#WeCYPNs - Wednesday 25th April 2018 8pm (GMT Standard Time) Student to newly qualified nurse - a daunting prospect..?

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Student to newly Qualified Nurse - A daunting prospect?

  • Are you a newly qualified Staff nurse, just about to embark into your first job? 
  • Are you a student nurse who is going to be qualifying shortly, and beginning to look for your first job as a qualified nurse?
  • Are you a qualified nurse that has survived your first year or two as a qualified nurse? 
  • Are you a qualified nurse who acts a preceptor to newly qualified nurses?
  • Are you part of the team that works with newly qualified nurses and wants to know how best you can support them within your role?
  • Are you an Educator that prepares students for the transition to qualified status?
  • Or are you a manager who wants to ensure that your newly qualified nurses feel well supported and that their transition from student to staff nurse is a smooth one?

If you answered ‘yes’ to any of the above questions, this chat is for you!

Becoming a newly qualified nurse is a scary prospect.  The day you put on the Staff Nurse uniform for the first time and must be one of the ‘grown ups’ that supposedly know what they’re doing, is daunting and exciting at the same time.  Even 20+ years on, I can vividly remember being absolutely petrified before that first shift as a newly qualified nurse.  Letting go of the comfort blanket that being a student offers and being expected, overnight to know what you were doing!

The retention of the nursing workforce continues to dominate debate in the healthcare sector. Recent statistics suggest that more nurses are leaving the profession that are entering the register. Increasing the number of nurses in nurse education is one option, however this will not in the longer term, address the issue if nurses continue to leave the profession once qualified.

The beginning of a newly qualified nurse's (NQN’s) career can be a challenging time. Initial experiences can shape how they develop in their career. To ensure the best possible start for newly qualified nurses,midwives and allied health professionals, a quality preceptorship programme is essential. 

The NMC strongly recommends that all ‘new registrants’ have a period of preceptorship on commencing employment, this applies to those newly admitted to the NMC Register who have completed a pre-registration programme in the UK for the first time or have subsequently entered a new part of the register. New registrants also include those newly admitted to the register from other European Economic Area States and other nation states.   

The NMC guidance (2006) states that preceptorship is about providing support and guidance, enabling ‘new registrants’ to make the transition from student to accountable practitioner to:  

• practise in accordance with the NMC Code;

• develop confidence in their competence as a nurse, midwife or specialist community public health nurse;

 To facilitate this the ‘new registrant’ should have:  

  learning time protected in their first year of qualified practice; and  

• have access to a preceptor with whom regular meetings are held.

The NMC recommends strongly that all ‘new registrants’ should have a formal period of preceptorship of about four months, but this may vary according to individual need and local circumstances. 

Questions we will consider during the chat:

  1. What practical suggestions can we give for those NQN’s embarking on their new adventure?
  2. How does education support this transition and prepare students for their NQN status?
  3. What does preceptorship look like in your area?
  4. Is preceptorship given the respect it should be?
  5. What support should students be expecting/asking for, when job hunting?
  6. How can we support NQN’s better to provide them with the foundations to build their careers and make them stay?!

Suggested reading

https://www.healthcareers.nhs.uk/career-planning/study-and-training/considering-or-university/support-university/student-newly-qualified

https://www.nmc.org.uk/globalassets/sitedocuments/circulars/2006circulars/nmc-circular-21_2006.pdf

https://www.nursingtimes.net/clinical-archive/leadership/newly-qualified-nurses-must-be-supported-so-we-dont-lose-them/5064464.article

http://blogs.bmj.com/ebn/2018/02/18/how-do-we-best-support-newly-qualified-nurses-in-the-workplace/





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 Chat Summary

 

Apologies for the delay in getting this summary up.  The chat filled me full of enthusiasm as always, and then the day job gets in the way!

A fabulous 18 of us took part, of various backgrounds and experiences.  A lively discussion around support networks and provision for newly qualified nurses.  

