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Student Name: .Student Number: .Cohort:September 2012Module Code: PLESchool of Health & Social WorkMSc in NursingYear 2 Adult FieldSAMPractice Assessment Document (PAD)1

Welcome to your Practice Assessment Document (PAD)The Practice Assessment Document (PAD) has been designed to facilitate and guide practicelearning throughout the programme. For each year of the programme a series of Practice Statementshave been developed based on the NMC (2010) Essential Skills Clusters, progression criteria andstandards for competence. This document is to help you and your mentor plan your learning anddocument your progress.PLEContinuous assessment of practice is an integral aspect of the assessment strategy for the preregistration nursing programme. The successful completion of this PAD will form an essentialassessment component of the year long practice module and is required for your progression to thenext part of the programme. The assessment of practice will be cumulative in that during eachpractice learning experience you will accrue evidence of the development of your skills as you assistand deliver nursing care. Practice will be assessed by your mentor using the criteria provided withinthe document and will be undertaken using a variety of sources; including direct observation andfeedback from a variety of sources. To facilitate this, you will need to provide and document evidencethat supports the assessment process. This will be recorded in the appropriate sections of the PADand will enable your mentor to further evaluate your abilities and development.A Note on Confidentiality:When in practice settings students have access to confidential information. This informationmust be protected and must not be disclosed to any unauthorised person.SAMAt no time should confidential information be removed from a practice area or photocopiedfor inclusion as evidence.2

The Structure of your Practice Assessment DocumentThis document is divided in to 4 sections.Section 1This section provides information on the process of assessment, the nature of the PracticeStatements and a description of the key people who will be involved in the process.PLESection 2Contains the following documents for each practice experience that is undertaken during theyear:The Compulsory Practice Statement (this must be completed within each practiceexperience) A record of orientation for each practice experience The preliminary interview and the practice learning agreement The intermediate interview Agreed action plan(s) The final interview incorporating the ongoing record of achievement (In the finalpractice experience of year 3 the on-going record of achievement will incorporate the‘sign off’ mentor’s signature indicating proficiency for entry to the register.)SAM A record of timekeeping and absenceSection 3This contains the Practice Statements that form the criteria by which your performance willbe assessed during the year. It also contains records detailing Inter-professional workingand Link Lecturer contact.Section 4This contains details of mandatory and statutory training that has been undertaken3

PLEPractice Assessment DocumentSAMSection 14

5PLESAM

The Assessment ProcessPrior to the Practice ExperiencePLEMentor ResponsibilitiesThe student and module team discuss:the practice experience, assessment process and documentation.The student researches and considers potential learning opportunities within the areaStudent and MentorStudent ResponsibilitiesDevelop a practice learning agreementPresent documentation/previous recordsand discuss planned learning outcomes.Develop a practice learning agreementOrientation and negotiation of the practice learningagreementMidwayMPresent documentation. Discuss andproduce evidence of progress. Co-signrecordsWeek 1Student and mentor review and document progressAction plans developed if necessaryFinal WeekStudent and mentor agree progressCompulsory Practice Statement and Ongoing Record ofAchievement are completedSAPresent documentation. Discuss andproduce evidence of progress. Co-signrecordsFollowing the Practice ExperienceStudent copies the Ongoing Record of Achievementfor their professional portfolio and future practiceareas, submits documents and completes the on-linepractice evaluation.Module team facilitate reflection and review6Mentor ResponsibilitiesDetermine and discuss learningopportunities and plan learning outcomesDevelop a practice learning agreementDetermine progress and complete theintermediate interview. If progress is notsatisfactory contact the link lecturer andbegin the collaborative action plan.Confirm outcomes and complete theOngoing Record of Achievement. Ifprogress is not satisfactory contact the linklecturer and begin the action plan cycle

An Overview of your Practice Assessment DocumentThe document contains a number of Practice Statements that address the NMC (2010) EssentialSkills Clusters, progression criteria and standards of competence expected during each year of theprogramme.The Compulsory Practice Statement within section 2 of the PAD has been developed toassess the expected professional behaviour and attitudes within each practice experience.This is the only statement that will be assessed in each area.PLEThe remaining statements are presented under the headings of the Essential Skills Clusters: Care, compassion and communication Organisational aspects of acre Infection prevention and control Nutrition and fluid management Medicines managementSAMThe Practice Statements are written in a way that can be applied to the whole range of care settings.You and your mentor will need to consider how each Practice Statements can be evidenced in thearea. To assist you in this process, each Practice Statement is followed by a series of componentstatements. These include activities and skills that ought to be achieved as you seek to demonstrateachievement in the Practice Statement. Consider the Practice Statement as the overarching outcomeand the component statements as steps along the way.All Practice Statements need to be achieved by the end of final practice experience of theyear, not in each practice setting. This means that you will need to decide when you wishyour mentor to assess each particular Practice Statement. To achieve each statement it willbe important to take time to read, reflect and consider the context of the statement.Your mentor will expect to see written evidence of your achievements in terms of a particularstatement. They will also wish to observe your knowledge, skills and abilities in relation to eachstatement and discuss your performance with other professionals, service user/ patients and theircarers’. On achieving a practice statement you will be expected to maintain a consistent level ofperformance as you continue through differing practice experiences.7

