Assoc. Professor Fiona T immins & Asst. Professor Jacqueline Whelan

1. ‘Enhancing Nurses and Midwives Competence in Providing Spiritual Care through Innovative Education and Compassionate Care’ :Implementation of (draft) spiritual care education standardTeaching & Learning Event 2 (EPICC 2016-2019) Assoc. Professor Fiona Timmins & Asst. Professor Jacqueline Whelan Valetta Campus, University of Malta, 24TH -28TH September 2018.

2. Glendalough, Wicklow, Ireland • Land of a Thousand Welcomes

3. Trinity College Dublin

4. School of Nursing and Midwifery – Established 1996 • QS 2018 Rankings - Ranked 25th in the world, 7th in Europe and 1st in Ireland. • Highest number of undergraduate, postgraduate and research students in Ireland. • Largest academic School in Trinity College. • 5 Separate Divisions of Register

7. Transitions

9. Transitions

10. Transitions

11. SRIG 2013 • Yearly Spirituality in Healthcare Conference since 2014 with national and international presenters each year. • Post doctoral fellow positions available. • Triannual meetings • Public lecture Series • Raising Awareness

12. Irish Perspectives of EPICC Competencies • Aims • To review National Health Policy and Quality Standards Documents for Inclusion of Spirituality and EPICC Competencies. • To review of NMBI Regulatory Documentation for Inclusion of Spirituality and EPICC Competencies. • To review Nurse Registration Programmes and Midwifery Programmes for Inclusion of Spirituality and EPICC Competencies. • Full mapping exercise of 9 competencies across 5 disciplines of BSc Nursing and Midwifery from theoretical and practical perspectives for 2009 and 2018 curriculi. • To ascertain Heads of Discipline and Discipline Members’ views.

13. Activities – National Health Policy and Quality Standards Documents Reviewed • Palliative care for children with life limiting conditions in Ireland A National Policy Department of Health (2009) • Health Information Quality Authority (HIQA ) (2012) National Standards for Safer Better Healthcare. • Department of Health (2016) Position Paper One Re-Affirming Nursing Values. • HSE Hospice Friendly Hospitals Quality Standards for End of Life in Care in Hospitals Making end of life care central to hospital care. • Palliative Care Competence Framework Steering Group. (2014) Health Service Executive.

14. Activity - Review of Regulatory Documentation • Nursing and Midwifery Board of Ireland NMBI • NMBI (2014) The Code of Conduct for Professional Nurses and Midwives - not included specifically. • NMBI (2015) Scope of Nursing and Midwifery Practice Framework – 1 reference made. • NMBI (2015) Working With Older People Professional Guidance.

15. Activity - Review of Nurse Education Regulatory Documentation and Midwifery Education and Standards • In transition • Review of Nursing Registration Programme Requirements 2009 (50 page doc) • Review of Nursing Registration Requirements 2018 (150 page doc) for nursing, children's nursing, mental health and intellectual disability nursing • Nursing Midwifery Board of Ireland (2016) Midwife Registration Programme Standards and Requirements 4th edition, Dublin: NMBI • NMBI TCD BSc Clinical Competency Documents Pre 31st August 2017 • NMBI TCD BSc Clinical Competency Documents 1st September 2018 onwards • Review of two sets of NMBI educational and practice standards for Midwifery • Full mapping exercise of 9 competencies across 5 disciplines of BSc Nursing and Midwifery from theoretical and practical perspectives

16. BSc Undergraduate Clinical Competency Assessment from 1st September 2018 6 Domains • 1: PROFESSIONAL VALUES AND CONDUCT OF THE NURSE • 2: NURSING PRACTICE AND CLINICAL DECISION MAKING • 3: NURSING KNOWLEDGE AND COGNITIVE COMPETENCE • 4: COMMUNICATION AND INTERPERSONAL COMPETENCE • 5: NURSING MANAGEMENT AND TEAM COMPETENCE* • 6: LEADERSHIP POTENTIAL AND PROFESSIONAL SCHOLARSHIP COMPETENCES * * No inclusion

17. BSc Undergraduate Clinical Competency Assessment up to 31st August 2018 (Generic, Core, Shared, Specialist Competency Documents) 5 Domains 1. Professional and Ethical Practice 2. Holistic Approaches to Care and the Integration of Knowledge 3. Interpersonal Relationships* 4. Organisation and Management* 5. Personal and Professional Development* • * No inclusion Generic Competency Docs Domain 1 ‘Integrates knowledge of the rights of clients in the health care setting’.‘Serves as an advocate for the rights of clients’. Domain 2 ‘Acts to enhance the dignity and integrity of clients’. Shared competency documents Domain 1 ‘Practices in a way that acknowledges thedifference in beliefs and cultural practices ofindividuals’.

18. EPICC Inclusions

19. Challenges and Way Forward • Develop Global Spiritual Literacy on subject • Increase visibility of C6, C7, C8, C9 C10 within programmes • Introduce concept of compassionate care, newer concepts availability, presence not taught formally within programme. • Focus on Meaning Making Frameworks and Existential questions. • Ways to increase students experiential learning and understanding of subject. • Increase awareness and visibility in clinical practice around spiritual assessment, care planning, clinical decision making and patient documentation.

20. Challenges and Way Forward • Opportunities • Interested and committed critical mass • Inter alliance between various health, faith and non-faith groups. • Curricula change and movement • Support at national level [HSE and DOH] • Networking nationally and internationally • Regular Visiting Professors in the field • Yearly conference and PL series • Challenges • Association rather than conflation with religion • Attitudes • Awareness • Reception • Limited prioritization in a busy, post-religious pre secular age

21. We welcome your questions and comments Thank You