There were some great suggestions for improving this tricky and stressful starting point in a career and a recognition that preceptorship experience isn't equitable.





@webb20Richard had some interesting suggestions, as he has gone from nurse to doctor, and is now keen to pick up the best of both professions.  A portfolio of skills and experiences that forms part of your revalidation was one of his suggestions, which would then negate the need for competency documents.  It was also argued that the NMC code and our accountability offers us the framework we need to assess our own competency.  

Top take away tips, were summed up nicely by Caroline.....



Thanks to all that joined in and provided us with an hour of really useful conversation.  Hopefully enthusing our future workforce!

Nice chatting with you all

Becky





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 #WeCYPNs transcript

 
@WeCYPnurses
25 April 2018 20:00
Would be great to see some of the @WeStudentNurse joining us... #wecypns https://twitter.com/WeStudentNurse/status/989217251982180352
@WeCYPnurses
25 April 2018 20:01
Hello!!! Who's joining us this evening? #wecypns
@cdodd09
25 April 2018 20:03
@WeCYPnurses me, been qualified over 23 yrs but can still remember what it was like to be a student and newly qaulified nurse #wecypns
@PUNCadp
25 April 2018 20:03
@WeCYPnurses I'm here! Adult nursing student! #WeCYPns
@Webb20Richard
25 April 2018 20:04
@WeCYPnurses I’m here #wecypns
@WeCYPnurses
25 April 2018 20:05
@Webb20Richard fabulous Richard! Thanks for joining #wecypns
@WeStudentNurse
25 April 2018 20:05
RT @WeCYPnurses: Would be great to see some of the @WeStudentNurse joining us... #wecypns https://twitter.com/WeStudentNurse/status/989217251982180352
@WeCYPnurses
25 April 2018 20:07
@robbradley01 An old hand now Rob! Can you remember how it felt on that first day...? #wecypns
@WeStudentNurse
25 April 2018 20:07
Oops mustn’t forget the hashtag! #WeCYPns https://twitter.com/westudentnurse/status/989218950851514368
@DannGooding
25 April 2018 20:07
RT @WeCYPnurses: Would be great to see some of the @WeStudentNurse joining us... #wecypns https://twitter.com/WeStudentNurse/status/989217251982180352
@DannGooding
25 April 2018 20:07
RT @WeCYPnurses: Hello!!! Who's joining us this evening? #wecypns
@WeCYPnurses
25 April 2018 20:07
@WeStudentNurse @HannahSTN Fantastic Hannah. thanks for joining in. Don't forget your #wecypns
@DannGooding
25 April 2018 20:08
@WeCYPnurses After a long day and a trip to A&E with @MissLucyMay, I’m going to lurk :) #WeCYPns
@WeCYPnurses
25 April 2018 20:09
#wecypns!!! https://twitter.com/WeCYPnurses/status/989219671823081473
@robbradley01
25 April 2018 20:09
@WeCYPnurses #wecypns my 1st job was at a trust I didn't train in so didn't know the hospital at all! Was very nerv… https://twitter.com/i/web/status/989219861174931457
@WeCYPnurses
25 April 2018 20:09
@DannGooding @MissLucyMay Sorry to hear @MissLucyMay has been poorly. I bet you don't lurk for long! #wecypns
@steve_grimbleby
25 April 2018 20:10
@WeCYPnurses Don’t be afraid to ask if unsure #WeCYPns
@WeCYPnurses
25 April 2018 20:10
RT @robbradley01: @WeCYPnurses #wecypns my 1st job was at a trust I didn't train in so didn't know the hospital at all! Was very nervous an…
@WeStudentNurse
25 April 2018 20:10
