SCHOOL OF HEALTH SCIENCES BSc (Hons) Adult Nursing ASSESSMENT OF PRACTICE DOCUMENT MODULE 5
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1 SCHOOL OF HEALTH SCIENCES BSc (Hons) Adult Nursing ASSESSMENT OF PRACTICE DOCUMENT MODULE 5 Student's Name: Registration Number: Cohort: Personal Adviser: OVERALL RESULT OF ASSESSMENT(to be completed by the following the summative attempt) 1/ Have all learning outcomes been achieved and all elements of the Nursing Attributes passed at summative assessment?yes/no 2/ Has the student provided written evidence (max 3000 words) in support of the Assessment of Practice?YES/NO 3/ Have the views of service users and carers contributed to and informed the outcome of this Assessment? YES/NO (if NO please explain why within the summative interview record) Total mark awarded at summative assessment of nursing attributes: Signature of Mentor: Date: Signature of Student: Date: Signature of Moderator (If applicable): Date: Signature of Personal Adviser: Date: (N.B. the Personal Adviser is required to check and sign the document after submission by the student but prior to confirmation of the result by the Board of Examiners):- *Please be aware that in undertaking this summative assessment and completing the details below you are confirming that you are an active Mentor and accountable for your practice as outlined in NMC (2015) SLAiP guidance. Page 1
2 PLACEMENT INFORMATION: Practice Area Placement Dates (start/finish) Mentor Link Lecturer LEAD MENTOR INFORMATION & DECLARATION: Please be aware that in completing the details below you are confirming that you are up to date in your ship responsibilities. Should you have any arising concerns please discuss as a priority with your organisations Practice Education Lead. Name of Lead Mentor / Supervisor Signature Name of Practice Area Contact details (telephone and/or ) Date of last update: Due date of triennial review: Details of Additional Mentors / Spoke Supervisors: Each who contributes to the assessment of the student must complete the following details:- Names of Additional Mentor / Spoke Supervisor(s) Signature: Name of Practice Area: Contact details: (telephone and/or ) Date(s) PLEASE NOTE - This information must be comprehensively completed. Documents which are incomplete will not be accepted for submission. Page 2
3 EVIDENCE OF LEARNING AND ACHIEVEMENT IN PRACTICE The assessment of the achievement of practice learning outcomesis based on (a) direct observation, (b) discussion, (c) documentary evidence. It should take into account feedback from others, and also the student s own self-assessment. For each learning outcome, the student should indicate in the space provided what specific evidence has been made available to the against that With regard to documentary evidence, this should:- (a) demonstrate knowledge and understanding by referring to underpinning theory and evidence as appropriate (b) be approximately 3,000 words in length for each placement experience (c) be linked where possible to one or more episodes of individualised care, and include the following aspects of learning Skills development. A reflection on at least one clinical, interpersonal or professional skill acquired during the placement, with relevant underpinning knowledge. Professional awareness. A reflection on at least one professional issue observed or experienced by the student. The clauses of the NMC Code (2008) provide a useful framework for this. Opportunistic learning.a record of insights into other branches of nursing and the roles of other health care professions acquired as a result of visits, discussion, or shadowing others. The student should write brief notes on the roles and responsibilities of at least some of the other health care professionals encountered during the placement, highlighting how nurses work with these people. Critical incident analysis. Structured reflection using an appropriate model of at least one incident that promotes new insights into nursing whether through a novel encounter or revisiting a familiar situation or skill. Witness Statements. These may include statements from colleagues (other than the student s own ). Such a statement might include a brief description of the situation or skill and highlight what highlight key characteristics of the student s performance. Additionally, feedback from service users and carers can be a valuable aid to learning and assessment and should be considered bys in the assessment process.therefore students and s may ask for feedback, taking care to ensure that this is an empowering rather than coercive experience for those who are approached. STUDENTS PLEASE NOTE: The written supporting evidence of practice-based learning and achievement should not be handed in to the School with this Assessment of Practice Document, but placed in the student s Portfolio as directed in assessment guidance. Page 3
