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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
Strategic Objective 2: 11
Contributing to the quality of healthcare for children and families
Strategic Objective 3: 12
Ensuring nurses readiness and competence for the National Model of Care
Strategic Objective 4: 14
Preparation for the move to the New Children’s Hospital
IMPLEMENTING THE STRATEGY 16 CONCLUSION 16
Jan 2017 3
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.
Jan 2017 4
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,
Jan 2017 5
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
Jan 2017 7
OUR CORE VALUES
The CCNE adheres to the following values which influence how our services are delivered.
Jan 2017 8
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
Jan 2017 9
STRATEGIC OBJECTIVE 1:
Readiness to meet the expected rise in demand for education and training
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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Readiness to meet the expected rise in demand for education and training
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
Jan 2017 11
STRATEGIC OBJECTIVE 2:
Contributing to the quality of healthcare for children and families
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.
Contributing to the quality of healthcare for children and families
Outcome Examples of Actions
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
Jan 2017 12
STRATEGIC OBJECTIVE 3:
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
Jan 2017 13
Ensuring nurses readiness and competence for the National model of Care
Outcome Examples of Actions
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
Jan 2017 14
STRATEGIC OBJECTIVE 4:
Preparation for the move to the New Children’s Hospital
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
Jan 2017 15
Preparation for the move to the New Children’s Hospital
Outcome Examples of Actions
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
Jan 2017 16
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.