum blocks of 2 weeks. The University of Newcastle Department of Rural Health will discuss the supports they can offer enrolled students to gain a range of IPP experiences during the first course. NURS6621 Clinical Practice A .

Please contact the Program Convenor if you wish more information or you can identify that you require to follow up on these opportunities in your enrollment application.

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STUDENT VERIFICATIONPrior to engaging in IPP, all students enrolled at the University of Newcastle, regardless of location of IPP, require evidence for verification to practice e.g. police check, immunisation status etc., as advised on enrolment by student support and enrolment services. For details of verification go to:

newcastle.edu.au/about-uon/governance-and-leadership/faculties-and-schools/faculty-of-health-and-medicine/resources/for-students/student-placement-information/nsw-health-verification-requirements

Note: Current NSWHealth employee students can provide their staff link ID, to link their student profile with their healthlink profile to evidence their verification to practice. This will also show evidence of completion of the 5 mandatory training modules required before IPP can be conducted within a NSWHealth facility. Non NSWHealth students will also need to complete these online modules if they are intending to conduct IPP with a NSWHealth location. A link to these modules is automatically issued two weeks prior to such IPP placement once you have submitted all required verification documentation.

DIRECT AND INDIRECT CLINICAL SUPERVISION MODEL FOR IPPThe direct and indirect clinical supervision model for the M NP program is underpinned by an experiential learning framework. Essential to this framework is the Driscoll Reflective Model for clinical supervision which supports intentional reflection on practice for practice improvement. The aim of reflective practice is that the student will learn from these reflections and review their perspectives to act differently in the future.

Supervision of the Nurse Practitioner student can be direct or indirect. At all times, the M NP student remains accountable for their own actions and is responsible for all delegated functions.

Direct Supervision is when the supervisor is present to observe, work with and direct the student being supervised.

Indirect Supervision is when the supervisor does not observe the student’s activities. In these instances, the student is supervised by a senior clinician and the primary supervisor must be available for reasonable access. What is reasonable will depend on the context.

Example 1. The student may spend IPP time under direct supervision (supervisor present), in an acute admission center in the morning and then attends a group health promotion activity or home assessments with another staff member for the afternoon (e.g. an NP or medical officer). Supervision has been delegated. The student is now under indirect supervision. Arrangements can be made as the primary supervisor to be reasonably available e.g. via phone, skype or at a 1:1 supervision session later.

Example 2. The student may be undertaking IPP for a week in a clinic setting. The supervisor is only working for a short session (half a day) in this setting. Arrangements can be made as the primary supervisor to be reasonably available e.g. via phone, skype or at a 1:1 supervision session later. In this case arrangements are made that a senior clinician (e.g. an NP or medical officer) in the workplace is accessible to the student for temporary oversight, when the primary supervisor is not present This model is particularly applicable to student IPP, located in rural or remote settings, or where IPP across multiple sites or geographical distances.

To assist with the indirect and direct model of supervision. Students should select one or two cases under indirect IPP, to present at 1:1 supervision.

Appendix 5 provides a template used by the student, to prepare a case for clinical supervision.

It is the responsibility of the student to alert the Program Convener of the need to nominate alternate supervisor as required for periods of times of absence of the primary supervisor (e.g. supervisor on leave or IPP conducted in a different organisation).

The relationship between the student and the clinical supervisor is based on mutual trust and respect and whilst the discussion which takes place during the meetings is confidential, the supervisor is required to report unusual, illegal and/or unethical practice by the student disclosed during supervision. Avenues for reporting such practice will be discussed with the Course Coordinator in accordance with the National Law (NSW) as indicated above.

SONIA is the student placement management system. It is available as a web-based platform to students and their clinical supervisors. Students complete electronic time sheets in SONIA to record their IPP time and a clinical supervisor signs them off. SONIA keeps track of the IPP time recorded. The Course Coordinator and Program Convenor can check the hours completed.

Student and supervisor are also expected to keep a record of reflective Clinical Supervision, including the time and place and length of sessions. The student will log this in their excel Portfolio Logbook-Clinical Supervision and upload a time sheet of completed 1:1 clinical supervision signed by the supervisor to SONIA.

Appendix 5 will support this process.

