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Masters Degrees (Community Nursing)

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Keele University School of Nursing & Midwifery offer this pathway as an NMC approved, full-time one-year Specialist Community Nursing programme. Read more

Overview

Keele University School of Nursing & Midwifery offer this pathway as an NMC approved, full-time one-year Specialist Community Nursing programme: District Nursing. Specialist Community Nurses provide up-to–date, specialist and highly technical care to patients in their own environments as well as supporting families and carers. As a district nurse today you need to be highly skilled and educated to manage the changing demographics of communities and populations you will work within; you will be expected to lead teams of both qualified and support staff in a community setting. Recent government policy outlines a call to action and model for district nursing services and this award, providing a qualification in Specialist Community Nursing (District Nursing Pathway), is timely to support this, leading to a recordable specialist qualification with the NMC.

See the website https://www.keele.ac.uk/pgtcourses/specialistcommunitynursing-districtnursingpathway/

Course Aims

The course has been designed to produce specialist community nursing practitioners who are safe, competent, and professional, to lead district nursing in a community nursing setting. This includes meeting Nursing & Midwifery Council (NMC) standards for Specialist Community Nursing, Education and Practice. You will develop your leadership skills whilst on the programme, so that you are able to plan and lead services and initiatives which promote health, support long-term conditions, and provide specialist nursing care, including community practitioner prescribing as applicable to your role. You will achieve the recordable qualification through the Postgraduate diploma; however, there is the opportunity to undertake a dissertation through a part-time route to convert this post-graduate diploma to a Master’s Degree.

A new vision developed for District Nursing (DH 2013) Care in local communities: a new vision and model for district nursing will underpin the content and delivery of the pathway with a focus on 'Compassion in Practice' underpinning the new model focussing on:
- Population and case load management
- Support and care for patients who are unwell, recevoering at home and at end of life
- Support and care for independence

The aim of this programme is to support the development and enhancement of essential knowledge and skills in the registered practitioner to equip them for a career in specialist community nursing. This will be actualised through building upon the theoretical and clinical basis of their specialised area of practice, through delivery of a cohertent programme of study.

The District Nursing pathway will have a contemporary focus and is designed to meet the requirements of the Nursing & Midwifery Council (NMC) Standards for Specialist Education and Practice (UKCC 2001).

The programme will support students in applying their skills of critical reflection to enhance their professional, personal and academic development. It will encourage the development of sound District Nursing practice based on the critical application of research and evidence and will introduce students to theories and practice of leadership and partnership working.

Additional Costs

Apart from additional costs for text books, inter-library loans and potential overdue library fines we do not anticipate any additional costs for this postgraduate programme.

Completing your Masters

The Postgraduate Diploma Specialist Community Public Health Nursing (Health Visiting & School Nursing pathways) and the Specialist Community Nursing (District Nursing pathway) awards – registerable with the NMC – each comprise of six taught modules to meet individual or service requirements in year 1 as a full time student.

Successful completion of the Postgraduate Diploma will lead to the NMC approved specialist and registerable qualification ‘Specialist Community Public Health Nursing (Health Visiting)’, ‘Specialist Community Public Health Nursing (School Nursing)’ or the Specialist Community Nursing (District Nursing), depending upon the route that the student registers for.

Students who have met the requirements for the award of a Postgraduate Diploma will be eligible to proceed into year 2, onto the Masters’ award – subject to the rules of progression. The award of an MSc Specialist Community Public Health Nursing (Health Visiting or School Nursing) requires successful completion of the Professional Practice dissertation (MSc route 1) or the Faculty dissertation module (MSc route 2), on a part-time basis.

The Specialist Community Nursing (District Nursing) programme will share modules with the P.G Dip/MSc Specialist Community Public Health Nursing Programme. This will enhance Inter-professional learning with other community specialist nurses working in primary care.

Find information on Scholarships here - http://www.keele.ac.uk/studentfunding/bursariesscholarships/

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The course aims to develop professionals who can independently access information and use the information to critically assess, evaluate and disseminate the evidence base for community nursing care. Read more
The course aims to develop professionals who can independently access information and use the information to critically assess, evaluate and disseminate the evidence base for community nursing care. It will develop problem-solving skills and prepare you to take a leadership role in the community context.

The degree meets the specific requirements set by the Nursing and Midwifery Council (NMC) for community nursing competence. The NMC states that to achieve specialist practitioner status, graduates must have achieved prescribed standards, both core and community-specific.

When you successfully complete this degree, you will have a recordable specialist practice qualification in Children’s Community Nursing.

See the website http://courses.southwales.ac.uk/courses/942-msc-community-health-studies-children's-community-nursing

What you will study

Year One:
- Fundamentals of Community Practice
- Decision Making
- Specialist Practitioner

Year Two:
Core module
- Research methods

Optional modules:
- Law, ethics and nurse prescribing
- Transitions and Continuations of Care
- Long-term health conditions
- Diabetes care
- Minor illness for Primary Care Nurses

After 2 years you will attain a recordable specialist practice qualification with the NMC and an option to exit the course with a PgDiploma.

Year Three:
- Dissertation

After 3 years you will attain the MSc qualification.

Learning and teaching methods

You will complete 40 academic days which run from September to June. Year one requires attendance every Tuesday.

In addition you will undertake 40 clinical days per year. Ideally you should be working in a community setting, however if you are not placements maybe negotiated. While in practice, you will be assigned a mentor who will assess your clinical competence.

Teaching and learning methods include lectures, tutorials, self-directed study and workshops.

If you have undertaken the Fundamentals of Community Practice Module (30 credits) within the last five years, this can be transferred to the degree.

Work Experience and Employment Prospects

Undertaking this course ensures you will graduate with the knowledge, skills, competencies and capacity to provide safe and effective nursing care in community settings. Additionally, having employees with a specialist practitioner qualification is valued by nursing managers, commissioners and the Welsh Government.

Assessment methods

You will be assessed by a range of methods including writing essays and case studies, formal presentations, poster presentations, examinations, dissertation, literature reviews and clinical practice assessments.

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Develop your potential as a community nurse on our three-year, part-time masters programme. MSc Contemporary Healthcare (Community Nursing) is designed by academics and clinicians with input from service users for Nursing and Midwifery Council registered nurses. Read more
Develop your potential as a community nurse on our three-year, part-time masters programme. MSc Contemporary Healthcare (Community Nursing) is designed by academics and clinicians with input from service users for Nursing and Midwifery Council registered nurses. Study flexibly and build-up knowledge at postgraduate certificate, diploma and masters level. Be primed with the skills to provide high-quality, person-centred, nursing care closer to home for people living with long-term conditions.

