centre of children’s nurse education - hse.ie · management of the ccne, ccne sub education...

Jan 2017 1

Centre of Children’s Nurse Education

Strategic Plan 2017-2021

Providing excellence in children’s nursing education

CHILDREN’S

HOSPITAL GROUP

Jan 2017 2

CONTENTS Page

INTRODUCTION 3 BACKGROUND 4 THE FUTURE 5 OUR VISION 6 OUR PURPOSE 6 OUR VALUES 7 OVERVIEW OF CCNE STRATEGIC OBJECTIVES 8

Strategic Objective 1: 9

Readiness to meet the expected rise in demand for education and training


Contributing to the quality of healthcare for children and families


Ensuring nurses readiness and competence for the National Model of Care


Preparation for the move to the New Children’s Hospital

IMPLEMENTING THE STRATEGY 16 CONCLUSION 16

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INTRODUCTION

The Scope of Nursing and Midwifery Practice Framework (2015) was launched by the Nursing

and Midwifery Board of Ireland (NMBI) in October 2015. It states that, it is essential for nurses to

engage with Continuing Professional Development (CPD) following their registration, in order to

acquire new knowledge and competence to practice effectively in an ever changing health care

environment. Hence, CPD is a lifelong process of both structured and informal learning. NMBI

further defines continuing education as:

‘Continuing education is a lifelong learning process which takes place after the completion of

the pre-registration education and training, and is a vital component of CPD. It consists of

planned learning experiences which are designed to augment the knowledge, skills and

attitudes of registered nurses for the enhancement of nursing, education, leadership and

research’.

(NMBI 2015)

This definition of continuing education is indeed in line with the essence and vision of the

Centre of Children’s Nurse Education (CCNE) and in what we are striving to achieve. The

Vision of the CCNE is contributing to excellence in child and family-centred healthcare

through high quality education, training and professional development. The following

strategy will identify with this process, by providing programmes that are relevant, based on

best evidence and responsive to current and emerging children’s healthcare needs. The

implementation of the National Model of Care for Paediatric Healthcare in Ireland and

development of the New Children’s Hospital are also emerging premises that have informed

the following strategy.

NMBI (2015) Scope of Nursing and Midwifery Practice Framework. Dublin, NMBI.

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BACKGROUND

The Report of the Commission on Nursing (1998) recommended the establishment of Centres

of Nurse Education to provide a range of educational and training services to nurses in the

health services. Following on from the work of the National Implementation Group (2006),

Our Lady’s Children’s Hospital Crumlin (OLCHC) was designated the ‘hub’ for the Centre of

Children’s Nurse Education (CCNE) in partnership with the satellite centres located at Temple

Street Children’s University Hospital (TSCUH) and The National Children’s Hospital, Tallaght

(NCH).

The CCNE works in collaboration with the Nursing and Midwifery Planning and Development

Unit (NMPDU) and Office of the Nursing Services Director (ONMSD), the Board of

Management of the CCNE, CCNE Sub Education Group, Nurse Practice Development Units,

Clinical Nurse Specialists, Clinical Nurse Facilitators/ Educators, nursing staff and the

multidisciplinary team in the planning and delivery of education programmes. The CCNE

model supports the delivery of education within the Dublin based children’s hospitals and

further links with Centres of Nursing and Midwifery Education (CNMEs) nationally in the

provision of education locally to staff. It also has a regional and national remit for education.

The CCNE Board of Management delivers the functions of strategic planning and

development of continuing education/training and professional development; matching local

and national priorities; monitoring and evaluating in accordance with quality assurance

procedures; promoting accessibility, equity, quality and value for money education.

THE FUTURE

Change is a constant theme in healthcare today with advancements in technologies, how care

is organised and delivered, governance and funding structures. Change is particularly evident

in children’s nursing due to the development of the New Children’s Hospital, establishment of

the Children’s Hospital Group (CHG) and the National Model of Care for Paediatric Healthcare

in Ireland. Nurses will need further education and training to provide specialised care and

working closer to the child’s home. All of these advancements along with the impending

NMBI professional competency framework and launch of the Values of Nursing and

Midwifery by the Department of Health in partnership with the ONMSD and NMBI in 2016,

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have created the impetus to look to the future and develop a strategy for the CCNE for the

next four years.

Key indicators that have informed this strategy are:

This strategy will inform national and operational priorities and actions to enable the

educational and professional development of nurses and other healthcare staff who provide

care to children and their families. It is aligned to and supports the strategies of the Office of

Nursing and Midwifery Services Director and the Health Service Executive. It is of relevance

to the Department of Health, NMBI, Directors of Nursing and Midwifery, Registered Nurses

and Midwives, other health care workers, independent providers of health care, education

providers and employers.

