Improving the quality of nursing appraisal to meet revalidation

1. Improving the quality of nursing appraisal
to meet revalidation
Revalidation pilot site
Dr. Lyn (Carolyn) Middleton, Senior Nurse

2. Overview of session
ABUHB – overview of pilot engagement.
How do you quality assure the nursing appraisal process?
How can you monitor nursing development through
appraisal?
How can you ensure all nurses are engaged in effective
appraisal?
Top tips for nurse managers in delivering appraisal.
Looking forward to revalidation: developing pilot site
experiences.

3. Aneurin Bevan
University HB
Pilot engagement
• ABUHB was the only Welsh pilot site & had the largest UK pilot
participation.
• ABUHB employs over 4000 registrants.
• 1000 eligible for the pilot.
• 888 enrolled into the pilot.
• 813 completed the whole process:
Includes: General Adult / Paediatrics (hospital
& community) / Midwives / LD / Mental Health /
Practice Nurses
ABUHB = >38% of the entire UK pilot cohort

4. How do you quality assure
the nursing appraisal process?
What is quality?
The dictionary definition of quality relates to a degree of
‘goodness’ or ‘worth’.
It is a subjective description which underlines that quality
is difficult to define and thus measure.

5. How do you quality assure
the nursing appraisal process cont.
Defining
Quality
Improving
Quality
Quality
Assurance
Measuring
Quality
Defining Quality means developing expectations or standards of quality.
A good standard is reliable, realistic, valid, clear, and measurable.
Improving Quality uses quality improvement
methods (problem solving, process re-design)
to close the gap between the current and the
expected level of quality defined by the set
standards.
Measuring Quality consists of quantifying
the current level of performance or
compliance with expected standards.
When standards define quality,
measuring quality requires assessing
the level of compliance with standards.

6. How do you quality assure
the nursing appraisal process cont.
Appraisal
PDD Confirmation
Organisational structure
Roles and responsibilitiesOrganisational
processes
Standards,
rules and
guidelines
Methods,
techniques and
tools.

7. How can you monitor nursing
development thorough appraisal?
Monitoring nursing development can be achieved
through aligning revalidation and annual review:
450 practice hours
40 hours of CPD (20
participatory)
5 examples of feedback on
practice
5 reflective accounts
PDD
Confirmation

9. 450 Practice Hours

11. 40 Hours CPD
(20 participatory)

13. 5 Examples of
feedback on practice

15. 5 Reflective accounts
What was the nature of the CPD / feedback activity?
Feedback on practice – compliment from a patient.
What did you learn?
The patient reported that she had ‘not been believed’ in previous attendances in clinics
in relation to her health problem. She had felt ‘brushed aside’, but when attending the
nurse led clinic, she reported that she felt that during the consultation I had given her
time, was empathetic and most of all she reported feeling that she had been believed. I
learned that by listening to the patient, she felt valued and respected and it was possible
to build a relationship with the patient and it helped me really understand the patient’s
experience and start to generate a treatment plan.
How did it change your practice?
I remember a quote that I learnt years ago; ‘Pain is what the patient says it is….’
(McCaffery 1968), The experience reinforced the importance of adopting a truly holistic
approach to patient assessment, beginning with listening and believing the patient in
order to develop an appropriate treatment plan to both the clinician and the patient.
Co-production is the delivery of care based on effective information exchanges between
the patient and the healthcare professional, also valuing patients and treating them
with dignity is essential, dignity is about treating people with worth, respect and value.
I will always endeavor to adhere to this in order to provide the best possible care for
patients.
How is this relevant to the code?
Prioritizing people – treat people with kindness, respect and compassion. Avoid making
assumptions and work in partnership with people to make sure you deliver care
effectively.

16. Professional
Development Discussion
PDD is a means of:
Assessing knowledge and understanding of the learning
undertaken.
The impact the learning has had on the registrants practice
and specifically on their delivery
of patient care.
How the learning undertaken relates to
the code.
The PDD helps to bridge the theory /
practice gap.

18. Confirmation

19. Aligning Revalidation & PADR
Annual progress towards the triennial review

20. Ensuring all nurses are
engaged in effective appraisal?

21. Top tips for nurse managers in
delivering appraisal?

22. Key Message

23. Key Message

24. Key Message

25. Looking forward
Looking forward to Revalidation ‘going live’,
ABUHB will build upon the experiences of
the pilot project.
‘It was lovely to let my manager see how I had learnt something
that REALLY had an impact on my practice and the way I deliver
care to my patients. I felt that in the past the PADR (personal
appraisal development review) was a tick box exercise, this time
it was great, I felt a real sense of achievement coming away’.

26. Thank you,
Any questions…..