Key features

-Engage with a programme specifically designed to develop your potential as a community nurse.
-Develop knowledge and skills in three specific areas: work based learning in community contexts; clinical decision making and disease management; leadership, law and decision making in advanced practice.
-Benefit from multi-professional education at an advanced level.
-Advance your knowledge on all modules by developing the application of theory to practice.
-Enjoy the active collaboration between Higher Education, employers and service users to enable you to identify, develop and apply work-based learning skills to improve the quality of community nursing care.
-Experience independent and multi-professional working – you will have the opportunity to work innovatively and learn collaboratively with other students from differing professions, in keeping with the ethos of cross-sector partnerships in health and social service provision.
-Balance work and caring commitments by studying part time over the programme for three years or take the full time route.
-Take advantage of the flexibility our programme offers. You can take much of the programme by distance learning. Modules taught face-to-face are delivered in short, intensive blocks to enable you to complete them with minimum travel and time away from your other commitments.
-Benefit from learning within supportive multi-professional and inter-agency environments. The programme is delivered by experts who use innovative thinking to help advance healthcare development.
-Enhance your career opportunities - the programme is designed to meet the needs of the future workforce.
-Complete the MSc and enhance your abilities to continue to further advanced study such as to MPhil/PhD level.

Course details

Postgraduate certificate - to achieve a postgraduate certificate, you will need to earn 60 credits. You will study two core modules worth 20 credits each: work based learning in community contexts and leadership, law and decision making in advanced practice, with one optional 20 credit module.

Postgraduate diploma - to gain a postgraduate diploma, you will need to earn 120 credits. 100 of these will be made up from five core modules, each worth 20 credits (two modules in Year 1 and three modules in Year 2): advancing research knowledge in practice 1, advancing research knowledge in practice 2 and clinical decision making and disease management.

Master of Science - for a full masters degree, you will need to earn a total of 180 credits. You will study the same core modules as the postgraduate diploma, with the extra 60 credits coming from a research project in a related area of study.

Please note: availability of modules may vary according to demand; module dates are therefore subject to change.

Year 1
One 20 credit optional module to be chosen.
Core modules
-MCH507 Leadership, Law and Decision Making in Advancing Practice

Year 2
-MCH501 Advancing Research Knowledge in Practice 1
-MCH502 Advancing Research Knowledge in Practice 2
-MCH506 Clinical Decision Making and Disease Management

Year 3
-MCH504 Dissertation

Every postgraduate taught course has a detailed programme specification document describing the programme aims, the programme structure, the teaching and learning methods, the learning outcomes and the rules of assessment.

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The course aims to develop you as safe, competent and Professional Specialist Community Nurse, fit for practice in the field of General Practice Nursing. Read more

The course aims to develop you as safe, competent and Professional Specialist Community Nurse, fit for practice in the field of General Practice Nursing. On successful completion of the course you will be able to register as a Specialist Practitioner on the NMC register.

The course will also:-

  • equip you with the knowledge, skills and understanding to evaluate, enhance and develop your Practice.
  • Develop and enhance your leadership and management skills within the context of Practice Nursing to support others within the General Practice team.
  • enable you to adopt critical reflective practice and lifelong learning that fosters a spirit of scientific enquiry and research promoting personal and professional development.
  • equip you with cognitive skills and knowledge to lead, innovate, advocate change and contribute to an evidence base of practice in order to benefit the health of General Practice Patients.
  • support you to work with codes and standards of professional practice to protect human rights, promote equality and manage risk to deliver safe, effective health care.

What happens on the course?

You are normally sponsored by the NHS Trust to study on this pathway. You will focus on educational issues that are related to Practice Nursing and Primary Healthcare. The course is 50% theory and 50% practice and so learning experiences also take place in the practice . The programme steers strongly towards health promotion, triage and physical assessment and is designed to encourage the empowerment of patients. The theoretical modules are underpinned with evidence based practice and application to practice is highlighted throughout. Other key aspects of the course are inter-professional working, leadership and management and innovation.

The course will involve both assessments in theory and practical elements. Your theoretical assessments involve measuring academic knowledge at Masters level which will underpin your professional practice. Practical assessments are aimed at measuring knowledge, skills, expertise and attitudes to ensure that an appropriate theory/practice balance is achieved.

The modules you will study are:

  • 7NH004 Research and Inquiry in Specialist Practice
  • 7NH012 Specialist Community Nursing Practice General Practice and District Nursing
  • 7NH009 Advanced Perspectives of Public Health and Social Policy in Specialist Practice
  • 7NH007 Health assessment and Examination Skills within Clinical Practice
  • 7NH005 Advancing Practice Through Leadership and Innovation

Why Wolverhampton?

Students accessing this course are from a wide range of areas from within the West Midlands. Networking between students is encouraged and the extensive support offered to students is considered to be a strength of this course. Students are also visited individually in practice by a member of the course team to provide additional support.

The Practice Nursing course has a designated full time member of staff who acts as a course leader and who has expertise in the specific field of practice that the student is studying and as well as having experience of working as a practitioner in the same specialist area. In addition the award, course leader and course team have engaged in research, published books and journal articles within Practice Nursing.

Innovation on the course is strongly encouraged and Practice Nursing students have won the Innovation Award from the University of Wolverhampton.

Career path

You will by the end of the course be able to apply to be recorded as a Specialist Practitioners with the NMC.

What skills will you gain?

On completion of the course you will:

  • Have an understanding of the principles of Specialist Practice including the developments of Practice Nursing.
  • Use theories of research and evidence based information to identify trends in health policy and the implications for health care and services.
  • Help to promote health and wellbeing, influence policies and develop smooth effective health care services through partnerships and collaborative working.
  • Be able to analyse, synthesise, evaluate and present information, constructing rational and logical arguments to support
  • Practice competently and evaluate personal and professional performance as well as being able to organise and lead others.

Who accredits this course?

This course is accredited by the Nursing and Midwifery Council (NMC).



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This innovative Community Specialist Practice course is aimed at community nurses wishing to prepare for (or consolidate) a leadership role. Read more
This innovative Community Specialist Practice course is aimed at community nurses wishing to prepare for (or consolidate) a leadership role.

