The School Of Nursing And Midwifery.

The School Of Nursing And Midwifery. Pre-Registration BMedSci (Hons) Nursing (Adult) MEETING THE REQUIREMENTS OF THE EU DIRECTIVES GUIDELINES

STUDENT GUIDELINES In order to meet the requirements of the EU Directives you must track your exposure to other branches of nursing and midwifery. Failure to do so may compromise your registration and your ability to work in the EU community. It is also important to have experiences within other fields of nursing as you will care for patients who have care needs related to them. You are required therefore to provide evidence of time spent addressing these issues; as you work through this guidance document, you ll find templates that have been designed to help facilitate this. These templates should be completed throughout Units 1-4 and you will include them in the EU Directives portfolio that you are required to submit before the end of Unit 4. You will meet the requirements through the following mechanisms: 1. Taught sessions 2. Opportunistic exposure 3. Reflection on Practice 4. Progress meetings with mentors and personal tutors Taught Sessions There will be a series of taught sessions throughout the programme that offer a broad introduction to the different fields of nursing and will equip you with what you need to know on how to care for such patients within a general setting. These will be delivered by specialists in the fields of Mental Health, Learning Disabilities, Mother and Child, and the Care and Welfare of Children. Attendance at these sessions should be logged in your portfolio and you will be required to document your reflections on what you have learned from the sessions and your practice learning experiences. You must demonstrate your attendance at all the sessions as they are a course requirement. If you miss one, you need to either attend another session with a different group or submit your work to the relevant Field Specialist to ensure that you have met the required outcomes. Opportunistic Exposure in Clinical Practice You will inevitably encounter patients/clients during your placements who have specialist needs, for example clients with Alzheimer s disease. However, you may also care for people where the links to specialist knowledge are not as obvious e.g. post-anaesthesia confusion or bored children visiting relatives. You will be provided with a list of examples from practice in each unit, which will help you to identify appropriate links between specialist input and your practice. You are required to log as many events as possible on the Accounts of Learning tool which can be found in this document. We expect a minimum of 6 exposures per field of nursing. Your mentor will sign to say they are verifying the events took place at your reviews. You may only log opportunistic experiences that have occurred while working as a student nurse on your placements. During the programme you will be reminded of the importance of making a log of your experiences of different fields of nursing, with reflection on your own experiences on placement being valuable in taught sessions that occur during the programme. 2

Reflection on Practice Reflection is an important part of learning and it is essential in developing the cognitive skills necessary for working in complex health care environments. The fields of nursing covered by the EU directives can be quite challenging and it is important that you start by examining your initial understanding/attitudes to these areas of practice. In unit 1 you should write on your perception of these areas immediately after the introductory session of each field. As you progress through the programme you should document your exposures to the different specialisms in two ways: 1: Write a short account of each exposure describing the essential elements of the situation 2: Briefly reflect on your developing understanding of the field of nursing You are required to write up reflections that explore in more depth the learning that you have developed in relation to each of the fields. Sixteen accounts are needed by the end of Unit 4, four each for Mental Health, Learning Disability, Mother and Child, and the Care and Welfare of Children. The aim of the reflective account is to encourage you to reflect upon experience in practice and link it to the relevant literature. You will not necessarily be able to get an exposure relating to each of the branches in each unit, for example, there may be no opportunity to come into contact with a pregnant woman during your acute care placement in Unit 3. As long as in each unit you have 4 reflections to add to your portfolio and by the end of unit 4 you have a total of 16 reflections - 4 relating to each field of nursing. For example, you may write up 2 reflections relating to mother and child, 1 relating to learning disability and 1 relating to mental health in the first unit. This is acceptable. In unit 2 you may write up 3 relating to child and 1 relating to mental health. As long as by the end of unit 3 you have 16 reflections made up of 4 mental health, 4 Learning Disability, 4 Mother and Child, and 4 Care and Welfare of Children. Each account should be approximately 750 words in length and should provide: A brief outline of the exposure and the field it relates to The essential elements in this field that are necessary for the adult nurse to be able to understand in order to deliver effective care Some personal reflection on your learning and change in attitude It may be useful to use a reflective framework to structure the account such as Gibbs (1988) or Rolfe et al (2001). The account should also: Include relevant theory Be accurately referenced Demonstrate knowledge and understanding Show links between theory and practice Overall, an understanding of the differences in the fields of nursing is being sought. The accounts must be completed by the end of Unit 4 and included within the portfolio. These may be called for and audited, both internally and by the external examiners. 3

Progress Meetings with Personal Tutors You must have a meeting with your personal tutor at the end of each unit to monitor academic and clinical progress and achievement. As part of this process the personal tutor will review the tracking tool to ensure completion. Personal tutors are not expected to verify any experiences, rather to monitor whether you are completing the documentation appropriately. 4

MEETING THE REQUIREMENTS OF THE EU DIRECTIVES Aims To develop a critical and reflective knowledge and understanding of the nature of the different fields of nursing and midwifery. To develop a critical and reflective knowledge and understanding of the knowledge, skills and attitudes required for future professional practice in relation to different patient groups. Learning Outcomes Following completion of the open learning packages and by the end of the programme you will be able to demonstrate a critical and reflective knowledge of: the different perspectives of nursing the uniqueness of each of the fields of nursing and the difference between them the importance of professional and ethical practice in relation to the different client groups the different competency emphasis within and across the different fields of nursing the different philosophies and frameworks of care utilised in caring for different client groups the importance of user and carer choice in contemporary health care services the specific skills relating to meeting the needs of different client groups in adult care delivery settings. 5

