The development of a Clinical Nurse Specialist training programme

The development of a Clinical Nurse Specialist training programme

S. L. McVicker

Abacus Clinics for Contraception and Reproductive Health Care, North

Liverpool Primary Care Trust, UK

Introduction: Nurse-led clinics are routine within our busy

contraception and reproductive health service, involving the initial and repeat

issue of hormonal contraception according to Patient Group Directions and

cytology screening. Nationally there is a move to encourage nurses to continue

professional development within their area of expertise. A need for the

development of a Clinical Nurse Specialist was identified within our service

both as a result of the ongoing professional development of some experienced

nurses and the local and national shortage of appropriately trained medical

staff. The next step in the development of the nurse is to become competent to

insert uncomplicated IUD/IUS and contraceptive implants. On investigation it was

discovered that there was not a suitable training programme available to assist

with the achievement of the required competencies.

Objective: To design a training programme to develop a Clinical Nurse

Specialist in Contraception and Reproductive Health Care to meet the needs of

the service.

Design and Methods: The tasks and roles the nurse would be required to

undertake were identified together with the training and development needs for

her to achieve the competencies to undertake them.

Results: A training programme to develop a Clinical Nurse Specialist

has been designed to accommodate the needs of both the service and the nurse,

which can be adapted to accommodate any changing needs in the future. Part of

the programme has been designed utilising in-house availability of Faculty of

Family Planning Instructing doctors with an appropriate letter of competence for

insertion of IUD/IUS and Contraceptive implants. Also academic development and

support has been obtained from a regional University in the form of a Sexual

Health degree pathway.

Conclusions: With imagination and planning, training programmes can be

designed to suit and achieve individual service needs leading to a more flexible

service and improving the development opportunities for staff.

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