More information on the model of supervision and IPP requirements is available on the “Nurse Practitioner Programs” Blackboard site

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REFLECTIVE CLINICAL SUPERVISION: MEETINGS AND RESPONSIBILITIESStudents require 20 hours of one on one reflective, clinical supervision as a program requirement. This supervision can be face-to- face, by phone or via Skype. The students 20 hours of supervision are attached to the two clinical courses. It is recommended that the students meet with at least one clinical supervisor each fortnight (face to face) for the duration of each of these courses. Clinical supervisor and student need to establish the framework for this supervisory relationship at the first meeting. Clinical supervision is encouraged over the entire length of the program of study e.g. monthly, when the student is not engaged in IPP.

Students are expected to prepare for each meeting. The clinical supervisor facilitates discussion and feedback. The student keeps notes for further reflection on key issues. Meetings should last for a minimum of one hour. Appendix 5 provides a template used by the student, to support and log evidence of reflective practice in clinical supervision.

ASSESSMENT OF SATISFACTORY CLINICAL PRACTICEANSAT NP

NURS6621 Clinical Practice A. The ANSAT NP tool is completed by the clinical supervisor in SONIA as a formative assessment of satisfactory practice, at 2 week (80 hour) intervals of completion of attached IPP. At the completion of the 220 hours of attached IPP the ANSAT NP is completed for the third time by the clinical supervisor in SONIA as a summative assessment. The completed ANSAT-NP tools are scanned into SONIA or completed as an electronic form directly into SONIA.

NURS6622 Clinical Practice B. The ANSAT NP is completed by the clinical supervisor in SONIA as summative evidence of satisfactory clinical practice and achievement against the NP standards and scanned into SONIA or completed as an electronic form directly into SONIA. The clinical supervisor should meet with the student in week 11 or week 12 of this last course to complete the ANSAT-NP. These arrangements are discussed during NURS6621 Clinical Practice A.

Appendix 6. The ANSAT NP tool is attached with descriptors. The ANSAT resource manual and tools are available on the Nurse Practitioner Program Blackboard site.

STUDENT PORTFOLIOThe excel student portfolio is an assessable item for the two clinical courses NURS6621 and NURS6622. The learning plan is completed at the beginning of each course. The student identifies their clinical goal/s and learning needs against the NP standards 2014 and may consult with their supervisors and course coordinators in developing their Learning Plan.

At the end of each IPP session (day, hours or minutes) the supervisor signs the time sheets in SONIA. At the end of each course the supervisor/s sign the outcomes of the students learning plan and the Supervision activities in the students excel Portfolio. Your excel Portfolio is available to you on the Nurse Practitioners Programs Blackboard site and instruction provided during NURS6621 Clinical Practice A.

The following items of the Portfolio are submitted by the student to Blackboard on completion of each of the courses (NURS6621 & NURS6622). In this way the portfolio enables the development of comprehensive evidence of practice that demonstrates the NMBA Nurse Practitioner Standards 2014.

1. Course Portfolio Learning Plan

2. Course Portfolio Logbook-Clinical Supervision

3. Course Portfolio – Outcomes of learning plan

The supervisors are the only people who have the authority to sign off on the ANSAT NP and the student portfolios. The clinical supervisor should meet with the student in week 11 or week 12 of the 12-week courses to review and sign the portfolio. It is the student’s responsibility to submit the portfolio of evidence to Blackboard. The student’s grade for the course cannot be finalised until the portfolio, signed by the supervisor, has been received by the course coordinator in Blackboard and meets the specified criteria.

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UNSATISFACTORY CLINICAL PERFORMANCEWhere unsatisfactory clinical practice is identified on the ANSAT-NP, the clinical supervisor will notify the student and the Course Coordinator and or Program Convenor. The ANSAT-NP tool will form the basis of the practice development plan that is developed by the clinical supervisor/s in consultation with the student and the course coordinator, to address any unsatisfactory practice issues.

See Appendix 7 Practice Development Plan.

In consultation with the student and the Course Coordinator, the clinical supervisor should develop a practice development plan following the guidelines given below:

• Detail the major area(s) of unsatisfactory clinical performance (identified in the ANSAT-NP tool).

• Specify the aims to demonstrate satisfactory performance in the area(s) identified.

