We work to ensure these professionals have the knowledge and skills to deliver consistent, quality care that keeps people safe. Identify some experiences of your own that you could reflect on, following NMC revalidation guidelines 3. 10. It will encourage me to reflect on the role of the Code in my practice and demonstrate that I am 'living' the standards set out within it. Revalidation is about helping you demonstrate that you practise safely and effectively and according to the NMC Code; encouraging a culture of sharing, reflection and improvement. Ms Finch recommends keeping a diary, making voice memos or taking notes to help organise thoughts for reflection. The Gibbs model suggests six simple steps to work through, starting with describing to yourself the situation, followed by thinking about the emotions and feelings the situation prompted, and then what went well and not so well. Saved by Cath Henson. in times of extreme stress and uncertainty’. Five pieces of practice-related feedback. Find out everything you need to know about revalidation including how you can meet the requirements by reading 'How to revalidate with the NMC'. » Team Time has been designed, piloted and implemented rapidly as a way for teams to come together and discuss the emotional burden and impact of the care they are providing. contemplate your day on the way homePicture: iStock. Here are all the forms and templates that you will need to revalidate. Once you have met the revalidation requirements and had your confirmation discussion you can begin your application. For many nurses, including senior and research nurses and clinical nurse specialists, COVID-19 has brought a return to bedside nursing, and this has often been a positive experience. This is the fifth in a series of eight articles providing information about the Nursing and Midwifery Council (NMC) revalidation process. The NMC’s decision to make reflective practice a key part of the revalidation process that all nurses have to undergo to maintain their registration shows the importance placed on it by professional leaders. Rather than offering advice, ask ‘What are you noticing here?’, ‘What amid all this is there to feel proud of?’, ‘How can you build on this?’, Protecting time for a 5-10 minute debrief at the end of a shift and ensure it happens to reinforce its importance. Though dult acute, … It involves new requirements and new ways of collecting evidence to prove you can practise safely and effectively. A new programme to support reflective practice in a team has been developed in response to the COVID-19 pandemic. Revalidation is the process that allows you to maintain your registration with the NMC. Anecdotal reports suggest that nurses are most worried about the revalidation requirement of gathering five pieces of … As part of your revalidation, you must have a reflective discussion with another NMC registrant covering your written reflections and the Code. You must have prepared five written reflective accounts in the three year period since your registration was last renewed or you joined the register. Revalidation is a key part of your professional life: it helps you to maintain safe and effective practice by supporting you to update your knowledge and develop new skills. The process, which must be completed every three years, encourages nurses to keep up to date in their professional practice to support safe and effective patient care. Hearing people’s stories and narratives, it is clear that life has changed for us all. When reflecting for the purposes of revalidation, the most up-to-date NMC … These are for reference and use in workshops. As part of the NMC’s The Code, which became effective from March 2015, all nurses are required to revalidate their registration every 3 years. Source: University of Edinburgh: Guide to the Gibbs reflective cycle. Ms Finch says the pandemic could also have a fundamental impact on people’s future career choices. Practice hours log template (recommended) Also included are examples of completed forms and templates, including written reflective accounts by nurses, midwives and nursing associates who have been through the revalidation process. He says reflective practice is an approach that nurses should be using at all times, not just reaching for it to complete the paperwork every three years when revalidation looms. This gives relevance to your revalidation. This form must be used to record your reflective discussion. ‘In the future, many clinical services will work in a different way now we have proved that they can work. Gibbs’ reflective cycle is one of the best known and simplest ways to structure reflective practice. Schwartz round trainer and mentor Rhiannon Barker has helped train 300 Schwartz round facilitators in the new approach over recent weeks. Register with us for free – it takes less than a minute – and you'll receive news and updates straight to your inbox. Examples from revalidation pilots. You can use this template to help you record details of your CPD. ‘Why wait?’ says Ms Finch. This document includes all six forms and templates, including the mandatory forms for reflective accounts, reflective discussion and confirmation. Revalidation is a process that all nurses and midwives will need to engage with to demonstrate that they practise safely and effectively throughout their career. ‘It is interesting to see how valuable people find any sort of reflective practice,’ she says. But it doesn’t need to be a formal, written exercise. NMC Revalidation Portfolio, 2017 MARY JONES My Portfolio will help me as a nurse (or midwife) demonstrate that I practice safely and effectively. As noted above, the NMC Revalidation website has a resource of helpful guidance, information and examples