RT @WeCYPnurses: #wecypns!!! https://twitter.com/WeCYPnurses/status/989219671823081473
@WeCYPnurses
25 April 2018 20:10
Good one Steve! #wecypns https://twitter.com/steve_grimbleby/status/989220016267591680
@robbradley01
25 April 2018 20:11
@WeCYPnurses #wecypns enjoy! Don't be afraid to ask questions and seek support.
@WeCYPnurses
25 April 2018 20:11
RT @robbradley01: @WeCYPnurses #wecypns enjoy! Don't be afraid to ask questions and seek support.
@DannGooding
25 April 2018 20:11
@WeCYPnurses @MissLucyMay Oh you know me ;) #WeCYPNs
@WeCYPnurses
25 April 2018 20:11
@DannGooding @MissLucyMay too well! #wecypns
@WeCYPnurses
25 April 2018 20:12
@alison_wardley hi Alison! Don't forget your #wecypns so we can all see your comments.
@cdodd09
25 April 2018 20:12
@WeCYPnurses don't expect to know everything, you never stop learning, there's always someone to ask for advice #wecypns
@steve_grimbleby
25 April 2018 20:13
@WeCYPnurses Don’t be afraid to discuss a different shift pattern if you are struggling with quick turnarounds #WeCYPns
@WeCYPnurses
25 April 2018 20:13
@cdodd09 even 20 odd years (cough!) on there is still learning every single day! #wecypns
@WeCYPnurses
25 April 2018 20:13
RT @cdodd09: @WeCYPnurses don't expect to know everything, you never stop learning, there's always someone to ask for advice #wecypns
@WeCYPnurses
25 April 2018 20:14
@PUNCadp It can be very tiring just learning all the ropes. Sounds like a good plan. #wecypns
@WeCYPnurses
25 April 2018 20:14
RT @steve_grimbleby: @WeCYPnurses Don’t be afraid to discuss a different shift pattern if you are struggling with quick turnarounds #WeCYPns
@WeCYPnurses
25 April 2018 20:15
Let's move on to the next question... #wecypns https://t.co/IpMWzVN96L
@robbradley01
25 April 2018 20:15
#wecypns remember you have a wealth of exp on Twitter too!!
@DannGooding
25 April 2018 20:16
RT @WeCYPnurses: Let's move on to the next question... #wecypns https://t.co/IpMWzVN96L
@robbradley01
25 April 2018 20:17
@WeCYPnurses #wecypns students last placement management should help with being on ward and the uni do a session I think.
@cdodd09
25 April 2018 20:17
@WeCYPnurses i think preceptorship programmes are a great way to help the transition #wecypns
@WeCYPnurses
25 April 2018 20:17
#wecypns https://twitter.com/NeonatalMatron/status/989221869135032320
@WeCYPnurses
25 April 2018 20:18
Try not to forget your #wecypns We don't want to miss your tweets and have to put you on the #naughtystep https://t.co/yIEeUKz0GS
@WeCYPnurses
25 April 2018 20:18
#wecypns https://twitter.com/alison_wardley/status/989222079827529728
@WeCYPnurses
25 April 2018 20:19
RT @cdodd09: @WeCYPnurses i think preceptorship programmes are a great way to help the transition #wecypns
@steve_grimbleby
25 April 2018 20:19
@WeCYPnurses My last module mentor was also my mentor when I started at the trust. This made it an easier start #WeCYPNs
@DeeDavies12
25 April 2018 20:20
@steve_grimbleby @WeCYPnurses Ensure that you maintain a work life balance #wecypns
@WeCYPnurses
25 April 2018 20:21
@Webb20Richard I think you are right Richard. I'm not convinced that preceptorship works well everywhere... #wecypns
@WeCYPnurses
25 April 2018 20:22
Vital!! Thanks @DeeDavies12 #wecypns https://twitter.com/DeeDavies12/status/989222672491008000
@robbradley01
25 April 2018 20:22