It will enable you to become a skillful community specialist practitioner, able to lead and bring about change in your practice environments.

If you successfully fulfill the required criteria you can qualify for the relevant NMC Community Specialist Practitioner (CSP) Award.

The course is centred on practice and you will spend 50 per cent of time in the practice environment. You will have a practice teacher who will support the development of your professional practice.

See the website http://www.brookes.ac.uk/courses/postgraduate/community-nursing-in-the-home-district-nursing/

Why choose this course?

- Gain an NMC Community Specialist Practitioner (CSP) Award.

- The curriculum reflects current practice issues.

- Our lecturers maintain excellent practice links within their specialist areas and have established links with colleagues, organisations and institutions at national and international levels.

- Excellent opportunities for shared learning through multi and inter-professional networking and teaching.

Professional accreditation

This course meets the requirements of a Community Specialist Practitioner Award.

Teaching and learning

The teaching, learning and assessment strategies which underpin the course reflect its inter-professional, client-centred and practice-focused approach.

We encourage group work and discussions so that you can develop new skills, knowledge and experience. Lively debates develop within the sessions and you will be able to discuss the relevant issues with others from different primary care trusts and the wider health and social care environment.

To make the most of the range of experience, skills and knowledge within the group, a variety of teaching and learning strategies are employed, including seminars, discussions, debates and group work. You will also have access to the 'Brookes Virtual’ learning environment (an online repository of lectures, handouts, information and learning exercises).

The strategies we use encourage self-reflection, the integration of theory and practice, and inter-professional collaboration. Staff will support the development of your academic and professional practice.

The course is centred on practice and you will spend 50% of time in the practice environment. Your community practice teachers (CPTs) are highly involved with the development and implementation of the course and there is a great deal of collaboration with the primary care trusts (PCT) education leads.

You will be encouraged to critically analyse and evaluate CCN practice with your lecturers and CPTs, and your assignments will provide a focus for analysing practice. Your CPT will be responsible for facilitating your learning, supervising your progress and assessing your competence in practice.

Approach to assessment

Assessment is based on a developmental process of acquiring, modifying and refining skills and knowledge during each module. A variety of assessments is used, including written assignments, a practice portfolio and examinations.

Your practice knowledge and skills will also be assessed, so that you can demonstrate your ability to critically reflect on and develop practice in line with current professional standards. Your community practice teacher will assess your competence in practice.

Attendance pattern

You will be paid full-time (or part-time) thus your attendance at university is recorded. Sickness and absence during the course will affect your sickness and absence record. Equally punctuality at university is a important part of your professional role.

How this course helps you develop

The course enables experienced practitioners to build on their leadership and strategic development skills.

If you successfully fulfill the required criteria within the Community Children's Nursing PGDip course can qualify for the relevant NMC Community Specialist Practitioner (CSP) Award, which includes being a non-medical prescriber (V100) able to prescribe from the community practitioners’ formulary.

If you wish to meet the minimum NMC mentorship requirements, evidence from your practice documentation can be considered through Accreditation of Prior Learning processes within the Faculty.

Careers

Graduates of the programme have demonstrated their ability to be leaders in Community Children's Nursing Practice.

Free language courses for students - the Open Module

Free language courses are available to full-time undergraduate and postgraduate students on many of our courses, and can be taken as a credit on some courses.

Please note that the free language courses are not available if you are:
- studying at a Brookes partner college
- studying on any of our teacher education courses or postgraduate education courses.

Research areas and clusters

We have a number of both promising and experienced researchers working in established areas including cancer care, children and families, drugs and alcohol, physical rehabilitation and enablement, and interprofessional education and collaborative practice.

Over the past few years, these researchers have won external research and consultancy contracts including grants, fellowships and studentships for NHS staff.

Our research staff collaborate with researchers from across Brookes and from the Institute of Health Sciences at the University of Oxford, along with research teams from many other UK and international centres.

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The aim of this course is to develop your skills as a specialist practitioner who can combine theory and practice to improve and develop knowledge and skills in District Nursing, or General Practice Nursing. Read more

The aim of this course is to develop your skills as a specialist practitioner who can combine theory and practice to improve and develop knowledge and skills in District Nursing, or General Practice Nursing. You will gain the necessary intellectual insight needed to evaluate the economic, social and political influences that affect all aspects of healthcare. Preparing you to play a proactive role within your specialist area of practice, this is a professional course and it incorporates a practice component.

What happens on the course?

The practice placement takes place throughout the programme and culminates in a 10-week block at the end of the course. Practice is normally carried out within your place of work. There are core modules that are shared by all students and specialist modules. It may be possible to undertake the programme over a longer period of time.

There are a variety of learning and teaching strategies which are utilised during the course as well as a range of assessment methods to assess the knowledge and theoretical components which underpin practice.

Why Wolverhampton?

The core modules and the specialist modules are designed for the development of practice, as well as facilitating generalist, specialist and multi-agency approaches. As roles within Primary Care over recent years have become altered and diverse the course has been developed to reflect the needs of this changing community. The focus of the programme is on enabling the monitoring and improvement of standards of healthcare through the supervision of practice , clinical audit, development of practice through research, teaching and the support of professional colleagues, through the provision of skilled professional leadership. This programme supports professional progress by developing professional awareness and decision-making.

Career path

This course equips you with the skills required to become a Specialist Community District Nurse. You will be both academically and professionally prepared to practice as a member of the multi-disciplinary team.

What skills will you gain?

On completion of this course you will:

  • Develop your subject knowledge and understanding of the principles of primary care as well as the development of maintenance of health of individuals and communities.
  • Evaluate and apply the theories of research and evidence-based practices that contribute to health care and identify trends in health policy and their effects on primary care
  • Demonstrate high levels of judgement, discretion and decision making in areas of clinical practice, care and management, clinical practice development and leadership.
  • Critically evaluate a range of skills including communication, organisational, analytical, presentation and interpersonal skills and be able to approach situations with an open mind.
  • Utilise a wide range of evidence to support decisions and critically analyse them and be able to justify your actions and beliefs.
  • Practice competently and evaluate personal and professional performance as well as being able to lead others and work to deadlines in an efficient manner

Who accredits this course?