• Develop a range of methods/activities/resources which student can use to achieve the aims.

• If the student and/or clinical supervisor have reason to believe they cannot work together in the preparation and execution of the plan, the clinical supervisor or student will contact the Course Coordinator and or Program Convenor to discuss alternative arrangements.

• Review date/s for the plan will be set and feedback on progress given to the student and course coordinator by the supervisor/s.

• Where the student has not been able to meet the aims identified in the practice development plan and clinical practice remains unsatisfactory, the clinical supervisor consults with the Course Coordinator before any unsatisfactory IPP assessment is determined.

• The University of Newcastle Student support services will be offered to the student by the Course Coordinator.

• Practice improvement plans will be incorporated into future IPP as required.

SUMMATIVE ASSESSMENT - FINAL VIVA VOCEAs a requirement of the nurse practitioner program, the ‘long case’ Viva voce model is used as a summative assessment. It seeks to examine the student’s ability to apply knowledge in an actual clinical situation (ANMAC2015). NURS6622 Clinical Practice B a capstone and final course for the program with students being required to complete a final summative viva demonstrating achievement of the NP standards for practice 2014 by undertaking a long case viva voce examination in defense of their submitted case study. The examination requires the student to use professional communications skills to collect, analyse, synthesise and evaluate clinical information, to use differential diagnostic procedures and determine a management plan. It assesses learning outcomes related to graduate attributes of deep learning, application and synthesis of knowledge and high-level clinical reasoning, knowledge, rationales, attitudes and values underpinning the case study. The expert panels engaged for viva voce examinations consist of representatives from the following three categories:

• Chair: An appropriately qualified and experienced academic nurse from the School of Nursing and Midwifery. This panel member is also the Academic Examiner;

• A pharmacy or pharmacology examiner; this panel member is the Pharmacology Examiner;

• A nurse practitioner or medical practitioner with appropriate specialty expertise and qualifications. This panel member is the Clinical Expert Examiner.

8 | The University of Newcastle

SUPPORT OF STUDENTSPrior to commencing the program, students have access to The University of Newcastle Nurse Practitioner site on BlackBoard which provides more information on IPP requirements.

At commencement of the program and again during week one in the first course of the program, students are advised of their responsibilities in meeting IPP and supervision requirements. Students are advised to contact their course coordinator or program convenor for support, if they are uncertain of their ability to meet these requirements.

Master of Nurse Practitioner students have access to their course outlines prior to the commencement of the trimester. The course outline clearly articulates what is required of the student in the coming trimester. In each trimester, the first lecture in each course is dedicated to covering course assessments including Integrated Professional Practice and supervision requirements to successfully complete the course.

Students are informed of services available in Blackboard. They are directed to the new student support webpage: newcastle.edu.au/current-students/support/new-students

Once enrolled, the AccessAbility Service offers practical assistance and advice to students with a permanent or temporary disability or medical condition. If students are experiencing difficulties with their studies due to the effects of their disability, they can register with the AccessAbility Service and must provide appropriate documentation and may be eligible for a range of support and assistance at the following link: newcastle.edu.au/current-students/support/accessability

Information regarding academic and personal support is also provided on the Nurse Practitioner Program Blackboard site.

SUPPORT OF SUPERVISORSClinical supervisors are provided with a Supervisors Handbook detailing the IPP and clinical supervision requirements of the M NP program. Clinical supervisors are encouraged to contact the Course Coordinator or Program Convener with questions or concerns regarding the clinical supervision process and requirements or further resources to support the role.

A supervisor orientation meeting will be held at the beginning of the first year of study for the student (TBA). Supervisors can attend face to face or be linked to via Skype technology.

All clinical supervisors will be offered conjoint status with The University of Newcastle. Supervisors who are not or do not wish to be a University conjoint, may become a University affiliate. Conjoint positions and University Affiliates are provided a University of Newcastle email address, access to staff resources and the Supervisors for M NP programs Blackboard site. This site will include resources for supervisors and enable supervisors to join quarterly supervisor collaborate meetings with the program convenor and course coordinators (Skype type technology hosted within Blackboard). Supervisors without conjoint positions will have opportunity to join quarterly Zoom/Skype supervisor meetings with the program convenor and course coordinators and receive additional resources via email.