Quality Care Metrics

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OUR VISION

OUR PURPOSE

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OUR CORE VALUES

The CCNE adheres to the following values which influence how our services are delivered.

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OVERVIEW OF CCNE STRATEGIC OBJECTIVES

The CCNE’s analysis of current provision and readiness for the move into the National Model

of Care and New Children’s Hospital have informed the strategic objectives set out below.

* Contributing to excellence in child and family centred healthcare through high quality

education and training

Nurse

Service

Family

Child

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STRATEGIC OBJECTIVE 1:


Since its establishment, the CCNE has developed a structured and robust model for

developing and delivering continuing professional development and continuing education

which, is adaptable and flexible to meet the needs of an ever changing health care system.

The CCNE plays a pivotal role in supporting nurses to maintain their own professional

competence on an ongoing basis by providing relevant, accessible, quality assured, safe and

evidenced based education and training. Enabling nurses and healthcare professionals to

provide quality, competent and safe patient care to children and their families.

The CCNE must also continue to adapt, expand and develop as a professional organisation in

order to meet the future demands for education and training. It must also secure sufficient

resources to ensure service delivery. Future rise in demands for education and training

include:

I. development of NMBI professional competency framework incorporating CPD

requirements.

II. recruitment and retention strategies including adaptation, overseas

orientation, transition programme for new graduate nurses and return to

children’s nursing programme.

III. the National Model of Care for Paediatric Healthcare Services in Ireland and

associated changes for nurses in hospital and community/primary care

settings, more integrated working across sites/disciplines, preparing for new

technologies.

IV. ensure sufficient resources to meet existing and future demands.

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Outcome Examples of Actions

Sufficient resources to meet existing and

future demands

NMBI professional competency

framework incorporating CPD

requirements

Skilled competent staff developing and

delivering programmes

Recruitment and retention of staff nurses

from overseas and at home

Better co-ordination and collaboration

within the existing ‘hub and satellite’

structures and across the country

Adapt to the educational and training

requirements needed for the

implementation of the National Model of

Care

Various methods of delivering online

education such as blended and elearning

programmes

Enhance and retain CCNE staff to meet expected rise

in demand for education and to ensure service

provision

Ensure sufficient facilities (IT access, admin support,

databases & eLearning) to support learning

Provide staff with education on how to maintain their

professional competency and personal development

Development of recruitment and retention strategies

including adaptation, overseas orientation, transition

and return to nursing programmes

Develop MOU for Nurse Tutors working across the

three hospital sites

Develop standardised policies and practices

Standardise accreditation process across

Support the implementation of National guidelines

Support of staff in the community and primary care

Implement the findings of the Evaluation of the

Children’s Palliative Care Programme (2016)

Secure funding for a learning technologist onto

the CCNE team

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The CCNE must continue to develop as an efficient and effective organisation in managing

resources and promoting high quality in the delivery of education. The CCNE is committed

to achieving the best care outcomes for children and their families through its work with

nurses and other healthcare staff. Currently, the CCNE quality assures education

programmes through NMBI and further accredits foundation programmes and modules

through Higher education Institutes (HEIs). The CCNE will continue to support

standardisation across provisions, develop high quality training and education programmes,

robust evaluation of these programmes and be responsive to nursing metrics.



Standardised operational procedures and

practices

Established policy and procedures for

development and delivery of quality

assuranced programmes

Robust, clear, effective governance

systems

Recognition as an accredited centre

Centre that supports specialist services

receiving International and European

accreditation

Participate on National Clinical Care

Programmes

Evidenced based nursing programmes

Nurses appreciation of the Values in

Nursing and Midwifery DOH (2016)

Standardise and streamline approach to all operational

matters

Develop standardised policies and practices and

benchmark these

Conduct an educational needs assessment

Develop programmes within available resources and in

partnership with other providers

Update prospectus and communication strategy

Develop an operational plan

Robust evaluation of programmes

Use prioritising framework and Educational Needs

Analysis Toolkit to prioritise needs

Support staff with research

Incorporate the values in Nursing and Midwifery into

education programmes

Support the implementation of the children's nursing

quality care metrics currently under development

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Ensuring nurses readiness and competence for the National Model of Care

The vision of the National Model of Care for Paediatric Healthcare Services in Ireland is that

all children should be able to access, safe high quality services within a reasonable

timeframe and appropriate location irrespective of their social background or geographical

location. This requires an integrated network for Paediatric services with the hub being the

New Children’s Hospital and spokes being the paediatric units around the country (National

Clinical Care Programme for paediatric and Neonatology 2015). Considering that the CCNE is

already a National Centre and has a similar model in existence with the hub and satellite

centres it is essential that the existing structure is maintained to support the vision of the

national model of care with continuous professional development and education

requirements.