On successful completion of the course you will be able to record your qualification with the Nursing and Midwifery Council (NMC)



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The School Nursing pathway reflects the current standards and initiatives for School Nursing, developing public health awareness and the understanding of key health challenges using a social model of health and well-being. Read more

Overview

The School Nursing pathway reflects the current standards and initiatives for School Nursing, developing public health awareness and the understanding of key health challenges using a social model of health and well-being. The course has a particular in-depth focus on the physical, social and emotional aspects of school-age health and well-being, recognising how these contribute to social capital and life chances.

The programme will support students in applying their skills of critical reflection to enhance their professional, personal and academic development. It will encourage the development of sound School Nursing Practice based on the critical application of research and evidence and will introduce students to theories and practice of leaderhship and partnership-working. Students' clinical placement experience will enable them to gain expertise in the full range of School Nursing skills, through observation and practice supervised by a Practice Teacher.

Through undertaking the award, you will be prepared to work with communities, families and individuals to improve health and reduce health inequalities, to optimise life chances, in partnership with people and organisations, in support of the government health and social agenda. On successful completion of this course you are able to register with the NMC on the third part of the register as a Specialist Community Public Health Nurse.

See the website https://www.keele.ac.uk/pgtcourses/specialistcommunitypublichealthnursingschoolnursingpathway/

Course Aims

This course has been designed to produce specialist community public health practitioners who are safe, competent, and deliver professional practice in a community public health setting, meeting Nursing and Midwifery Council (NMC) standards for Specialist Community Public Health Nursing. The programme will support you in applying the skills of critical reflection to enhance your professional, personal and academic development. It will encourage the development of a sound School Nursing practice, based on the critical application of research and evidence and will introduce you to theories and practice of leadership and partnership-working. You will engage within clinical placements and gain expertise in the full range of School Nursing skills, through observation and practice supervised by a Practice Teacher. You will achieve the recordable qualification through the Postgraduate diploma; however, there is the opportunity to undertake a dissertation through a part-time route to convert this post-graduate diploma to a Master’s Degree.

Additional Costs

Apart from additional costs for text books, inter-library loans and potential overdue library fines we do not anticipate any additional costs for this postgraduate programme.

Completing your Masters

The Postgraduate Diploma Specialist Community Public Health Nursing (Health Visiting & School Nursing pathways) and the Specialist Community Nursing (District Nursing pathway) awards – registerable with the NMC – each comprise of six taught modules to meet individual or service requirements in year 1 as a full time student.

Successful completion of the Postgraduate Diploma will lead to the NMC approved specialist and registerable qualification ‘Specialist Community Public Health Nursing (Health Visiting)’, ‘Specialist Community Public Health Nursing (School Nursing)’ or the Specialist Community Nursing (District Nursing), depending upon the route that the student registers for.

Students who have met the requirements for the award of a Postgraduate Diploma will be eligible to proceed into year 2, onto the Masters’ award – subject to the rules of progression. The award of an MSc Specialist Community Public Health Nursing (Health Visiting or School Nursing) requires successful completion of the Professional Practice dissertation (MSc route 1) or the Faculty dissertation module (MSc route 2), on a part-time basis.

The Specialist Community Nursing (District Nursing) programme will share modules with the P.G Dip/MSc Specialist Community Public Health Nursing Programme. This will enhance Inter-professional learning with other community specialist nurses working in primary care.

Find information on Scholarships here - http://www.keele.ac.uk/studentfunding/bursariesscholarships/

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The Health Visiting pathway reflects the current standards and initiatives for Health Visiting Practice, underpinned by the Health Visiting Implementation Plan. Read more

Overview

The Health Visiting pathway reflects the current standards and initiatives for Health Visiting Practice, underpinned by the Health Visiting Implementation Plan: A Call To Action, 2011—2015 (DH 2011). The course focuses on developing public health awareness and understanding of key health challenges using a social model of health and well-being, and has a particular in-depth focus on the physical, social and emotional aspects of the developing child from 0—5 years, including attachment, recognising how these contribute to social capital and life chances. Through undertaking the award, you will be prepared to work with communities, families and individuals to improve health and reduce health inequalities to optimise life chances, in partnership with people and organisations, in support of the government health and social agenda. On successful completion of this course you are able to register with the NMC on the third part of the register as a Specialist Community Public Health Nurse.

See the website https://www.keele.ac.uk/pgtcourses/specialistcommunitypublichealthnursing-healthvisitingpathway/

Course Aims

The programme will support students in applying their skills of critical reflection to enhance their professional, personal and academic development. It will encourage the development of sound Health Visting practice based on the critical application of research and evidence and will introduce students to theories and practice of leadership and parternship working. Students' clinical placement experiences will enable them to gain expertise in the full range of Health Visting skills, through observation and practice supervised by a practice teacher.

This course has been designed to produce specialist community public health practitioners who are safe, competent, and deliver professional practice in a community public health setting, meeting Nursing and Midwifery Council (NMC) standards for Specialist Community Public Health Nursing. You will develop your leadership skills whilst on the programme, therefore enabling you to plan and lead services and initiatives which promote health improvement, as well as community practitioner prescribing as applicable to your role. You will achieve the recordable qualification through the Postgraduate diploma; however, there is the opportunity to undertake a dissertation through a part-time route to convert this post-graduate diploma to a Master’s Degree.

Additional Costs

Apart from additional costs for text books, inter-library loans and potential overdue library fines we do not anticipate any additional costs for this postgraduate programme.

Completing your Masters

The Postgraduate Diploma Specialist Community Public Health Nursing (Health Visiting & School Nursing pathways) and the Specialist Community Nursing (District Nursing pathway) awards – registerable with the NMC – each comprise of six taught modules to meet individual or service requirements in year 1 as a full time student.

Successful completion of the Postgraduate Diploma will lead to the NMC approved specialist and registerable qualification ‘Specialist Community Public Health Nursing (Health Visiting)’, ‘Specialist Community Public Health Nursing (School Nursing)’ or the Specialist Community Nursing (District Nursing), depending upon the route that the student registers for.

Students who have met the requirements for the award of a Postgraduate Diploma will be eligible to proceed into year 2, onto the Masters’ award – subject to the rules of progression. The award of an MSc Specialist Community Public Health Nursing (Health Visiting or School Nursing) requires successful completion of the Professional Practice dissertation (MSc route 1) or the Faculty dissertation module (MSc route 2), on a part-time basis.

The Specialist Community Nursing (District Nursing) programme will share modules with the P.G Dip/MSc Specialist Community Public Health Nursing Programme. This will enhance Inter-professional learning with other community specialist nurses working in primary care.