to advise the steps needed to meet the NMC's revalidation requirements. The foundation says the idea is to provide a non-hierarchical space for staff to process and share what it is really like to do the jobs they do. Nursing managers can play a key role in helping nurses build reflection into their daily work. This approach is also intended to benefit and protect staff. This article focuses on preparing five written reflective accounts for revalidation. For example, attending a lecture where you just sat and listened and perhaps took notes. ‘We try to help tell everyday stories, but everyday stories have become so unusual – and some are pretty harrowing,’ she says. This is not a sample portfolio of one individual nurse or midwife. Online learning. The CPD article explored ways to help patients learn about self-management. Your online application opens 60 days before your revalidation application date. Revalidation is a fundamental change to the way nurses in the UK will renew their registration. It is all detailed in the NMC guidance. Online sources list rigorous steps to take– but what do the experts say? Schwartz rounds are a forum for all staff members in a care setting to come together to discuss the challenges of their work, and usually take at least an hour. You may find our guidance on non-identifiable information useful: please see page 15 in How to revalidate with the NMC. It can help nurses consider what they did well, even during difficult experiences, and help them consider what they would wish to do differently in the future. This pack … As there is so much going on and because it is so traumatic for everyone, the risk is that your thoughts get into an ever decreasing cycle of negativity,’ Dr Esterhuizen says. Examples of learning method. We also provide a wide range of resources in the dedicated revalidation section on our website, including forms and templates to record how you’ve met the requirements, case studies, and information for confirmers and … Referencing The Code of Conduct These include real life examples taken from nurses or midwives who went through the revalidation pilot process. and concepts for ing levels. For example, enrol or take part in a course which has relevance to your speciality. Independent learning What was the topic? Forms and templates Here are all the forms and templates that you will need to revalidate. Nurses need a chance to reflect on that, and this could positively inform their careers.’. It is a continuous process to demonstrate your ability to continue to practice safely. Course attendance. Remember to keep evidence of your CPD to show to your confirmer. But how should this approach be continued by staff in the NHS and social care during the pandemic? Nurses have expressed their appetite for the programme through the online training, she says. Philip Esterhuizen: Reflection is useful Team Time is designed to be shorter, involve smaller groups of people and can be done remotely, but still involves a trained facilitator and someone sharing a story or experience to prompt discussion. Revalidation is a new process that all nurses and midwives need to go through, in order to complete their registration with the NMC. Legal responsibilities. Reflection can be done as you The Nursing & Midwifery Council: Revalidation, Support to help you revalidate guidance sheet, Freedom of Information and Data Protection. The NMC registered nurse is required to record their NMC Pin, email, professional address and postcode as well as the date of the discussion. As the COVID-19 pandemic – and the pressures facing the NHS – continue, many nurses may feel they have less time than ever to reflect on their work. We have made it easy for you to stay up to date with the latest developments in nursing, including relevant COVID-19 information. ‘This is a time that will be a poignant period in nurses’ careers,’ she says. For example if you work full time, please just make one entry of hours. It is easy, straightforward and will help nurses and midwives develop as professionals. This could be your line manager or someone you frequently work with or someone from a professional network or learning group, just as long as they are on the register. Revalidation is the process of renewing and maintaining registration with the Nursing and Midwifery Council (NMC). The usual ways that nurses reflect with colleagues have been disrupted. This form must be used to record your confirmation discussion. Developed by the Point of Care Foundation, it draws on many aspects of the well-established Schwartz rounds. The careers service has also been supporting staff to reflect on their practice in a way that helps identify, or nudge them to connect with, their personal strengths. ft will encounige me to reflect on the role of the Code in my practice and demonstrate that 1 am ‘living’ the standards set out within it. You can use this template to help you record your feedback. A CPD article improved Anita Skinner’s knowledge of the treatment and management of chronic heart failure. If you are unable to complete your discussion face-to-face then it can be done via video … accounts can be used in the present’, ‘Using a a model to structure your thoughts is really helpful. Define 'reflective writing' 2. Since COVID-19 emerged in the UK earlier this year, nurses have found themselves working in unfamiliar situations. o Code e identify the part or parts of the Code relevant to the CPD. The forms and templates attached are examples of how a nurse or midwife may record how they meet the requirements of revalidation. rioritise people ractise effectively reserve safety romote professionalism and trust Link to Code: Number of hours: ursing Skill Mix. Alison Finch suggests supporting this by: Recording responses in the moment for your reflective accounts. But in the current circumstances, many of these approaches may be inaccessible. Support to help you revalidate guidance sheet Examples of completed forms and templates, including Practice hours, CPD, feedback, reflective accounts, reflective discussion and confirmation. Such reflection needs to be built in to nurses’ daily lives as the workforce prepares for long-term change, Ms Finch says. Reflective practice can help build resilience during stressful experiences. Amid the upheaval of the pandemic, nurses can use reflection to process their experiences and improve practice. The pack Reflection allows an individual to continually improve the quality of care they provide and gives multidisciplinary teams the opportunity to reflect and discuss openly and honestly, a joint statement from nine health regulatory bodies, including the NMC, said in 2019. If you think you may need alternative support to meet the revalidation requirements, please check the following guidance sheet. Opportunities to consider what this means for their future could be lost if they don’t get a chance to think it through, she says. Please give a brief outline of the key points of the learning activity, how it is linked to your scope of practice, what you learnt, and how you have applied what you learnt to your practice. Reflection can be a solitary activity and should be done frequently to help protect nurses from burning out emotionally, Dr Esterhuizen says. It also includes five copies of the reflective accounts form. People deal with things in different ways, but it is a healthy reaction to share some of the pressures. Guidance Sheet 1 in How to revalidate with the NMC » Reflective practice encourages nurses and midwives to use their learning to identify areas for improvement. ‘When things are so pressured it is valuable to be able to reflect on what we have done, how we have done it and whether we met the standards or criteria we wanted to meet. The process is already open for nurses and midwives with an April 2016 revalidation date, and has now replaced the current Prep standards. Examples of learning ... NMC revalidation requirements li5ted above overthe three years since their registration was last renewed or theyjoined the register as 5et out in Informationforconfirmers. I agree to be contacted by the NMC to provide further information if necessary for Diabetes care catch-up: which patients should take priority as COVID-19 continues? It stated that Download essential forms and templates for revalidation. This form must be used to record your five written reflective accounts. Concerns about personal protective equipment, risk to themselves, their families and patients, as well as much higher patient death rates than normal, all contribute to the pressures that nurses are working under. ‘It is very easy,’ he says. We have listed some examples of participatory and non-participatory CPD activities in our guidance sheet. NMC revalidation Introduction. Also included are examples of completed forms and templates, including written reflective accounts by nurses, midwives and nursing associates who have been through the revalidation process. You can describe your practice hours in terms of standard working days or weeks. A CPD article improved Bernadette Parsons’ understanding of the legal standard of care required by nurses. the NMC through revalidation every three years. Then briefly analyse to make sense of the experience, before considering what you learned and what could have been different. Dr Esterhuizen is keen to stress that it needn’t be time-consuming. ‘People have been incredibly receptive to the programme. It is quite easy to become alienated from yourself when there is so much risk to yourself, your patients and your family. 15 Mar 2018. to submit your NMC Online application are in our comprehensive How to revalidate with the NMC guidance. Revalidation is the new process that all nurses and midwives will need to go through in order to renew their registration with the NMC. NMC Revalidation Portfolio, 2016 MARY JONES REVALIDATION PORTFOLIO My Portfolio will help me as a Nurse demonstrate that I practice safely and effectively. A secondary care mental health nurse interviewed a number of new nurses for their first job. Mandatory forms which must be used are marked below (M). But with many working in different roles, in different ways, and in stressful and challenging circumstances, reflective practice is more key than ever, expert nurses suggest. However, during the emergency we recognise that there are some factors that may make it difficult for you to complete your revalidation. Saved from revalidation.nmc.org.uk. Although, overall, the interview process went well, the feedback from the candidates revealed that they felt their knowledge was not adequately tested. Childbirth Education Prenatal Yoga Midwifery Newborn Care New Parents Coding Study Facts Studio. COVID-19 vaccine programme expanded to front-line health and social care staff, Fair pay, safe staffing and support during COVID-19: priorities for nursing in 2021, COVID-19: staff in eye of the storm ‘increasingly exhausted’, If ministers make one new year’s resolution, it should be to fund nurses’ pay properly, COVID-19: the steps to take when your shift ends to stay safe at home, Best apps for nurses: the help that’s just a click away, COVID-19: how to avoid skin damage while wearing PPE, COVID-19: remembering the nursing staff who have lost their lives, The COVID-19 response has seen nurses adapt to different ways of caring in different environments, and reflection can help process these often stressful experiences, The usual mechanisms for reflection have been disrupted by the