References

British Medical Association. The Primary Care Network Handbook. 2019. https://www.bma.org.uk/-/media/files/pdfs/collective%20voice/committees/gpc/gpc%20england/pcn%20handbook.pdf?la=en (accessed 14 November 2019)

Dewey J. My Pedagogic Creed.Washington D.C.: The Progressive Education Association; 1897

A five stage model of the mental activities involved in directed skill acquisition. 1980. https://apps.dtic.mil/dtic/tr/fulltext/u2/a084551.pdf (accessed 14 November 2019)

Fuller A, Hodkinson H, Hodkinson P, Unwin L. Learning as peripheral participation in communities of practice: a reassessment of key concepts in workplace learning. Br Educ Res J. 2005; 31:(1)49-68 https://doi.org/10.1080/0141192052000310029

Grealish L, Bail K, Ranse K. ‘Investing in the future’: residential aged care staff experiences of working with nursing students in a ‘community of practice’. J Clin Nurs. 2010; 19:(15-16)2291-2299 https://doi.org/10.1111/j.1365-2702.2009.03133.x

Heath S. General practice student nurses: let's stop the poaching model. Pract Nurs. 2019; 30:(6)300-301 https://doi.org/10.12968/pnur.2019.30.6.300

Lave J, Wenger E. Situated learning: legitimate and peripheral participation.Cambridge: Cambridge University Press; 1991

Levine TH, Marcus AS. How the structure and focus of teachers' collaborative activities facilitate and constrain teacher learning. Teach Teach Educ. 2010; 26:(3)389-398 https://doi.org/10.1016/j.tate.2009.03.001

Li LC, Grimshaw JM, Nielsen C, Judd M, Coyte PC, Graham ID. Evolution of Wenger's concept of community of practice. Implement Sci. 2009; 4:(1) https://doi.org/10.1186/1748-5908-4-11

NHS. The NHS Long Term Plan. 2019. https://www.longtermplan.nhs.uk/wp-content/uploads/2019/01/nhs-ong-term-plan-june-2019.pdf (accessed 14 November 2019)

NHS England. General practice – Developing confidence, capability and capability: A ten-point action plan for General Practice Nursing. 2017. https://www.england.nhs.uk/wp-content/uploads/2018/01/general-practice-nursing-ten-point-plan-v17.pdf (accessed 14 November 2019)

Nursing and Midwifery Council. Standards to support learning and assessment in practice. NMC standards for mentors, practice teachers and teachers. 2008. https://www.nmc.org.uk/globalassets/sitedocuments/standards/nmc-standards-to-support-learning-assessment.pdf (accessed 14 November 2019)

Nursing and Midwifery Council. Supporting information for implementing NMC standards for pre-registration nursing education. 2011. https://www.nmc.org.uk/globalassets/sitedocuments/registration/supporting-information-of-spne-20120629.pdf (accessed 14 November 2019)

Nursing and Midwifery Council. The Code. Professional standards of practice and behaviour for nurses, midwives and nursing associates. 2015. https://www.nmc.org.uk/globalassets/sitedocuments/nmc-publications/nmc-code.pdf (accessed 14 November 2019)

Nursing and Midwifery Council. Realising professionalism: Standards for education and training. Part 2: Standards for Student Supervision and Assessment. 2018a. https://www.nmc.org.uk/globalassets/sitedocuments/education-standards/student-supervision-assessment.pdf (accessed 14 November 2019)

Nursing and Midwifery Council. Realising professionalism: Standards for education and training. Part 3: Standards for pre-registration nursing programmes. 2018b. https://www.nmc.org.uk/globalassets/sitedocuments/education-standards/programme-standards-nursing.pdf (accessed 14 November 2019)

Nursing and Midwifery Council. Future nurse: Standards of proficiency for registered nurses. 2018c. https://www.nmc.org.uk/globalassets/sitedocuments/education-standards/future-nurse-proficiencies.pdf (accessed 14 November 2019)