Find information on Scholarships here - http://www.keele.ac.uk/studentfunding/bursariesscholarships/

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Broaden your understanding and develop a critical awareness of the role and responsibility of key aspects of district nursing, including the coherent an detailed knowledge at the forefront of care. Read more

Broaden your understanding and develop a critical awareness of the role and responsibility of key aspects of district nursing, including the coherent an detailed knowledge at the forefront of care.

 

Our course is designed for qualified nurses who hold a current registration as a nurse (part 1) with the UK Nursing and Midwifery Council Register (equivalent to parts 1 or 12 of the NMC Register). The programme enables the student to qualify as a District Nurse and record the qualification with the NMC.

An attractive feature of the programme is that the Postgraduate Diploma element of the courses can be taken full time for 1 year (self-funded) or part time over 2 years (possibility of Welsh Government funding if you work in Wales) or flexibly by a module by module approach (over 4 years).

The Postgraduate Diploma (Level 7) is open to students who hold a minimum of 120 credits at level 6. On successful completion of the Postgraduate Diploma students can continue their studies and achieve a full Masters, titled MSc Health and Social Care (Community Specialist Practice).

This programme is also offered at Undergraduate level - see BSc (Hons) Community Specialist Practice for more details

Key Course Features

The specific aims of the programme are to:

-Broaden the student’s understanding of key aspects of district nursing including the acquisition of coherent and detailed knowledge at the forefront of care.

-Prepare students for study and competent practice at a specialist level within district nursing in order to meet the NMC (2001) Standards for Specialist Practice.

-Develop a critical awareness of the role and responsibilities of Specialist Community Nurses in contemporary society.

Utilise contemporary research and advanced scholarship to critically analyse and evaluate key aspects and developments in District Nursing.

Additional features:

-You will be taught by a dedicated team of professional nurses who have backgrounds in District Nursing and Community Nursing Roles.

-On successful completion of the Community Specialist Practice Programme, the District Nursing qualification will be recordable with the NMC.

-The programme consists of 50% theory and 50% practice (minimum of 600 hours practice) within a district nursing team and has a 6 week period of practice consolidation at the end of the programme, ensuring that you feel fully prepared for your new role as a District Nurse.

-On successful completion of the Post Graduate Diploma students who have accrued the required credits at level 7 can be offered the opportunity to undertake a 60 credit dissertation leading to a full Masters qualification titled MSc Health and Social Care (Community Specialist Practice).

What Will You Study?

MODULES

Foundations of Community Practice

The Foundations of Community Practice module will enable registered practitioners to enhance their knowledge and problem-solving skills to a point where they can practise competently in a community setting. 

Research Methods

The Research Methods module aims to provide the student with a critical understanding of the philosophical, practical and ethical concepts of research and research methodology within the context of health and society.

Clinical Portfolio

The Clinical Portfolio module will enable the student to engage in critical reflection during their community placement and explore their professional practice and personal development.  

Nurse Prescribing (V100)

The Nurse Prescribing module aims to prepare community nurses to prescribe safely, appropriately and cost effectively from the Nurse Prescribers’ Formulary for Community Practitioners.

Assessing Complex Needs

The Assessing Complex Needs module will prepare students to deal with complex care situations systematically and creatively and make sound judgements within the boundaries of their own discipline.

Managing Community Specialist Practice

The Managing Community Specialist Practice module will equip the students with the underpinning knowledge of leadership and management in the context of district nursing practice.

Innovations in Community Practice

The Innovations in Community practice will enhance the students’ ability to lead and manage a district nursing team by recognising the need for change and designing and planning an innovation to reflect the needs within the locality. The module will also enable the students to disseminate this good practice.

Consolidation of Practice (NMC requirement)

Students will complete this module at the end of their studies and it will enable them to manage a small caseload of patients in readiness for embarking on their new role as a District Nurse. The students will feel fully prepared having worked towards the NMC proficiencies over a prolonged period of time.

Students who wish to continue their studies on completion of the Post Graduate Diploma will undertake a dissertation module.

Dissertation Module to gain full Masters

Students will have the opportunity to demonstrate independent thought and select, plan, prepare and write a dissertation which explores a topic relevant to District Nursing.   

Assessment & Teaching

District Nursing students are assessed in a variety of ways over the course of their studies. The balance between the different forms of assessment is determined by the different aims and learning outcomes of the modules.

Assessment methods include academic assignments, case studies, poster presentations and examinations. As the programme is about learning in practice, all students have a clinical portfolio which is completed as students’ progress through the modules. All students are allocated a mentor/sign off mentor within practice who will assess your competency against the NMC Specialist Practice Standards for District Nursing.

Career Prospects

On successful completion of the Community Specialist Practice Programme, the District Nursing qualification will be recordable with the NMC. This coveted qualification will enable you to apply for Band 6 roles within District Nursing and will increase opportunities within Community Nursing as a whole.

The Careers & Zone at Wrexham Glyndŵr University is there to help you make decisions and plan the next steps towards a bright future. From finding work or further study to working out your interests, skills and aspirations, they can provide you with the expert information, advice and guidance you need.



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District nursing is a core service within the NHS. The Five Year Forward View (NHS England 2015) sets out an expectation that more care will be provided in the community in the future. Read more

District nursing is a core service within the NHS. The Five Year Forward View (NHS England 2015) sets out an expectation that more care will be provided in the community in the future. This care will be to people with increasingly complex needs and the people working in these health and social care structures will have to be more flexible to accommodate this.

Course details

The district nurse must respond to these challenges and the Queen's Nursing Institute/Queen's Nursing Institute Scotland (QNI/QNIS) Voluntary Standards for District Nurse Education and Practice (2015) provide a strong framework for district nurses in the current NHS as well as the skills and knowledge base needed to respond to the dynamic nature of community nursing. 

There are two programmes at master’s level: the postgraduate diploma and the masters. (The postgraduate diploma is Year 1 of the full master's degree.) By successfully completing either of these programmes you achieve the new QNI/QNIS Voluntary Standards for District Nurse Education and Practice as well as the standards set by the Nursing and Midwifery Council (NMC) for the Specialist Practice in Nursing in the Home/District Nursing professional qualification which is recorded on the NMC register. This qualification has integrated within it the Community Practitioner Prescribing (V100) qualification (NMC 2006), enabling you to prescribe from the community practitioner’s formulary.

