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NS6317Revised Developing mentors to support students in practice, Part 3: Creating an environment for learning

Summary

This article, the third of an eleven part series, will offer advice and practical tips to new and

existing mentors / practice teachers to enable them to develop within their role as a mentor

and aid them in developing a portfolio of evidence that meets the Nursing and Midwifery

Council (NMC 2008a) Standards to Support Learning and Assessment in Practice (SSLAP).

It will stress the importance of creating a good quality practice placement, furthermore it will

examine the essential components that make an effective good quality practice placement all

of which directly relate to the fifth domain and outcomes of the Nursing and Midwifery

Councils (2008a) SSLAP named ‘Creating an Environment for Learning. The article

essentially presents a number of suggested ways in which this domain can be achieved and

how mentors can utilise these methods in order to demonstrate and gather evidence to show

they have met NMC (2008a) domain and outcomes for ‘Creating an Environment for

Learning’. More importantly a number of learning activities and useful tips will be

incorporated to aid prospective and existing mentors / practice teachers to undertake various

self assessments in achieving this domain. This will hopefully assist mentors / practice

teachers in gathering relevant evidence in order to demonstrate how they have met the

aforementioned domain and outcomes as part of the requirement to become or maintain the

NMC (2008a) mentor / practice teacher requirements. For more in-depth information on the

NMC (2008a) SSLAP and requirements refer to part 1 of the series ‘Developing mentors to

support students in practice, Part 1: Standards to Support Learning and Assessment in

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Introduction

Importance of Practice Placements

The importance of good high quality practice placements has been emphasised for many

years. In 1999 the Department of Health stressed the need for high quality practice

placements as part of it’s plan to modernise the National Health Service (Department of

Health (DH), 1999; 2000; English National Board and DH 2000). The Scottish Government

and NHS Education for Scotland (NES) are also committed to developing appropriately

supportive and challenging learning environments for all staff as part of their national

approach to mentor preparation (NES 2007). In the same year that Scotland developed a

national approach to mentorship the Quality Assurance Agency (QAA) published the second

edition of the Code of Practice for the assurance of academic quality and standards in Higher

Education: Section 9 work-based and placement learning which supports the national arrangements within the United Kingdom for quality assurance in higher education. The code identifies a comprehensive series of system-wide principles (precepts) covering matters relating to the management of academic quality and standards in higher education and in particular this section relates to practice placements (QAA 2007). Supportive learning environments are crucial to develop the future workforce and provision of practice

placements are a vital part of the education process (Royal College of Nursing (RCN) 2007,

Ripley 2007). Stuart (2007) also stressed that practice placements are just as important as the

University learning. Therefore it can argued that student practice experience is widely

acknowledged as being one of the most important facets of a student’s educational

preparation to become a healthcare practitioner (Glen and Parker 2003; Royal College of

Nursing 2007) and is of upmost concern. In addition, Papp et al (2003) asserts that student

nurses highly value clinical practice and the opportunities it offers. Nevertheless, one of the

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takes place. In a qualitative study by Papp et al (2003) they found that practice placements

are very difficult to control, are constantly changing and sometimes unpredictable.

Furthermore, a later study by Loftmark et al (2008) found that not only is a supportive

practice placement fundamental but so are the staff within them. Conflicting demands on staff

can seriously hinder the quality of the practice learning. Therefore, creating a good high

quality practice placement for learning is a vital role and responsibility of the mentor (Walsh

2010). The practice placement should provide the ideal environment for mentors to ensure

students relate theory to practice (Koh 2002; RCN 2007). For effective learning to occur, the

practice setting must embody an ethos that nurtures and supports learning and does not deter

it (Walsh 2010). Earlier work by Donaldson and Carter (2005) also implied that to ensure

students do not have negative experiences this is a need for clear guidelines and best practice

models to be in place. Domain 4 of NMC (2008a) SSLAP is to ‘Create an Environment for

Learning’ (See box 1) mentor and practice teachers should always be reviewing and looking

at ways to maintain and enhance their own practice placement as an environment for

learning.

