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Improving children’s lives by managing procedure induced anxiety

Posted on: May 12th, 2023 by Kieron Bradshaw No Comments

Procedure induced anxiety affects the majority of children on their journey through the healthcare system and can have long-term consequences on their mental health and wellbeing. This anxiety may be generated by any medical intervention, from the simplest and transient, to the most complex, spanning most of a person’s childhood.

We are excited to share details of a new elearning programme that provides a comprehensive account of research evidence to illustrate the prevalence and consequences of this condition.

Introducing the training, Dr Richard Martin, Consultant Anaesthetist and Clinical Lead for Procedure Induced Anxiety at Great Ormond Street Hospital, said:

“This outstanding and comprehensive course offers an understanding of the significance of anxiety, how it impacts on a child’s mental health and wellbeing, how to minimise and potentially avoid causing trauma, and how to help children manage anxiety whilst in our care. The course represents what I have always believed should be a core competency in training for anyone caring for children.

“It has been written by an incredible team of experienced professionals working within this super specialty, and practicing across many of the major paediatric centres in the UK. Its publication represents a watershed in the management of children receiving medical care and interventions.”

Until now, there has been little training available around this important area of care, and despite extensive research in this field, few have embraced the lessons that this imparts.  This new training has been created by the Royal College of Anaesthetists in partnership with the Association of Paediatric Anaesthetists of Great Britain and Ireland, NHS England elearning for healthcare, and Cambridge University Press.

It offers the reader an in-depth understanding of anxiety management strategies, allowing them to integrate these into their practice, with a view to reducing both anxiety and the consequent psychological morbidity experienced by children undergoing medical interventions.

Dr Richard Martin added: “For longer than any practitioner has been alive, trainees have been inappropriately taught that frightened and anxious children recover quickly from any emotional trauma they sustain, that they quickly forget about upsetting and painful experiences, and that these have no immediate, intermediate or long-term consequences. As a result, many children fail to receive the consideration and care we should strive to deliver, and they and their families should know to expect.

“So it is with these observations that we offer this course to you, and hope to address this area of need.”

Sessions within the eleaning programme cover:

  • Introduction – Anxiety
  • Non-verbal communication
  • Vocal and verbal communication
  • Enhanced communication strategies
  • Procedure-induced anxiety management for neurodivergent children
  • Parental anxiety
  • Premedication
  • Equipment and environment: anxiogenic stimuli
  • An Introduction to elective management and preparation
  • Psychology
  • Play
  • Technology

We would like to take this opportunity to thank The Royal College of Anaesthetists, The Association of Paediatric Anaesthetists of Great Britain and Ireland and Cambridge University Press for the opportunity to generate this material, and the incredible, dedicated and professional teams at NHS England elearning for healthcare (elfh) for creating the platform to do so.

Accessing the elearning

To find out more and to access the training, please visit the Management of Procedure Induced Anxiety in Children programme page.

Users will receive a certificate upon completion of the training, which can be added to their portfolio.

Supporting dental colleagues to lead on sustainable change

Posted on: May 11th, 2023 by Kieron Bradshaw No Comments

The whole dental team are respected voices and are ideally positioned to educate, advocate, model and lead sustainable change for the environment.

We are excited to announce that the Centre for Sustainable Healthcare has worked with NHS England elearning for healthcare to refresh our Environmental Sustainability in Dentistry sessions.

The module will support dental care professionals, including those working in primary and secondary care, to implement changes in practice, and to educate colleagues and patients on environmental sustainability.

Considering the environmental impact of our work can feel overwhelming at a time when there is so much uncertainty and stress levels are high. However, since human health and the environment are closely linked, healthcare providers must consider the environmental impact when providing care for patients. It’s hard now, but it will be even harder later.

All dental staff, from dentists and hygienists, to nurses, technicians and non-clinical colleagues, can lead change in reducing emissions – contributing to better oral health and reduced oral health inequalities for our communities.

Our refreshed elearning module supports colleagues to consider what steps you can take towards environmentally sustainable oral health and dental care. Comprising 3 sections that include practical examples of oral health and dental care initiatives with sustainable value, the refreshed elearning covers:

  • environmental sustainability in dentistry
  • what is happening in sustainable dentistry?
  • taking the next step.

Sustainable healthcare means delivering care in a way that maximises positive health outcomes whilst avoiding financial waste and harmful environmental and social impacts. By helping to prepare dental care professionals to implement changes in practice that reduce cost and pollution while improving dental health, this training can support colleagues to deliver high-quality care while minimising damage to the environment.