CONTACTING THE PROGRAM CONVENORPlease do not hesitate to clarify enrolment requirements with the program convenor.

Students in remote locations are advised to contact the program convenor prior to completing their application to discuss the completion of the site suitability checklist, including access to supervision and suitable IPP experiences, access to academics and the logistics of attending the residential workshop in person or online.

On successful enrolment to the program, please contact the program convenor via email and arrange a time to introduce yourself and discuss your study, supervision and IPP plans.

Master Nurse Practitioner Program Convenor Dr Melissa Robinson-Reilly School of Nursing and Midwifery Faculty of Health and Medicine Port Macquarie Campus Phone: 02 6581 6356 melissa.robinson-reilly@newcastle.edu.au

SCHOLARSHIPSA range of scholarships are available to assist with the costs involved in post-graduate study. For information about possible scholarships please check the following:

newcastle.edu.au/scholarships

NSW Health : health.nsw.gov.au/nursing/scholarship/Pages/default.aspx or the Health Website in your state.

ADDITIONAL INFORMATIONFurther information about Nurse Practitioners in Australia can be accessed from AHPRA or NMBA: Nursing and Midwifery Board of Australia, Nurse Practitioner Standards for Practice (2014).

nursingmidwiferyboard.gov.au/codes-guidelines-statements/professional-standards/nurse-practitioner-standards-of-practice.aspx

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APPENDIX 1 CONFIRMATION OF ADVANCED NURSING PRACTICE TEMPLATESCHOOL OF NURSING AND MIDWIFERY

Master of Nurse Practitioner

Confirmation of advanced nursing practice

Completed by the applicant’s employer(s) / clinical supervisor or professional colleague:

I acknowledge that the applicant (name of applicant)

has worked in an advanced nursing practice role as a registered nurse within

(name of service or private capacity)

from / / (Date) to / / (Date)

Number of hours per week averaged

Please state the reasons for your acknowledgement of the advanced nursing practice role as a registered nurse for this applicant. As well as the attributes noted in the definition above, reasons may include: working in a leadership role; working autonomously or largely autonomously in a clinically complex role; participating in clinical supervision at a high level of commitment and engagement; clinical teaching; working collaboratively across sectors; and, working effectively on quality improvement activities and/or research projects to ensure best service outcomes. As well as stating your reasons please ensure that you attach the applicant’s role description and key duties/responsibilities as documentary evidence in support of the application.

(Extra pages may be added as required)

Name: (Print in full)

Professional relationship to applicant

Qualifications

Signature: Date / /

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APPENDIX 2 CLINICAL SUPERVISION NOMINATION FORMSCHOOL OF NURSING AND MIDWIFERY

Master of Nurse Practitioner

CLINICAL SUPERVISOR NOMINATION Please complete this form and submit with a copy of the Clinical Supervisor’s curriculum vitae for each person nominated.

Name:

Student Number:

Contact Address:

Telephone: B/H

Email:

A/H

Location of work:

Signature:

Date:

THIS SECTION TO BE COMPLETED BY THE CLINICAL SUPERVISORTitle: Name:

Position:

Postal Address:

Telephone: B/H A/H

Email:

Location of work:

I have reviewed with the student the program requirements and the clinical supervision needed to enable successfulcompletion of the Master of Nurse Practitioner program

I have provided a complete curriculum vitae outlining my clinical and education experience and skills

I agree to provide Clinical Supervision for the above student

Signature: Date / /

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APPENDIX 3A ORGANISATIONAL APPROVAL LETTERSCHOOL OF NURSING AND MIDWIFERY FACULTY OF HEALTH AND MEDICINE, UNIVERSITY OF NEWCASTLE

University Drive, CALLAGHAN, NSW 2308

Dear Colleague,

To enrol in the Master of Nurse Practitioner, the University of Newcastle requires the applicant to provide a letter of support (attached to this letter) for integrated professional practice (IPP) from the Director of Nursing (DON) or equivalent head of department / senior clinical manager of the organisation.

Under the ANMAC Nurse Practitioner Accreditation Standards 2015, students are required to undertake a minimum of 300 hours supernumerary integrated professional practice (IPP) as part of the program requirements, spread across the time of study. IPP can be undertaken during the program in 3 ways.