Your Practice Experience – Preparation and Support.You will receive information about what practice experiences you will need to attend from theuniversity. Once you have this information, you’ll need to organise your travel plans. Make sure thatyou are clear about your shift patterns. If you use public transport, make sure you plan for all shifts,including any early morning or weekend shifts – don’t forget to find out about public transport optionsat the end of an evening shift! Finally, make sure that you know who to report to on your first day.Before you start each practice experience you should be thinking about the learning opportunitiesthat may be available to you. Find out as much as you can about the area – what kind of care isprovided from this area? Does it have a specialism? What client/ patient group is cared for by thisarea? What prior reading will I need to do? Thinking about these questions and others will help youprepare for your learning. The more you prepare in advance, the better.PLEIn each practice area, you will be engaged in a wide variety of practice learning experiences. Youwill need to think about how you can gain the most from all these experiences. Think about how youcan actively plan for your own learning and professional development.Think about how you can develop skills and insights into caring for people of all ages. For example,the children of a parent in hospital may need care and support - have you considered what you coulddo in such a situation? What if the children are themselves adults and the parent is at the end oftheir life?SAMYou'll also need to think more broadly than just your own field of nursing. All nurses workwith all sections of society. For example, people with disabilities may require the care andsupport of an adult nurse; a child may experience mental health problems. Think about whatskills you would need to develop in order that you can be skilful in working with people fromall walks of life.Whilst in practice, you will be guided by a number of people. They will be able to support yourlearning whilst you are undertaking practice experience. A Stage 2 Mentor is a qualified nurse whohas taken additional training in supervision, assessment and learning. They will be a vital source ofsupport. They will also have responsibilities in regard to completing relevant sections of this PAD. Itmay be that this role is undertaken by another experienced and suitably prepared practitioner. Youwill need to work closely with all your mentors, making sure that you keep them informed of yourlearning needs and progress. This is because the person with the greatest responsibility for yourlearning and development is you – the nursing student!Nurses work in multi disciplinary teams – working with other professionals such as physiotherapists,social workers, occupational therapists and doctors. You will be able to learn a lot from thesemembers of the care team, as each have particular skills and insights. You should try to learn fromeach member of the team in each of your practice experiences. Some have a particular role inregards to your PAD and your practice learning, and may have had particular preparation for thisrole. Where these professionals are qualified nurses, they are called Stage 1 Mentors.8

In the final year of the programme a Sign Off Mentor will also support you during your final practiceexperience. This mentor will be an experienced nurse who is on the same part or sub part of theregister to which you wish to enter and therefore from the same field of nursing as yourself. Thismentor will make a judgement about your standard of proficiency as a safe and effective practitioner.Your lecturers at the university may have a role in regards to practice learning. In this role, they arecalled Link Lecturers. Sometimes they will contact students, mentors and others to discuss learningneeds and learning progress. This can be by phone, email or sometimes a visit to the practice area.If there are any concerns related to your practice learning, your Link Lecturer will become involved.However, you mustn’t wait until there are concerns - find out who your Link Lecturer is and makesure you know how to contact them. They will be able to provide support and guidance to you andyour mentor at all stages of your experience.PLEYour Personal Tutor isn’t normally the Link Lecturer but will be a useful source of supportThe person receiving care, their family and carers, can make a significant contribution toyour practice learning and development. They have expertise that comes from their “livedexperience”. Understanding this lived experience will strengthen your empathy skills.Developing empathy will allow you to contribute to the delivery of high quality personalisednursing care. You must make sure that you spend time engaging with, and listening to,service user/ patients, patients, client/ patients and their family and carers. They areperhaps your most vital source of learning!SAMFinally, remember that whilst on practice you should always be thinking of the modules that you aretaking, or have taken, at university. Each of these modules contributes to your professionaldevelopment. Classroom learning, and associated reading, will help you in regards to your practicedevelopment. Tell your mentor (and others in practice) about your modules, your reading, and yourassessments. They will be able to help you see the connection between theory and practice. Themodule leaders and the module teams will also be a useful source of support – not only for yourknowledge development, but for skills development.Developing Your Competency as a NurseThe NMC require you to be competent in your nursing practise to enter the NMC register. The NMC(2010) views competence as the skills, knowledge and attitudes, values and technical abilitiesneeded to underpin safe and effective nursing practice.There are four areas or domains in which all nursing students must develop competence and theseare addressed throughout the programme both in clinical practice and in the theoretical content. Thedomains are: Professional Values Communication and Interpersonal Skills Nursing Practice and Decision Making Leadership, Management and Team Working9