@Webb20Richard @WeCYPnurses #wecypns i like this idea kind of a national preceptorship programme?
@DeeDavies12
25 April 2018 20:22
RT @WeCYPnurses: Vital!! Thanks @DeeDavies12 #wecypns https://twitter.com/DeeDavies12/status/989222672491008000
@WeCYPnurses
25 April 2018 20:22
Brings us nicely onto question 3... #wecypns https://t.co/GPBjGlRkvB
@WeCYPnurses
25 April 2018 20:23
#wecypns https://twitter.com/NeonatalMatron/status/989223167762845696
@hepworth_becky
25 April 2018 20:23
@NeonatalMatron @steve_grimbleby @WeCYPnurses #naughtystep for you @NeonatalMatron #wecypns
@alison_wardley
25 April 2018 20:23
@WeCYPnurses #wecypns practical skills competency assessments evidence your growth from day 1 to end of year3- neve… https://t.co/ZtcVr1VWcT
@WeCYPnurses
25 April 2018 20:24
@bradley_juliet Sounds great @bradley_juliet #wecypns
@robbradley01
25 April 2018 20:25
@WeCYPnurses #wecypns we have a rotation for NQN's that takes in our wards and CED 6 months each and there are NQN… https://twitter.com/i/web/status/989223812565749762
@WeCYPnurses
25 April 2018 20:25
@Webb20Richard @ian_rodd We love @ian_rodd !! he talks loads of sense but don't tell him we said so! #wecypns
@WeCYPnurses
25 April 2018 20:25
RT @alison_wardley: @WeCYPnurses #wecypns practical skills competency assessments evidence your growth from day 1 to end of year3- never fo…
@WeCYPnurses
25 April 2018 20:26
@PUNC14Julie This sounds interesting Julie... Anyone else have this in their area? #wecypns
@WeStudentNurse
25 April 2018 20:26
RT @robbradley01: @Webb20Richard @WeCYPnurses #wecypns i like this idea kind of a national preceptorship programme?
@WeCYPnurses
25 April 2018 20:26
Why not indeed! #wecypns https://twitter.com/Webb20Richard/status/989223875161534464
@robbradley01
25 April 2018 20:27
@WeCYPnurses @PUNC14Julie #wecypns i think we have NQN cofee mornings which is simular
@DannGooding
25 April 2018 20:28
RT @WeCYPnurses: #wecypns https://twitter.com/alison_wardley/status/989222079827529728
@WeCYPnurses
25 April 2018 20:29
@cdodd09 ours is very adult orientated too.... but we do have a regional one the NQN's can join too. #wecypns
@STaRnursehull
25 April 2018 20:29
RT @robbradley01: @WeCYPnurses #wecypns we have a rotation for NQN's that takes in our wards and CED 6 months each and there are NQN study…
@bradley_juliet
25 April 2018 20:29
RT @WeCYPnurses: Brings us nicely onto question 3... #wecypns https://t.co/GPBjGlRkvB
@STaRnursehull
25 April 2018 20:29
RT @WeCYPnurses: Hello!!! Who's joining us this evening? #wecypns
@STaRnursehull
25 April 2018 20:30
Sorry but late to the chat #WeCYPNs just playing catch up ?? https://twitter.com/wecypnurses/status/989222177521262593
@STaRnursehull
25 April 2018 20:30
RT @WeCYPnurses: Try not to forget your #wecypns We don't want to miss your tweets and have to put you on the #naughtystep https://t.co/yIE…
@WeCYPnurses
25 April 2018 20:30
@NeonatalMatron @hepworth_becky @steve_grimbleby make sure you include the #wecypns in your tweets so we can all see them!
@robbradley01
25 April 2018 20:30
@Webb20Richard @WeCYPnurses #wecypns something that revalidation helps with.
@DannGooding
25 April 2018 20:31
RT @WeCYPnurses: Brings us nicely onto question 3... #wecypns https://t.co/GPBjGlRkvB
@WeCYPnurses
25 April 2018 20:31
@STaRnursehull Thanks for joining us. #wecypns
