School of Healthcare Sciences

Overseas Students & Overseas Nurses Programme

This is a 40 credit, level 3 module as part of the Bachelor of Science in Health Studies (Hon’s). It is intended to commence this module in January 2006. The minimum duration of the module is 12 weeks but most students will require longer, as directed by NMC, to meet practice outcomes within the workplace. The practice placement will be within the employing area unless otherwise directed by NMC. There will be a requirement for students to attend one of the University theoretical centres for 20 study days during the initial 12 weeks of the course. The employer and / or student will be responsible for payment of course fees.

Please note that this course is currently only available to overseas nurses currently employed by one of the University's partnership healthcare provider: this would include the three North Wales NHS trusts and certain approved nursing homes, and you should be in employment with one of these organisations prior to making an application.

Rationale And Aims Of The Module

As from 2005 the NMC standard for the preparation of overseas nursing programmes will change. This change requires all programmes to be under the auspice of Higher Education Institutions. In North Wales there has been an identified demand, from our partners throughout the health care sector (NHS Trusts and private sector), for an adaptation programme to meet the demands of overseas nurses. It is anticipated that this demand will continue and that there will be sufficient numbers to ensure the viability of the course.

The Nursing & Midwifery Order 2001, article 9, entitles an applicant, who satisfies the Council that he/she holds an approved qualification, is capable of safe and effective practice and has paid the required fee to be registered. Article 13 specifies that persons can be regarded as having an approved qualification if the applicant has elsewhere than in the United Kingdom, undergone training in nursing, either holds a qualification which is comparable to that in the UK or where it is not comparable, the applicant has undergone in the UK or elsewhere such additional training or experience as satisfies the Council.

This Adaptation Module has been developed to prepare nurses from overseas who wish to seek employment as a registered nurse in the United Kingdom. In devising the module cognisance has been taken of the Nursing and Midwifery Council requirements (NMC, Circular 2/2004). During implementation of the module cognisance will be taken of the individual requirements of the student as advised by NMC.

The development of this module is based on five principles. To :

  1. ensure safe and effective practice in the interest of public protection
  2. enable applicants who meet initial requirements to transfer skills and experience to the UK setting
  3. enable applicants to be assessed as being at least as competent as any newly registered UK trained nurse
  4. enable supervised practice to be delivered over variable timeframes, as determined by the NMC, and based on an applicant’s training and experience. It must also ensure that applicants meet the practice requirements for registration.
  5. be subject to NMC quality assurance processes.

It is anticipated, where possible, that there will be shared learning with Return to Practice programme as suggested by the NMC (Circular 2/2004). Within both programmes there are common topic areas and it is envisaged that, on occasions, both groups of students will be brought together for formal teaching.

It is recognised that level two is the minimum academic level to register with N.M.C. However, in Wales, it is currently recommended that pre registration students study at academic level three, and in keeping with this strategy, this module has been developed at level three.

Selection Criteria

All applicants must meet the following criteria before application for the module:

  1. Made application direct to the Nursing & Midwifery Council and received notification that additional education and clinical practice is required to demonstrate achievement of specific skills. This will include, Declaration of Good Health and Character and Enhanced CRB/POVA clearance or equivalent from home Country.
  2. Gained employment in either the NHS or Private Sector where placement for the period of supervised practice will be confirmed.
  3. A letter of support from the employer indicating placement support throughout the duration of the module either at place of work or release to facilitate NMC requirements. The letter of support should identify a named mentor for the student and an indication that the placement has had a satisfactory educational audit undertaken during the preceding twelve months. The named mentor will need to have undertaken a recognised preparatory course.
  4. Hold a first level nursing qualification in own country.
  5. Meet all immigration requirements, which includes – work permit.
  6. Successfully completed a minimum of 10 years School education before commencing a nurse education programme.
  7. Practised as a registered nurse for at least 750 hours in the last five years.
  8. Demonstrate ability to communicate effectively in English and where English is not first language, demonstrate competence by achieving a specific mark in the International English Language Testing system, that is, a mark of not less than 5.5 in any category and an overall band of 6.5. Evidence of undertaking this test, when required, should be available on application.

The application process would follow that currently undertaken for all pre registration students and will include:

  1. Interview
  2. Work and character references

Learning Outcomes

By the end of the module students should be able to :

  1. demonstrate and reflect on own ability to work safely and effectively in clinical practice.
  2. demonstrate and reflect on own ability to communicate effectively and establish a nurse/patient relationship
  3. critically discuss the structure and relationships of caring organisations in the UK
  4. critically discuss, and demonstrate in practice, the ethical and legal implications of nursing within UK
  5. demonstrate an understanding of cultural, linguistic and religious issues as relevant to nursing practice in Wales and the UK
  6. critically discuss concepts of clinical governance and evidence-based practice
  7. demonstrate the value of Health Promotion and Health Education
  8. demonstrate, in relation to the above outcomes, implications for own role as a professional nurse in the UK

Content

Outcome 1 and 8 - Demonstrate and reflect on own ability to work safely and effectively in clinical practice.