You will also have demonstrated skills at Level 3 of the National Institute for Health and Care Excellence guidelines in brief interventions which is a requirement for a district nurse as set out in the Health Education England’s District Nursing and General Practice Education and Career Framework (2015). 

The programmes have been designed in consultation with local employers, professional standards bodies, students (past and present), service users and carers, and district nurse educators from across the country. We hope that this has led to programmes of study which are challenging, contemporary, inspiring and enjoyable. 

When you successfully complete your chosen programme, you are well prepared for the dynamic and inspiring world of community nursing as well as being in a strong position to apply for position as a district nurse and team leader. 

Professional accreditation

After successfully completing your course you are eligible to be awarded the recordable qualification of the Specialist Practice Qualification in District Nursing which has integrated within it the V100 recordable qualification of the Community Practitioner Prescriber.

What you study

For both programme routes, you study seven modules full time across a total period of 44 weeks. The PgDip route (which is the first year of the master’s route) includes practice competencies which you achieve on placement. The balance of the course is 50% theory and 50% practice. 

If you continue to the MSc route after your first year, you undertake an eighth module which gives you 60 credits as a part-time student. This module involves you carrying out live research or a systematic review. 

Course structure

Core modules

  • Advancing Community Practitioner Prescribing
  • Advancing Leadership and Management in the Context of Specialist Practice
  • Advancing Patient Safety in District Nursing
  • Designing Research Projects
  • Evidence-based Practice
  • Principles and Practice of Advanced Management of Long-term Health Conditions

MSc only

  • Dissertation

Modules offered may vary.

Teaching

Where you study

In Year 1 of the MSc (the whole of the PgDip) teaching is split equally between the practice placement and theoretical study. 

The practice placement is organised by your local trust which sponsors you for your place on the programme. This placement is usually in a different team to the one in which you have been working to give you a contrasting learning experience. 

The theoretical learning is largely at our Middlesbrough campus. If you are studying the MSc, then the teaching in Year 2 is largely self-directed with supervisor support and can be arranged to suit you and your supervisor.

How you learn

These programmes require you to commit to a very comprehensive and individual approach to learning. 

There are opportunities for some components of your learning to be accredited through recognised prior learning – this is agreed on an individual basis. 

This course helps you gain confidence in accessing digital resources. You share some of your learning with other students on the postgraduate district nursing programme, some with students on other programmes and some further time with just your own programme. 

Classroom teaching includes group discussions, presentations, project work and clinical skills development in practical labs. We highly value the experience and knowledge of service users and carers who are involved in the programme, for example through teaching activities and assessment. Your practice teacher plays a significant role in ensuring that you have access to great learning opportunities during placement. Their skills and experiences also provide you with an excellent role model. 

The final dissertation module within the MSc route gives you the opportunity to focus on an aspect of district nursing which interests you. You investigate this issue in depth either through live research or a systematic review. 

How you are assessed

You are assessed in a number of ways as we know that everyone learns differently. 

These include exams, essays, reflections, reports, viva voce, simulations, research proposals, assessment of competencies in practice evidenced through a portfolio, and dissertation (if you are on the MSc programme). 

Your practice teacher or sign-off mentor is key to your practice assessments.

Employability

When you successfully complete the programme, you are well prepared for the dynamic and inspiring world of community nursing with an advanced level of professional knowledge. You are also well placed to apply for a position as a district nurse and team leader.

Following successful completion of the postgraduate diploma, you can return to Teesside University within five years to enrol on the MSc route.



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Programme Aims. This pre-registration nursing programme prepares Master entry-level Registered Nurses. The admitted students are Bachelor's degree holders in any discipline. Read more

Programme Aims

This pre-registration nursing programme prepares Master entry-level Registered Nurses. The admitted students are Bachelor's degree holders in any discipline. The programme prepares students for registration with the Nursing Council of Hong Kong as Registered Nurses and to acquire the attributes to become future leaders in the profession.

  1. To equip students for holistic care that encompasses safe, ethical, legal, culturally sensitive nursing therapeutics provided to clients of all ages and their families in various healthcare settings.
  2. To prepare students to acquire the attributes of future nurse leaders through appraisal and translation of new knowledge in advancing nursing practice.

Programme Characteristics

This is a collaborative programme of the School of Nursing, The Hong Kong Polytechnic University and the Hong Kong Sanatorium & Hospital.

  • The Hong Kong Polytechnic University is the first university in Hong Kong to offer a pre-registration degree programme in nursing for graduates from other disciplines.
  • The School of Nursing at Hong Kong Sanatorium & Hospital was established in 1927, it is the only private hospital in Hong Kong with a school offering a curriculum for registered nurses.
  • The motto of the School of Nursing (SN) of The Hong Kong Polytechnic University is "To Excel in Nursing for the Well-being of Mankind", whilst that of Hong Kong Sanatorium & Hospital is "Quality in Service and Excellence in Care".
  • The collaboration of the two institutions ensures the quality preparation of future registered nurses and will raise the profile of the nursing profession in Hong Kong.
  • The programme combines basic preparation for professional qualification with advanced preparation to enable students to become competent reflective practitioners in the nursing profession.

Professional Recognition

The programme is accreditated by the Nursing Council of Hong Kong (NCHK) and graduates are eligible to apply for registration as Registered Nurses general.

Programme Structure

This programme embraces all of the theoretical components required for registration with the Nursing Council of Hong Kong. These include the introductory and applied subjects, plus subjects on biology, social sciences, professional studies and humanities that develop students' broad understanding of the biological and psychosocial dimensions of the human condition and health care.

The structure runs from simple to complex, covering child and adult care, maternal care, mental health nursing, community nursing, gerontological nursing and nursing research. Students are required to complete a clinical research project in the final year to consolidate their knowledge in research in a clinical nursing focus. Supervised field practice is organized throughout the study to integrate theory into practice.

