School of Community and Health Sciences RN/Diploma Nursing RN/BSc (Hons) Nursing 2009 Curriculum Practice Theme Module Handbook Delivering Professional Autonomy NM3741 September 2008 cohort Year 3 (September 2010 August 2011)
Delivering Professional Autonomy, NM3771, Year 3 Table of Contents INTRODUCTION...1 AIMS OF THE MODULE... 2 LEARNING OUTCOMES... 2 LEARNING AND TEACHING METHODS... 7 MODULE ASSESSMENT... 8 READING LIST & USEFUL WEBSITES... 9 We would welcome any comments on this handbook. These should be directed to the School s Quality Manager, via the Student Helpdesk.
Delivering Professional Autonomy NM3741 Level: Level 3 Year/Semester of Programme: Year 3, September 2008 cohort Dates running: September 2010 August 2011 INTRODUCTION In this second year of the Branch programme you will draw on your branch programme experiences in a range of health care settings. You will be expected to work effectively alongside other health and social care practitioners and to develop the skills and knowledge to delegate and manage care appropriately. You will be expected to demonstrate effective utilisation of theory in your everyday practice of patient care activities and to be able to teach junior students fundamental skills of nursing. You will be expected to demonstrate complex skills of care delivery and care management. Initially this will be using the same two stage processes as in your first branch year, but you are expected to make the transition more quickly as your confidence, knowledge and understanding develops. You will be expected to take greater responsibility for your own learning and to function as an effective member of the health care team of their final placement. You will plan your learning experiences through a learning agreement and record them in your Record of Achievement in Practice (Portfolio). Whilst in placement you will continue to undertake hub and spoke visits that are relevant to your clinical placements. These will be planned to foster a sound understanding of patients' (and their carers ) experiences of health care throughout the whole of the health care pathway as well as to promote understanding of the contribution of different members of the health and social care team. 1
Adult nursing students you will gain experience in a range of acute settings as well as undertaking a long negotiated placement at the end of the year in preparation for your transition to staff nurse. Child Health students you will experience a range of acute care settings such as A&E, neonatal care, operating department care, as well as undertaking a long negotiated placement at the end of the year. Mental Health students you will undertake client attachment in preparation for your role as a qualified practitioner. AIMS OF THE MODULE To develop your analysis and application of theoretical perspectives in order to deliver autonomous professional care. LEARNING OUTCOMES On successful completion of this module you will be expected to be able to: Skills Identify unsafe practice and respond appropriately to ensure a safe outcome; (NMC 1.5) Identify expected outcomes, including a timeframe for achievement and/or review in consultation with patients, clients, their carers and family and friends and with members of the health and social care team; (NMC 2.12) (IP) Identify relevant changes in practice or new information and disseminate it to colleagues; (NMC 2.14) Identify, collect and evaluate information to justify the effective utilisation of resources to achieve planned outcomes of nursing care; (NMC 2.19) Collaborate with patients and clients and, when appropriate, additional cares to review and monitor the progress of individuals or groups towards planned outcomes; (NMC 2.20) Analyse and revise expected outcomes, nursing intervention and priorities in accordance with changes in the individual s condition, needs or circumstances; 2
(NMC 2.21) Problem solving - demonstrate sound clinical decision-making which can be justified even when made on the basis of limited information; (NMC 3.15) Develop a personal development plan which takes into account personal, professional and organisational needs; (NMC 4.2) Demonstrate effective leadership in the establishment and maintenance of safe nursing practice. (NMC 4.7) Manage the delivery of care services within the sphere of one's own accountability; (NMC 1.6) Collaborate with patients and clients and, when appropriate, additional cares to review and monitor the progress of individuals or groups towards planned outcomes; (NMC 2.20) Identify, collect and evaluate information to justify the effective utilisation of resources to achieve planned outcomes of nursing care; (NMC 2.19) Contribute to the application of a range of interventions which support and optimise the health and well being of patients and clients; (NMC 2.15) Identify expected outcomes, including a timeframe for achievement and/or review in consultation with patients, clients, their carers and family and friends and with members of the health and social care team; (NMC 2.12) Establish priorities for care based on individual and group needs; (NMC 2.10) Select valid and reliable assessment tools for the required purpose; (NMC 2.7) Seek specialist/expert advice as appropriate; (NMC 2.6) Analyse and revise expected outcomes, nursing intervention and priorities in accordance with changes in the individual s condition, needs or circumstances; (NMC 2.21) Use appropriate risk assessment tools to identify actual and potential risks; (NMC 3.2) Manage risk to provide care which best meets the needs and interests of patients, clients and the public; (NMC 3.5) Establish and maintain collaborative working relationships with members of the health and social care team and others; (NMC 3.6) Maintain one's own accountability and responsibility when delegating aspects of care to others; (NMC 3.10) 3
