NUR3299 Transition To Professional Practice
Questions:
How to use these standards
The Registered nurse standards for practiceconsist of the following seven standards:
1. Thinks critically and analyses nursing practice.
2. Engages in therapeutic and professional relationships.
3. Maintains the capability for practice.
4. Comprehensively conducts assessments.
5. Develops a plan for nursing practice
6.Provides safe, appropriate and responsive quality nursing practice.
7. Evaluates outcomes to inform nursing practice
Answers:
1.
The learner is to demonstrate skills for accessing and analyzing best available evidences including research findings that can be implemented in professional practice. Nurses are required to demonstrate the ability to carry out a critical appraisal of research papers to understand the reliability and validity of the findings of the research papers and the applicability of the key insights gained in real life scenarios.
The learner is to develop practice through reflection on previous experiences and knowledge for shaping practice. Reflection is to be done appropriately using relevant reflection cycles and models to the nursing scenarios or context presented.
The learner it to be educated and adjudged for the ability to critically appraise the validity of research papers extracted after successful research. Important databases are to be used for retrieving relevant articles. The strengths and weaknesses of the articles are to be identified by comparing to literature. The most crucial elements of the appraisal would be the study design and the prime methodological features.
The learner is to be taught about the different reflection models applicable in clinical practice such as Gibb’s reflection cycle and Kolb’s theory. Reflection is to be done on scenarios that have received critical feedback. This would be relevant to the domain of practice as deemed fit for the learner.
2.
The learner is to establish and sustain therapeutic relationships with the clients within the boundaries of personal and professional relationships. The nurse is supposed to maintain professionalism while communicating with the patients.
The learner is to respect the patient’s dignity, culture, beliefs and values. This implies that ability to maintain cultural sensitivity is expected from the nurse.
The learner is to work in collaboration with professionals from the setting for fostering advanced healthcare services. Input for fellow professionals is to be taken for engaging in decision making process
The learner is to be observed for communication style adhered to while communicating with the patients. It is expected that the nurse is able to give out information to the clients in a clear and transparent manner, without being rude or abusive.
The learner is to be motivated to take part in enhanced research for understanding how cultural competence is to be developed. This would encompass studying different case scenarios that indicate the nursing needs of caring for clients from diverse backgrounds.
The learner is to be observed for working in collaboration with other professionals while working in a multidisciplinary team. Guidance is to be provided for enabling ability to resolve interpersonal issues while working with other professionals. Methods of two-way communication are also to be monitored for understanding whether flow of information is adequate between professionals in critical clinical scenarios.
3.
The learner is to respond appropriately and within the stipulated time frame to the wellbeing of clients. This entails that the learner must demonstrate knowledge of nursing responsibilities in delivering nursing care.
The learner is to seek and respond to feedbacks provided on a regular manner. This implies that learners must have the knowledge of the importance of feedback in professional development.
The learner is to be observed for the ability to carry out accurate client assessment after the admission of the client to the respective unit. Observation is to be done for understanding the ability of the learner to carry out initial assessment, focused history and physical examination, and rapid trauma assessment. The assessment is to be carried out as an early response to the patient’s needs.
Feedbacks are to be provided on a regular basis to enable the learner to understand the process of integrating inputs from feedback in future practice. Constructive feedback would be the focus at each sessions and it is crucial that the emphasis is on pointing out the strengths of the learner’s practice accurately. Resources are to be provided to work on the limitations highlighted for future practice development.
4.
The learner is to carry out nursing assessments in a holistic manner. Further, there has to be cultural appropriateness in the assessment carried out.
The learner is to carry out the assessment with diverse assessment techniques for collecting accurate and relevant information in a systematic manner. Different assessment techniques are to be used as appropriate for the client and clinical scenario.
The learner is to utilize the resources for informed planning. Clinical decisions are to be taken after planning the analyzing the relevant resources available.
The learner is to be observed for the nature of the assessments carried out and whether they are related to the interconnectedness of mind, body and spirit. It is crucial that the nurse is observed regarding the integration of compassionate approach in assessment. The learner is to be judged for responding to the spiritual, economic, social, emotional and physical needs of the person.
The learner is to be educated about the different assessment tools such as AVPU, ABCDE, Addenbrooke’s Cognitive Examinaton, Braden scale, and Beck Depression Inventory. The level of understanding of the nurse in relation to the applicability of the patient assessment tools is crucial.
The learner is to be encouraged to engage in informed planning so that decision making process is apt. Varied resources are to be presented to the learner to understand which can be used for the process. Resources are to be provided on a regular basis for adjudging the effectiveness of the same.
5.
The learner is supposed to use the assessment data for developing an evidence based plan. The plan should be in alignment with the specified needs of the patient.
The learner is to document, evaluate and modify the plans as per the agreed outcomes. The agreed outcomes are to be duly acknowledged by the learner.
The learner is to coordinate the available resources for efficiently planning actions.
The nursing care plans prepared by the learner is to be analyzed regularly. The aspects of care included in the plan are to be compared with existing literature. In addition, it is to be checked whether the specific needs of the client are met or not.
The progress notes of the patients are to be reviewed and the required changes in the nursing plans are to be identified. The learner is then to be guided to make changes in the nursing plans as appropriate.
The learner is to be guided to utilize resources for proper coordination and planning of activities. Regular monitoring is needed for understanding the level of knowledge of the learner.
6.
The learner is to provide comprehensive quality and safe practice for achieving agreed goals and outcomes for being responsive to the needs of the patients.
The learner is to practice within the scope of practice.
The learner is to advocate for the rights of the patients in different clinical scenario.
The learner is to be observed for medication administrations to identify medication errors. Further, the learner is to be observed for understanding whether emotional support is being provided to the patients in an effective manner.
The learner is to be educated about the scope of practice for nursing professionals. One-to-one sessions are to be conducted for educating on this respect. The importance of the scope of practice is to be discussed in details and problem solving approaches are to be taken for understanding application to varied scenarios.
The learner is to be educated to advocate for the rights of the patients through providing motivation to engage in continual learning. Observation is to be done for noticing the ability and keenness of the professional to speak up for the problems that are unnoticed within the clinical scenario.
7.
The learner is to evaluate the nursing outcomes for patients and monitor the progress towards set outcomes and goals. The learner is to document the progress and determine and document further goals to be achieved.
Assessment of the learner’s progress notes of nursing care plan is elementary in this regard. A discussion is to be carried out with the learner to understand the level of knowledge of the learning in relation to accurate care planning skills. The learner is to be assessed for the level of expertise to document patient’s progress. The feedback is to be provided on a regular basis.
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