Pyrko I, Dörfler V, Eden C. Thinking together: what makes Communities of Practice work?. Hum Relat. 2017; 70:(4)389-409 https://doi.org/10.1177/0018726716661040

Quay J. Experience and participation: relating theories of learning. J Experiential Educ. 2003; 26:(2)105-112 https://doi.org/10.1177/105382590302600208

Risling T, Ferguson L. Communities of practice in nursing academia: a growing need to practice what we teach. Int J Nurs Educ Scholarsh. 2013; 10:(1)177-184 https://doi.org/10.1515/ijnes-2012-0013

Roxburgh M, Conlon M, Banks D. Evaluating Hub and Spoke models of practice learning in Scotland, UK: A multiple case study approach. Nurse Educ Today. 2012; 32:(7)782-789 https://doi.org/10.1016/j.nedt.2012.05.004

Roxburgh M. Undergraduate student nurses' perceptions of two practice learning models: A focus group study. Nurse Educ Today. 2014; 34:(1)40-46 https://doi.org/10.1016/j.nedt.2013.02.017

Sayer L. Communities of practice, a phenomenon to explain student development in community nursing. Prim Health Care Res Dev. 2014; 15:(04)430-440 https://doi.org/10.1017/S1463423613000455

Soubhi H, Bayliss EA, Fortin M Learning and caring in communities of practice: using relationships and collective learning to improve primary care for patients with multimorbidity. Ann Fam Med. 2010; 8:(2)170-177 https://doi.org/10.1370/afm.1056

Wenger E. Communities of Practice. Learning, Meaning and Identity.New York: Cambridge University Press; 1998

Wenger E, McDermott R, Snyder W. Cultivating communities of practice.Boston, MA: Harvard Business School; 2002

Woolley NN, Jarvis Y. Situated cognition and cognitive apprenticeship: A model for teaching and learning clinical skills in a technologically rich and authentic learning environment. Nurse Educ Today. 2007; 27:(1)73-79 https://doi.org/10.1016/j.nedt.2006.02.010

Is the primary care network the answer to increase student nurse capacity in general practice?

02 December 2019
Volume 30 · Issue 12

Abstract

Primary care networks have the potential to increase student nurse placements in general practice. Shaun Heath explores how effective learning environments can be created and the concept of the ‘community of practice’

This article explores how the emerging primary care networks (PCNs) could be used to increase student nurse placements in primary care, and how they could facilitate nurses in breaking free from isolative working. Known as a ‘community of practice’, working with our peers and colleagues from neighbouring practices alongside students could facilitate the growth of the network itself, share the educational load with the nurses in the PCN, and create nursing leadership with shared educational advancements. Could PCNs be what general practice nurses need to find their voices and develop their ambitions of becoming leaders?

Driven by the NHS Long Term Plan (NHS, 2019), the landscape of primary care is changing. The plan further cements the philosophy of primary care at scale. Contractually the ‘at scale’ philosophy is to be achieved through primary care networks (PCNs), which are multiple neighbouring practices working together to achieve population-based care, serving 30 000–50 000 individuals (British Medical Association (BMA), 2019). Alongside this, the Nursing and Midwifery Council (NMC) have updated their educational standards with the publication of Realising Professionalism (2018a; 2018b). These standards see the end of the ‘mentor’ role (NMC, 2008) and introduce practice supervisors, practice assessors and academic assessors (NMC, 2018a). These two drivers could potentially change the context of how learners in general practice are allocated to placements, supervised, and assessed. This article examines how these drivers could impact on the creation of effective learning environments, while exploring the concept of the ‘community of practice’. Could the creation of PCNs offer greater access and ease of placements for local Higher Education Institutions (HEIs) and could PCNs provide greater opportunities to increase the variety of learning environments for the students? But who or what is responsible for this? The simple answer is every single registered nurse, because nurses are all duty bound by the professional code and are therefore responsible for the development and growth of the profession (NMC, 2015).

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