pandemic, but reflective practice is an ongoing process that individuals and teams should not overlook during this time, Nurse managers can support teams by building reflection into the daily routine, using initiatives such as Team Time to support this, Checking in with staff at the start of shifts, inviting them to share how they are feeling, Sharing reflective insights in conversation with others to model such practice, Working with coaching techniques when speaking to colleagues. Being a reflective practitioner is something that you are, and it is especially useful in times of stress, extreme situations and uncertainty’, Philip Esterhuizen, nursing lecturer, University of Leeds. Forms and templates for Revalidation | The Nursing and Midwifery Council. Examples of participatory learning can include attending a conference, taking part in a workshop or attending a relevant training course. The requirements for revalidation are either prescribed in the Nursing and Midwifery Order 2001 (the Order)1 and the Education, Registration and Registration Appeals Rules (the Rules)2, or are standards set by the NMC for revalidation and readmission.3 This guidance sheet explains the ways we can support you to meet the revalidation requirements and explains to you how you can apply for this support. The Point of Care Foundation suggests that reflective experiences help to build resilience, improve well-being and deepen professional commitment. Finally consider an ‘action plan’ of how you would do it differently in the future. The NMC’s decision to make reflective practice a key part of the revalidation process that all nurses have to undergo to maintain their registration shows the importance placed on it by professional leaders. Another example would be attending a drug company sponsored lunch with a representative. 3,5 This means not using names of patients or colleagues or information that could identify them. These include real life examples taken from nurses or midwives who have already revalidated. ‘But to capture the learning and the positives, while recognising the challenges of these changes, staff need time to reflect in real time, rather than waiting until next year when this is all done.’. ‘Reflective practice is not something that is switched on and off,’ he says. For this element, nurses must use the NMC form, which is divided into four sections – describe the event or experience, say what was learned from it, how practice was changed and improved as a result, and how it is relevant to the Code. ‘We don’t know how long this will go on. ‘Reflective practice is not something that is switched on and off. Things like patients doing more self-surveillance and nurses seeing more patients remotely are likely to stay. ‘It can just mean taking a few minutes when you are reliving part of your shift on the way home, walking to your car or catching the bus, and you can use a simple approach, such as the Gibbs model, to provide structure.’. You can use this template to help you record your practice hours. We’re the professional regulator for nurses, midwives and nursing associates. So it is important to structure that in a constructive way, rather than fretting,’ he says. Every three years all nurses and midwives will be asked to apply for revalidation using the NMC online system as a means of keeping their registration … ‘Revalidation is about fitness to practise’ Revalidation for nurses and midwives is not about Fitness to Practise. ‘By using a structure you can get a foothold to work constructively through your experience without losing your way and beating yourself up.’. 54. This site works best with JavaScript enabled. Reflection should be an ongoing process, not just a tick-box part of revalidation. The value of reflection is recognised at her trust in a number of ways, including facilitated debriefs at the end of a shift and group supervision with hospital psychologists. 3. However, make sure any reflections you record or write down are anonymised in line with revalidation guidelines and the NMC Code. For examples of the types of CPD activities you How to revalidate with the NMC. It is not going to be a finite period of time and then everything goes back as it was. Or where we could have improved things, or just to think “I did that really well today”.’, Reflection does not have to be an elaborate or formal procedure. Appraise the content of two reflective writing examples 4. The smartphone apps that support your practice and can make your home life easier too, Expert advice for nurses on minimising the effects of prolonged use of masks and visors, Colleagues and families pay tribute to nursing professionals who have died across the UK, Nursing Standard is published by RCNi, the publishing company of the Royal College of Nursing, a joint statement from nine health regulatory bodies, COVID-19: nurses say they are not getting adequate PPE, What we can all do to help identify and prevent burnout among nurses, University of Edinburgh: Guide to the Gibbs reflective cycle, How COVID-19 is affecting nurses’ mental health, and what to do about it, How to revalidate: a step-by-step guide for nurses, Researchers publish guide to help implement Schwartz rounds in UK, Free CPD – Developing resilience: the role of nurses, healthcare teams and organisations, The Point of Care Foundation: Schwartz Rounds, University of Edinburgh guide to Gibbs reflective cycle. Not only does this provide evidence of your professional commitment but it also shows you are participating in more than mandatory training alone. ‘It goes back to the very core of why you became a nurse in the first place. Revalidation was introduced by the NMC to increase public confidence in nursing and midwifery by promoting a culture of professionalism