Identifying aspects of the learning environment that could be enhanced

Identifying aspects of the learning environment that could be enhanced is one of the many

responsibilities of the mentor and practice teacher (NMC 2008a). There are many ways that

mentors and practice teachers can review the practice placements to help to identify ways to

improve them. Undertaking a SWOT analysis of the placement (Walsh 2010) or analysing

the practice placement using one of the many published placement checklists could be

considered. Learning activity 1 utilises a checklist approach (see Table 1) that has been

adapted from the RCN (2007) toolkit the DH & ENB (2000) placement checklist. Now

undertake the following learning activity 1 as it will be an ideal staring point to enable the

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Learning Activity 1

Look at the check list in table 1. Analyse your own clinical area / practice placement against the checklist statements and take into consideration all the components discussed above.

Can you identify the gaps within your practice placement.

What areas do you consider need to be improved upon and how do you intend to do this? Now devise an action plan of how you intend to meet any short comings identified – set yourself realistic timeframes from when you anticipate these actions to be completed.

You can now place your completed check list, action plan and notes in the portfolio and map these against the relevant domains and outcomes

Evaluation and Monitoring

It is good practice to regularly review the practice placement and it can ensure that mentors /

practice teachers continue to maintain an environment for learning. For a more in-depth

discussion on evaluation of learning read part 8 of the series called Developing mentors to

support students in practice, Part 8: Evaluation of learning. It is important to stress that

mentors and practice teachers need to ensure that they regularly evaluate learning that is

taking place to ensure that they continue to provide an optimum environment for learning.

This can be undertaken in a number of ways as can be seen from the discussion and activities

within this article. Mentors and practice teachers may wish to carry out these activities on an

annual basis. In addition, every placement should seek student feedback on the learning

experience and from this feedback they should be able to identify any areas that need to be

improved which will then enhance the learning opportunities for future students (Walsh

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they return to the University and forwarded to the relevant practice placement is essential and

also seen as good practice. By drawing on these evaluation methods and the data that is

produced practice placements are able to monitor, improve and maintain a quality learning

environment.

From the learning activity 1 it can be seen that there are numerous factors and attributes that

can assist in creating an optimum learning environment, therefore, mentors and practice

teachers need to consider and look at ways to achieve these in order to maintain and enhance

the student’s learning experience.

Ways to enhance and create an optimum learning environment for students. Mentors / Practice Teachers

Creating a good learning environment is the real substance of mentoring (Walsh 2010). The

key to any successful quality practice placement is the role of the mentor / practice teacher

and according to the NMC (2008a) it is the mentor / practice teacher’s responsibility to

ensure students encounter good quality placements. The SSLAP (NMC 2008a) fifth domain

states that mentors / practice teachers need to demonstrate that they can create an optimum

environment for learning. Thus mentors and practice teachers are fundamental to the

student’s smooth entry into the practice placement (Baglin and Rugg 2010). The student

-mentor relationship is a multi-dimensional role which can be viewed differently by the

student and mentor, both having different expectations (Wilkes 2006). Student learning is

enhanced when they work with enthusiastic and approachable staff (Gopee et al 2004). The

qualities and attributes of the mentor form an important element of the practice placement

(Gray and Smith 2000). There is a plethora of research that discusses the students’ perceived

qualities and attributes of a good mentor and these have been addressed in a previous article.

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series: ‘Developing mentors to support students in practice: Establishing Effective Working

Relationships’.

Orientation and Welcoming Students

The first vital ingredient for creating a learning environment is to ensure a good working

student-mentor relationship is established from the start. First impressions count and students

value knowing that they are expected and made welcome will ease some of the anxieties

(Walsh 2010). Advanced planning according to Jokelainen et al (2011) creates a supportive

learning environment. This should commence with a thorough, well planned and structured

induction and orientation – taking onto account the physiological and safety requirements.