During each year you will begin to develop your knowledge and abilities in relation to each of theseareas. The programme has been designed so that your development will be incremental and willultimately lead to you acquiring all the generic competencies (required by nurses from all fields) andfield specific competencies as laid down by the NMC (2010).Year 2 Competency Development in Practice Professional Values PLEYou will be able to uphold and promote professional, ethical and legal frameworks to ensurethe highest standards of care and to safeguard the public. During the year you will begin towork more independently and will fully recognise the requirements of autonomous practiceand accountability. You will act as a professional role model to more junior colleagues andinspire confidence in those who work alongside you. You will be able to work in partnershipand you will contribute to the shared decision making processes involved in careCommunication and Interpersonal SkillsYou will now possess excellent communication and interpersonal skills that are effective inengaging with service user/ patients, their carers’ and other professional and support staffwithin practice. You will have developed skills that also allow you to use a range ofcommunication technologies that can support and assist your communication in practice. Youwill be able to effectively integrate and operate with various practice teams, care providersand personnel. Nursing Practice and Decision MakingSAMDuring this year you will become increasingly independent in your practise and be able toprovide essential care for individuals from all fields. Within your field you will be able torecognise complex and co-existing needs of service user/ patients in a range of settingsincluding the hospital, the community and the home. You will continue to increase yourunderstanding of the evidence base for practice and will use this to further develop your caredelivery skills and further your scope of practise. This will also allow you to critically analysecare, appropriately select the most appropriate interventions for your service user/ patientsand effectively evaluate the outcomes of care. You will be able to recognise and respond towider issues such as behaviour, culture, socioeconomic factors and social policy that affecthealth and healthcare delivery Leadership, Management and Team WorkingDuring the year you will increasingly take greater responsibility for the management ofindividual care or a small group of service user/ patients. You will be able to manage care in arange of settings and at different points in the care pathway. You will be confident in yourabilities, be able to increasingly work independently and effectively work inter-professionally.You will understand clinical governance frameworks and be able to operate within theseframeworks. During the year you will begin to take responsibility to manage and lead otherseffectively. You will use your knowledge and understanding of evidence and social policy toexamine and create opportunities for service improvement and methods to enhance the careexperience.10

Completing the Practice StatementsFor each Practice Statement you are required to present a written account that demonstrates howyou have achieved the outcome. For the Compulsory Practice Statement you will need to provide awritten account for each of your practice experiences since this will be assessed each time.PLEThe remaining Practice Statements need to be completed throughout the year. It will be important toplan and prepare for the year so that you can carefully time your attempts at each of the PracticeStatements. It would not be appropriate to attempt all the statements in your first experience; neitherwould it be right to complete all the statements in your final experience. During the year you shoulddiscuss with the practice module team, Link Lecturers and Personal Tutors the nature of the practiceareas that you will be working in. Through these discussions you will receive advice and support onthe available learning opportunities and the Practice Statements that might be most appropriate toconsider in those areas.Your mentors will be invaluable in guiding and supporting your completion of the PracticeStatements. However, it will be important at the initial interview that you demonstrate through yourbackground reading and discussions with tutors at the University that you are prepared for learning inthe area.SAMIt will also be important to determine at the initial interview which Practice Statement you might wishto focus on. However, remember your development in relation to all the statements will be importantin each practice experience and although you might not be attempting to achieve all aspects of aparticular statement, you should still examine your practice and reflect on the nature of the skill in thatpractice context. You must also be aware that although a mentor in a different practice environmentmay have signed to confirm your achievement of a particular Practice Statement, mentors in futureexperiences will expect that you can maintain your level of performance in the context of theirpractice setting. If a mentor does not feel that this is the case then they may refer to the CompulsoryPractice Statement which expects you to evaluate your practice and recognise your level ofcompetence.To provide the appropriate evidence when you are completing your Practice Statements you willneed to reflect on your performance and consider this in relation to your learning, any previousexperiences and your future practise. In providing your written evidence for each of the PracticeStatements you should refer to the guidance notes that will be provided through your field practicemodule. You may also wish to consider the following which will help you to structure your thoughtsand aid your reflection 1.1 The Situation(s) - describe a situation or number of situations that relate to your performanceand practise of the particular skill Response- how did you respond or perform in the situation? Effectiveness - how effective was your performance or response? Learning - what have you learnt from this and how might you develop further?Developed by Garry Campbell, Senior Lecturer, University of Hertfordshire11

SAMPLETo continuously develop your practise it is important to reflect on your performance and toevaluate your learning throughout the programme. An important aspect of this is also toregularly read articles, journals and books that discuss the most up to date ideas andevidence in relation to all the different aspects of practice. In developing your reflective skillsand your knowledge you will be able to enhance your practise by effectively integrating bothyour theoretical and practice learning.12

The Assess

The preliminary interview and the practice learning agreement The intermediate interview Agreed action plan(s) The final interview incorporating the ongoing record of achievement (In the final practice experience of year 3 the on-going record of achievement will incorporate the ‘sign off’ mentor’s signature indicating proficiency for entry to the register.) A record .

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