INITIAL REFLECTIONS ON ATTITUDES AND UNDERSTANDING OF THE FIELD OF LEARNING DISABILITY NURSING INITIAL REFLECTIONS ON ATTITUDES AND UNDERSTANDING OF THE FIELD OF MENTAL HEALTH NURSING INITIAL REFLECTIONS ON ATTITUDES AND UNDERSTANDING OF THE FIELD MOTHER AND CHILD INITIAL REFLECTIONS ON ATTITUDES AND UNDERSTANDING OF THE FIELD OF CHILD NURSING 6

UNITS 1-4 THEORY Within each unit theory block there will be taught sessions delivered by specialists from each field of nursing. It is a requirement that you attend these sessions and log this in the template below. If you have been unable to attend a session you need to view the presentation on MOLE and contact the speaker to see if there is additional work you can/need do to meet the learning objectives. Date Attended Session title and speaker Student Signature 7

UNITS 1-4 PRACTICE At the start of each practice placement you should discuss with your mentor what provision there is in terms of care delivery opportunities in each of the fields. Make a note of these in the template below. This information can then be used to plan your learning for the unit that will contribute to learning about the different fields of nursing. This should be completed at your initial interview and reviewed at the intermediate and final interviews. Field Opportunity Mental Health Learning Disability Mother and Child Child You should also try to identify any specific trust policy/support available for nurses/users/carers to draw upon. Add this to the table below: Field Policy/support Mental Health Learning Disability Mother and Child Child You then need to make an account of each opportunity you have had to learn from the different fields of nursing and write a brief reflection on your learning. 8

EXAMPLES OF APPROPRIATE OPPORTUNISTIC EXPOSURE Please note these are offered as examples only, and should not be viewed as exhaustive. Your mentor/assessor may be able to identify other examples pertinent to the clinical placement. Obvious Exposure: Caring for any patient/client who has mental health, learning disability, mother and child, or child needs. Less Obvious Exposure: You should attempt to draw upon the knowledge you have gained from the specialities to inform the care you give to your patients/clients. Examples of such experiences are as follows: Mental Health Caring for acutely confused post anaesthesia/sedation Caring for acutely confused post admission Caring for the anxious patient Caring for the patient with altered body image Any psychological aspects of care irrespective of setting Dependency issues e.g. alcohol and drugs Anxiety on admission/prior to investigations/operation Motivation issues Care of the self-harming patient Caring for clients who survive suicide attempts Care of the para-suicide Care of the confused patient Depression as a dual diagnosis with physical illness Special aspects of psychological care in terminal illness Therapeutic counselling i.e. counselling Learning Disability Caring for patients requiring learning who have sensory deficits Caring for a patient with dyslexia Empowerment issues Advocacy roles Role of carers Recognising particular needs of client group when admitted to an acute area. Mother and Child Caring for relatives who are pregnant/nursing mothers Child Caring for children visiting relatives: A visitor arrives with a very young baby pre-immunisations A child wants to visit having just recovered from an infectious disease A young adult is admitted to the ward A child with a chronic condition has an acute exacerbation whilst visiting e.g. asthma, epilepsy Dietary advice for children Maintaining safety on the ward when children are visiting Health promotion issues teenage pregnancies, smoking, long-term implications of an unhealthy lifestyle Child protection issues, especially whilst on community placement in branch 9

Deviancy issues e.g. substance misuse truancy may arise whilst on community placement or visiting at school time Children as carers of chronically ill parents Giving information to children regarding a patient s condition. YOU SHOULD COPY AND PASTE THE FOLLOWING FORMS AS MANY TIMES AS REQUIRED. PLEASE USE ONE FOR EACH OPPORTUNITY. YOU SHOULD GIVE AN OVERVIEW OF THE ACCOUNT FOLLOWED BY A BRIEF REFLECTION ON YOUR LEARNING 10

UNIT NUMBER: FIELD: MENTAL HEALTH ACCOUNT OF LEARNING EU DIRECTIVES 11

UNIT NUMBER: FIELD: LEARNING DISABILTIES ACCOUNT OF LEARNING EU DIRECTIVES 12

ACCOUNT OF LEARNING EU DIRECTIVES UNIT NUMBER: FIELD: MOTHER AND CHILD 13

ACCOUNT OF LEARNING EU DIRECTIVES UNIT NUMBER: FIELD: CHILD AT THE FINAL INTERVIEW FOR Units 1 and 2 YOUR MENTOR SHOULD SIGN THE RELEVANT SECTION OF THE PRACTICE LEARNING EXPERIENCE DOCUMENTATION TO VERIFY THE CONTENT OF EU LEARNING DIRECTIVES 14

UNIT 4 PRACTICE By the end of unit 4 you should have collected evidence of sufficient opportunity to demonstrate you have met the practice outcomes of the EU directives. Your personal teacher will verify this at the review for this unit. If there is insufficient evidence you may be required to undertake additional work/experience. As noted in unit 1 it is important that you also reflect on your learning and demonstrate your understanding of the major components of these fields and the Importance of these to your future as an adult nurse. You should now write a minimum of a 500 word reflection for each of the fields and in this identify the learning that has taken place and any change in your attitude/understanding of each field. FINAL REFLECTIONS ON ATTITUDES AND UNDERSTANDING OF THE FIELD OF LEARNING DISABILITY NURSING FINAL REFLECTIONS ON ATTITUDES AND UNDERSTANDING OF THE FIELD OF MENTAL HEALTH NURSING FINAL REFLECTIONS ON ATTITUDES AND UNDERSTANDING OF THE FIELD MOTHER AND CHILD FINAL REFLECTIONS ON ATTITUDES AND UNDERSTANDING OF THE FIELD OF CHILD NURSING 15