#WeCNs - Tuesday 28th June 2022 8pm (GMT Standard Time) Advanced Practice in Community Nursing

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Hosted by WeCommNurses using #WeCNs

The NHS Long Term Plan (NHS England, 2019) highlights how advanced clinical practice is central to helping transform service delivery and better meet local health needs by providing enhanced capacity, capability, productivity and efficiency within multi-professional teams.

Advance Practice can be further explored via Health Education England's Multi-professional framework for advanced clinical practice in England. All health and care professionals working at the level of advanced clinical practice should have developed their skills and knowledge to the standard outlined in the framework; the capabilities are common across this level of practice enabling standardisation. The four pillars that underpin this practice are:

1. Clinical Practice
2. Leadership and Management
3. Education
4. Research

Advanced practice nursing (APN) roles have developed partly to address demand and workforce issues. In community care settings and general practice, an advanced nursing practitioner is generally understood to mean a nurse who has undertaken additional education and training in clinical assessment, including history-taking and physical examination, clinical reasoning and independent prescribing, so they can safely manage patients presenting with undifferentiated and undiagnosed conditions.

This tweetchat aims to explore what advanced practice in community nursing is, the key principles of advanced practice and how, as nurses, we can ensure that the community nurses are recognised for their advanced skill set.

 

We'll be exploring Advance Practice via the following questions:

  • What does advanced practice mean to you?
  • What skills do you feel are required to practice at an advanced level in the community?
  • What are the key messages for community nurses around advanced practice?
  • What is the impact of advanced practice to patients, families and the NHS/care as a whole?
  • Are you able to deliver all four pillars of advanced practice in your role?
  • What do community advanced practitioners need to be able to practice within all four pillars?

This chat will be guest hosted by NHSE Community Nurse Fellows:

Dr Neesha Oozageer PhD RN DN QN - Tweeting as @Ne55ao

Kerry Bareham RN - Tweeting as @Kerry_Bareham

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Picture Credit: Pixabay





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 #WeCNs transcript

 
@WeCommNurses
28 June 2022 20:00
a BIG welcome to you all on tonight's #WeCNs tweetchat on Advanced Practice in Community Nursing. Please say hi and share your role. First question coming up in a few mins. Remember to add #WeCNs to your tweets so we can all see them, please :) https://t.co/VGjNInrS49
@WeCommNurses
28 June 2022 20:00
Welcome everyone #WeCNs who is joining us tonight?
@evmcelhinney
28 June 2022 20:01
Lurking ??#WeCNs
@WeCommNurses
28 June 2022 20:02
Not joined a #WeCNs tweetchat before? Here's how to join in :) 1. Click on #WeCNs to see questions and peoples' replies 2. Add #WeCNs to your replies to questions 3. DO join in, your views matter. 4. Be kind, don't try and keep up and enjoy the chat! https://t.co/PHo0T99PoO
@rekeen1984
28 June 2022 20:02
RT @WeCommNurses: Welcome everyone #WeCNs who is joining us tonight?
@WeCommNurses
28 June 2022 20:03
Hi Rachel use #wecns to join and see the chat https://twitter.com/rekeen1984/status/1541859477795835904
@WeCommNurses
28 June 2022 20:04
Here we go... QUESTION 1 "What does advanced practice mean to you?" Please add #WeCNs to your replies so we can all see them and include them in the post-chat info too! https://t.co/x3KVtFo9KX
@WeCommNurses
28 June 2022 20:04
RT @WeCommNurses: Not joined a #WeCNs tweetchat before? Here's how to join in :) 1. Click on #WeCNs to see questions and peoples' repli…
@Jenny74112735
28 June 2022 20:05
@WeCommNurses Hi I am Jenny complex care nurse, starting my advanced practice in September, my heart is with community so hoping to learn a few things this evening #WeCNs
@Jenny74112735
28 June 2022 20:06
@WeCommNurses Advancing your skills to better support your patients #WeCNs
@Jenny74112735
28 June 2022 20:07
RT @WeCommNurses: Here we go... QUESTION 1 "What does advanced practice mean to you?" Please add #WeCNs to your replies so we can all…
@WeCommNurses
28 June 2022 20:08
Remember to add #wecns Gillian! ?? https://twitter.com/mrsgmorris1/status/1541860871034621956
@WeCommNurses
28 June 2022 20:10
Up next... QUESTION 2 "What skills do you feel are required to practice at an advanced level in the community?" Please add #WeCNs to your replies so we can all see them and include them in the post-chat info too! https://t.co/dJM7I0H3SH
@WeCommNurses
28 June 2022 20:10
#wecns https://twitter.com/mrsgmorris1/status/1541861257329926150
@mrsgmorris1
28 June 2022 20:10
@WeCommNurses Working at an autonomous level of practice #WeCNs
@Jenny74112735
28 June 2022 20:10
@WeCommNurses Working across the 4 pillars of advanced practice, leadership, clinical practice, research and education to provide better health outcomes #WeCNs
@HistoryofANP
28 June 2022 20:11
All ready for #WeCNs! We’ll be discussing Advanced Practice in Community Nursing - join us! ?? @WeCommNurses https://t.co/OiEaN76umC
@Jenny74112735
28 June 2022 20:12
@WeCommNurses Listening, leadsership and time management skills along with a high level of emotional intellegence and confidence #WeCNs
@mrsgmorris1
28 June 2022 20:14
@WeCommNurses Confidence in higher level thinking skills and the ability to assess, diagnose and treat #WeCNs
@WeCommNurses
28 June 2022 20:14
#wecns https://twitter.com/wecommnurses/status/1541861927986634752
@Jenny74112735
28 June 2022 20:15
@WeCommNurses @mrsgmorris1 It means confidence and competence to me #WeCNs
@suzannegrierson
28 June 2022 20:15
@WeCommNurses #WeCNs advanced clinical assessment & differential diagnostic skills, leadership and people skills. And the ability to know when you need to discuss a case ??
@WeCommNurses
28 June 2022 20:16
Time for... QUESTION 3 "What are the key messages for community nurses around advanced practice?" Please add #WeCNs to your replies so we can all see them and include them in the post-chat info too! https://t.co/pmfAC7OVuM
@Jenny74112735
28 June 2022 20:16
@WeCommNurses Yes one point of contact, full assessment, diagnoses, treatment and management of conditions and complex needs in the community #WeCNs
@WeCommNurses
28 June 2022 20:16
#wecns https://twitter.com/rekeen1984/status/1541862486655352833
@HeatherBain9
28 June 2022 20:16
#wecns are they not the same for the community …http://confused.com https://twitter.com/wecommnurses/status/1541861489853624320
@mrsgmorris1
28 June 2022 20:18
@WeCommNurses Ensure adequate safety netting #WeCNs
@Helenakelly73
28 June 2022 20:19
@HeatherBain9 #wecns I was thinking the same Heather
@Jenny74112735
28 June 2022 20:19
@WeCommNurses To continue to prevent hospital admissions, to manage complex needs in patients own homes and to offer the best possible care in the community #WeCNs
@rekeen1984
28 June 2022 20:20
RT @mrsgmorris1: @WeCommNurses Ensure adequate safety netting #WeCNs
@WeCommNurses
28 June 2022 20:22
Up next... QUESTION 4 "What is the impact of advanced practice to patients, families and the NHS/care as a whole?" Please add #WeCNs to your replies so we can all see them and include them in the post-chat info too! https://t.co/LEyeROdeI2
@mrsgmorris1
28 June 2022 20:22
@WeCommNurses It means being able to complete the loop of assessment, diagnosis and treatment #WeCNs
@Helenakelly73
28 June 2022 20:24
#wecns Historically DNs and other CNs have delivered this without advanced practice, why now? https://twitter.com/jenny74112735/status/1541863866405163008
@BCHC_RnI
28 June 2022 20:24
RT @WeCommNurses: Time for... QUESTION 3 "What are the key messages for community nurses around advanced practice?" Please add #WeCNs…
@She_Cam1
28 June 2022 20:26
@WeCommNurses Sorry, late to the chat! I think reassurance and continuity of person centred care within their home for the patient and family, reducing unnecessary admissions within acute #weCNs
@WeCommNurses
28 June 2022 20:27