Accessing the elearning

The Environmental Sustainability in Dentistry module can be accessed on the elearning for healthcare hub.

To find out more about the wider Environmentally Sustainable Healthcare elearning programme, please visit the programme page on the elearning for healthcare hub.

New Care Certificate scenarios ensure training is inclusive of all healthcare professions

Posted on: May 10th, 2023 by Kieron Bradshaw No Comments

Support workers can now access scenarios set within inpatient rehabilitation and critical care workplaces, supporting them to apply the principles behind the Care Certificate.

The 2 new scenarios may be of particular interest to Allied Health Professionals (AHPs) and help to ensure that the Care Certificate elearning programme has context for all professions across the health and care system.

A short animation has also been published, explaining what the Care Certificate is, who it is for and why is it so important – watch it now to learn how the Care Certificate is used by health and care professionals across the country.

The Care Certificate is needed now as much as ever, providing a framework to ensure that all support workers have the same introductory skills, knowledge and behaviours to provide compassionate, safe and high-quality care in their workplace settings.

Each new scenario uses patient case studies and examples from the working environment to help colleagues apply the Care Certificate Standards within their work setting. The scenarios cover key aspects including preparing for a shift, handover meetings, and examples of clients and factors of their care to consider. Learners then experience supporting the clients through a particular session and updating their care plan or patient notes afterwards.

All scenarios within the Care Certificate elearning programme depict individual care settings to enhance workplace knowledge and to help assessors in the practice of assessing learners in their place of work. They are a great way of enhancing a person’s overall knowledge of the health and care system and are a valuable resource to all healthcare professions.

The interactive sessions also support colleagues to have conversations with their assessor around any observations and decisions made during the session.

Care Certificate Leads across England are encouraged to get involved in the Care Certificate through the Care Certificate Leads network. The network has facilitated the design and implementation of additional resources for the Care Certificate, including updated assessor guidance and the development of new Assessor Modules and linked Functional Skills/lifelong learning skills.

Accessing the training

The 2 new scenarios can be accessed within the Care Certificate elearning programme:

To find out more and to access the full Care Certificate elearning programme, please visit the programme page on the elearning for healthcare hub.

Learning disability nursing boosted by new professional development opportunities

Posted on: May 9th, 2023 by Kieron Bradshaw No Comments

All learning disability nurses have the opportunity to develop in key specialist areas following the launch of the Learning Disability Nursing CPD Award – an online training programme open to anybody with an interest in learning disability nursing.

As well as providing a programme to enable progression to various levels of practice and specialist roles, the training can be used to enhance core knowledge, and can help to decrease variances in practice between services. It also provides an opportunity for people from other nursing backgrounds to gain knowledge of the fundamental aspects of learning disability nursing.

This fantastic step forward is part of work to advance a dedicated career structure for learning disability nursing. The training provides a programme of continuing professional development and enhances the skillset of learning disability nurses working within specialist areas of community, inpatient, acute and primary care services.

Discussing the the training, David Harling, National Deputy Director for Learning Disability Nursing at NHS England, said:

“The launch of the new Learning Disability Nursing Continuing Professional Development Award signals an important marker in both the evolution and investment in our profession. For over 100 years learning disability nurses have been providing expert care to people with learning disabilities and their families, and the advent of this programme will enable them to further their knowledge and skills.

“The programme has been created by learning disability nurses working in a variety of specialist areas of care and we hope it will become one of requisite benchmarks supporting specific roles, be this within job descriptions or as part of the learning disability nursing career framework.”

Ellie Gordon, Senior Nurse; Autism, Learning Disability and Mental Health at NHS England, said:

“It has been a real pleasure to be part of this piece of work. Collaborating with learning disability nurses to progress from an ‘ask’ to a programme of continuing professional development that not only supports knowledge development, but also provides tools and resources to enhance nursing specific skills.

“When we first launched the All England plan for Learning disability nursing back in 2020, we had a clear vision that we not only needed to attract more people into learning disability nursing, but we also needed to develop those nurses who specialised in this area. We also knew that to develop such specialist nurses we would have to develop something that really spoke to nurses and nursing, and which showed how much we value and appreciate all that these great nurses do. I really feel that with this training we have started to do just that, and I look forward to continuing to work with learning disability nurses to develop and grow this great profession.”

The training supports the delivery of the All England Plan for Nursing Disability Nursing, and aims to support those thinking about a career in learning disability nursing, those training to become a learning disability nurse, and those currently working as a learning disability nurse.