Maslow’s (1970) ‘Hierarchy of human needs’ identifies that learning cannot take place

before the physiological and safety requirements have been met. Therefore ensuring that

students are welcomed, orientated, (including; placement layout, fire exits, location of toilets,

where to place personal belongings, breaks, shifts patterns, contact numbers, a discussion of

health and safety issues and procedures), and integration into the team is vital. The next stage

is to build on the relationship with the student, a rapid welcome and integration of the student

into the team will enable students to take advantage of learning opportunities early on in the

placement (Walsh 2010). Casey and Clark (2011) warn that students who feel unwanted are

therefore less likely to perform. Walsh (2010) also purports that getting to know the student is

key, finding out their likes, interests and any domestic, childcare or transport issues will help

the student feel respected, acknowledged and motivated.

Practice Placement Culture and Leadership Style

Although it is the mentor’s / practice teacher’s role to ensure the student experiences a good

quality practice placement according to Papp et al (2003) suitable surroundings for clinical

practice are also vital for learning and a good environment is described as one where there is

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appreciated and given opportunities to study. Furthermore, student nurses need support and

nurturing to meet their learning needs (McAllister 2001; Burns and Patterson 2005) however,

as well as being supported students regard the staff attitudes and behaviours within the

practice placement to be an important element for the learning (Jackson and Mannix 2001;

Papp et al 2003; Palmer et al 2005). Thus practice placement staff have a major influence on

the quality of learning (Pearce 2004). Morgan (2004) also contends that when practice

placement staff have a negative attitude towards the students it makes them feel insecure and

frightened. A number of earlier studies by Orton (1981) and Fretwell (1983) demonstrate that

the ward manager is key to the attitudes of staff towards learning in the placement area.

Further research in the nineties by Gerrish (1990) also found that if the manager promotes

learning this will have a positive effect on the attitudes of others. Similarly, a later

international study in 2002 found the leadership style of the ward manger remains an

important element (Saarikoski and Leino-Kilpi 2002). However, although the ward manager

has overall responsibility for student learning Gerrish (1990) contends that this is a low

priority of their managerial duties. In contrast Morgan and Collins (2002) have identified that

some managers remain committed to student learning whilst many others state that it is the

staff nurse that is key to facilitating student learning (Condell et al 2001).

Not only are mentors and practice teachers responsible for ensuring they review ways to

maintain, enhance and provide an optimum learning environment, however another important

aspect of the fifth domain of the NMC (2008a) SSLAP is to ensure students access a range of

learning experiences that involve patients, clients carers and ensure that students work and

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Enabling students to access a range of learning experiences to learn and work within interprofessional teams, involving patients, clients and careers.

Team mentoring.

Papp et al (2003) assert that students felt being part of the team constituted a good practice

placement. One way to ensure students are integrated within the team is through the use of

team mentoring. Moreover, Baldry Currens and Bithell (2000) and Caldwell et al (2008)

found that students appreciate team mentoring as they value working with a range of staff

members. Team mentoring involves one mentor being responsible for the student learning

and facilitating / co-ordinating the students learning experience. It fosters the ethos that the

student does not just belong to the mentor but the whole team (Walsh 2010). All staff within

the team contribute to the student learning but it is essential that they feedback to the named

mentor regarding the students progress. However, Caldwell et al (2008) asserts that all staff

involved must understand their role and responsibilities in the student’s education process

with effective communication being paramount. Nevertheless, they elaborate that the use of a

team mentoring approach could potentially relieve some of the burden on the named mentor;

it allows diversity of experiences and teaching styles. In addition it draws upon the strengths

in the team to enable students to meet their learning needs and gain a better understanding of

team working (Caldwell et al 2008). Furthermore, it could strengthen the reliability and

validity of the students assessment (Gopee et al 2004) as it could potentially reduce bias

enabling a fairer assessment especially if there are difficulties with the student-mentor

relationship (Redfern et al 2002) In contrast, Walsh (2010) warns that care must be taken that

the mentor does not disown the student and attention must be given to ensure that the student

does not feel unsupported. In addition, students may miss out on opportunities and feel

unsupported if it is not clear which mentor has the overall responsibility for their supervision

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worst case scenario they may not achieve the required learning outcomes by the end of the

practice placements and may possibly fail their placement through no fault of their own.

