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Background As clinical nurse specialists (CNS), we must be able to support student nurses (SN) and trainee nursing associates (TNA) to help them to develop their professional competencies. We achieve this by offering insight visits to SN/TNA during their placement on our day care unit. SN/TNAs are invited to attend the rheumatology service MDT meeting and then observe the nurse-led clinic. We must ensure there is support and oversight of practice supervision to ensure safe and effective learning. We reviewed the insight visits and asked the SN/TNA to complete a questionnaire. Methods The feedback was analysed and a common theme emerged that they would have liked some pre-visit literature to read prior to attending so they could research rheumatological conditions. When explored; this was due to limited knowledge of conditions. A workbook was developed to focus the SN/TNA on the most common conditions; juvenile idiopathica arthritis (JIA) and uveitis. The workbook was adapted from an education workbook for a new clinical nurse specialist to paediatric rheumatology. It offered a structured and methodical approach to the introduction of JIA and uveitis. It guided them to consider the medical definition of the condition, explore the epidemiology and aetiology of the disease, how a diagnosis is made by the use of investigations, disease classification and the subsequent various treatments available. In concludes by prompting the SN/TNA to consider the various roles within a multidisciplinary team (MDT). The workbook also directs to appropriate websites for information gathering. The workbook is then discussed with the SN/TNA at the end of the visit to ensure they developed better knowledge of rheumatological conditions and the role of the CNS within the service. Results The service continues to ask for feedback from all SN/TNA on insight visits and the feedback on the pre-visit workbook is very positive; “The workbook was definitely helpful because I was able to research about the conditions before coming to the insight visit”- Student Nurse A. The workbook begins the foundation of knowledge which the SN/TNA’s then build upon during the insight visit. Conclusion The paediatric rheumatology service has successfully developed an effective workbook which facilitates SN/TNA’s learning during insight visits to the service. The feedback forms are evidence that the CNS are appropriately supporting SN/TNA’s. The development of this tool has aided the structure of insights visits and essentially improved the quality and learning outcomes for the SN/TNA’s. Conflicts of Interest The authors declare no conflicts of interest.

rheumatology

P59 Supporting student nurses/trainee nurse associates during insight visits to a paediatric rheumatology service: the development of a student workbook