Tag Archives: clients

254 – The development of a relationship centred community nursing programme – Patricia Day and Jill Gould

The specialist community nursing programmes were recently revalidated to meet the increasingly complex needs of clients in the community. Content was influenced by and in some instances pre-empted government policies based on client-centred care (DH 2010, DH 2011b, DH 2012). National agendas regarding children, families and the elderly highlight the demand for transformational nursing practitioners to lead services (DH 2011, DH 2013).

Research into effective interactions with clients has begun to change the face of health care. There is now less emphasis on advice giving and more on client autonomy, self-care and choice (DH 2012, DH 2012b). The new curriculum is based on the premise of ‘making every contact count’ (Cummings and Bennett 2012) and the latest evidence based approaches to engage with clients and work collaboratively with them. The programme innovatively meets the professional requirements for specialist practice (NMC 2001 and NMC 2004) through a skills based approach and the close connection between theory and practice. The spirit of motivational interviewing (Miller and Rollnick 2013) underpins the curriculum enabling students to work in partnership with clients in making lifestyle changes and to increase self-efficacy to optimize health outcomes.

A spiral curriculum means that the foundations of person-centred care and behaviour change taught in the first semester are built on in in the later stages of the programme. This includes exploration of complex client need and the leadership and teaching skills required to transform practice. The new programme has been delivered and positively evaluated by two student cohorts, with two further cohorts in progress. This session explores our experience of delivering the new programme and how a cohesive interdisciplinary delivery and spiral structure have contributed to excellent evaluations and high student achievement.

Cummings J and Bennett V (DH) (2012) Developing the culture of compassionate care: creating a new vision for nurses, midwives and care-givers

DH (2010) Liberating the NHS

DH (2011) Health Visitor Implementation Plan 2011–15

DH (2011b) The Operating Framework for the NHS in England 2012/13

DH (2012) Liberating the NHS: Developing the Healthcare Workforce From Design to Delivery

DH (2012b) Health Visitor Teaching in Practice: A Framework Intended for Use for Commissioning, Education and Clinical Practice of Practice Teachers (PTs)

DH – Department of Public Health Nursing (2013) Care in local communities – district nurse vision and model

Francis R (2013) Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry Executive summary TSO

Miller W and Rollnick S (2013) Motivational Interviewing New York Guilford Press

Nursing and Midwifery Council (2001) Standards for specialist education and practice

Nursing and Midwifery Council (2004) Standards of proficiency for specialist community public health nurses 

Presentation:  254 LTA conference presentation 2013 SCPHN and CSP