Database of Health Workforce Innovations
666
Offering all undergraduate nurses and midwives a temporary (3 month) contract during the pandemic
Each supernumerary student is required to undertake a set number of clinical placement hours each year and failure do meet this requirement will stop a student progressing to the next year of the programme. The hours required are set out by EU and Irish regulation standards. with placements being cancelled because of the COVID-19 crisis we had to find a solution where the students could support the national effort with their clinical skills while also acknowledging some of the work towards their clinical learning hours.
A group was set up between the Chief Nurse in the Department of Health, the NMBI (nursing regulator, representatives from the higher education institutions and the HSE (service provider). They reviewed the options available from a regulator, education and service provision perspectives to identify a reasonable solution. The acknowledged that stopping placements would have significant disruption to the student's progress but also remove a valuable resource from the healthcare service. They established that each student would be offered a 3-month specialist temporary HCA contract where they could work full time (once their theory block was complete). if students had not completed their clinical learning hours then they could utilise some of the learning as an HCA to make up the hours, using reflective diaries, learning log or case presentations to demonstrate learning. These hours could be included in their total so that they could progress to the next year.
The contracts offered were also divided so as to best match the students skill sets. All general students were offered contracts to the main acute hospitals, however, mental health, childrens and intellectual disability students were contracts to their local community health organisations (primary care).
The contracts offered were also divided so as to best match the students skill sets. All general students were offered contracts to the main acute hospitals, however, mental health, childrens and intellectual disability students were contracts to their local community health organisations (primary care).
- Fast-track trainees
- Licensure flexibility
- Longer term upskilling/reskilling other workers
- Midwives
- Nurse Practitioners*
- Nurse Specialists*
- Nurses - Licensed Practical
- Nurses - Registered
- Students
When the pandemic began and the acute services began to alter their work structure it became apparent that they would not be in a position to facilitate the supportive education environment required by supernumerary students. Unfortunately, to cancel all placement would have left a significant number of students short of the clinical learning hours required in order to move to the next years of their course.
- Community Health Services
- Critical Care
- Diagnostic Services
- Emergency Medical Services
- Home Care Services
- Hospitals
- Long-Term Care
- Mental Health Services
- Primary Health Care
- Public Health
- Other
Student enthusiasm to support the national effort; drive and direction of the working group; flexibility and creativity of stakeholders
Formal Policy
significant uptake of the contracts, over 1100 in the first week. Acute care and community organizations happy to have the additional HCA capacity.
Europe (non-UK)
Ireland