1. Undertaking scheduled and supervised integrated professional practice in the clinical setting where they are employed, but not rostered at that time. The service provided in the healthcare setting could continue to be delivered without the nurse practitioner student’s presence.

2. Undertaking unscheduled, opportunistic and supervised integrated professional practice in the clinical setting where they are employed and counted in the roster of the clinical setting. In this circumstance the normal provision of rostered duty care cannot be compromised.

3. Undertaking supervised practice in a clinical setting where they are not employed.

Successful entry into the program requires students to provide documented evidence that the employing organisation and or other organisations will support the student to complete the professional experience requirements of the program. The student requires a range of health care experiences that supports knowledge and skills development in patient centred care that is consistent with the principles of primary health care and complements the student’s speciality skills and knowledge. Apart from the student’s regular place of work, employers may provide the student with opportunities to gain IPP across a range of clinical experiences.

Two clinical supervisors are to be nominated at the time of application and acknowledged by the DON/manager. The clinical supervisors must be:

1. An endorsed nurse practitioner (NP). If an endorsed NP is unavailable then a senior clinical nurse working in the same field as the student, with advanced practice knowledge and skills and a recognised qualification at a minimum level of a master’s degree or fellowship of a professional college or equivalent combination of formal education and clinical experience.

2. The second clinical supervisor should be a medical practitioner. Where a medical practitioner is not available then a health practitioner working in the same field as the student, with advanced practice knowledge and skills and a recognised qualification at a minimum level of a master’s degree or

FELLOWSHIP OF A PROFESSIONAL COLLEGE OR EQUIVALENT COMBINATION OF FORMAL EDUCATION AND CLINICAL EXPERIENCE.One on one supervision and assessment of satisfactory clinical practice are completed regularly throughout the program by the clinical supervisors with the student. Students and supervisors are supported by The University of Newcastle, via the program convenor and course coordinators and University resources. Successful completion of the program requires the student provide evidence of competency achievement against the NMBA Nurse Practitioner Standards for Practice (NMBA 2014).

Please provide the letter of support on the template that follows and complete the forms on the following pages. Please nominate a contact person at your organisation for the program convenor to discuss a student placement agreement or similar if one does not currently exist and IPP requirements, before any IPP can be conducted by the student in your workplace.

Thank you for agreeing to support this student as they embark on this program of study. I look forward to a collegial working relationship between the university and your healthcare facility.

If there are any questions, please do not hesitate to contact me via email or phone (email or mobile number below is best).Yours sincerely,

Dr Melissa Robinson-Reilly

Master of Nurse Practitioner Program Convenor Phone: 02 6581 6356 melissa.robinson-reilly@newcastle.edu.au

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APPENDIX 3B ORGANISATION OFFER OF IPP EXPERIENCES FORMTHIS FORM IS USED BY ORGANISATIONS ABLE TO PROVIDE IPP HOURS FOR THE STUDENT.

Program Convenor Nurse Practitioner Programs

School of Nursing and Midwifery Faculty of Health and Medicine University of Newcastle

Dr Melissa Robinson-Reilly School of Nursing and Midwifery Faculty of Health and Medicine Port Macquarie Campus Phone: 02 6581 6356 melissa.robinson-reilly@newcastle.edu.au

To Dr Melissa Robinson-Riley, Program Convenor Nurse Practitioner Programs

Master of Nurse Practitioner Applicant:

Applicant’s position:

Manager’s name:

Manager’s position:

Facility:

Employment address:

As the position at facility name

I advise, approval has been granted to: Potential student

to undertake the Integrated Professional Practice (IPP) (300 hours) or part there of (insert number of hours) required to complete the Master of Nurse Practitioner program at the University of Newcastle.

The application is approved on the following basis:

• That a student agreement or similar is arranged with the University of Newcastle, through the program convenor which will outline the responsibilities of all parties, including indemnity and insurance to ensure adequate supervision and evaluation of the student’s professional practice while engaged in their integrated professional practice experiences.

The nominated person to contact regarding a student placement contract or IPP arrangements at

Facility Staff member Position

Contact details

Signature: Date:

Send via email or post directly to education provider.