4 RECORD OF PRELIMINARY INTERVIEW This interview will be conducted by the student s (or, where not available, another suitably qualified health professional), and will take place by the end of the first week of the practice experience.issues that must be discussed include: (a) performance inprevious Assessments of Practice and progress within the Skill Development Profile; (b) any learning support needs that the student may have, such as dyslexia support in practice; (c) placement outcomes and nursing attributes assessment, and how these may be achieved; (d) the requirement for the student to collect and record supporting evidence of learning and achievement; (e) requirements and arrangements for support and supervision; (f) the hours the student will work, i.e. shift patterns, breaks, and the organisation of service delivery To be completed by the student:- I have been told the name of my Mentor (and Assistant Mentor, if any) Yes/No I have attended a Trust induction Yes/No I am aware of my responsibilities with regard to Health and Safety at Work Yes/No I am aware of my responsibilities with regard to infection control Yes/No I am aware of my responsibilities with regards to moving and handling Yes/No I am aware of the policies and procedures of the practice experience provider and know where to locate them Yes/No I know where the changing and comfort facilities are, and where refreshments are available Yes/No I have been introduced to other members of the team and, where, appropriate, service users Yes/No I am aware of my responsibility to gain consent from the service user Yes/No I am aware of my responsibility to ensure that the service user understands my role as a student nurse Yes/No I am aware of the learning opportunities available Yes/No I know the procedure for receiving and referring messages and enquiries Yes/No I know how to raise any concerns I may have about practice Yes/No I have shown the assessment of practice guidelines to my Yes/No I have made available previous Assessment of Practice documents and Skill Development Profile Yes/No Page 4
5 SUMMARY OF PRELIMINARY INTERVIEW DISCUSSION: Please confirm that the student has made available for review all previously undertaken Assessment of Practice documents and their Skill Development Profile: YES/NO Please include below any relevant comments upon individual learning needs, learning opportunities and mutual expectations: Date set for formative assessment: (usually the mid-point but no later than 3 weeks prior to the end of the placement) Signature of Mentor: Date: Signature of Student: Date: Page 5
6 1. Learning Outcome 1 Independently apply the principles of the code and the requirements of legal frameworks with confidence in complex care situations. ASSESSMENT The student should indicate here the evidence (observed, discussed, The student should indicate here any further evidence (observed, or documented) or achievement that has been made available to the discussed, or documented) of achievement that has been made On target to achieve outcome? YES/NO Outcome achieved? YES / NO The should comment here on the insufficiency of evidence of achievement and identify what further evidence is required to meet the The should evidence why the student has not met the Learning Outcomes. Page 6
7 2. Learning Outcome 2 Critically analyse and positively influence the functioning of the interprofessional team. ASSESSMENT The student should indicate here the evidence (observed, discussed, or documented) or achievement that has been made available to the The student should indicate here any further evidence (observed, discussed, or documented) of achievement that has been made On target to achieve outcome? YES/NO Outcome achieved? YES / NO The should comment here on the insufficiency of evidence of achievement and identify what further evidence is required to meet the The should evidence why the student has not met the Learning Outcomes. Page 7
8 Learning Outcome 3-Prioritise and practice safe and holistic nursing to meet the complex needs of people who are unable to meet their own. ASSESSMENT The student should indicate here the evidence (observed, discussed, or documented) or achievement that has been made available to the The student should indicate here any further evidence (observed, discussed, or documented) of achievement that has been made On target to achieveoutcome? YES/NO Outcome achieved? YES / NO The should comment here on the insufficiency of evidence of achievement and identify what further evidence is required to meet the The should evidence why the student has not met the Learning Outcomes. Page 8
9 Learning Outcome 4- Engage, maintain and where appropriate disengage from therapeutic relationships while respecting professional boundaries. ASSESSMENT The student should indicate here the evidence (observed, discussed, The student should indicate here any further evidence (observed, or documented) or achievement that has been made available to the discussed, or documented) of achievement that has been made On target to achieve outcome? YES/NO Outcome achieved? YES / NO The should comment here on the insufficiency of evidence of achievement and identify what further evidence is required to meet the The should evidence why the student has not met the Learning Outcomes. Page 9
10 Learning Outcome 5- Critically evaluate and demonstrate effective communication in diverse and challenging situations. ASSESSMENT The student should indicate here the evidence (observed, discussed, or documented) or achievement that has been made available to the The student should indicate here any further evidence (observed, discussed, or documented) of achievement that has been made On target to achieve outcome? YES/NO Outcome achieved? YES / NO The should comment here on the insufficiency of evidence of The should evidence why the student has not met the Learning achievement and identify what further evidence is required to meet the Outcomes. Page 10