Demonstrate the ability to co-ordinate the delivery of nursing and health care; (NMC 3.11) Contribute to creating a climate conducive to learning. (NMC 4.5) Act to ensure the rights of individuals and groups are not compromised; (NMC 1.13) Practice in accordance with the NMC Code of Professional Conduct: Standards for Conduct, Performance and Ethics; (NMC 1.1) Manage the complexities arising from ethical and legal dilemmas; (NMC 1.10) Identify unsafe practice and respond appropriately to ensure a safe outcome; (NMC 1.5) Demonstrate the ability to transfer skills and knowledge to a variety of circumstances and settings; (NMC 2.23) Recognise the need for adaptation and adapt nursing practice to meet varying and unpredictable circumstances; (NMC 2.24) Ensure that practice does not compromise the nurse's duty of care to individuals or the safety of the public; (NMC 2.25) Manage risk to provide care which best meets the needs and interests of patients, clients and the public; (NMC 3.5) Provide care which demonstrates sensitivity to the diversity of patients and clients; (NMC 1.15) Establish and maintain collaborative working relationships with members of the health and social care team and others; (NMC 3.6) Review and evaluate care with members of the health and social care team and others; (NMC 3.8) Take into account the role and competence of staff when delegating work; (NMC 3.9) Develop a personal development plan which takes into account personal, professional and organisational needs; (NMC 4.2) Contribute to creating a climate conducive to learning; (NMC 4.5) Contribute to the learning experiences and development of others by facilitating the mutual sharing of knowledge and experience; (NMC 4.6) Demonstrate effective leadership in the establishment and maintenance of safe nursing practice. (NMC 4.7) 4
Use professional standards of practice to self-assess performance; (NMC 1.2) Knowledge/Understanding Practice in accordance with the NMC Code of Professional Conduct: Standards for Conduct, Performance and Ethics; (NMC 1.1) Problem solving - demonstrate sound clinical decision-making which can be justified even when made on the basis of limited information; (NMC 3.15) Demonstrate the ability to co-ordinate the delivery of nursing and health care; (NMC 3.11) Take into account the role and competence of staff when delegating work; (NMC 3.9) Review and evaluate care with members of the health and social care team and others; (NMC 3.8) (IP) Use professional standards of practice to self-assess performance; (NMC 1.2) Establish and maintain collaborative working relationships with members of the health and social care team and others; (NMC 3.6) (IP) Develop a personal development plan which takes into account personal, professional and organisational needs; (NMC 4.2) Demonstrate effective leadership in the establishment and maintenance of safe nursing practice. (NMC 4.7) Identify unsafe practice and respond appropriately to ensure a safe outcome;(nmc 1.5) Manage the delivery of care services within the sphere of one's own accountability; (NMC 1.6) Manage the complexities arising from ethical and legal dilemmas; (NMC 1.10) Act to ensure the rights of individuals and groups are not compromised; (NMC 1.13) Provide care which demonstrates sensitivity to the diversity of patients and clients; (NMC 1.15) Seek specialist/expert advice as appropriate; (NMC 2.6) Contribute to the learning experiences and development of others by facilitating the mutual sharing of knowledge and experience;(nmc 4.6) Manage risk to provide care which best meets the needs and interests of 5
patients, clients and the public; (NMC 3.5) Establish priorities for care based on individual and group needs; (NMC 2.10) Identify expected outcomes, including a timeframe for achievement and/or review in consultation with patients, clients, their carers and family and friends and with members of the health and social care team; (NMC 2.12) (IP) Contribute to the application of a range of interventions which support and optimise the health and well being of patients and clients; (NMC 2.15) Collaborate with patients and clients and, when appropriate, additional cares to review and monitor the progress of individuals or groups towards planned outcomes; (NMC 2.20) Demonstrate the ability to transfer skills and knowledge to a variety of circumstances and settings; (NMC 2.23) Recognise the need for