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Implementing the Health Assistant in Nursing

Jo  Mapes,  Karen  Bakker  

Eastern  Health  

Overview Introduction and background Implementation Governance Recruitment, Induction and Training Education and facilitation Communication strategy and preparation Early outcomes Meet one of our staff

About Us •  We deliver clinical services to more than

700,000 people •  Our services are located across 2,800 kms •  We employ over 8,000 staff, 67% of whom

live within our local communities •  We deliver more than 800,000 episodes of

patient care each year

Nursing Profile •  4,000 headcount (2,500 eft) •  EN cohort <6% Acute •  >23% RACF + Subacute •  30% Mental Health •  Extensive Grad program •  5 streams, 120 places •  Midwifery program

Background •  Dept of Health funded pilot project •  Commenced June 2013 •  Project Officer •  Project plan •  Steering committee •  Consultation and data analysis •  Internal communications •  Pilot ward selection

Implementation Who? What? Why? Where? How?

Initiative •  Strategy – challenges •  Comprehensive marketing •  Tailored recruitment, matched applicants

to teams •  Building competence and confidence •  Planning, scoping, modelling, education •  Executive champions

Governance •  Nursing & Midwifery Executive •  EDON sponsor •  Steering committee •  Ward working groups •  CSN, facilitators, buddies •  HAN peer group •  TAFE, Apprenticeships Australia

Recruitment and selection •  Open evenings/Saturday morning - compulsory •  Comprehensive information •  Application pack or opt out •  Hand written applications only •  Screening and short listing •  Interviews, inc Lit / Num testing •  References and police checks •  Offers, then welcome event

Induction & Training •  Welcome event, TAFE enrollment •  2 week EH/TAFE induction •  SIM, wards, classroom •  EH pre-placement

•  Marketing & communication •  Study leave •  Debriefing

Ward education & preparation •  Identification of buddies, supervisors •  Education – role, scope of practice •  Development of PD •  CSN time in wards, preparation •  Ward working groups

•  NUM leadership •  ANUM education •  Allied Health education •  Educators

Clinical facilitation & support •  Dedicated CSN, 0.8 eft •  TAFE facilitator •  Educators •  Project Manager •  NUMs •  Communications advisor •  DON champions

Communications and Media

Successes and challenges •  Well received, embedded, appreciated, respected •  Candidate selection •  Positive early outcomes •  pre-placement success •  Thorough learning process •  High level theory •  2 sites, travel and distance •  Negative reporting •  Organisation wide communications •  TAFE facilitator & weekly study off site

Outcomes •  Evaluation – interim findings •  HANs evaluation •  Staff feedback and anecdotal reporting •  Patient satisfaction •  Educators •  NUMs, DONs •  Recruitment enquiries

Meet Karen…..

Next steps…. •  Evaluation •  Executive briefing •  Increased HAN cohort ? •  Marketing •  Recruitment ? •  Improved outcomes, skills, confidence,

retention

Thank you

Questions?

For further information, contact Joanne.Mapes@easternhealth.org.au