Another role and responsibility of a mentor and practice teacher requires them to act as a

resource to facilitate personal and professional development of others and team mentoring

can assist with this element. This is specifically mentioned in the fifth domain stage 2 of the

mentor standards of the NMC (2008a) SSLAP. However, whether a mentor or a practice

teacher, both roles involves the facilitation of developing others personally and professionally

and this facilitative role is crucial, however, it can be very time consuming and good time

management and organisational skills are the key to success

Acting as a resource to facilitate personal and professional development of others Time and supernumerary status

Finding time is one of the crucial factors of an effective practice placement, yet it is often the

most difficult to achieve. However, finding time to assist your students to reflect on their

experience is essential. Students have reported that just spending time with their mentor

enhances their experiences and Walsh (2010) asserts that the opportunity for frequent short

interactions helps students feel supported. Furthermore, a requirement by the NMC (2008a)

includes students spending at least 40% of their time on placement working directly or

indirectly with their named mentor. According to Beskine (2009) the mentor may delegate

educationally focused tasks involving patient care to the student, however, goes on to stress

that it is important though not to take advantage of the student and use them as a ‘pair of

hands’. They should be released from these tasks in order to be involved in other

opportunistic learning opportunities as and when they arise. For students in the community

the time spent between travelling from patient to patient to discuss the patient’s condition,

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Learning Activity 2

Consider the discussion above. Now reflect on your clinical area/ practice placement as an environment for learning. Look at the strengths and limitations of your area in supporting student learning.

Make a note of these strengths and limitations.

What areas do you considered need to be improved upon and how do you intend to do this? Discuss with your team and also you University Link tutor. Make a list and set goals / actions in how you intend to improve the issues raised. Negotiate with your team and Link tutor to make these appropriate changes

You can now place your reflection and other notes in the portfolio and map these against the relevant domains and outcomes

to make effective use of time (Price 2004a). Spending time with the student is essential.

Mentors and practice teachers need to find time to spend with the students either immediately

following a patient intervention and or to factor in half hour at the end of the shift. This time

should be used to enable the student to discuss and reflect on the experience gained. Having

read the above factors that enable an optimum learning environment consider the above

discussion and complete learning activity 2.

Other resources

Other resources are also important, ideally students should have access to a quiet room or

space where they can locate resources and use them to inform their practice. The quiet space

should hold up to date journals, books, health promotion leaflets, National Institute for Health

and Clinical Excellence (NICE) guidelines and internet access to name but a few. However,

Walsh (2010) warns that students should not spend too much time engaged with these

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Learning Activity 3

Take some time to identify the members of the team that can assist in providing structured formal teaching sessions.

Make a list of the other Multi-disciplinary team members that can also contribute to this

Now contact these staff and ascertain if they are willing to support you and what topic areas have been identified?

Can you now plan a rolling programme of structured teaching sessions? Can this be an open forum for other students in a nearby speciality practice placement?

Now place your ideas, notes and devised plan in the portfolio and map these against the relevant domains and outcomes

of resources does not necessarily mean better learning. Moreover, these will need regular

revision (Ripley 2007) as the service provision may subtly change over time. Within the

practice placement there is an immense amount of informal teaching, however more formal

structured teaching sessions could be planned and delivered. This can be offered by the staff

within the practice placement that have an interest or expertise within a particular area of

practice or by any other professional who have links with the practice area. A rolling

programme over several months could be planned and dates, times, venue along with the

topics could be highlighted in the student induction pack or notice board so that they are fully

informed of what is on offer and thus demonstrates that their learning has been planned.

