Supporting Western Healths nurses and midwives to deliver Best Care Introduction Intent The Professional Practice Framework seeks to make explicit the expected and aspirational standards for our nurses ID: 1010028
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1. PROFESSIONAL PRACTICE FRAMEWORKSupporting Western Health’s nurses and midwives to deliver Best Care
2. IntroductionIntentThe Professional Practice Framework seeks to:make explicit the expected and aspirational standards for our nurses and midwives when working and learning provide a consistent and objective method for you to assess your capability, and review and measure your performance and achievements.provide support to formulate and guide future development plans and advance your career goals.The Framework is designed to be read alongside Western Health’s Strategic Priorities to ensure it meets the needs of nurses, midwives and Western Health.It informs:Position Descriptions of all nurses and/midwivesPerformance and development planning (Appraisal cycle)Career and education pathwaysWorkforce planning – recruitment, interviewing and orientation activities
3. Who is it aimed at?The Framework is designed to support nurses and midwives across the professional spectrum including:undergraduate students,early career nurses and midwives, more experienced nurses and midwives, those in advanced practice roles, those in primary leadership rolesSenior managers and leaders in the professionsWe believe that it will:provide consistent professional advice, aid in workforce planning, offer a tool to support career planning and development pathwaysbe an invaluable resource for our staff and the wider Western Health team.
4. The FrameworkThe Framework is structured around the five domains of practice:Surrounded by the Best Care domains Informed by Western Health's Values. Collectively, this enables all nurses and midwives to deliver Best Care to our community.1. Leadership2. Research3. Evidence based practice4. Education5. Clinical expertiseAckerman et al (1996), ACN (2019).
5. LeadershipClinical leadership includes:a clinician with management or leadership roles who can use their positional power to change behaviour, practice or performanceany nurse of midwife that can use their influence to change behaviour, practice or performance. You do not need to be in a formal management role to be a leader.
6. ResearchResearch is an essential element of what underpins our professional practice. It drives clinical decision-making and advances in nursing and midwifery practices. Nurses and midwives:generate knowledge through leading researchcollaborate in researchparticipate in research read and learn from research to inform practice.We aim to build research capacity and capability, and enhance the research culture to provide tangible benefits for consumers, the community, staff, students and academics.
7. Evidence Based PracticeEvidence-based practice is an approach to care which takes into account:the combination of high-quality research and evidence,clinical expertise, and consumer values. The successful application can:improve consumer outcomes,optimise systemssupport effective advocacyensure safe, high quality careWe encourage our nurses and midwives to challenge practice assumptions, ask questions and be curious about ways to improve practice.
8. EducationLife-long learning is integral to nursing and midwifery, which includes:Supporting undergraduate student learningEarly-career programs and transition to practiceContinuing professional development (CPD)Mandatory CPD to support working safely in the workplaceOpportunities to discover, explore and try out new clinical areas and specialitiesSpecialty skills and knowledge developmentPost-graduate and Advanced Practice programs
9. Clinical ExpertiseNurses and midwives are accountable and responsible for the care they deliver and prescribe or delegate. Critical decision making underpins safe, evidence-based care.Nurse and midwives contribute to:clinical decision making formation of the clinical plancommittees and decision-making processes.Internal and external policy, standard and practice development. Expertise is different to experience and is not reliant on a specific career path.
10. PRACTICAL APPLICATIONThe Framework includes activities or opportunities you can use to support your professional practice development.You can use these suggestions to build a handy ‘toolkit’ to support your professional journey.
11. Summary of Behaviour Levels Levels do not equate to roles or hierarchy within the workforce.Instead, the levels reflect what level of behavioural skill is required to achieve the desired care goals or outcomes in a given situation.Levels should be treated as cumulative, meaning that behavioural indicators at subsequent levels in the scale should be read in conjunction with the behaviours specified at any lower level.Some levels may serve as an aspirational standard in some instances, rather than accurately reflecting current practice capability.In applying the framework, the levels are progressive and build on each level
12. Skill AcquisitionDreyfus 2004, Benner 2001Where a gap exists between current and future practice behavioural skill requirements, there should be aspiration to meet the standard specified.Aspiration should be included in the performance development process.
13. Career PathwaysSkill acquisition may not always be linearThere may be a period of ‘novice’ activity in any new role before competence, proficiency and expertise is achieved.
14. Using the FrameworkThe Framework will be utilised to guide conversations, shape future role development and assist in career planning. For example:Guiding the annual performance review conversationSupporting the process for progression to CNS/CMSEnabling nurses and midwives to map future career goalsInforms position descriptions for new roles and sets expectations on experience and performance indicatorsThe framework can practically support:the development of new roles and advanced practice pathwaysrecruitment, interviewing and orientation activities workforce planning in articulating skill mix and experience recognitionperformance improvement conversationsconsistency across the health service in relation to professional practice expectations and measures
15. For more information go to:https://westerly.wh.org.au/nursing-midwifery/home/professional-practice-framework & consult your Director of Nursing & Midwifery or a member of the Nursing & Midwifery leadership team