Purpose of the Role
Deliver care in line with the five core concepts of the role set out in the Framework for the Establishment of Clinical Nurse Specialist Posts, 4th edition, National Council for the Professional Development of Nursing and Midwifery (NCNM) 2008
Clinical Focus
The CNM2 will have a strong patient focus whereby the specialty defines itself as nursing and subscribes to the overall purpose, functions and ethical standards of nursing. The clinical practice role may be divided into direct and indirect care. Direct care comprises theassessment, planning, delivery and evaluation of care to the patient, family and/or carer. Indirect care relates to activities that influence and support the provision of direct care.
Direct Care The CNM2 will:

• Provide a specialist nursing service for patients with a diagnosis of Urology condition who require support and treatment through the continuum of care

• Undertake comprehensive patient assessment to include physical, psychological, social and spiritual elements of care using best evidence based practice in Urology

• Use the outcomes of patient assessment to develop and implement plans of care/case management in conjunction with the multi-disciplinary team (MDT) and the patient, family and/or carer as appropriate.

• Monitor and evaluate the patient’s response to treatment and amend the plan of care accordingly in conjunction with the MDT and patient, family and/or carer as appropriate.

• Make alterations in the management of patient’s condition in collaboration with the MDT and the patient in line with agreed pathways and policies, procedures, protocols and guidelines (PPPG’s).

• Accept appropriate referrals from MDT colleagues

• Co-ordinate investigations, treatment therapies and patient follow-up

• Communicate with patients, family and /or carer as appropriate, to assess patient’s needs and provide relevant support, information, education, advice and counselling as required

• Where appropriate work collaboratively with MDT colleagues across Primary and Secondary Care to provide a seamless service delivery to the patient, family and/or carer as appropriate

• Participate in medication reconciliation taking cognisance of poly-pharmacy and support medical and pharmacy staff with medication reviews and medication management

• Identify and promote specific symptom management strategies as well as the identification of triggers which may cause exacerbation of symptoms. Provide patients with appropriate self-management strategies and escalation pathways.

• Engage with MDT on the development of nurse led Urology clinics.

• Identify health promotion priorities for the patient, family and/or carer and support patient self-care in line with best evidence. This will include the provision of educational and health promotion material which is comprehensive, easy to understand and meets patients’ needs

Indirect Care

• Identify and agree appropriate referral pathways for patients with Urology conditions

• Participate in case review with MDT colleagues

• Use a case management approach to patients with complex needs in collaboration with MDT in both Primary and Secondary Care as appropriate CNM2

Take a proactive role in the formulation and provision of evidence based PPPGs relating to Urology care

• Take a lead role in ensuring the service for patients with Urology conditions is in line with best practice guidelines and the Safer Better Healthcare Standards (HIQA, 2012) Patient/Client Advocate

• Communicate, negotiate and represent patient’s family and/or carer values and decisions in relation to their condition in collaboration with MDT colleagues in both Primary and Secondary Care as appropriate

• Develop and support the concept of advocacy, particularly in relation to patient participation in decision making, thereby enabling informed choice of treatment options

• Respect and maintain the privacy, dignity and confidentiality of the patient, family and/or carer

• Establish, maintain and improve procedures for collaboration and cooperation between Acute Services, Primary Care and Voluntary Organisations as appropriate

• Proactively challenge any interaction which fails to deliver a quality service to patients Education & Training:

• Maintain clinical competence in patient management within Urology nursing, keeping up-to-date with relevant research to ensure the implementation of evidence based practice.

• Provide the patient, family and/or carer with appropriate information and other supportive interventions to increase their knowledge, skill and confidence in managing their Urology conditions.

• Contribute to the design, development and implementation of education programmes and resources for the patient, family and/or carer in relation to Urology conditions thus empowering them to self-manage their condition. CNM2 Urology April 2024

• Provide mentorship and preceptorship for nursing colleagues as appropriate.

• Participate in training programmes for nursing, MDT colleagues and key stakeholders as appropriate

• Create exchange of learning opportunities within the MDT in relation to evidence based Urology care delivery through journal clubs, conferences etc.

• Develop and maintain links with the Centre for Nurse Education (CCNE) Regional Centres for Nursing & Midwifery Education (RCNMEs), the Nursing and Midwifery Planning and Development Units (NMPDUs) and relevant third level Higher Education Institutes (HEIs) in the design, development and delivery of educational programmes in Urology care.

• Be responsible for addressing own continuing professional development needs Audit & Research:

• Establish and maintain a register of patients with Urology conditions within the CNM2 caseload.

• Identify, initiate and conduct nursing and MDT audit and research projects relevant to the area of practice.

• Identify, critically analyse, disseminate and integrate best evidence relating to care into practice

• Contribute to nursing research on all aspects of Urology care.

