Manager / Employer Timeline
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12-24 months pre NP Training (practicum)
Nurse Practitioners (NPs) are expert clinical nurses who have completed Master’s education and advanced clinical training. They are 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.
There are 3 ‘scopes’ of nursing practice in Aotearoa NZ
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Enrolled Nurse (EN).
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Registered Nurse (RN), the majority of nurses in Aotearoa. Only nurses in this scope can train to become NPs.
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Nurse Practitioner (NP).
What is an NP https://www.pegasus.health.nz/presentation
NP registration in New Zealand is attained through:
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Achievement of a Master of Nursing (with an approved provider for NP preparation)
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Entry to the NP practicum year requires 3 years of full-time equivalent experience within the past 5 years, with a minimum of 1 year in the area of practice that the nurse will register as an NP
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Achievement of an expert level of nursing clinical practice in the relevant practice area as demonstrated by the NP competencies.
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Evidence of nursing expertise and leadership may be demonstrated by programme evaluation, authoring guidelines, participation in national and local advisory groups. Additional ways to show your leadership include membership in professional organisations, being an invited speaker to a conference for your practice area, teaching and mentoring of colleagues or other recognition of your clinical expertise. There are many ways to show your leadership and clinical expertise as a senior nurse.
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Support of your employer to establish an NP role once registered as an NP is a requirement of the NPTP and very important to the success of the practicum year
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1. University based Masters programmes
2. NPTP
These programmes with deliver the relevant papers and practicum to meet the Nursing Council of New Zealand requirements for registration as an Mātanga tapuhi/NP
As an employer/ manager you should consider whether you can fund the university papers if the RN candidate does not get a scholarship. Most 30 point courses are approximately $2600 at any University.
Meet with the DHB HWZ coordinator early to understanding the funding available.
Also to consider costs in regards to additional study leave, potential back fill from their current role and the time of the supervisor.
The following funding is available to providers and trainees to support the trainees’ successful completion of the NP training year.
What service level discussion did you have with your manager?
How did you organise NP training year funding?
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
clinical supervision allowance at the main placement
Study day release time to attend a minimum of 12 study days/year
Course fees for 60 credits
Travel and accommodation to study days and to secondary placement experience
$15,000
$5,600
$3,000
Fully paid (fees vary per university)
Discretionary contribution, depending on trainee's location.
Make sure supernumery and education days are protected, organise backfill
(This applies to the NP practicum year or the beginning of the Masters programme.)
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Be honest. Please discuss with the RN why you think they are clinically unready to start the NP practicum year.
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Review the NP competencies with the RN and provide specific feedback on areas for development to meet the competencies. Consider making a plan together on how you can provide opportunities to grow these areas and a realistic time frame to review
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If you are not an NP, suggest that they spend some time with a practising NP to see the breadth and depth of NP practice.
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The commitment to support an RN through the NP practicum year is a substantial commitment of time and effort. If you are not able to provide this, it is best to be ‘up-front’ and acknowledge this. This allows the RN to seek out another mentor who may be able to support the them.
As a final step, if required, discuss your concerns with the supervisor and the organisational nurse leader.
If possible, check in with academic mentors.
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Then you cannot sign off for NP
Consider other services which may be able to support
Now, this will take some planning and careful introduction
Plan to socialise the role early
The NP training year is funded directly by the Ministry of Health to the Universities in partnership to deliver the nationwide NP training year. Additional funding is provided through this programme to ensure students receive: 500 hours supervised practice (with NP or senior doctor) Release time for a minimum of 12 study days A minimum of 10 days in a secondary placement
Non- NP training year candidates:
It is worth considering meeting with the regional DHB HWFNZ coordinator to discuss, this means the coordinators are really clear when they are choosing recipients. Talk to the organisational nurse leader.
6-12 months pre NP Training (practicum)
This will take some planning and careful introduction. Socialise the role as early as possible
Use their NP funding and discuss with your manager
Post graduate papers
Post -graduate nursing papers are funded directly by the Ministry of Health through regional DHBs. You will need to ensure the candidate can receive: 500 hours supervised practice ( with NP or senior doctor). Release time will be needed for a minimum of 12 study days. A minimum of 10 days in a secondary placement.
Partly, any work towards NP including mentorship time is all fairly supernumery.
Other days they will be an RN as usual
Ensure you have clear plans, understand the role and refer to documents that support NP practice
3-6 months pre NP Training
They may be nervous/ anxious to start the programme
Remember this isn’t just a new job it’s a whole new scope.
Introduction of the role to whole team
Contact academic and clinical supervisors
Consider supporting candidate to take some leave prior to year as may not have space for it during.
Check they have good support systems and not just at work.
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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.
Candidate
Check calendar NP training
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
Manager / Employer
Reintroduce the NP training to the current team, ensure roles are clear
Check calendar NP training
Ensure clinical supervisor ready/ release time
NCNZ Panel
Portfolio prep
Keeping your manager informed
NCNZ panel preparation
First year as an NP: Consolidation and transition
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Invest time, effort and money in developing a service up front.
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Remember imposter syndrome/ organisational socialisation in role transition
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Maintain some form of regular catch up and support
RN-NP Transition Imposter phenomenon post NP training year
Was it worth it? Post NP training year
Navigating your workplace in the post NP training year
First year as an NP