@STaRnursehull
25 April 2018 20:31
Really like this idea sounds like an organisation that is taking support for NQN seriously #WeCYPns https://twitter.com/punc14julie/status/989223954891051008
@WeCYPnurses
25 April 2018 20:31
RT @STaRnursehull: Really like this idea sounds like an organisation that is taking support for NQN seriously #WeCYPns https://t.co/VqrzWuK…
@WeCYPnurses
25 April 2018 20:32
question 4.... #wecypns https://t.co/H85fR5U02S
@Webb20Richard
25 April 2018 20:32
@robbradley01 @WeCYPnurses #wecypns it’s something it’s started to help with, but it doesn’t go far enough. We all… https://twitter.com/i/web/status/989225706944188417
@bradley_juliet
25 April 2018 20:33
RT @WeCYPnurses: question 4.... #wecypns https://t.co/H85fR5U02S
@PUNC14Julie
25 April 2018 20:33
@STaRnursehull We need to retain NQN'S as they are the future workforce & specialist nurses, a good start means a good future #wecypns
@WeCYPnurses
25 April 2018 20:33
@Webb20Richard @robbradley01 most other professional groups already have this... We are lagging behind. #wecypns
@bradley_juliet
25 April 2018 20:33
@WeCYPnurses I think it varies from trust to trust how much they value it’s worth #wecypns
@robbradley01
25 April 2018 20:34
@WeCYPnurses #wecypns i think because it varies so much freom trust to trust then it isnt regarded the same in each… https://twitter.com/i/web/status/989226124856233984
@PUNC14Julie
25 April 2018 20:34
RT @Webb20Richard: @robbradley01 @WeCYPnurses #wecypns it’s something it’s started to help with, but it doesn’t go far enough. We all know…
@hepworth_becky
25 April 2018 20:34
@NeonatalMatron @WeCYPnurses @steve_grimbleby you can never truly hide!! #wecypns
@grad2revalnurse
25 April 2018 20:34
@WeCYPnurses #wecypns
@WeCYPnurses
25 April 2018 20:36
#wecypns https://twitter.com/mcBrideRonan/status/989226270025187336
@robbradley01
25 April 2018 20:36
@Webb20Richard @WeCYPnurses #wecypns i agree and then if it was national and people moved trusts then their skills… https://twitter.com/i/web/status/989226584115699714
@PUNC14Julie
25 April 2018 20:36
@Webb20Richard @WeCYPnurses @robbradley01 Yes midwives do, I can't understand why nurses are any different #wecypns
@WeCYPnurses
25 April 2018 20:37
@NeonatalMatron @hepworth_becky Well done @NeonatalMatron #wecypns
@hepworth_becky
25 April 2018 20:38
@NeonatalMatron @WeCYPnurses Yay!! #wecypns https://t.co/Vac4sLTPDT
@reboverend_RNc
25 April 2018 20:39
Totally agree with this! Also keeps me in a job ???? and I Iove my job!! #wecypns https://twitter.com/webb20richard/status/989224649400647682
@NeonatalMatron
25 April 2018 20:39
@mcBrideRonan @Webb20Richard @WeCYPnurses Also needs a good mentor and appraisal process ongoing. #WeCYPns
@WeCYPnurses
25 April 2018 20:41
#wecypns #weccns Great to hear! https://twitter.com/alison_wardley/status/989226667204927488
@hepworth_becky
25 April 2018 20:42
A new skill that you are now perfecting!! #wecypns https://twitter.com/NeonatalMatron/status/989227584444608517
@DrUmeshPrabhu
25 April 2018 20:42
RT @WeCYPnurses: Let's move on to the next question... #wecypns https://t.co/IpMWzVN96L
@hepworth_becky
25 April 2018 20:43
RT @WeCYPnurses: So refreshing to hear!!! love sharing the enthusiasm and the learning ethos - part of the reason for tweeting. #wecypns h…
@DrUmeshPrabhu