To support future requirements for nurses the CCNE must:

I. develop education and training programmes for children’s nurses in both hospital

and community/primary care

II. work across the whole island of Ireland

III. build a culture of integrated care

IV. develop leadership and management

V. using technology to support new ways of learning and working

VI. participation on the Senior Children’s Nursing Network steering committee

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Ensuring nurses readiness and competence for the National model of Care


CCNE recognised as a leader in continuing

education and professional development,

focused on promoting the health and

wellbeing of children

Sustainable vibrant centre of education and

professional development

New synergies and partnerships developed

Standardisation of National clinical

programmes

CCNE to support the implementation of

National clinical programmes and guidelines

Support the development and

implementation of Paediatric early Warning

System (PEWS)

Have a key role in decision making for the new

Children’s Hospital of Ireland

Conduct a needs analysis for IT infrastructure

Scope innovative ways of delivering education

All education programmes cognisant of the future

national model of care for children

The work of the CCNE is underpinned by research

Link with accreditation bodies of other health and

social care professionals

Utilise national clinical programmes to network and

develop opportunities for collaboration

Target new partners

Develop relationship with the Ombudsman for Children

participation on the Senior Children’s Nursing Network

steering committee

Develop closer links with the community settings

Supporting staff with leadership and change

management skills

Representation on the National PEWS Committee

Publish reports in CCNE Annual Report

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The New Childrens Hospital (NCH) is a welcome investment in the care of children, and is an

opportunity for Ireland to take a leading role in Childrens Healthcare, Education and

Research. The philosophy and vision of education and training in the new children’s hospital

will be aligned with those of universities and educational institutions. It will provide a

flexible and innovative clinical teaching and learning environment for continuous

professional development and continuous education. Therefore, the CCNE will continue to

play an integral role with continuous professional development, continuing education and

training delivery within the NCH.

In preparation for the move to the NCH the CCNE has a vital role in:

I. supporting staff during integration

II. influencing the design of education and training provision including the CHG

Academic, Research and Innovation Strategy

III. supporting nurse managers to lead change, communicating, building relationships

with new partners/collaborators

IV. standardising processes, procedures and guidelines

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CCNE recognised as a leader in

continuing education and professional

development, focused on promoting

the health and wellbeing of children

Sustainable vibrant centre of

education and professional

development

New synergies and partnerships

developed

Programmes developed are

responsive to current and future

needs

Standardisation of education

programmes and practices across the

three hospital sites

Standardisation of education and

practices between the Paediatric

Units around the country and

community setting

Nursing staff empowered as leaders

and change agents

Have a key role in decision making for the new

Children’s Hospital of Ireland

Engage with the User Engagement Group for

Education and Research (1:50)

Education of new IT infrastructure

Scope innovative ways of delivering education

All education programmes cognisant of the future

national model of care for children

Target new partners

Engage with planning of education delivery and

models in NPH

Nurse Tutors working across the three children’s

hospital sites

Partnership with development of Operational Plan of

Education Facilities in the NCH

Engage with industrial relations processes and work

force planning for the NCH

Link with accreditation bodies of other health and

social care professionals

Promote leadership and change management through

continuous professional development and continuing

education

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IMPLEMENTING THE STRATEGY

This document provides a strategy for the work of the CCNE over the next four years. To

implement the strategy, the CCNE with the assistance of the education sub-group will

develop a set of measurable objectives and a detailed plan of action for each. These plans

will be updated on an annual basis, taking account of changes both in the context in which

we work and in our performance.

The strategy, operational plan and performance will be implemented within the context of

current resources, reported to the CCNE Board of Management and outcomes published in

the annual report.

CONCLUSION

The healthcare environment for children is currently under immense change and

reformation due to the implementation of the National Model of Care for Paediatrics

Healthcare Services and development of the New Children’s Hospital. Whilst, adapting and

responding to the changes ahead, it is also essential for nurses to engage with CPD and

personal development in order to maintain and enhance professional standards and to

provide quality, competent and safe patient care. Therefore, it is essential that nurses and

health care professionals utilise the CCNE as a resource to guide them with the challenges

ahead and to ensure a smooth transition to a reformed and superior healthcare service for

children and their families.

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