KEY ACCOUNTABILITIES DELIVERABLES EXAMPLE MEASURES Leadership Works collaboratively to achieve the organisation, nursing and specialty vision and values, and promotes quality patient outcomes. Inspires, motivates and encourages nurses to initiate and maintain best practice in their specialty area. Takes the leadership role through both direct and indirect patients/consumer care delivery Provides senior nursing leadership for the specialty service and consultation to a broad range of hospital, community and professional groups to achieve positive outcomes for patient or population group Supports a culture of evaluation and the ongoing quality improvement of nursing practice Is actively involved in professional activities such as research, scholarship and policy development at both a local and national level Leads system change to improve health outcomes through evidence based practice Participates in clinical governance activities Works closely with team members from a wide range of clinical disciplines, helping to create a productive responsive patient focused team that is able to deliver cost effective quality care. Represents the specialty nursing perspective. Involvement with workforce development and succession planning for the service from a nursing perspective. Employs and models transformational leadership style and coaches nurses to develop own leadership skills. Staff are encouraged and supported in their work as it relates to the area of speciality practice. Fosters and participates in peer review processes, case review and reflective practice. Team members are motivated and stimulated Evaluates current practice, identifies deficits/needs and introduces quality measures Participates actively in team meetings Clinical Practice Promotes and role models expert nursing care either directly or indirectly, especially for those with complex needs. Provides expert nursing knowledge in the management of patients/consumer care within a defined area of speciality practice, working with the patient, family/whanau or other health professionals to provide timely nursing care to optimise outcomes. Exercises independent nursing judgement, applies advanced assessment skills, initiates appropriate clinical interventions, evaluates outcomes, advises others and provides sound rationale for actions in area of speciality Prescribes advanced evidenced based nursing therapeutics, pharmacological/ interventions, diagnostic measures, equipment, procedures, and treatments to meet the needs of patients/consumer, families and groups, in Maintains a significant presence in the clinical area as a resource, role model, mentor and advocate. Facilitates / initiates collaboration to improve patient care Provides input into the development of care initiatives Professional portfolio maintained PDRP at level 4. Meets Nursing Council NZ requirements for APC
To demonstrate effective interpersonal relationship skills Establishes, maintains and concludes therapeutic interpersonal relationships with patient/consumer. Practices nursing in a negotiated partnership with the patient/consumer and family/whanau where and when possible. Communicates effectively with patients/consumer and family/whanau and members of the health care team. Maintains privacy and confidentiality in accordance with HIP Code, DHB policies and procedures etc. Communicates in an appropriate and professional manner, verbal and written. Privacy Act, Informed Consent and Code of Rights adhered to. Abides by NCNZ Code of Conduct and Professional Boundaries guidelines. To participate in health care Leads nursing and interdisciplinary groups in designing and implementing innovative, cost effective patient care and evidence-based change Provides a primary point of contact within the speciality for patients/consumer and health professionals Initiates referrals to other members of the health care team in a timely manner. Evaluates results of interventions using recommended criteria, revises management/treatment and initiates timely referral/care with relevant services/agencies Is a competent consultant for interdisciplinary client base Contributes to research and the dissemination of findings where possible Contributes to the development of interdisciplinary standards of practice and evidence-based guidelines Demonstrate leadership in establishing collaborative relationships within and across departments, hospitals, primary and secondary health to promote optimal patient/consumer health and safety and continuity of care Initiates timely referrals to other services in a timely and thorough manner. Engages in team and MDT meetings as appropriates. Initiate appropriate audit processes. Consistently participates/leads team meetings and family conferences, representing the nursing perspective of patient/consumer needs, and enacting outcomes appropriately. Leads in activities which monitor/audit delivery of quality patient care e.g. Certification processes, and current or retrospective nursing audits. Engages in submission processes. Education Assists in providing for the educational needs of staff within the specialised area of practice. Collaborates in the development of education programmes related to the area of speciality knowledge and skill. Develops professional networks Locally, Nationally and Internationally to maintain current knowledge of trends and developments in specialty area. Participates in the educational plan for the speciality. Participates in nursing forums where relevant to area of practice Colleagues are informed of relevant nursing
Participates in collaborative educational networks to meet professional and service needs. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice professional trends and issues. Assists in evaluating educational programmes offered, that focus on the area of speciality practice, to ensure content is evidence based and reflective of current thinking. Nurses are kept informed of relevant evidence based practice and issues, including ethical issues Provides educational support for healthcare providers and patients. Disseminates specialty knowledge at both a Local and National/International level to ensure healthcare providers and consumers are informed about the service CNSs provide, hence facilitating access to the speciality support they require. Shares specialist knowledge and skills in formal and informal education activities and ensures that nurses are supported in their development of culturally safe practice. Acts as a resource person for patients/consumer and health professionals. Collaborates with Nurse Educators and line managers to identify staff training needs and to develop an educational plan to address these needs Assists in the orientation and preceptor ship of new nurses and student nurses. Provides clinical guidance and mentoring to nursing and allied health colleagues. Teaching sessions are provided for health care providers e.g. general practitioners, practice nurses, staff in rural areas etc, as relevant to area of speciality. Education programmes are developed for patients/consumers to assist them to achieve their best clinical outcomes. This may include health promotion / wellness activities. Assists in the compilation of resource material for educational purposes for patients/consumer, families and healthcare professionals updating as required, to promote the sharing of current evidence-based information. Demonstrates own knowledge and skill relevant to area of speciality practice and advanced nursing practice position. Education plan is in place and pursued. Participates in annual performance appraisal Develops and maintains a professional portfolio, utilising NZ Nursing Council’s Standards for Advanced Nursing Practice. Maintains own clinical competence within specialty area. Research Promotes quality nursing care through research-based practice Relevant nursing and related research is read, critiqued and discussed as a means of supporting the development of quality nursing practice. Patients/consumer research which challenges practice at local and national forums.