25 April 2018 20:44
@Webb20Richard @WeCYPnurses Any student supported well will always do well. #wecypns. Anyone bullied will not perform well
@WeCYPnurses
25 April 2018 20:44
What do we think..? #wecypns https://twitter.com/Webb20Richard/status/989228421581541377
@NeonatalMatron
25 April 2018 20:46
@Webb20Richard @mcBrideRonan @WeCYPnurses Definitely NOT a friend. Not as a primary diagnosis. #WeCYPns
@WeCYPnurses
25 April 2018 20:46
last question.... probably the most important.... #wecypns https://t.co/ZDJW6qjZmP
@WeCYPnurses
25 April 2018 20:46
RT @NeonatalMatron: @Webb20Richard @mcBrideRonan @WeCYPnurses Definitely NOT a friend. Not as a primary diagnosis. #WeCYPns
@WeCYPnurses
25 April 2018 20:46
#wecypns https://twitter.com/mcBrideRonan/status/989229081517592576
@NeonatalMatron
25 April 2018 20:47
@Webb20Richard @WeCYPnurses @robbradley01 @Neonatal_ed #WeCYPns
@DrUmeshPrabhu
25 April 2018 20:47
RT @DrUmeshPrabhu: @Webb20Richard @WeCYPnurses Any student supported well will always do well. #wecypns. Anyone bullied will not perform we…
@Webb20Richard
25 April 2018 20:48
@NeonatalMatron @WeCYPnurses @robbradley01 @Neonatal_ed 2/2 #wecypns but at the moment I can do a bank shift in one… https://twitter.com/i/web/status/989229619831279616
@robbradley01
25 April 2018 20:48
@WeCYPnurses #wecypns make sure we support them, give them the time to ask questions and gain advice they need. if… https://twitter.com/i/web/status/989229758495019011
@WeCYPnurses
25 April 2018 20:48
So frustrating.... #wecypns https://twitter.com/Webb20Richard/status/989229619831279616
@WeCYPnurses
25 April 2018 20:50
@NeonatalMatron good point. Encourage them to be enthused, and energised into wanting to stay #wecypns
@WeCYPnurses
25 April 2018 20:50
#wecypns https://t.co/Lf8V7KTlvQ
@WeCYPnurses
25 April 2018 20:51
RT @robbradley01: @WeCYPnurses #wecypns make sure we support them, give them the time to ask questions and gain advice they need. if they h…
@WeCYPnurses
25 April 2018 20:52
So, in the last 7 mins, what would your takeaway, top tips be for a NQN be..? #wecypns
@robbradley01
25 April 2018 20:54
@WeCYPnurses #wecypns support, support, support!
@cdodd09
25 April 2018 20:55
@WeCYPnurses never stop learning and don't lose your passion/enthusiasm #wecypns
@robbradley01
25 April 2018 20:56
@Webb20Richard @mcBrideRonan @hepworth_becky @NeonatalMatron @WeCYPnurses #wecypns i have devised a work book for s… https://twitter.com/i/web/status/989231619474116608
@WeCYPnurses
25 April 2018 20:56
RT @cdodd09: @WeCYPnurses never stop learning and don't lose your passion/enthusiasm #wecypns
@WeCYPnurses
25 April 2018 20:57
@robbradley01 @Webb20Richard @mcBrideRonan @hepworth_becky @NeonatalMatron Sounds great Rob. #wecypns
@NeonatalMatron
25 April 2018 20:57
@WeCYPnurses #WeCYPns (oops)
@WeCYPnurses
25 April 2018 20:58
#wecypns https://twitter.com/NeonatalMatron/status/989231434933133314
@WeCYPnurses
25 April 2018 20:59
@NeonatalMatron you were doing so well.....You are so going on that #naughtystep... #wecypns
@cdodd09
25 April 2018 20:59
@WeCYPnurses thanks @hepworth_becky for organising a great #wecypns chat! https://t.co/kw8XIffEuA




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 Total contributers: 18
 Total tweets: 116
 Total reach: 560,188

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