adaptation and adapt nursing practice to meet varying and unpredictable circumstances; (NMC 2.24) Ensure that practice does not compromise the nurse's duty of care to individuals or the safety of the public; (NMC 2.25) Use appropriate risk assessment tools to identify actual and potential risks; (NMC 3.2) Values and Attitudes Practice in accordance with the NMC Code of Professional Conduct: Standards for Conduct, Performance and Ethics; (NMC 1.1) Identify relevant changes in practice or new information and disseminate it to colleagues; (NMC 2.14) Contribute to the application of a range of interventions which support and optimise the health and well being of patients and clients; (NMC 2.15) Establish priorities for care based on individual and group needs;(nmc 2.10) Review and evaluate care with members of the health and social care team and others; (NMC 3.8) Demonstrate the ability to co-ordinate the delivery of nursing and health care; (NMC 3.11) Problem solving - demonstrate sound clinical decision-making which can be justified even when made on the basis of limited information; (NMC 3.15) 6
Use professional standards of practice to self-assess performance; (NMC 1.2) Demonstrate knowledge of legislation and health and social policy relevant to nursing practice; (NMC 1.7) Manage the complexities arising from ethical and legal dilemmas; (NMC 1.10) Act to ensure the rights of individuals and groups are not compromised; (NMC 1.13) Provide care which demonstrates sensitivity to the diversity of patients and clients; (NMC 1.15) LEARNING AND TEACHING METHODS Supervision of Students This will be undertaken by identified assessors who will be supported by at least one mentor. You will be expected to take greater responsibility for identifying your learning needs and negotiating a suitable and relevant learning agenda for your placements. Your supervisor will be responsible for working with you to plan, monitor and document your learning experiences based on assessment of your capability. You will be expected to use a reflective journal to record your progress and to bring this to your supervision sessions for discussion. Your supervisors have responsibility for ensuring you are provided with appropriate supervision, coaching and feedback (and remedial support if necessary) so that you can develop the necessary skills to be fit for practice, fit for award and fit for purpose by the end of the module. Additional student support will be available through informal placement located dropin sessions, one-to-one tutorials and online contact with your personal tutor. Support for students and assessors will be provided by: Practice Facilitators - Trust based clinicians with specific responsibility for supporting students and mentors; Lecturers in Practice - academic staff with a wide remit to support (in the first instance) Practice Facilitators within each Community of Practice as well as students and other clinical and academic staff. Link Lecturers - each placement has a named academic as a point of contact and who has responsibility for supporting students and supervisors in their 7
placement. Supplementary educational activities Whilst you are in placement they will initiate and lead regular planned tutorial sessions that will be practice focused. These sessions will include problem-solving activities, reflection sessions, simulation exercises, demonstrations and skills sessions. You will be encouraged to present case studies of anonymised issues from your placement experiences drawing on related theories and formal knowledge, thus demonstrating understanding of related theory, research evidence and health care policy. Some of these sessions will be shared with other health care professionals. Resources available in placements you will have access to the local library and to internet resources. Most placements provide a welcome pack with relevant exercises that facilitate understanding of the clinical activities e.g. anatomy and physiology; pharmacology, sample case studies etc. A project is currently being developed to enable you to access information about your placement online and to download such resources. MODULE ASSESSMENT You will be required to complete a Record of Achievement in Practice (Portfolio) and this will be verified by your assessors, Link Lecturers and Personal Tutors. You will be expected to work towards the NMC Proficiencies as relevant to their placement areas. You will be assessed as to your level of capability at frequent stages in the year to ensure you are receiving appropriate support and help and to assess your progress in meeting the learning outcomes of the year. Verification of progress and achievement of targets will be undertaken at planned specific stages throughout the year. You will have two opportunities to meet the outcomes for progress to completion of the year and demonstration of achievement of the NMC Proficiencies. If you are unsuccessful your programme will be discontinued. 8
READING LIST & USEFUL WEBSITES None specific for this module you should use indicative reading from other modules to support your learning in practice. 9