Core Areas of Study

Nursing Arts and Sciences (10 subjects)

  • Fundamentals of Nursing Therapeutics
  • Nursing Therapeutics I
  • Nursing Therapeutics II
  • Nursing Therapeutics III
  • Child & Adolescent Health
  • Family Nursing with Childbearing Families
  • Mental Health Care
  • Community Nursing
  • Nursing Older People
  • Traditional Chinese Nursing

Life Sciences (3 subjects)

  • Clinical Microbiology for Nurses
  • Pathophysiology & Pharmacology for Nurses
  • Anatomy & Physiology

Humanities and Professional Studies (7 subjects)

  • Professional Nursing Concepts
  • Applied Psychology in Health Care
  • Social & Cultural Dimensions of Health
  • Ethics & Law in Clinical Practice
  • Clinical Research Methods
  • Clinical Research Project
  • Quality Management of Nursing Services in Health Care


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This degree meets the Nursing and Midwifery Council (NMC) standards for community nursing specialist practice. District nursing is an exciting, challenging, varied and rewarding role; a specialism providing care and support to patients living in the community. Read more
This degree meets the Nursing and Midwifery Council (NMC) standards for community nursing specialist practice. District nursing is an exciting, challenging, varied and rewarding role; a specialism providing care and support to patients living in the community. This course is focused towards inspiring, innovating and implementing improvements in the quality of specialist district nursing care. Community healthcare is undergoing rapid and immense change following structural changes and reorganisation within NHS Wales. Policy driven by changes in demography, technology and economics have set community nursing as the future.

District nursing means working collaboratively with patients, family, carers, other community nurses, health professionals and individuals from both statutory and voluntary organisations. The degree will focus towards enhancement of your leadership skills. It requires engagement in reflective inquiry, self-awareness, assertiveness and critical thinking skills. Excellence in case load management is also fostered.

Delivery of care includes assessment, diagnosis, prescribing, follow up and discharge for a diverse range of patients including those with acute conditions, highly complex care needs, long term health conditions, safe guarding needs, requiring wound management health promotion, palliative and end of life care.

The degree is fully funded by the Welsh Government and gives you a comprehensive and thorough understanding of the contemporary primary and community health agenda. It will support your progression towards becoming a district nursing leader for the future. When you successfully complete this degree, you will have the NMC recordable specialist practice qualification in Community Health District Nursing.

See the website http://courses.southwales.ac.uk/courses/944-msc-community-health-studies-district-nursing

What you will study

Modules:
Year One
- Fundamentals of Community Practice
- Decision Making
- Specialist Practitioner

Year Two:
Core module
- Research methods
- Law, ethics and nurse prescribing

Optional modules:
- Transition
- Living well with long-term health conditions
- Diabetes care
- Minor illness for Primary Care Nurses
- Continuing care for children and young people
- Advances in epilepsy care

After two years you will attain a recordable specialist practice qualification with the NMC and an option to exit the course with a PgDiploma.

Year Three:
- Dissertation

After three years you will attain the MSc qualification.

Please note modules and module content may change from time to time.

Learning and teaching methods

Teaching and learning methods include lectures, tutorials, self-directed study, workshops and a clinical placement. As part of the course you will complete 40 academic days which run from September to May.

Year one requires attendance every Tuesday. In your second year lectures will be delivered on various days depending on which modules you choose. In addition you will undertake 40 clinical days per year. Ideally you should be working in a community setting, however if you are not, placements may be negotiated. While in practice, you will be assigned a mentor who will assess your clinical competence. All students are required to organise a tripartite meeting between student, mentor and academic supervisor during the first month in order to set objectives for clinical learning.

If you have undertaken the Fundamentals of Community Practice Module (30 credits) within the last five years, this can be transferred to the degree.

Work Experience and Employment Prospects

Undertaking this course ensures you will graduate with the knowledge, skills, competencies and capacity to provide safe and effective nursing care in community settings. Additionally, having employees with a specialist practitioner qualification is valued by nursing managers, commissioners and the Welsh Government.

Assessment methods

You will be assessed by a range of methods including writing essays and case studies, formal presentations, poster presentations, examinations, dissertation, literature reviews and clinical practice assessments.

Facilities

As part of the Decision Making module you will use the Hydra Suite which is used to help analyse and improve decision making for a variety of scenarios faced by professionals within district nursing.

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The MSc Community Health Studies is a natural progression route for graduate nurses who desire to develop mastery in specialist practice, in line with the Post Registration Nursing Career Framework (WAG, 2010). Read more
The MSc Community Health Studies is a natural progression route for graduate nurses who desire to develop mastery in specialist practice, in line with the Post Registration Nursing Career Framework (WAG, 2010).

The course aims to develop professionals who can independently access information and use the information to critically assess, evaluate and disseminate the evidence base for community nursing care. It will develop problem-solving skills and prepare you to take a leadership role in the community context.

The degree meets the specific requirements set by the Nursing and Midwifery Council (NMC) for community nursing competence. The NMC states that to achieve specialist practitioner status, graduates must have achieved prescribed standards, both core and community-specific.

When you successfully complete this degree, you will have a recordable specialist practice qualification in Community Health Studies Practice Nursing.

See the website http://courses.southwales.ac.uk/courses/945-msc-community-health-studies-practice-nursing

What you will study

Modules

Year One:
- Fundamentals of Community Practice
- Decision Making
- Specialist Practitioner

Year Two:
Core module
- Research methods

Optional modules
- Independent Prescribing
- Law, ethics and nurse prescribing
- Transition
- Long-term health conditions
- Diabetes care
- Minor illness for Primary Care Nurses
- Continuing care for children and young people
- Advances in epilepsy care

After 2 years you will attain a recordable specialist practice qualification with the NMC and an option to exit the course with a PgDiploma.

Year Three
- Dissertation

After 3 years you will attain the MSc qualification.

Learning and teaching methods

You will complete 40 academic days which run from September to June. Year one requires attendance every Tuesday.

In addition you will undertake 40 clinical days per year. Ideally you should be working in a community setting, however if you are not placements maybe negotiated. While in practice, you will be assigned a mentor who will assess your clinical competence.

Teaching and learning methods include lectures, tutorials, self-directed study and workshops.

If you have undertaken the Fundamentals of Community Practice Module (30 credits) within the last five years, this can be transferred to the degree.

Work Experience and Employment Prospects

Undertaking this course ensures you will graduate with the knowledge, skills, competencies and capacity to provide safe and effective nursing care in community settings. Additionally, having employees with a specialist practitioner qualification is valued by nursing managers, commissioners and the Welsh Government.

Assessment methods

You will be assessed by a range of methods including writing essays and case studies, formal presentations, poster presentations, examinations, dissertation, literature reviews and clinical practice assessments.

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When you study with us on this course, you will focus on the provision of healthcare and social care to individuals, groups and communities within specialist community services. Read more
When you study with us on this course, you will focus on the provision of healthcare and social care to individuals, groups and communities within specialist community services.