• Use the outcomes of audit to improve service provision

• Contribute to service planning and budgetary processes through use of audit data and specialist knowledge

• Monitor, access, utilise and disseminate current relevant research to advise and ensure the provision of informed evidence based practice CNM2

Audit expected outcomes including:

• Collate data relevant to speciality to include, activity of services and CNM2, nurse led clinics, contributions to research and QI, return visits and ) which provide evidence of the effectiveness of the CNM2 interventions undertaken

• Evaluate audit results and research findings to identify areas for quality improvement in collaboration with nursing management and MDT colleagues (Primary and Secondary Care).

Consultant:

• Provide leadership in clinical practice and act as a resource and role model for Urology practice.

• Generate and contribute to the development of clinical standards and guidelines and support implementation

• Use specialist knowledge to support and enhance nursing practice

• Develop collaborative working relationships with local CNS/Registered Advanced Nurse Practitioner/MDT colleagues as appropriate, developing person centred care pathways to promote the integrated model of care delivery.

• With the support of the DON, attend integrated care planning meetings as required

• Where appropriate develop and maintain relationships with specialist services in voluntary organisations which support patients in the community.

• Liaise with other health service providers in the development and on-going delivery of the National Clinical Programme model of care.

• Network with other CNM2 colleagues in Urology and in related professional associations.

The above is not intended to be a comprehensive list of all duties involved and consequently, the post holder may be required to perform other duties as appropriate to the post which may be assigned to him/her from time to time and to contribute to the development of the post while in office.

Essential Criteria:
Be a registered nurse on the active Register of Nurses and Midwives held by An Bord Altranais and Cnáimhseachais na hÉireann (Nursing and Midwifery Board of Ireland) or be eligible to be so registered
AND
Be registered in the division(s) of the Childrens Nursing with the Nursing and Midwifery Board of Ireland (Bord Altranais agus Cnáimhseachais na hÉireann
OR
In exceptional circumstances, which will be assessed on a case by case basis be registered in another Division of the register of Nurses and Midwives.
AND
Have a minimum of 1 years’ post registration full time experience or an aggregate of 1 years’ full time experience in the division of the register in which the application is being made
AND
Have a minimum of 1 years’ experience or an aggregate of 1 years’ full time experience in specialist area of Insert Name Care
AND
Have successfully completed a post registration programme of study, as certified by the education provider which verifies that the applicant has achieved a Quality and Qualifications Ireland (QQI), National Framework of Qualifications (NFQ) major academic Level 9 or higher award (equivalent to 60 ECTS or above) that is relevant to the specialist area of care and in line with the requirements for specialist practice as set out by the National Council for Nursing and Midwifery 4th ed (2008). Alternatively provide written evidence from the Higher Education Institute that they have achieved the number of ECTS credits equivalent to a Level 9 or higher standard (60 ECTS or above), relevant to the specialist area of care and in line with the requirements for specialist practice as set out by the National Council for Nursing and Midwifery 4th ed (2008). Insert Name of care prior to application* (See **Note below).
AND
Be required to demonstrate that they have continuing professional development (CPD) relevant to the specialist area or will be supported to obtain the required CPD. AND
Have the ability to practice safely and effectively fulfilling his/her professional responsibility within his/her scope of practice.

• Note: For Nurses who express an interest in CNS roles and who currently hold a level 8 educational qualification in the specialist area (equivalent to 60 ECTS or above), this qualification will be recognised up to September 2026. The clinical experience requirements for this cohort of nurses remain consistent with the Do H (2019) policy, i.e. a minimum of 1 years’ experience in practice and a minimum of 1 years’ experience in the specialist area and they could be supported to progress on a candidate CNS Pathway.

2. Annual registration
Practitioners must maintain live annual registration on the appropriate/relevant Division of the register of Nurses and Midwives maintained by the Nursing and Midwifery Board of Ireland (Bord Altranais agus Cnáimhseachais na hÉireann) for the role.
And
Confirm annual registration with NMBI to the HSE by way of the annual Service user Safety Assurance Certificate (PSAC).
3. Health
Candidates for and any person holding the office must be fully competent and capable of undertaking the duties attached to the office and be in a state of health such as would indicate a reasonable prospect of ability to render regular and efficient service.
4. Character
Candidates for and any person holding the office must be of good character.
Applications for this post must be accompanied by a cover letter, setting out relevant experience that illustrates how the essential criteria listed above is met.
The criterion for short listing is based on the requirements of the post, as outlined in the eligibility criteria.

• Please note that you must submit a cover letter with your CV, this forms part of your application and CV’s will not be accepted without a detailed cover letter.

The closing date for submissions of CV’s and cover letter is 11/9/24 Applications must be completed through the advertised post on CHI.jobs by clicking ‘Apply for Job’.
Applications will not be accepted through direct email or any other method.
For informal enquiries for this specialty/department, please contact Louise Purcell Acting ADON for CDB contact 01-4096061 (louise.purcell@childrenshealthireland.ie)
For other queries relating to this recruitment process, please contact Recruitment Team recruitment@childrenshealthireland.ie