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Collecting, preparing and updating learning resource such as, journals, books, NICE

guidelines, access to the internet and teaching packs for student to access along with

organising teaching sessions is seen as good practice, however the most valuable learning

resources a student can access are patients, clients, carers and other professionals.

Utilising a range of learning experiences, involving patients, clients, carers, professionals and working closely with others involved in education in the practice and academic setting.

Patients, clients, carers

The valuable contribution of service users and carer groups should be rooted in nursing

departments in universities and respected and accepted as a vital part of the team in the

education of nurses (Hemingway et al 2012). The NMC (2008a) stresses the need for

patients, clients, service users and carers to be part of the student teaching, learning and

assessment experience. Stockhausen (2008) agrees and draws attention to the fact that

services users are willing to offer themselves as a resource for learning. Suikkala and

Leino-Kilpi (2005) also found that patients have a strong commitment and are willing to assist

students to gain experience. Many patients, clients and carers have experience of living with

their conditions and have come to terms with their diagnosis / disease. Students can draw

upon these valuable insights to gain knowledge and understanding of living with such

illnesses. Involving students in direct patient contact and contribution to patient care goes

without saying for it is only through this exposure that students can learn (Stockhausen

2008). Gordon et al (2004) stress that by using teaching approaches that promote service user

involvement and using their ‘real’ life experiences can demonstrate to students the

importance of interprofessional working. From the students perspective they value learning

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Learning Activity 4

Take some time to reflect on the above discussion.

Now think about how you can enable patients, clients and carers to contribute to the student learning apart for the obvious in them caring for their needs.

List some of the differing ways the service user can contribute within your particular practice placement.

Can you suggestions be shared with other mentors / practice teachers in your practice placement or added to the induction pack / or student notice boards so that all students can engage in these alternative ways of learning

Now place your ideas, notes and suggestions in the portfolio and map these against the relevant domains and outcomes

the patient’s journey and it allows the student the opportunity to talk and listen to service

users and to learn this from their lived experience. Although this can be ethically challenging

at times mentors and practice teachers need to look at ways in which service users can

contribute to providing an optimum learning environment. Experienced mentors and practice

teachers are knowledgeable about patients’ conditions and therefore can identify learning

opportunities associated with patients that a student may not have noticed (Stockhausen

2005) Thus mentors and practice teachers should facilitate and encourage students to engage

with patients, clients and carers at every opportunity. Now complete learning activity 4

Hub and Spoke

The NMC (2008a) states that a range of experiences for students should be provided by

mentor and practice teachers and that this is seen as one of the qualities of being a good

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with other members of the immediate team and members of the multi-disciplinary team

(MDT) thus providing a directory of useful contacts of the MDT which is suggested by

Channell (2002). Failure to provide these opportunities could result in a lack of relevant

experiences (Beskine 2009). However staff shortages and sickness can hinder this and affect

student learning. Although a variety of healthcare practitioners such as specialist therapists

can provide valuable learning opportunities for nursing students they are unable to act as the

named mentor / practice teacher, thus the use of the ‘hub’ and ‘spoke’ model enables students

to learn from other professionals to enhance their experience. The ‘hub’ and ‘spoke’ model

not only promotes a quality learning environment but also maximises learning opportunities

and exposure to inter-professional practice to broaden the student experience. The ‘hub’

placement is where the student is allocated to an area in practice and assigned a named

mentor Roxburgh and Bradley (2012). The ‘spoke’ placement is a secondary learning

experience that is related to the ‘hub’ (Roxburgh and Bradley (2012). The ‘spoke’ can

provide learning opportunities that may not be available within the ‘hub’ placement and are

linked to the patient’s journey so that a comprehensive view of care can be experienced.

Roxburgh et al (2012) purports that the ‘hub and spoke model’ provides the student with a

deep and meaningful person centred learning approach.

