Candidate

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NP Competencies PDF

12-24 months pre NP Training (practicum)

  • What is a Mātanga tapuhi/ NP?

    Mātanga tapuhi/Nurse Practitioners (NPs) are expert clinical nurses who have completed Master’s education and advanced clinical training. Registered in the Mātanga tapuhi/NP scope of practice, they assess, diagnose, order laboratory and radiologic diagnostic testing, develop treatment plans and are authorised to prescribe medications.


    What is an NP https://www.pegasus.health.nz/presentation

  • How does an Mātanga tapuhi/ NP differ from a CNS?

    CNS are registered nurses (RN) and must adhere to the RN scope of practice, with or without prescribing. Registered nurse (nursingcouncil.org.nz)


    NPs are in the nurse practitioner scope which involves a different set of competencies including assess, diagnose, order laboratory and radiologic diagnostic testing, develop treatment plans, and are authorised to prescribe medications Nurse practitioner (nursingcouncil.org.nz)


  • How do I become an mātanga tapuhi/NP?

    NP training can be done through an NPTP programme OR through a University Master’s programme (if you take this route, then ensure you speak with the Dean of the Nursing Faculty to ensure your papers meet the required NP competencies).


    Have completed a minimum of 3 years' equivalent full-time practice within the last five years, with at least one of the three years in full-time practice (0.8FTE or higher) in Aotearoa NZ and in the area of practice that the NP will be employed


    Have completed the prerequisite courses including advanced health assessment, pathophysiology, and pharmacology, and preferably with a B grade average or above (including any required grades for specific courses)


    Be an Aotearoa NZ citizen or hold an Aotearoa NZ Permanent Resident Visa


    Be an RN with a current Aotearoa NZ practising certificate and be in good standing with the Nursing Council of Aotearoa NZ


    Have identified a clinical supervisor (NP or senior doctor) who is willing to mentor the attainment of the advanced skills and competencies required for NP practice


    Be educationally prepared to complete the masters programme at the end of the practicum year or have already completed a master’s programme (Please verify your eligibility for masters completion with the university you are applying to complete the NPTP.)


    Provide their employer's signed declaration of support on letterhead to allow clinical release time and study days and hire them into an NP role (minimum of 0.6FTE) once registered

  • As an RN what further skills and knowledge do I need to work as an Mātanga tapuhi/NP?

    Become familiar with the NCNZ Mātanga tapuhi/NP competencies and application requirements for the Mātanga tapuhi/NP scope


    Nurse practitioner (nursingcouncil.org.nz)

  • What will my area of practice and population look like? With whom do I discuss this?

    Mātanga tapuhi/NP work across all practice settings now. Check this on Nurse practitioner (nursingcouncil.org.nz)


    Discuss with your organisational nurse leader 


    Contact NPNZ or the College to ask for find a support person


    The priority areas for developing the NP workforce include primary health care, community and residential settings, mental health and addiction, Māori health, Pacific health, populations with high health need, rural and hard-to-reach areas, and communities with high deprivation.

  • How do I know if I’m practice ready to take this step? Who do I discuss this with?

    Note: this year spend time with NPs in practice and networking; Link with local NP networks


    How do I know if I’m practice ready to take this step? Who do I discuss this with?
  • What should I discuss with my manager?

    Ask questions such as: 

    • Will the organisation support my candidature?
    • How do I get workplace support for study and practicums?
    • Will my workplace have a role for me at the end of the Mātanga tapuhi/NP training? 
    • How do I select a clinical supervisor /mentor?
    • How access time to spend with an NP in this prep year so I can understand their practise?
  • What if my workplace does not support me?

    Be clear where you want to work, then start to look into other places / organisations


    Persistence, networking

     

    What are the priority Mātanga tapuhi/NP spaces?  Check the NP training funding pages on the MoH website

    https://www.health.govt.nz/our-work/nursing/nurses-new-zealand/nurse-practitioners-new-zealand#guidance


    Look for internship ads.

6-12 months pre NP Training

  • If I am taking a Master's papers to NP registration, what do I need to do? (i.e Non-NP training year)

    Check with the University Nursing Faculty Dean that you are taking the correct Master’s papers to meet the NP competencies and NCNZ requirements.


    Plan your points 


    Ensure you can access academic supervision and support

  • What is the NP training year?

    The NP training year offers a one-year practicum programme to meet the Nursing Council of NZ requirements for registration as a Mātanga tapuhi/NP


    About the NP training year | Nurse Workforce Programme (auckland.ac.nz)


    National Nurse Practitioner Training Programme (NPTP ... (wgtn.ac.nz)


    Master of Advanced Nursing Practice - University of Otago


    Prepare experienced nurses for NP registration and employment as an NP in practice.


    Provide a pathway within the approved programmes that is specifically designed for prospective NPs.


    Support 500 hours of closely supervised supernumerary clinical time to achieve the advanced nursing competencies needed for NP registration such as advanced health assessment, diagnosis, and treatment implementation, which includes prescribing of pharmacological and non-pharmacological treatment.


    Align the NP registration processes of the NCNZ with NP education and subsequent employment.