The focus is on developing your competence, confidence and expertise in assessing the needs of your clients, and working in partnership with them to make informed, holistic health choices.

The ultimate aim is for you to mature into someone with the skills, knowledge and understanding to function as a valuable member of the community, and become a reflective, evidence-based and innovative practitioner as you deliver a client-centred programme of care.

Intermediate qualifications available:

• Postgraduate diploma – 120 credits at Masters level https://www.beds.ac.uk/howtoapply/courses/postgraduate/next-year/specialist-community-public-health-nursing-school-nursing2

Why choose this course?

• Study issues of direct relevance to your personal and professional development and achievement of status as a School Nurse, and increase your prospects of fulfilling employment
• Explore the latest research and practice, and develop a range of public health nursing skills that are pertinent to school nursing
• Develop your sensitivity and understanding in relation to cultural and religious values, beliefs, abilities and the needs of individuals, groups and populations
• Gain an understanding of the evidence on which care interventions are based in order to promote, evaluate and design interventions, and critically develop effective questioning techniques to enhance your communication skills
• Benefit from student-focused, self-directed and guided learning that uses a variety of teaching methods including e-learning, work and problem based learning, simulation, role play and student led seminars.

Visit the website: https://www.beds.ac.uk/howtoapply/courses/postgraduate/next-year/specialist-community-public-health-nursing-school-nursing

Course detail

This course offers the opportunity to study for a combined Master of Science / Specialist Community Public Health Nursing (School Nursing) qualification. Success in the Master of Science in Specialist Community Public Health Nursing (School Nursing) or in the intermediate qualification of Postgraduate Diploma in Specialist Community Public Health Nursing (School Nursing) will provide the professional qualification and eligibility to apply for registration with the Nursing and Midwifery Council as a Specialist Community Public Health Nurse (School Nursing).

Emphasis throughout the course is placed on your continuing personal and professional development with the aim of improving your employability prospects. You will focus on issues of direct relevance to the achievement of Specialist Community Public Health Nursing status as a School Nurse whilst pursuing a postgraduate course of study in a supportive learning environment.

Opportunities for conference attendance and presentations. Studentfocused, self-directed and guided learning, small group tutorials, encouragement of peer support, using a variety of teaching methods e.g. e-learning, work based learning, problem based learning, simulation, role play, studentled seminars. Emphasis on continuing personal and professional development (lifelong learning).

Modules

• Assessment And Interventions In Specialist Community Public Health Nursing (School Nursing) (CEL031-6) Compulsory
• Public Health: Principles, Policies And Practice In Specialist Community Public Health Nursing (CEL037-6) Compulsory
• Service Improvement Project In School Nursing (CEL015-6) Compulsory
• Specialist Community Public Health Practice (School Nursing) (CEL034-6) Compulsory
• Transforming Healthcare Through Effective Leadership (CEL016-6) Compulsory

Assessment

The course assessment strategy is closely aligned to the teaching and learning strategy which is designed to have: immediate professional relevance; draw on expertise-by-experience; foster active learning and be leaner-centred in approach. A distinct feature of the course is the range of assessment tasks, including those that allow students to undertake workplace relevant assessments that can have an immediate impact in practice. Examples include: written assignments ranging from reflective pieces to academic essays culminating in a service improvement project, assessed practice within your placements, a portfolio of evidence of learning in practice and a profile of the health needs of your local practice area. The course assessments also include a timed, invigilated exam as this is an NMC requirement


Assessment tasks are designed so that students can tailor them to professional interests, experience and development needs. They area also designed so that students can rehearse ways of thinking and acting that are professionally relevant

There are specific professional requirements for passing some of the units in the course. These requirements are stated on the relevant unit information forms (UIFs).

Careers

During the course you will acquire a range of professional and transferrable skills which are intended to prepare you for working as a school nurse. The course provides a student- focused process for integrating personal, academic and career development. You are encouraged to undertake self-assessment to identify your strengths, interests and development needs in relation to your learning needs. Through negotiation with your personal academic tutor you will be enabled to identify your areas of interest and the areas in which you feel you need to develop. Towards the end of your studies you will be actively supported and advised regarding potential career development.

You will carry out a service improvement project in your workplace which will both consolidate your knowledge and further enhance your career opportunities.

Funding

For information on available funding, please follow the link: https://www.beds.ac.uk/howtoapply/money/scholarships/pg

How to apply

For information on how to apply, please follow the link: https://www.beds.ac.uk/howtoapply/course/applicationform

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This master's has been designed for experienced practitioners who wish to advance their clinical practice, develop their professional career and enhance… Read more

This master's has been designed for experienced practitioners who wish to advance their clinical practice, develop their professional career and enhance their knowledge of research and evidence-based healthcare in community nursing. This pathway aims to bring an advanced nurse practitioner level of practice to district nursing to encourage evolving service delivery models with emphasis on clinical leadership.

Key benefits

  • No.1 Nursing Faculty in the UK and 3rd in the world (2017 QS World University Rankings)
  • Central location allows access to world leading clinical and academic resources.
  • Access to extracurricular seminars and lectures given by leaders in healthcare from around the world.
  • A multi-faculty environment drawing on clinical and academic expertise from a number of world leading schools and hospitals providing an unparalleled inter-professional learning experience.
  • Located in the heart of London, across four of King's Thames-side campuses (Waterloo, Strand, St Thomas' and Guy's) and the Denmark Hill Campus in south London.

Description

This programme is designed for experienced practitioners who wish to advance their clinical practice, develop their professional career and enhance their knowledge of research and evidence-based healthcare in community nursing. This pathway aims to bring an advanced nurse practitioner level of practice to district nursing to meet, and to encourage, evolving service delivery models with a strong emphasis on clinical leadership.

 Components of leadership relevant to advanced practice in district nursing include the use of robust evaluation methodology so that practice is prescribed, delivered and audited, based on understanding of the search for, and use of, valid data. Leadership within district nursing also require the skills to manage and develop staff, and to work effectively with other agencies. The programme, mapped against the RCN competences for advanced nursing practice also provides practitioners with the opportunity to qualify as independent prescribers.

Course purpose

For experienced practitioners who wish to advance their clinical practice, develop their professional career and enhance their knowledge of research and evidence-based healthcare in community nursing.

Course format and assessment

The majority of assessment is by coursework and includes assessment of practice; some modules are also assessed by one examination.

Career destinations

Graduates typically work with district nursing teams and manage district nursing provision.

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