The Windsmoor Group

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The Role of the Macmillan Trainee Breast Care
Nurse
17th October 2002 - Nice, France

Jacqui Nugent Macmillan Trainee Breast Care Nurse
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AIM

• To provide a brief insight into the role of a
  Macmillan Trainee Breast Care Nurse.
• Discuss the benefits of a role development
  programme.
• Explore some of my experiences during the initial
  transitional period.
• Discuss the core modules and how these have
  interlinked theory with practice to improve care
  for patients with breast cancer.

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MACMILLAN TRAINEE BREAST CARE NURSE

• Secondment post for 1 year to develop as a
  Macmillan Breast Care Nurse.
• Supernumerary status Providing an opportunity
  to develop awareness of the functioning
  components of other members of the team.
• Completion of four core modules of the Role
  Development Programme.

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THE PROGRAMME ENABLES THE TRAINEE TO

• To develop in a supportive environment.
• Develop an understanding of the components of a
  specialist practitioner and develop further
  skills in this area.
• To make the transition from generalist to
  specialist practitioner within a structured
  supportive framework.
• Enhance self development in response to
  individual need.

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BENEFITS OF THE PROGRAMME

• The opportunity to develop as a Macmillan Breast
  Care Nurse.
• Supportive network- Macmillan Trainees, Practice
  Based Facilitator, Macmillan Education Lecturer.
• Dedicated study time.
• Professional development.

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• An understanding of the complex role of the
  Macmillan Breast Care Nurse Specialist Role.
• The ability to integrate theory and practice for
  the benefit of patient care Example teaching
  and quality not as optional extras to be fitted
  in when time allows but important components of
  the role.
• The opportunity to reflect practice with Practice
  Based Facilitator.

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TRANSITIONAL EXPERIENCES

• Identifying how to get from A to B.
• De-skilling
• Locating oneself in the organisational context.
• Identifying who is who and redeveloping a
  network.
• Fitting into an established team.
• Gaining the respect of the team members.

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CORE MODULES OF THE PROGRAMME

• Clinical decision making and multidisciplinary
  team making.
• Quality in practice.
• Teaching, learning and information management.
• Initiating and maintaining a responsive service.

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CLINICAL DECISION MAKING / MULTIDISCIPLINARY
WORKING

• Critical review of the Multidisciplinary team
  meetings.
• The contribution of a Multidisciplinary team
  approach in clinical decision making.
• Examined how decisions relating to patient
  treatment are made.
• Explored the roles of the Multidisciplinary team.

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QUALITY IN PRACTICE

• Examined and critically reviewed the Clinical
  Standards used by the Breast Care Nurses.
• Re-defined the Breast Care Standards - changing
  the format in line with the Quality Assurance
  Teams structure, for audit processes.
• Audited the reviewed standards used by the breast
  care service.
• Completed written report and PowerPoint
  presentation of findings.
• Developed action plan from findings.

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TEACHING, LEARNING AND INFORMATION MANAGEMENT

• Presently developing a teaching plan to
  facilitate the Breast Care Nurses during
  counselling sessions with ladies undergoing
  breast reconstructive surgery.
• Developing a patient centred booklet A Womans
  Guide to Mastectomy and Breast Reconstruction
  which will include with consent, coloured
  photographs of ladies who have had a mastectomy
  with or without reconstructive surgery.

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INITIATING AND MAINTAINING A RESPONSIVE SERVICE