11 Learning Outcome 6 Interpret and respond proactively to situations in which people are vulnerable, at risk or in need of support and protection. ASSESSMENT The student should indicate here the evidence (observed, discussed, or documented) or achievement that has been made available to the The student should indicate here any further evidence (observed, discussed, or documented) of achievement that has been made On target to achieve outcome? YES/NO Outcome achieved? YES / NO The should comment here on the insufficiency of evidence of achievement and identify what further evidence is required to meet the The should evidence why the student has not met the Learning Outcomes. Page 11
12 Learning Outcome 7 Promote informed choice regarding care and treatment including in situations where autonomy is compromised. ASSESSMENT The student should indicate here the evidence (observed, discussed, or documented) or achievement that has been made available to the The student should indicate here any further evidence (observed, discussed, or documented) of achievement that has been made On target to achieve outcome? YES/NO Outcome achieved? YES / NO The should comment here on the insufficiency of evidence of The should evidence why the student has not met the Learning achievement and identify what further evidence is required to meet the Outcomes. Page 12
13 Learning Outcome 8 Promote the concept, knowledge and practice of self-care with individuals using a range of communication skills and strategies. ASSESSMENT The student should indicate here the evidence (observed, discussed, The student should indicate here any further evidence (observed, or documented) or achievement that has been made available to the discussed, or documented) of achievement that has been made On target to achieve outcome? YES/NO Outcome achieved? YES / NO The should comment here on the insufficiency of evidence of achievement and identify what further evidence is required to meet the The should evidence why the student has not met the Learning Outcomes. Page 13
14 Learning Outcome 9 Undertake a risk assessment and formulate a risk management plan which maximises the opportunities for independence. ASSESSMENT The student should indicate here the evidence (observed, discussed, or documented) or achievement that has been made available to the The student should indicate here any further evidence (observed, discussed, or documented) of achievement that has been made On target to achieve outcome? YES/NO Outcome achieved? YES / NO The should comment here on the insufficiency of evidence of The should evidence why the student has not met the Learning achievement and identify what further evidence is required to meet the Outcomes. Page 14
15 Learning Outcome 10 Leads assessments with individuals with complex health problems. ASSESSMENT The student should indicate here the evidence (observed, discussed, or documented) or achievement that has been made available to the The student should indicate here any further evidence (observed, discussed, or documented) of achievement that has been made On target to achieve outcome? YES/NO Outcome achieved? YES / NO The should comment here on the insufficiency of evidence of achievement and identify what further evidence is required to meet the The should evidence why the student has not met the Learning Outcomes. Page 15
16 Learning Outcome 11 Develop plans of care and negotiate goals supported by evidence-based interventions within a range of adult health contexts. ASSESSMENT The student should indicate here the evidence (observed, discussed, The student should indicate here any further evidence (observed, or documented) or achievement that has been made available to the discussed, or documented) of achievement that has been made On target to achieve outcome? YES/NO Outcome achieved? YES / NO The should comment here on the insufficiency of evidence of The should evidence why the student has not met the Learning achievement and identify what further evidence is required to meet the Outcomes. Page 16
17 Learning Outcome 12-Critically and collaboratively evaluate the efficacy of nursing interventions. ASSESSMENT The student should indicate here the evidence (observed, discussed, or documented) or achievement that has been made available to the The student should indicate here any further evidence (observed, discussed, or documented) of achievement that has been made On target to achieve outcome? YES/NO Outcome achieved? YES / NO The should comment here on the insufficiency of evidence of The should evidence why the student has not met the Learning achievement and identify what further evidence is required to meet the Outcomes. Page 17
18 Learning Outcome 13 Safely use invasive and non-invasive procedures, medical devises and current technological and pharmacological interventions to provide information and take account of individual needs and preferences. ASSESSMENT The student should indicate here the evidence (observed, discussed, The student should indicate here any further evidence (observed, or documented) or achievement that has been made available to the discussed, or documented) of achievement that has been made On target to achieve outcome? YES/NO Outcome achieved? YES / NO The should comment here on the insufficiency of evidence of achievement and identify what further evidence is required to meet the The should evidence why the student has not met the Learning Outcomes. Page 18