The named mentor in the ‘hub’ placement should negotiate and arrange for the students to

spend time with another member of the MDT (spoke placement) which may vary in length

from a couple of hours to a few days. Whilst in the spoke placement the student is supported

by a named supervisor who supervises and reports to the named mentor in the hub. One way

in which a mentor can identify the relevant MDT members is through reflecting on a number

of patient journeys from the ‘hub’ practice placement and map these to the students learning

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Learning Activity 5

Take some time to identify the members of the team that can assist in the student learning opportunities.

Make a list of the Multi-disciplinary team members that can provide relevant learning experiences – and act as spokes placements. How can they contribute to the students learning journey?

Now look at a number of patient pathways – list the other member of staff that the patient will encounter during their patient journey. Add these to you list. Again analyse how these will contribute to the students learning

Now you can devise a directory of relevant staff members and spoke placement that should include staff contact name, and numbers and location.

Now place your notes and directory list of members of the MDT from your patient pathways that you have considered as potential spokes in the portfolio and map these against the relevant domains and outcomes

should be able to identify a number of patient pathways which in turn could become a

valuable student learning pathway. McClimens et al (2013) in their study found that patient

pathways benefited students by offering more opportunities for learning, exposed students to

specialist and emerging fields of practice and allowed students to prepare for particular roles

on registration. The student can closely follow a patient’s pathway through the health care

system to gain the knowledge and understanding of the care and treatment required. Now

complete learning activity 5.

As can be seen from the above discussion there are many elements that contribute to

providing an effective learning environment. A summary of the elements of a good practice

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Portfolio Development

As previously discussed mentors are required to demonstrate they have met the NMC (2008a)

SSLAP of stage 2 of the framework through the development of a portfolio. The fifth domain

of these standards includes ‘Creating an Environment for Learning’ (Box 1). By working

through the above ‘learning activities’ included in this article – the work produced may well

now provide appropriate and excellent evidence towards this domain and outcomes. In

addition following the experience of facilitating a learner in practice further evidence would

be generated once the welcome and orientation process for the allocated students has taken

place. Providing the student gives consent, copy the students University orientation checklist

and initial interview, midpoint meeting and the final meeting documentation ensuring

anonymity to maintain confidentiality (NMC 2008b), along with any other action plans (if

devised and completed). These constitute excellent pieces of evidence. Moreover, by

undertaking a reflection on how the mentor has created an environment for learning for a

recent student and the process that has taken place would also provide some excellent

evidence towards this domain. Furthermore, through the students own evaluation of their

learning experience or completion of a placement evaluation form may also prove valuable in

meeting this particular domain, along with any thank you cards or student testimonies.

Finally all the above should be mapped and cross referenced against the relevant NMC

(2008a) SSLAP as the evidence will not only meet the domain ‘Creating an Environment for

Learning’ but they may also meet the any of the other eight domains (see box 3) such as

‘Establishing Effective Working Relationships, ‘Facilitation of Learning’ Evaluation of

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Summary

Practice placements are essential for student learning, allowing them to relate theory to

practice and gain the necessary skills to become competent practitioners. Creating an

environment for learning is key to this and the mentor / practice teacher has a crucial role in

supporting a student’s learning. There are many components to creating an optimum learning

environment and building a rapport and successful relationships is one of the first stages that

take time and effort. A thorough orientation will provide a good first impression and help to

relieve any initial anxieties. Reviewing and identifying ways to enhance the practice

placement in relation to the support provided, ward culture, team mentoring, and the planning

of learning opportunities and resources, will enable mentors to assist in providing an

environment for learning and thus assist them in meeting this domain. The mentor / practice

teacher should have a number of fruitful and good quality pieces of evidence to place in the

portfolio in order meet a number of the NMC (2008a) SSLAP by reviewing themselves and

their practice placement along with completing the above learning activities in addition to

gaining experience in practice. The next two issues of ‘developing mentors to support

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Box 1

Creating an Environment for Learning (NMC 2008a) Stage 2 - mentor

 Support students to identify both learning needs and experiences that are appropriate to their level of learning