It includes a range of topic areas relating to contemporary learning disability practice, including a foundation module which all learners must complete, followed by 3 specialist clinical pathways that can be chosen from:

  1. Learning disability nursing within specialist inpatient settings
  2. Learning disability nursing within community, forensic and intensive support
  3. Learning disability nursing within primary and acute care liaison

The programme forms a Qualification in Specialism (QiS) to provide a standardised pathway for nurses to develop in their specialist area, and is mapped to the Core Capabilities Framework for Supporting People with a Learning Disability.

The curriculum is also mapped to:

  • Nursing & Midwifery Council (NMC) Code of Conduct to support revalidation
  • NHS England Learning Disability Improvement Standards
  • NHS England Long Term Plan
  • HEE Competency Standards for Learning Disability and Autism

Providing the training online ensures ease of access and allows nurses to train at their own pace, fitting it around their busy working schedule.

Accessing the training

The first session of the training programme is now live, with the 3 specialist clinical pathways to follow soon. To find out more and to access the training, please visit the Learning Disability Nursing CPD Award programme page.

Support for patients with long-term conditions: Foundation update (April 2023)

Posted on: April 3rd, 2023 by Kieron Bradshaw No Comments

Welcome to your April 2023 update from the Foundation elearning programme.

How good are you at helping patients with long term conditions (chronic disease) after they leave hospital?

From the impact of these conditions on daily living, to the ability to self-care and the management of conditions in the community, this month’s update covers key themes around care and support planning for people being discharged from hospital.

Sessions:

The sessions cover key areas in your curriculum on:

FPC 1: Clinical Assessment

FPC 2: Clinical Prioritisation

FPC 3: Holistic Planning

FPC 4: Communication and Care

FPC 5: Continuity of Care

The Foundation elearning programme has been developed specifically for Foundation doctors by the Academy of Medical Royal Colleges in partnership with NHS England elearning for healthcare (NHSE elfh), and is approved by the UK Foundation Programme (UKFPO).

The Foundation programme has a range of other sessions that might help you. Please log in to the programme page to view more.

You can sign on to the elearning with your login supplied by elearning for healthcare at any time during your foundation training: https://www.elfh.org.uk/programmes/foundation-programme/

HORUS and TURAS have deep links to elearning for healthcare sessions from the Foundation Curriculum and are therefore accessible to all trainees, making it quicker and easier to access the appropriate session linked to the curriculum.

An evaluation survey is also available to capture feedback on these sessions.

Clinical incidents: Foundation update (February 2023)

Posted on: February 8th, 2023 by Kieron Bradshaw No Comments

Welcome to your February 2023 update from the Foundation elearning programme. This month focuses on what happens and what you should do if you are involved in a clinical incident.

The reality is that sometimes errors will occur in medical practice. From exploring how things can go wrong, to ensuring that clinical incidents are reported, the following sessions use case studies and key subject areas to address the principal steps to take when dealing with a clinical incident.

Sessions:

The sessions cover key areas in your curriculum on:

FPC 1: Clinical Assessment

FPC 2: Clinical Prioritisation

FPC 3: Holistic Planning

FPC 4: Communication and Care

FPC 5: Continuity of Care

FPC 8: Upholding Values

FPC 11: Ethics and Law

FPC 12: Continuing Professional Development

FPC 13: Understanding Medicine

The Foundation elearning programme has been developed specifically for Foundation doctors by the Academy of Medical Royal Colleges in partnership with Health Education England elearning for healthcare (HEE elfh), and is approved by the UK Foundation Programme (UKFPO).

The Foundation programme has a range of other sessions that might help you. Please log in to the programme page to view more.

You can sign on to the elearning with your login supplied by elearning for healthcare at any time during your foundation training: https://www.elfh.org.uk/programmes/foundation-programme/

HORUS and TURAS have deep links to elearning for healthcare sessions from the Foundation Curriculum and are therefore accessible to all trainees, making it quicker and easier to access the appropriate session linked to the curriculum.

An evaluation survey is also available to capture feedback on these sessions.

Stress and mental health: Foundation update (December 2022)

Posted on: December 5th, 2022 by Kieron Bradshaw No Comments

Welcome to your December 2022 update from the Foundation elearning programme. This month focuses on stress and mental health.

All doctors feel stress at some time in their working lives. How do you recognise it in yourself and/or in your colleagues? What are your options to deal with it? The following sessions contain information that can support you, along with highlighting implications on patient safety.