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APPENDIX 4 - SITE SUITABILITY CHECKLISTTHE UNIVERSITY OF NEWCASTLE INTEGRATED PROFESSIONAL PRACTICE (IPP) FOR NP PROGRAMS: SITE SUITABILITY:

WORK HEALTH AND SAFETY CHECKLIST

This form is completed by the student Section 1, and the SONM M NP Program Convenor Section2. A separate form is completed for each site identified by the student.

Section 1: To be completed by the student

Please contact the Program Convenor M NP to discuss as required

Student Name: Phone:

Email:

Name of Organisation where IPP will be conducted:

Location/Address of site/s where IPP will occur:

Duration of IPP : Anticipated dates or year of IPP:

IPP venue contact person / details:

Questions regarding IPP /location / workplace / supervision. Circle Yes / No / Not Applicable

Is the workplace covered by a Work Health and Safety Management System? Yes No

Is the site able to provide a range of health care experiences?* Document below Yes No

Will the site be able to support student IPP experiences required to meet the NMBA Nurse Practitioner Standards 2014 including access comprehensive patient/client assessment, consultation / referral to other health care professionals, requesting diagnostic tests, prescribing, implementing and evaluating interventions relevant to the student’s specialty? Document below Yes No

Will the student have access to appropriate supervisor at the site, including ready access to members of their clinical support team with supervisors meeting the requirements of your primary supervisors e.g. NP or medical practitioner? Document below Yes No

Will safe transportation be available throughout your IPP experience? Document below

Water and light aircraft travel forwarded to UoN WH&S to determine safety e.g. flying doctor services. Yes No

Will arrangements be made for appropriate accommodation during the student’s IPP? Document below Yes No

Will the student be briefed regarding local cultural, safety and security issues? Yes No

Will on-site induction be provided including local emergency, evacuation and first aid? Yes No

Are there any high risk activities occurring in the workplace that the student would need to be aware of? Yes No

Will the student be potentially be exposed to hazardous substances or energy sources? Yes No

Are risk assessments available for the work to be done by the IPP student? Yes No

Will documented safe working procedures be made available to the IPP student? Yes No

Are you aware that all accidents / injuries involving a student on IPP must be reported (as well) to the University through the UON Course Coordinator or Program convenor? Yes No

Are you aware that you need to update your contact details including emergency contacts, provided to School of Nursing for IPP periods of travel. Yes No

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Additional Requirements:

Details of the health care experiences available at this site

Details of available IPP supports e.g. diagnostic, treatment and management at this site

Details of the supervisor/s and supervision arrangements at this sit

Details of transportation arrangements at this site

Details of accommodation arrangements at this site

Student contact details and emergency contact details for period of IPP at this site

Further Comments

Signed (Student) Date: / /

*Note: IPP experiences require the ability to support knowledge and skills development in consumer centred care that is consistent with the principles of primary health care and complements the student’s specialty skills and knowledge? Experiences may be gained in your own workplace or externally. E.g. Primary care, community mental health care, chronic condition management, child and family health, rehabilitation, palliative care, Aboriginal Medical Services etc

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Section 2: To be completed by the University of Newcastle Program Convenor M NP

Requirements:

Risk assessment template has been applied to this document by the Program Convenor Yes / No

Comments / Further actions required or taken

(For example requirements for additional supervision, health care experiences, induction, risk assessment, equipment or PPE)

IPP site is considered low risk and suitable to proceed: Yes / No

Signed (UON Program Convenor M NP)

Date: / /

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APPENDIX 5 IPP CLINICAL CASE TEMPLATE FOR SUPERVISIONSCHOOL OF NURSING AND MIDWIFERY

Master of Nurse Practitioner

IPP Clinical Case template for Supervision

Copy page as required

Student Name

Student ID Date Date: / /

Supervisors Name

SUMMARY OF CASE:

SUMMARY OF DISCUSSION:

ACTION AND LEARNING (RELATE TO NURSE PRACTICE STANDARDS WHERE RELEVANT):

Student Signature

Supervisors Signature

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APPENDIX 6: ANSAT NURSE PRACTITIONER TOOL

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APPENDIX 7: NURSE PRACTITIONER CLINICAL DEVELOPMENT PLAN

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