19 ASSESSMENT OF NURSING ATTRIBUTES PLEASE NOTE: Feedback from Service Users and Carers (wherever appropriate) should be considered and represented in completion of the aspect of Assessment The student must score a mark of 2 or above in each element of the assessment of nursing attributes in order for an overall pass to be awarded. o Where the mark of 1 unsatisfactory or 5 exceptional is awarded for attribute evidence MUST be provided within the comment box to illustrate the student s behaviour and level of performance. 1 = Unsatisfactory performance 2 = Satisfactory performance (but some aspects in clear need of improvement) 3 = Good performance (consistent with most other students, taking into account the stage in the programme) 4 = Excellent performance 5 = Exceptional performance (Adapted from: Knight J.(1998) A Fieldwork award: rewarding Excellence in Practice, British Journal of Occupational therapy, 61.7, ). Used with permission. Nursing Attribute 1. Behaves in a professional manner (e.g. time-keeping; adherence to placement dress code) 2. Has a personable and approachable manner 3. Demonstrates positive effort 4. Recognises and respects professional boundaries 1 st (formative) Insert mark (between 1 and 5) 2 nd (summative) Insert mark (between 1 and 5) Page 19
20 5. Is flexible and adaptable in the light of changing circumstances 6. Demonstrates insight into effects of behaviour on others 7. Expresses emotion appropriately and sensitively 8. Displays a mature attitude 9. Demonstrates consistent motivation 10. Displays an appropriate level of confidence 11. Actively supportive of clients, carers and colleagues 12. Demonstrates appropriate initiative 13. Displays a non-judgmental attitude towards others 14. Demonstrates insight into feelings and experiences of others 15. Considerate of the needs of others Page 20
21 16. Recognises and values contribution of others 17. Takes appropriate responsibility for any difficulties encountered 18. Demonstrates insight into own strengths and weaknesses 19. Responds positively to constructive feedback 20. Has become a valued and respected team member Total PLEASE NOTE: Following submission Assessment of Practice is subject to a moderation process undertaken by the School of Health Sciences. This will involve review of the process of assessment, marks awarded and evidence/ commentary documented to ensure parity wherever possible. Where there are any queries that arise s may be contacted by their link lecturer prior to final confirmation of the marks awarded o Students achieving overall marks of below 45 and above 85 will be subject to a moderation process. o A sample of other documents will also be considered. Page 21
22 SUMMARY OF ASSESSMENT This interview will be conducted by the student s (or, where not available, another suitably qualified health professional). The interview will take place at least three weeks before the end of the placement. Supplementary interviews may be arranged if required. Issues to be discussed include: (a) a review of the student s progress to date, including and specific strengths and weaknesses; reference should be made to the learning outcomes, attitudinal assessment, and Skill Development Profile (b) a review of mutual expectations and arrangements for support and supervision. (c) a review of work in progress towards supporting written evidence of learning and achievement. If, at this stage, the student s progress is giving cause for concern, the should notify the link lecturer (or, where not available, the student s personal adviser or the Course Director) and invite him/her to attend the interview. RECORD OF INTERVIEW(including a summary of strengths and areas for development) Signature of Mentor: Signature of Student: Date: Date: Signature of Moderator/attending Link Lecturer: Date: (if applicable) Page 22
23 SUMMARY OF To take place during the last week of the placement.all learning outcomes must be achieved and the nursing attributes assessment passed in order for an overall pass to be recorded. Assessment is on a pass/fail basis. Mentor s comments on the student s performance, including any specific strengths and areas for development: (Please continue on a separate sheet if necessary.) FEEDFORWARD- in your future placements it will be important for you to focus upon: Signature of Mentor: Date: Signature of Student: Date: Signature of Moderator / attending Link Lecturer: Date: (if applicable) Page 23
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25 MENTOR/ ASSOCI ATE MENTOR EVALUATION FORM Please complete this f orm and leave it attached to the assessment document where it will be removed OR Remove the f orm and f ill it in separately and return it to: The School of Health Sciences, School Support, Edith Cavell Building, University of East Anglia, Norwich, NR7 7TJ Field of Placement * * Please enter the placement type i.e Mental Health, Child, Adult, Learning Disabilities Mentor Name (optio nal): Link Lecturer: Trust / employing o rganisat ion Student Field & Cohort: S13 ADULT Name of Practice Learning a rea Date: 1. I had adequate preparation to f ulf il my role as 2. The students appeared prepared f or the placement 3. Students are able to access me 40% of the time 4. I was able to contact the link le cturer f or support if needed 5. I understood how to complete the assessment document(s) Strongly disagree Disa gree Agree Strongly agree N/A Please use the space below to elaborat e on any of the above statements or ad d any f urther comments about your experience as a in this p lacement Please use the reverse of this form if you need more space
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