Sessions:

The sessions cover key areas in your curriculum on:

FPC 4: Communication and Care

FPC 5: Continuity of Care

FPC 6: Sharing the Vision

FPC 7: Fitness to Practise

FPC 8: Upholding Values

FPC 11: Ethics and Law

The Foundation elearning programme has been developed specifically for Foundation doctors by the Academy of Medical Royal Colleges in partnership with Health Education England elearning for healthcare (HEE elfh), and is approved by the UK Foundation Programme (UKFPO).

The Foundation programme has a range of other sessions that might help you. Please log in to the programme page to view more.

You can sign on to the elearning with your login supplied by elearning for healthcare at any time during your foundation training: https://www.elfh.org.uk/programmes/foundation-programme/

HORUS and TURAS have deep links to elearning for healthcare sessions from the Foundation Curriculum and are therefore accessible to all trainees, making it quicker and easier to access the appropriate session linked to the curriculum.

An evaluation survey is also available to capture feedback on these sessions.

The importance of a conversation: internet safety, suicide and self-harm

Posted on: December 5th, 2022 by Kieron Bradshaw No Comments

Proudly supporting the Samaritans’ internet safety guidance for practitioners, we are urging anyone who provides support around suicide and self-harm (across health, social care and the volunteer community) to learn how to have a meaningful conversation about safe internet use. 

The internet plays a big part in many people’s lives and can often be an important source of support and information. However, some online activity can be harmful and act to exacerbate thoughts and behaviours around suicide or self-harm. It is important that the role of the internet is not overlooked when supporting a person experiencing feelings around these issues. 

A new elearning resource, developed by Samaritans in partnership with Health Education England elearning for healthcare, will assist anybody who provides support around suicide and self-harm to have vital conversations about online safety. 

The training links to the wider work of the Samaritans’ Online Excellence Programme, which aims to create a suicide-safer internet for everyone, while making sure the support the internet provides remains available.

Discussing why it is important to ask people about this issue, a person with lived experience explained: “If they didn’t ask me, I would never talk about my online use. By asking, it would stop me feeling so embarrassed.” 

Talking about the experiences a person has on the internet can also help you to better understand their wider support needs. Through these conversations you can support them to stay safe and have more positive experiences online. 

Samaritans believe that it is important to increase the support available to users who engage with content about suicide and self-harm online, and so the charity has created these internet safety resources and guidance for individuals, parents and practitioners.

The information within the elearning has been developed following engagement with over 200 practitioners, including mental health nurses, GPs and counsellors. The messaging and content was also co-designed with people with lived experience of internet use relating to suicide and self-harm.  

The course is relevant to anyone who provides support around suicide and self-harm and takes approximately 20 minutes to complete. By the end you will know:  

  • what people do online, and the potential risks and benefits of exploring suicide and self-harm online 
  • how to ask the people you support about their internet use 
  • what advice you can give to help people to stay safe and have positive experiences online. 

Accessing the elearning 

You can access the Internet Safety, Suicide and Self-Harm elearning programme via the programme page 

New Eye-Site e-learning session

Posted on: August 1st, 2019 by Alex Drinkall No Comments

Health Education England elearning for healthcare has worked with The Royal College of Ophthalmologists to develop two new sessions that have been added to the Eye-Site elearning programme.

Eye-Site 13 – Advanced Phacoemulsification

This elearning course is aimed at those surgeons who have completed the intermediate course and are at the stage of taking on more complex cataract challenges. This includes looking at the phacodynamics of modern phaco machines and how that has improved over recent years and how this can be applied to more complex cases. The rest of the module relates to complications management for various stages of the operation and how intra-operative decisions can make a big difference to outcomes. Intraocular lenses (IOL) exchange is also discussed regarding its relationship with the indications for exchange and problems arising from modern IOL design.

Eye-Site 17 – Retinopathy of Prematurity

This course is a competency and revision package for all regular and occasional Retinopathy of Prematurity (ROP) screeners. It covers four main topics in ROP:

1) Pathogenesis and risk factors for ROP

2) Screening criteria and how to screen for ROP

3) How to grade ROP and when to refer

4) Treatment strategies for ROP.

Within the course there is a link to the interactive American Academy of Ophthalmology ROP case-based training website.

For more information about the elearning programme, including details on how to access the learning, visit: https://www.e-lfh.org.uk/programmes/ophthalmology/.

elfh is a NHS England programme in partnership with the NHS and professional bodies