Highlights
Task:
Instructions to Student General Instructions
Students must participate in the Observational workplace simulated activity conducted during your practical sessions as directed by your teacher this may be done in groups with discussion time
Information / Materials provided:
Information may be obtained through your knowledge from your readings and assessment 1, you may also use mobile phones to research information during the practical activity
Work, Health and Safety:
As required by the simulated work place
Number of Attempts:
You will receive up to two (2) attempts at this assessment task. Should your 1st attempt be unsatisfactory (U), your teacher will provide feedback and will arrange a date for your 2nd attempt. If your 2nd attempt is unsatisfactory (U), or you fail to attend on the date scheduled for the 2nd attempt, you will receive an overall unsatisfactory result for this assessment task. Only one re-assessment attempt may be granted for each assessment task. For more information, refer to the Student Rules.
Assessment Criteria:
To achieve a satisfactory result, your assessor will be looking for your ability to demonstrate the key skills/tasks/knowledge attached to this subject to an acceptable industry standard:
Detailed information is included in the marking criteria. Ensure that you review the scenarios / marking criteria carefully prior to your practical days to ensure that all the criteria are met.
Questions for Case study 1
1.List the steps you would take to ensure your patient’s needs could be met.
2.Describe how you would feel if you were Margaret
3.What supports are in place for Aboriginal and/or Torres Strait Islander patients at your local hospital?
How can you promote culturally safe services and programs to enhance participation?
Outline strategies that may encourage self-determination and community control of the services and programs available
How can all the elements discussed in this question be evaluated
Case study 2
You are asked to work a few more shifts on the Orthopaedic Ward. In your efforts to provide a better service to your patients and establish respectful relationships, you read the case notes thoroughly for all patients to become informed of their needs. The doctor’s round will also be staring soon so you want to be prepared.
Margaret’s granddaughter May has come to the ward quite early in the day, and is chatting to some of the women in the shared rooms. You think ‘that’s nice’, and note that she seems to know a lot of the Aboriginal women quite well. Feeling a bit concerned that she is here so early, (because visiting hours don’t start for another hour) you decide to wait for May to finish her conversations to talk to her. You then keep reading.
Someone sits down next to you at the desk, and picks up the nurse’s station phone. You look up to see May dialling an internal number, and paging a social worker. She begins to read something from a patients file….one if the ladies she had been speaking to earlier.
By this time your surprise has given way to panic; this is a breach of confidentiality! Reaching out you remove the file from in front of May and she looks surprise at the other end of the phone to ‘just hold for minute’. ‘What are you doing?” she asks. You then explain the confidential and privacy policy in great detail, including why she isn’t allowed to read files, use the internal phone and visit outside of the normal hours. You then ask that she go to the other side of the nurse’s station. She tells you she needs to “speak to ‘the aunties’” before the rounds commence so she can report any issues to the doctors and address any needs. You question her about her relationship with these ‘aunties’, and state ‘you can’t be related to all of them”.
May doesn’t say anything at all, but stands up and holds out something she is wearing around her neck. Which turns out to be her hospital identification. “Aboriginal Liaison Officer”
Another day, another apology.
Questions for Case study 2
Provide your answers to the following questions
1.What assumptions did you make about May prior to seeing her identification?
2.What are your actions immediately following this incident?
3a.How could you engage with May to promote a more culturally safe workplace for her?
3b.List some things you could do to develop a good interpersonal working relationship
4.Think about the places you have completed your semester 1 vocational placement in and evaluate the extent of how cultural safety is integrated into that workplace (you can also refer to other workplaces you have experienced if you wish)
Case study 3
You are required to submit your responses to the following case study scenario, which builds on the previous 2 scenarios about ‘Margaret’
There are 2 discharges this morning, and it is your role to ensure that all goes well. Your clients will need for you to ensure they have transport organised, understand the post discharge plan and instructions, and complete all paperwork
Margaret is an elderly Aboriginal lady (who is known to you) is being discharged from hospital following her orthopaedic surgery. You are assisting Margaret to pack her belongings and await her granddaughter to one to attend for a discussion around exercise, follow up appointments and contacts for any problems that Margaret may have. You are aware that other members of her family will be collecting her to take her home soon.
Your second patient to be discharged this morning is unknown to you. They had minor orthopaedic surgery a few days ago, and only need minimal instructions before they can leave. As you have learned a recent lesson about appropriate care for your patients, you read the notes thoroughly and note they have a small amount of English, but will need translation for more detailed information. There are no notes around transport home, and the next of kin contact number is not picking up. You then make a point of introducing yourself as best you can, and let them know through hand gestures that you can assist them to pack their bag if they would like. As Margaret’s granddaughter is one of the Aboriginal liaison officers, you decide to wait for her to ask for her assistance. You need to know who will be transporting them to home (noting they are from an island off the northern coast, to where transport can be quite difficult).
May arrives, and asks you if everything is ready for Margaret to be discharged. You reply that that you need to talk about the discharge plan before Margaret leaves, but ask if they could quickly help you with another matter, and ask them to follow you to the other patient’s room. ….is hesitating, saying that she needs to know who is in the other room. You tell her ‘it’s ok’, because this is another Aboriginal person
The patient sees May and quickly averts his eyes, struggling to turn around on the bed. May also becomes visibly upset and runs out of the room. You follow her and find she is distressed, and says ‘you shouldn’t have done that!’ She explained she cannot speak with or look at this patient, and that she will be ‘in trouble’ because of this. When you ask why , she just says ‘culture, and that’s all I can say‘
Once again, you feel that you need to apologise, however you don’t know what you have done.
Where did you go wrong? Provide your answers to the following questions.
Questions for Case study 3
1.List any potential cultural reasons for May’s and the patient’s reactions.
2.Describe how you would approach May and the patient to apologise, and what you would say to them both that will bring healing to the situation
3.What strategies could you now put into place for promoting cultural safety for Aboriginal and/or Torres Strait Islander patients at your workplace and their communities?
4.How can you involve Margaret and May in the planning and delivery of services and programs when she is discharged?
5.Reflecting on how these 3 case studies have affected Margaret, how would you prevent this from happening to someone else?
6.As part of the discharge process Margaret is to attend an outpatient’s rehabilitation program at her local community health centre. Discuss the following points
How can you as a nurse promote this program to Margaret and May?
Who would you involve to ensure that Margaret participates?
How can you assess if Margaret has the confidence to participate in this community program when she is discharged?
What follow up strategies can you put into place to assess and evaluate the effectiveness of the rehabilitation program?
Margaret has missed a few days of her rehabilitation, who would you communicate with in the healthcare setting and Aboriginal islander people to revise strategies to ensure that Margaret completes her rehabilitation
How can you promote culturally safe services and programs to enhance participation?
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