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Senior nurses 'may need change of thinking' for revalidation


Nurses in non-patient facing jobs who believe they have a “clinical practice gap” may need to change the way they view their role in order to meet revalidation requirements, according to a senior commissioning nurse.

Gil Ramsden, lead nurse for Leeds West Clinical Commissioning Group, said the introduction of the new system of competency checks had created concern among some nurses who either did not provide direct care or had no specific reference to their nursing registration in their employment contract.

“Strategic nursing practice requires us to see beyond the biomedical model of nursing practice and associate ourselves with a more abstract concept of ‘nursing’ ”

Gil Ramsden

But she said they would be able to meet the new requirements if they considered their position as a role model for registrants who did provide direct care, as well as how they used their nursing and midwifery knowledge and experience to help develop and change services.

The new system of revalidation, which was brought in by the Nursing and Midwifery Council in April, requires nurses to meet a series of requirements in order to renew their registration every three years so they are able to continue practising.

These requirements include having completed at least 450 hours of practice and a minimum of 35 hours of continuing professional development, as well as compiling five pieces of practice-related feedback and five written reflective accounts relating to the nursing code of conduct.

“The answer may call for a change in thinking at different levels about our relationship with nursing”

Gil Ramsden

In a briefing paper designed to reassure registrants about their contribution to nursing, Ms Ramsden laid out a set of examples of relevant practice that could be used for revalidation portfolios by those in non-clinical roles.

These included nurses working in commissioning, within regulatory bodies or in government or leadership roles.

“Strategic nursing practice requires an inclusive set of skills for different kinds of work across different settings and contexts. It requires us to see beyond the biomedical model of nursing practice and associate ourselves with a more abstract concept of ‘nursing’,” said Ms Ramsden.

Leeds West CCG

Senior nurses ‘may need change of thinking’ for revalidation

Gil Ramsden

“In the context of non-clinical or non-patient-facing roles, this can expose anxiety around a ‘clinical practice gap’,” she added.

“The answer may call for a change in thinking at different levels about our relationship with nursing, and how we can develop nursing to meet the significant level of change demanded within healthcare,” said Ms Ramsden.

Nurses in strategic jobs serve as role models to those delivering direct patient care, she said, and were also champions for healthcare within organisations who “demonstrate vision and skill to effect required change”.

”The skilful and scientific application of ‘nursing’ in its widest sense by more junior colleagues is dependent on how senior non-clinical and non-patient-facing colleagues are viewed as role models delivering the art of nursing,” she said.

More on NMC revalidation


Readers' comments (7)

  • michael stone

    I have not been paying much attention to the revalidation stories, but did I not read early-on that there was supposed to be some feedback from patients during revalidation ? That 'has stuck' because several nurses were not at all keen 'on being assessed by patients'. How does that one work - if that was a requirement - for someone whose job is working in commissioning, within regulatory bodies or in government or leadership roles ?

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  • As Michael has pointed out and this has caused me some worries regarding certain "specifics" mentioned in the revalidation process. my current role is not at the coal face and is more in the research field so actual practice hours could be an issue as well as having a nursing peer, which I don't have, and as the majority of people/patients and their relatives I deal with are either terminal or the family has just lost their relative. i do not feel that it is appropriate to request feed back from these groups especially as in a lot of cases I have not had much contact with them. As somebody on a long term loan to a University I am more than a little concerned as to how I am going to meet all my revalidation requirements, creative thinking perhaps but will this make the grade? I feel the skills I have learned and developed with over 30 years Nursing do apply to many aspects of my current job but how to provide the evidence in the required formats is as I have mentioned very worrying.

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  • Perhaps this bears similarity to that of some university lecturers who, whilst not in routine clinical practice in the standard way, periodically embark on clinical practice hours in order to fulfill the requirements of registration (as well, of course, as a personal desire to keep within a practice setting). This may be little different from agency work, but the rate of practice is far lower than most agency workers.

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  • michael stone

    Further to the previous 2 comments.

    It was pointed out to me by a doctor, that whereas doctors can 'rise through the 'administrative' ranks [i.e. become members of trust boards, etc] AND ALSO continue with some medical work, this is much more difficult for nurses. Nurses seem to be faced with a sharper choice between staying with 'hands-on' nursing, or becoming more involved in things such as policy and management. Aidan Hindley's situation is slightly different, but perhaps this 'doctors and nurses difference' also applies in nursing.

    If this is a problem, the solution - certainly for some nurses - seems to me to be to think out in more detail, revalidation requirements.

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  • The revalidation process is also causing concern amongst OH nurses like me who are lone workers. My colleagues are HR and production workers. I'm self employed and I don't work with anyone who is NMC registered. I only work two days a week how is this process meant to benefit me?

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  • HI Anonymous at 10.31 - please consider joining AOHNP - The association of OHNP's - they have a wealth of information available on revalidation and one of their members has written a great 21 day countdown guide to help you on your way. There is also a great Facebook group for OHN professionals that is a good place to network, learn and even count towards participatory CPD. I often see local regional OH group meetings advertised, which would also be a good place for you to meet other OHAs.

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  • Chatting to yourself again Michael?

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