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’ ”
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”
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.
Senior nurses ‘may need change of thinking’ for revalidation
“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.