clinical nurse Birmingham, England
Job description
Expert Clinical Practice Give encouragement, support, empathy, time, reassurance and advice to patients, families, and carers to enable them to explore and express feelings and issues of concern promoting informed choice. Demonstrate advanced practice in holistic assessment, development, and evaluation of individual patients with complex needs, their families, and carers as appropriate Facilitate the management and support of palliative care patients to ensure the pathway is seamless and of a high quality. To promote autonomy and advocacy to ensure the delivery of appropriate care Demonstrate an advanced level of empathic and interpersonal communication skills for patients and carers needing palliative care. Demonstrate advanced knowledge as an expert practitioner in palliative care by use of innovative practice and skills.
Maintain accurate records using a system of nursing documentation and appropriate information systems which reflect advanced assessment and practice. Act as a role model demonstrating high standards of holistic care, promoting clinical excellence and clinical leadership. Identify and apply innovative care and practice to ensure best clinical outcomes to benefit the patients, families, carers, and organisational needs. Analyse complex situations and develop action plans to improve the quality of patient care.
Ability to use a range of strategies to improve and lead patient care and management. Provide initial support to bereaved families, friends and carers and referring to the hospice bereavement service as appropriate. To participate in the hospices telephone triage service, providing specialist palliative support and advice to patients, families/carers, and other healthcare professionals. To participate in the hospices telephone triage service, providing specialist palliative support and advice to patients, families/carers, and other healthcare professionals.
Education Recognise the importance of knowledge and learning to maintain standards in palliative care. Utilise advanced knowledge of specialist palliative care to ensure all opportunities are taken to advise, educate and share information. Deliver formal and informal education initiatives to staff, patients, and carers to achieve effective clinical outcomes. Contribute to the hospice education programme by participating in education sessions.
Supervise the development of healthcare professionals on placement with the Community Palliative Care Team. Encourage individual practitioners and teams to participate in the education strategy to develop palliative care knowledge and competence in their own practice. Be involved with the direct clinical supervision and mentoring of Band 6 CNSs including 1:1s. Consultancy/Leadership Contribute to effective multidisciplinary team working and discussion.
Attendance at meetings to optimise team working and allow for an effective and seamless patient journey to improve the patients quality of life through high standards of practice in palliative care. Support the development and effectiveness of Gold Standard Framework meetings through appropriate attendance and participation. Establish and maintain a network of regional contacts to actively contribute to effective and positive working relationships. Facilitate Action Learning and other similar initiatives for district nurses where appropriate.
Use of reflective skills and facilitation skills to evaluate current practice. To receive clinical supervision and provide clinical supervision to others. Support practice development through the facilitation of complex case discussion/reflection with District Nurses and other health care professionals as appropriate. Role model effective clinical practice by encouraging joint visits to patients with District Nurses and General Practitioners.
Identify and act upon opportunities that arise for informal teaching/sharing of knowledge through joint working and shared care approaches. Identify innovative opportunities (such as writing for publication or presenting at conferences etc.) for sharing practice development initiatives and examples of good practice. Manage time effectively and respond creatively to situations within the resources available to manage the caseload given. Effective management of change by understanding group development needs to maintain good working relationships across organisational and professional boundaries to enhance and improve team working.
Identify areas of tension or opposition to effective changes in practice and aim to maintain optimum multidisciplinary team working and effective communication between healthcare teams, patients, and families. Contribute to strategy and business planning to define and implement service developments and objectives. Participate in meetings, conferences, and education sessions to promote the services provided by the Hospice. Deputise for the team leader in his/her absence.
Participate in the recruitment and selection of staff. Work within the hospices policies and procedures guidelines. Formulate and review relevant policies and procedures. Clinical effectiveness Ensure practice is research based by implementing evidence, research, policy, and standards that are relevant to specialist palliative care.
Promote an environment where enquiry is valued to improve patient care. Identify areas of palliative care practice or service provision which could be developed through audit or research and actively participate in audit and other reviews to improve clinical care. Demonstrate continual evaluation of practice, make agreed changes and work within the multidisciplinary team to enhance service provision. Ensure that information given to the multidisciplinary team and patients is research based Monitor quality initiatives in line with local and national guidelines by assessing, monitoring, and reviewing own and others practice ensuring safe delivery of care, reduce risks and effectively use resources.
Encourage the implementation of the NICE Improving Outcomes Guidance for Supportive and Palliative Care and the Department of Health End of Life Care Strategy to enhance a seamless service for patients, families, and carers. Regularly attend and participate in Clinical Governance meetings. Participate in the development and implementation of the Hospices Clinical Strategy. Contribute to a questioning and open culture in practice to enable a higher standard of care allowing patients, families, and carers to participate in this process.
Share knowledge of relevant clinical trials in specialist palliative care. Participate in/contribute to relevant research projects. Evaluate research which is appropriate and relevant to specialist palliative care provision. Demonstrate a proactive approach to the development of policies, protocols, and clinical guidelines to develop and adapt the role to the healthcare needs of patients, families and carers.
Assess and monitor risks in own and others practice ensuring safe delivery of care, which is evidence based and adheres to good practice guidance. Participate in the hospice appraisal system setting realistic objectives in order to maintain a personal professional profile and demonstrate a high level of specialist practice. Attend mandatory lectures according to hospice guidelines. Flexibility to work in all areas of the hospice