  • Record keeping
  • Nursing process
  • Admission and discharge planning
  • Problem solving and decision making
  • Patient participation in care
  • Integrated care pathwaysReflective practice
  • The role of the nurse
  • Multidisciplinary teamwork
  • The allocation of work, management and leadership of care
  • Issues and practices connected to the safe administration of drugs
  • Numeracy skills
  • Tissue viability
  • Pain managementPalliative care
  • Care of the dying patient and family support
  • Promotion of continence
  • Care of vulnerable children and adults in relation to legislation
  • Control of infection
  • CPR and anaphylactic shock
  • Manual handling
  • Health and Safety at Work issues including risk assessment

Outcome 2 and 8 - Demonstrate and reflect on own ability to communicate effectively and establish a nurse/patient relationship

  • Effective verbal and non verbal communication
  • Nurse patient partnership
  • Cultural and language sensitivity
  • Teaching and learning skills

Outcome 3 and 8 - Critically discuss the structure and relationships of caring organisations in the UK

  • Structure of the NHS, independent sector and social care services and relationship between these providers
    Modernisation and organisational development of the health care environment

Outcome 4 and 8 - Critically discuss, and demonstrate in practice, the ethical and legal implications of nursing within UK

  • Accountability and responsibility
  • Codes of Professional Practice
  • NHS reforms including clinical governance and role of statutory bodies
  • Continued Professional Development
  • Patient autonomy
  • Legislation, policies and procedures relevant to clinical practice
  • Strengths, weaknesses and limitations of professional competence

Outcome 5 and 8 - Demonstrate an understanding of cultural, Linguistic and religious issues as relevant to nursing practice in Wales and the UK

  • The UK as a multicultural society
  • Cultural, religious and language issues relating to nursing in the UK and North Wales
  • Barriers and self awareness

Outcome 6 and 8 - Critically discuss concepts of clinical governance and evidence-based practice

  • NHS reforms
  • Clinical governance
  • Patient and public involvement
  • Planning care using evidence
  • Clinical supervision
  • Introduction to library and library skills
  • Literature searching using databases
  • CD ROM, internet and referencing

Outcome 7 and 8 - Demonstrate the value of Health Promotion and Health Education

  • Holistic care encompassing health promotion and education
  • Principles of patient education
  • Influences of the Nurse
  • Empowerment

Mentorship

Mentorship in the context of this module is a system comprising individuals, who teach, inspire, serve as a role models, and support the growth and development of those practitioners undertaking the adapatation module.

Practitioners recruited to this role will be expected to have undertaken mentor preparation in accordance with All Wales requirements.

Clinical Competencies

Students will be summatively assessed in clinical practice within approved, audited practice placements.

Both a formative and summative assessment of practice document have been designed to assist students in the achievement of practice outcomes and competencies. These clinical competencies, have been taken directly from the All Wales Clinical Assessment Document, and will need to be achieved by the end of the programme and prior to registration with NMC:

1. Manage the care of groups of patients/clients for a minimum period of three consecutive days on four separate occasions

2. Manage a clinical team ensuring the appropriate delegation of tasks for the above occasions

3. Perform the safe administration of drugs on a minimum of six separate occasions

4. Demonstrate effective communication skills in the delivery of seamless care:

  • Make referrals to members of the multi-professional team
  • Accurately compete appropriate referral documentation
  • Provide detailed reports to ‘handover’ patients/clients
  • Communicate with relatives appropriately

5. Demonstrate appropriate attitudes that will be required of a registered practitioner;

  • A non-judgemental, anti-discriminatory approach
  • Appear confident in the provision of care
  • Be conscientious in approach to patient/client care
  • Display a caring, compassionate approach

6. Manage the complexities arising from ethical and legal dilemmas;

  • Demonstrate an understanding of the issues involved
  • Make appropriate decisions using ethical and legal frameworks
  • Justify decisions and actions
  • Give guidance and support to others as appropriate

7. Enhance the professional development and safe practice of others through peer support, leadership, supervision and teaching

8. Demonstrate a detailed knowledge of specific skills including emergency procedures pertinent to the branch (these will be detailed in the student/mentor clinical learning contract and the branch skills document)

Assessment Strategy

(i) Formative

Practice Learning Outcomes

Specific formative practice learning outcomes can be used towards the achievement of the summative clinical learning outcomes (as referred to in section 22). It is not anticipated that all formative learning outcomes will be achieved by all students. The tool is designed to be discussed bewteen the student and mentor. Formative outcomes will be identifed, and documented, that will assist the student in the achivement of summative practice outcomes

Portfolio

The Fitness for Practice report (NMC, 1999) recommended that all nursing students adopt a portfolio of evidence to support their learning and professional development. This has now become standard practice within Wales and the principles have been incorporated into this module.

Student will be required to complete the following sections of the All Wales student portfolio:

• Self Assessment
• Action Plan
• Reflective Evidence

(ii) Summative

Clinical Outcomes for the Supervised Practice Period (Learning Outcomes 1, 2, 4, 6, 7 and 8)

and

Theoretical Assessment - Case Study - 5,000 - 6,000 words

Critically analyse how the structure, policies and procedures of the various care providers impacted on the “journey” of a patient you nursed during your supervised practice placement
(Learning Outcomes 3 and 5)

The theoretical assessment will be submitted 4 weeks following the completion of the module. Submission dates will be negotiated for student’s who are required, by NMC, to have a longer period of supervised practice.

Course Fees

In accordance with BSc Pathway

  • £950 per student;
  • £750 per student who qualify for discount; this applies to students employed by partnership organisations/institutions where the School has Agreements with for placing undergraduate pre-registration nursing students.

Application Process

Further details can be obtained from:

Mrs Sandra Roberts

Wrexham Archimedes Centre

Wrexham

Telephone number: 01978 316356
E mail hssa05@bangor.ac.uk

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