150 EACH STANDARD and reference APA 7th edition
Part B of your portfolio requires you to demonstrate how you have met each of the seven Registered Nurse standards for Practice (http://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx) during your degree. You can either choose to address the standards as a whole or you may want to write under each subsection separately, or you may use a combination. There will be some overlap of how you have met different sections so you need to clearly mark which standard(s) you have met where. How you decide to present your portfolio is a personal decision however you are advised to look at various templates when compiling your submission. I have provided an example for you on BB. If there are some areas which you feel that you have not yet met, you should write how you plan to meet these during the remainder of your degree and PEP’s. You do not need to include the evidence to support how you have met each of these domains for this submission; however, you should note down what evidence you already have which would demonstrate to an employer that you have met a particular standard or that provides evidence to support a statement that you have made and where they would find it in your portfolio. If you would like feedback in regards to the appropriateness of the content of individual items of supporting evidence. It is recommended that you engage feedback at the appropriate workshop/s. Marking Criteria NRS73004: Marking Rubric: Portfolio Criteria High Distinction Distinction Credit Pass Fail Correct spelling, grammar and paragraphing throughout (5%) Exceptional paragraphing and no grammatical or spelling errors throughout. Grammar, spelling and paragraphing are essentially accurate. There are a few minor grammatical, spelling and paragraphing errors. Contains several minor grammatical, spelling and paragraphing errors. There are considerable grammatical, spelling and paragraphing errors. Portfolio is clearly and logically presented (5%) Exceptionally clear, logical, and thoroughly developed, and concise responses Very clear and logical development of ideas. Responses are clear and logical throughout. Clear and logical development of responses in the main. Minimal clear and logical development of ideas. Clearly articulates a philosophy of nursing, reflecting on own values and beliefs and linking these to theory and the professional standards/guidelines (30%). There is exceptional clear evidence of in-depth reflection/self-examination. Values and beliefs are clearly described and critically discussed in relation to theory and professional standards/guidelines Philosophy describes personal values and beliefs and these are related to the theoretical and professional ideas about what nursing is. Philosophy articulates some personal values and ideas about nursing and discusses these in relation to theory and professional standards/guidelines. Philosophy describes personal motivations for choosing nursing as a career choice but beliefs are rudimentary about the nature of nursing. Philosophy of nursing has very little depth of reflection evident. Clearly articulates how each of the Registered Nurse Standards for Practice (2016) have been achieved or provided a learning plan to achieve them (60%). Exceptional constructed responses demonstrating self-reflection and critical thinking. All 7 standards completed. All standards are supported by stating the potential evidence that will be used and is relevant to context. Cross referencing is clear and accurate. Clear, well thought out responses demonstrating self-reflection. All 7 standards completed. Potential evidence that will be used in support of standards is essentially accurate. Cross referencing is essentially accurate Each of the 7 standards has been met, however self-reflection and examples to support statements made could be more detailed. Some evidence is missing or not strong to be used in support of standards made. Cross referencing is accurate in the main with just a few minor inaccuracies. A basic response to each of the 7 standards has been provided with limited self-reflection or lacking detail. Statement of evidence to be used is missing for one of the standards. Contains several minor inaccuracies to cross referencing. Responses lack detail and do not demonstrate meeting the Standards of practice or one or more Standards for Practice have not been included. Potential supporting evidence has not been highlighted in two or more Standards of practice. No cross referencing or cross referencing is incorrect Example: Introduction: As per NMBA Registered Nurse Standards for Practice (2016) the below will highlight how I have demonstrated the required knowledge and skills to systematically conduct a holistic health assessment, analysing the data and communicating the same to both my preceptor and patient. STANDARD: 4 Comprehensively conducts assessments STATEMENT OF JUSTIFICATION: During my PEP4 placement I had the opportunity to undertake a new patient assessment on an Indigenous client in his own home. As part of the visit I had to perform several assessments; I firstly had to conduct a risk assessment to ensure that the visit was going to be safe for my mentor and myself. This was initially carried out over the phone using the NSW checklist and then upon arriving at the clients home I used my observation skills to pick up on any other cues that the visit may pose a risk to us or that the environment posed any safety hazards to the client such as the smell of gas or loose rugs etc. I then carried out an assessment of the client using excellent