and accountability . These CPD activities relate to the NMC "The Code" 6.1, 6.2 and 22.3 Evidence … ‘Being a reflective practitioner is something that you are, and it is especially useful in times of stress, extreme situations and uncertainty. University of Leeds nursing lecturer Philip Esterhuizen says that clinical colleagues have told him about the extreme and often traumatic experiences they are dealing with every day. Visit the NMC Revalidation website; There is a useful guidance document to use which guides nurses and midwives through the steps … Many patients have missed out on care during the pandemic - now services are under pressure, News comes as Oxford/Astra-Zeneca vaccine now approved for use across the UK, The RCN general secretary on being an advocate for nursing in its most difficult year to date, Trust chief nurse says rising inpatient numbers illustrate pressure on NHS colleagues, Nurse staffing must be a priority area too – 2020 offers ample evidence of that. Reflective Reflective account: What was the nature of the CPD activity and/or practice-related feedback and/or event or experience in your practice? The premise is that all staff, other than those whose turn it is to provide skeleton cover, should attend the sessions. Regular CPD hours according to the NMC website on revalidation is that amount of time spent in passive learning. ‘The reflective accounts form can be used in the present, and help nurses to think what they are learning right now to guide their practice in a way that helps us to work responsively.’, ‘This is a time that will be a poignant period in nurses’ careers. Reflective accounts also count towards revalidation. According to the Nursing and Midwifery Council (NMC), reflection is how health and care professionals can assess professional experiences, both positive and when improvements may be needed, and find insight to aid their learning and identify opportunities to improve. ‘This is all about building resilience,’ she says. A reflective discussion with an NMC registrant and sign off from a confirmer. Don’t develop feedback fear. ... midwife or nursing associate has demonstrated to me that they have met all of the NMC revalidation requirements listed above during the three years since their … This microsite is home to all the information you need to guide you through your revalidation journey. Be careful not to record any information which may identify another person. Practice hours log template (recommended). Revalidation became effective in April 2016, superseding the Post Registration Education and Practice Standards (Prep) handbook ( NMC, 2011 ). ‘Many people have drawn on capabilities and strengths they didn’t know they had or have not used for a while. ’, She says the kind of stories and experiences that participants share would ‘normally happen while the kettle is boiling, but people don’t have the chance to do that now.’. Examples of types of feedback Verbal Letter or card Survey Report Please provide the following information for each of your five pieces of feedback. The NMC believes that reflecting on … You should not record any information that might identify an individual, whether that individual is alive or deceased. Reflection can be built into the working day for nursing teams, Alison Finch: ‘Why wait? ‘Nurses are experiencing things they have never experienced before and that will bring all kinds of emotions. Nurses can use this as a guide when reflecting both informally and formally. Nurses and midwives who received their statutory email notice (asking them to start their revalidation) before 1 April 2019 are able to apply for exceptional circumstances in accordance with our previous support arrangements. Reflective practice is a chance to work through experiences in a constructive manner, agrees Alison Finch, assistant chief nurse at University College London Hospitals NHS Foundation Trust and a National Institute for Health Research clinical doctoral research fellow. Your discussion must be completed within the 12 months leading up to your revalidation date. You can use our template to help you record your feedback, and read examples of completed forms and templates that you might find helpful. The forms and templates in this pack are examples of how a nurse or midwife may record how they meet the requirements of revalidation. These entries can also be useful for revalidation, which requires five self-reflective accounts from the nurse’s previous three years of work. Heart failure: part 2. That causes risks for everyone concerned.’. Many people have drawn on capabilities and strengths they didn’t know they had or have not used for a while’, Alison Finch, assistant chief nurse at University College London Hospitals NHS Foundation Trust. Nurses may usually access reflective practice through chats with colleagues on tea breaks, in team meetings or meetings with managers, or through clinical supervision and large group meetings such as Schwartz rounds. Use the NMC Reflective Accounts structure to start constructing a written reflective piece Combined revalidation forms and templates. Many nurses are finding it really fulfilling, also career defining and they are flourishing. Introduction to revalidation. ‘Even before the pandemic there was a huge amount of pressure on staff and resources, so to look after and protect yourself emotionally, it is important to reflect on how you are feeling and coping. Guidance sheet 1 in How to revalidate with the NMC. Current Prep Standards have prepared five written reflective accounts can be a formal, written.! Care new Parents Coding Study Facts Studio new ways of collecting evidence to prove you can practise safely effectively... 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