@She_Cam1 Welcome Sheila! #wecns
@WeCommNurses
28 June 2022 20:28
And finally... QUESTION 5 "Are you able to deliver all four pillars of advanced practice in your role?" Please add #WeCNs to your replies so we can all see them and include them in the post-chat info too! https://t.co/XbxC8rlU9v
@mrsgmorris1
28 June 2022 20:29
@WeCommNurses Better access to healthcare for patient #WeCNs
@Luke_DynamDeliv
28 June 2022 20:29
@She_Cam1 @WeCommNurses Absolutely agree. The ambulatory care agenda will require many more advanced practitioners in community settings. #wecns @fitztrace @jobobertson @Pearson1Nina @FallsLuton
@mrsgmorris1
28 June 2022 20:31
@WeCommNurses Quicker access to healthcare for patients #WeCNs
@WeCommNurses
28 June 2022 20:31
Add #wecns Rachel https://twitter.com/rekeen1984/status/1541864495659847686
@mrsgmorris1
28 June 2022 20:32
@WeCommNurses Yes with some determination otherwise risk of being pulled towards clinical practice only! #WeCNs
@WeCommNurses
28 June 2022 20:35
@Luke_DynamDeliv @She_Cam1 @fitztrace @jobobertson @Pearson1Nina @FallsLuton Are district nurses with advancing knowledge and skills not meeting this need? #wecns
@WeCommNurses
28 June 2022 20:36
And now... QUESTION 6 "What do community advanced practitioners need to be able to practice within all four pillars?" Please add #WeCNs to your replies so we can all see them and include them in the post-chat info too! https://t.co/HfKweZXosE
@coletteh16
28 June 2022 20:36
@WeCommNurses Recent AAPEUK conference spoke about ‘forgotten pillars’. Focus mainly on clinical but need to demonstrate achievements across pillars. Recording from AAPEUK conference will be available on website soon if you want to review #WeCNS
@WeCommNurses
28 June 2022 20:37
Sounds really interesting what are the forgotten pillars? Leadership? #wecns https://twitter.com/coletteh16/status/1541868111531577344
@WeCommNurses
28 June 2022 20:38
#wecns https://twitter.com/emmaharan1/status/1541867746396459008
@WeCommNurses
28 June 2022 20:38
#wecns https://t.co/CM3QkalcnW
@She_Cam1
28 June 2022 20:38
@mrsgmorris1 @WeCommNurses Interesting question, I suspect healthcare practitioners have been very focused on care delivery, and are just starting to raise their heads... #WeCNs
@WeCommNurses
28 June 2022 20:39
#wecns https://t.co/ToKB348bwk
@coletteh16
28 June 2022 20:40
@WeCommNurses Leadership and research tend to have less focus. Recent North of Scotland ?????????????? research highlighted some challenges with AP research from students perspective #WeCNS
@WeCommNurses
28 June 2022 20:40
Such an important point what do others think? #wecns https://twitter.com/Luke_DynamDeliv/status/1541864765173235715
@mrsgmorris1
28 June 2022 20:40
@WeCommNurses Always have a little research idea on the go and another up your sleeve #WeCNs
@Luke_DynamDeliv
28 June 2022 20:40
@WeCommNurses @She_Cam1 @fitztrace @jobobertson @Pearson1Nina @FallsLuton I would say yes but need many, many more. It would be fab if more nurses and other practitioners who currently work in out-patients and other hospital settings could spend some time supporting the out of hospital agenda. Hospital@home is a fab example #wecns @Meganca22142581
@WeCommNurses
28 June 2022 20:41
RT @mrsgmorris1: @WeCommNurses Always have a little research idea on the go and another up your sleeve #WeCNs
@WeCommNurses
28 June 2022 20:42
If you missed any of the #WeCNs questions this evening you can find them and still respond in the post-chat summary here http://wecommunities.org/tweet-chats/chat-details/5782 https://t.co/tFNxE0bopo
@WeCommNurses
28 June 2022 20:42
Could you share this research Colette will be of interest to many #wecns https://twitter.com/coletteh16/status/1541869200603594754
@mrsgmorris1
28 June 2022 20:42
@WeCommNurses This was an excellent conference that got you thinking about application of the other 3 pillars @coletteh16 #WeCNs
@Luke_DynamDeliv
28 June 2022 20:42
RT @mrsgmorris1: @WeCommNurses Always have a little research idea on the go and another up your sleeve #WeCNs
@WeCommNurses
28 June 2022 20:42
RT @WeCommNurses: If you missed any of the #WeCNs questions this evening you can find them and still respond in the post-chat summary here…
@She_Cam1
28 June 2022 20:42
@WeCommNurses @Luke_DynamDeliv @fitztrace @jobobertson @Pearson1Nina @FallsLuton Absolutely, District Nurses are ideally placed and do meet this need! #WeCNs
@coletteh16
28 June 2022 20:42
@She_Cam1 @mrsgmorris1 @WeCommNurses Agree challenging times #Wecns
@WeCommNurses
28 June 2022 20:43
Did you know you can use THIS #WeCNs tweetchat for your CPD / #Revalidation :) #MyWe is a free tool that helps your record tweetchat reflections and download them to add to your CPD portfolio! Give it a try here http://wecommunities.org/MyWe https://t.co/gD58xUMLFW
@WeCommNurses
28 June 2022 20:44
Our next #WeCNs is... ????THIS THURSDAY from 8pm???? Chat info here http://wecommunities.org/tweet-chats/chat-details/5789 exploring: "Learning environment in care homes" for Care Home Week with @janeeedouglas https://t.co/xswKRo0bfx
@coletteh16
28 June 2022 20:44
@WeCommNurses Please see poster link with detail, look at Karen Kindness poster: https://aape.org.uk/posters/ #Wecns
@WeCommNurses
28 June 2022 20:45
Thanks to everyone for joining and sharing their Advance Practice experiences and views this evening :) We look forward to chatting with you on Thursday evening via #WeCNs If you would like to host a #WeCNs chat let us know :) https://t.co/1Upv8RA7Sb
@WeCommNurses
28 June 2022 20:45
Thanks everyone #Wecns not many here tonight but thought provoking and great sharing! Thank you!
@WeCommNurses
28 June 2022 20:45
Thanks so much #wecns https://twitter.com/coletteh16/status/1541870242028216322
@mrsgmorris1
28 June 2022 20:46
@WeCommNurses Thanks so much, enjoyed the chat everyone #WeCNs




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 Total tweets: 69
 Total reach: 395,131

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