School of Community and Health Sciences RN/Diploma Nursing RN/BSc (Hons) Nursing 2009 Curriculum Practice Theme Module Handbook Delivering Professional Autonomy NM2771 (Diploma) NM3741 (Degree) September 2007 cohort Year 3 (September 2009 August 2010)
Delivering Professional Autonomy, NM2771, 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 NM2771/NM3741 Level: Level 2 (Diploma) Level 3 (Degree) Year/Semester of Programme: Year 3, September 2007 cohort Dates running: September 2009 August 2010 INTRODUCTION In this second year of the Branch programme Adult, Child and Mental Health students will draw on their branch programme experiences in a range of health care settings. Students 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. They will be expected to demonstrate effective utilisation of theory in their everyday practice of patient care activities and to be able to teach Foundation students fundamental skills of nursing. All students 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 their first branch year, but students are expected to make the transition more quickly as their confidence, knowledge and understanding develops. All students will be expected to take greater responsibility for their own learning and to function as an effective member of the health care team of their final placement. All students will plan their learning experiences through a learning agreement and record them in their Record of Achievement in Practice (Portfolio). Whilst in placement all students will continue to undertake hub and spoke visits that are relevant to their 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 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 the transition to staff nurse. Child Health students 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 will undertake client attachment in preparation for their role as a qualified practitioner AIMS OF THE MODULE To develop the students analysis and application of theoretical perspectives in order to deliver autonomous professional care. LEARNING OUTCOMES On successful completion of this module, a student will be expected to be able to: Cognitive/Intellectual 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 2
accordance with changes in the individual s condition, needs or circumstances; (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) 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 3
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 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) Subject Specific Skills 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 4
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) (IP) 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) (IP) Maintain one's own accountability and responsibility when delegating aspects of care to others; (NMC 3.10) 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) Transferable Skills 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 5
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) (IP) Review and evaluate care with members of the health and social care team and others; (NMC 3.8) (IP) 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) Use professional standards of practice to self-assess performance; (NMC 1.2) 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 6
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) 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. Students will be expected to take greater responsibility for identifying their learning needs and negotiating a suitable and relevant learning agenda for their placements. Their supervisor will be responsible for working with the student to plan, monitor and document their learning experiences based on assessment of their capability. Students will be expected to use a reflective journal to record their progress and to bring this to their supervision sessions for discussion. Their supervisors have responsibility for ensuring they are provided with appropriate supervision, coaching and feedback (and remedial support if necessary) so that they 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 drop-in sessions, one-to-one tutorials and on-line contact with their personal tutor. Support for students and assessors will be provided by: Practice Facilitators - who are Trust based clinicians with specific 7
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 placement. Supplementary educational activities Whilst students 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. Students will be encouraged to present case studies of anonymised issues from their 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 Students 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 students to access information about their placement on line and to download such resources. MODULE ASSESSMENT Students will be required to complete a Record of Achievement in Practice (Portfolio) and this will be verified by their assessors, Link Lecturers and Personal Tutors. Students will be expected to work towards the NMC Proficiencies as relevant to their placement areas. 8
Students will be assessed as to their level of capability at frequent stages in the year to ensure they are receiving appropriate support and help and to assess their 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. Students will have two opportunities to meet the outcomes for progress to completion of the year and demonstration of achievement of the NMC Proficiencies. If they are unsuccessful their programme will be discontinued. READING LIST & USEFUL WEBSITES None specific for this module students will use indicative reading from other modules to support their learning in practice. 9