verbal and non-verbal communication skills to ascertain his understanding of what was happening, how he was feeling at the present time and the lead up to the events that had resulted in our visit. This was particularly important in ensuring that I was carrying out culturally appropriate care. I took every opportunity under my mentor’s supervision to carry out health education. I also used my assessment skills in taking his vital signs (HR, BP, RR, Temp, pain score, SpO2). I documented all of this appropriately. Following returning to the office I spent time with my mentor discussing the plan of care for the client including relevant referrals. Short and long term goals that we had set with the client during the visit were also discussed. Upon reflection I learnt a lot from this activity. I now feel much more confident in working alongside clients that are from a different culture to my own. I have also set myself some goals to improve my questioning in several areas such as asking about use of alcohol, drugs etc. which I had previously felt uncomfortable in asking. CROSS REFERENCING: 1.2, 1.3, 1.4, 1.5, 1.6, 2.2, 2.3, 2.4, 2.5, 2.6, 2.7, 3.2, 3.5, 36., 3.7, 4.1, 4.2, 4.3, 5.1, 5.2, 5.3, 5.4, 6.1, 6.2, 6.5, 7.3 EVIDENCE SUMMARY: PEP 4 report from CT Joe Bloggs dated 1/2/17 – Located in Practice context section of portfolio Personal reflection from PEP 4 – Located in Reflections section of portfolio Standards for practice: Registered nurses Nursing and Midwifery Board of Australia REGISTERED NURSE STANDARDS FOR PRACTICE 1 June 2016 NMP00011 2 Registered nurse standards for practice | Nursing and Midwifery Board of Australia | 1 June 2016 REGISTERED NURSE STANDARDS FOR PRACTICE Orienting statements Registered nurse (RN) practice is person-centred and evidence-based with preventative, curative, formative, supportive, restorative and palliative elements. RNs work in therapeutic and professional relationships with individuals, as well as with families, groups and communities. These people may be healthy and with a range of abilities, or have health issues related to physical or mental illness and/or health challenges. These challenges may be posed by physical, psychiatric, developmental and/or intellectual disabilities. The Australian community has a rich mixture of cultural and linguistic diversity, and the Registered nurse standards for practice are to be read in this context. RNs recognise the importance of history and culture to health and wellbeing. This practice reflects particular understanding of the impact of colonisation on the cultural, social and spiritual lives of Aboriginal and Torres Strait Islander peoples, which has contributed to significant health inequity in Australia. As regulated health professionals, RNs are responsible and accountable to the Nursing and Midwifery Board of Australia. These are the national Registered nurse standards for practice for all RNs. Together with the Nursing and Midwifery Board of Australia standards, codes and guidelines, these Registered nurse standards for practice should be evident in current practice, and inform the development of the scopes of practice and aspirations of RNs. RN practice, as a professional endeavour, requires continuous thinking and analysis in the context of thoughtful development and maintenance of constructive relationships. To engage in this work, RNs need to continue to develop professionally and maintain their capability for professional practice. RNs determine, coordinate and provide safe, quality nursing. This practice includes comprehensive assessment, development of a plan, implementation and evaluation of outcomes. As part of practice, RNs are responsible and accountable for supervision and the delegation of nursing activity to enrolled nurses (ENs) and others. Practice is not restricted to the provision of direct clinical care. Nursing practice extends to any paid or unpaid role where the nurse uses their nursing skills and knowledge. This practice includes working in a direct non-clinical relationship with clients, working in management, administration, education, research, advisory, regulatory, policy development roles or other roles that impact on safe, effective delivery of services in the profession and/or use of the nurse’s professional skills. RNs are responsible for autonomous practice within dynamic systems, and in relationships with other health care professionals. How to use these standards for practice The Registered nurse standards for practice consist of the following seven standards: 1. Thinks critically and analyses nursing practice. 2. Engages in therapeutic and professional relationships. 3. Maintains the capability for practice. 4. Comprehensively conducts assessments. 5. Develops a plan for nursing practice. 6. Provides safe, appropriate and responsive quality nursing practice. 7. Evaluates outcomes to inform nursing practice. The above standards are all interconnected (see Figure 1). Standards one, two and three relate to each other, as well as to each dimension of practice in standards four, five, six and seven. 3 Registered nurse standards for practice | Nursing and Midwifery Board of Australia | 1 June 2016 REGISTERED NURSE STANDARDS FOR PRACTICE Figure 1: RN standards Thinks critically and analyses nursing practice Engages in therapeutic and professional relationships Maintains the capability for practice Standard 1 Standard 4 Standard 5 Standard 6 Standard 7 C om prehensively conducts assessm ents D evelops a plan for nursing practice P rovides safe, appopriate and responsive quality nursing practice Evaluates outcom es