 Use a range of learning experiences, involving patients, clients, carers and the professional team, to meet defined learning needs

 Identify aspects of the learning environment which could be enhanced – negotiating with others to make appropriate changes

 Act as a resource to facilitate personal and professional development of others. Stage 3 – practice teacher

 Enable students to access opportunities to learn and work within interprofessional teams

 Initiate the creation of optimum learning environments for students at registration level and those in education at a level beyond initial registration

 Work closely with others involved in education, in practice and academic settings, to adapt to change and inform curriculum development

Box 2

Elements of a Good Practice Placement

 Practice placement culture – which includes support for continuing professional development

 Use of Evidenced Based Practice  A good welcome and orientation  Good role models of all staff  Adequate staffing levels

 Enough mentors along with essential qualities and attitudes  Good learning resources

 Time for learning and student support

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 Placements that are organised and student learning is planned  Students being respected and feeling valued and part of the team  Supernumerary status honoured

 Range of experiences relevant to the students stage and level of learning  Monitoring of practice placement using audit tools and evaluation methods

identifying areas and way to improve and meet any short comings  Strong university links with academic and PEF’s

 Mapping of the curriculum to identify learning opportunities

Box 3

Domains (NMC 2008a)

1. Establishing effective working relationships

2. Facilitation of learning

3. Assessment and accountability

4. Evaluation of learning

5. Creating an environment for learning

6. Context of practice

7. Evidenced based practice

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Table 1

Adapted from The RCN (2007) Toolkit and Placement in Focus; Placement checklist (DH and ENB 2001)

Statement: key questions which address the guidance for good practice.

Yes No Action to be taken / by whom and date to be achieved

Does your practice placement have a profile which

determines:

 maximum number and type of students at any time

in a placement

 the stage, level and skills required by the student before beginning the practice

experience

 the learning opportunities available and the learning outcomes expected from the placement?

Does the practice placement have a stated philosophy of care which is reflected in practice and supports the curriculum aims?

Does the practice provision reflect respect for the rights of health service users and their carers?

Does the provision of care reflect respect for the privacy, dignity and religious and cultural beliefs and practices of patients and clients?

Is the provision of care based on relevant research-based and evidence-based findings where available?

Do you have adequate mentors to support and assess the student’s and to observe the student’s achievement of the intended learning outcomes over a suitable period of time?

Do students gain experience as part of a multiprofessional team?

A mentor is allocated prior to placement

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Do you send / email new students a welcome letter before their arrival? Do you orientate the student to the practice placement on their first day?

Do you provide the student with an Induction pack that contains: • staff profile

• contact details – shift pattern • type of placement / specialism • learning opportunities

• specialist information • resource list

• recommended reading

Do you check that the student has received the required mandatory training/updates

Do you ensure you introduce the students to the practice placement team within the first week

Ensure you undertake the initial meeting with your student in the first week

Establish roles, responsibilities and expectations in terms of standards and attitudes

Ensure you enquire about any additional support needs

Discuss and agree the midpoint and final meeting dates and note them in the relevant documents / communication diaries. Agree a timetable for working together

Know the programme and establish the student’s level of training

Establish the student’s required learning outcomes

Be aware of the assessment requirements

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Do you give the opportunity for students to receive consistent supervision and support

during all practice placements and work at least 40% of the time with their mentor

During the final placement, ensure that the student spends an

additional one hour per week with a sign-off mentor

Ensure that supervision is given by a registered nurse or midwife (as applicable) when undertaking clinical skills

Do you agree achievable time frames for meeting learning outcomes Are students’ learning needs, achievements and opportunities reviewed regularly?

Do you ensure you offer constructive feedback on progress at regular intervals

Contact the PEF and / OR HEI link if the student is not achieving

Do you ensure you complete the practice assessment documentation in the final week

Is a learning resources area available in the practice environment?

Does student feedback contribute to the ongoing evaluation of the learning environment and the student experience and are all stakeholders aware of the feedback?

References

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