    Employer commitment to employ NP (minimum 0.6 fte) once registered following successful completion of the NP training year

What will it cost?

The Ministry of Health now funds the NP training year as a national programme each year.

How did you organise funding for your NP training year?

How did you organise NP training year Funding?

Funding to support NP training year Amount per trainee per year
500 hours of clinical release time $15,000
clinical supervision allowance at the main placement $5,600
Study day release time to attend a minimum of 12 study days/year $3,000
Course fees for 60 credits Fully paid (fees vary per university)
Travel and accommodation to study days and to secondary placement experience Discretionary contribution, depending on trainee's location.

3-6 months pre NP Training

What support did you need from your family / whanau?

What support did you need from your family / whanau?

Note this year spend time with NPs in practice and networking; Link with local NP networks

Are you ready for your NP training year?

Getting the best from your academic supervisor

How do you get the best from your clinical supervisor?

How did you find portfolio Prep?

Portfolio prep

Download

NP Training (practicum) Year

Click on each month for what to expect and what is happening next

Each university process and timeframes may differ slightly so please check with your education provider.

Check NP Training calendar

Do you have all the access and space you need for academic work?


Do you have access to clinical practice and study space to  undertake the clinical and academic work?


Refer to NCNZ np competencies


Formative assessment in area of practice

Work with manager 80 hrs secondment sem 2


Work with your manager on setting up your primary clinical placement 80 hrs


Be aware of potential stress


Start on clinical set-up/templates  e.g. Medtech etc.


Formative assessment in area of practice

Work with manager 80 hrs secondment sem 2


Continue work from Feb


Academic semester  1 begins


Summative assessment

Signalling if on the right track


Begin:

• clinical mentorship

• Academic assignments

Refer to NCNZ np competencies



OSCE 


Summative assessments and OSCE.


These will signal if you are on the right track to progress.


You may have feelings of imposter phenomenon. Seek supervision to discuss this common experience


Finish any outstanding academic work


Consider a short break


Continue clinical practicum hours


Semester 2 begins


Coursework 


Consider imposter phenomenon

Talk to other candidates, mentors and supervisors to normalise these feelings

Portfolio development


Working more autonomously as an NP candidate


Refer to NCNZ np competencies


Prep panel interview 

Oral presentation/ VIVA

Portfolio submission


Portfolio prep begins

Prep panel interview 

Oral presentation/ VIVA

Portfolio submission


Portfolio submission.


Finalise academic work

Pressure to lead up to panel

Once your panel date is through, plan to take annual leave prior to panel, at least a couple of days to give you time to get ready.

You may want a day or two afterwards as well.


What are the Nursing Council NP panel looking for?

The Nursing Council Panel is looking for a NP candidate who shows evidence of clinical expertise, leadership and confidence to take up an autonomous clinical practice role at the novice NP level.   

The panel will want to see you articulate a comprehensive and systematic holistic assessment of patients, discuss a broad range of probable and differential diagnosis and robust diagnostic reasoning supported by a strong evidence base. 

The panel will also want you to demonstrate how you work in collaboration with consumers, whānau, and colleagues to develop, plan, implement, and evaluate therapeutic interventions when managing episodes of care.

Panel interview

Check calendar NPTP

Do you have all the access and space you need for academic work?


↑ Stress

Formative assessment in area of practice

Work with manager 80 hrs secondment sem 2


↑ Stress

Formative assessment in area of practice

Work with manager 80 hrs secondment sem 2


↑Stress

Summative assessment

Signalling if on the right track


↑↑Stress

OSCE 



↑Stress

Consider imposter phenomenon

Talk to other candidates, mentors and supervisors to normalise these feelings

Portfolio development


↑↑Stress

Prep panel interview 

Oral presentation/ VIVA

Portfolio submission

↑↑Stress

Prep panel interview 

Oral presentation/ VIVA

Portfolio submission

Pressure to lead up to panel

Once your panel date is through, plan to take annual leave prior to panel, at least a couple of days to give you time to get ready.

You may want a day or two afterwards as well.


What are the Nursing Council NP panel looking for?

The Nursing Council Panel is looking for a NP candidate who shows evidence of clinical expertise, leadership and confidence to take up an autonomous clinical practice role at the novice NP level.   

The panel will want to see you articulate a comprehensive and systematic holistic assessment of patients, discuss a broad range of probable and differential diagnosis and robust diagnostic reasoning supported by a strong evidence base. 

The panel will also want you to demonstrate how you work in collaboration with consumers, whānau, and colleagues to develop, plan, implement, and evaluate therapeutic interventions when managing episodes of care.


First year as an NP: Consolidation and transition

0-12 Months

  • Remember imposter syndrome/ organisational socialisation in role transition
  • Transition and role confusion
  • Making sure your manager/ clinical supervisor introduce you to the whole team. It is important they convey the importance of your role and that it is seen to be valued.
  • Keep connected with support systems
  • Link with NPNZ and local Mātanga tapuhi/NP networks


RN-NP Transition Imposter phenomenon post NP training year

Was it worth it? Post NP training year

Was it worth it? Post NP training year

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