Highlights
Q1. Person-centered care (300 words)
(a) What is ‘person-centred care’? [2 marks]
Providing care that is respectful of, and responsive to, individual patient preferences, needs and values, and ensuring that patient values guide all clinical decisions.”
(Institute of Medicine, 2001)
• Treating each person as an individual;
• Protecting a person’s dignity;
• Respecting a person’s rights and preferences; and
• Developing a therapeutic relationship between the care provider and care recipient which is built on mutual trust and understanding
(b) Describe THREE ways you intend to demonstrate person-centre care in your clinical practice with patients and clients. [6 marks]
2. Evidence-informed care (300 words)
In preparation for clinical practice, you are required to demonstrate an understanding of the four components of evidence-informed care.
(a) Name the four components of evidence-informed care. [2 marks]
1. Evidence (findings/results from research);
2. The clinician's expertise;
3. The patient's or client's values and preferences; and
4. The context in which the care is required or given.
These four factors are combined to give the patient or client the best care possible to enhance their health outcomes.
(b) Define the four components named and provide an example why each one is important in nursing and/or clinical practice. [6marks]
These four factors are combined to give the patient or client the best care possible to enhance their health outcomes
3. Critical thinking and reflective practice (300 words)
(a) Identify and explain Brookfield’s four components of critical thinking [2 marks]
(b) Standard 1 of the Registered Nurse Standards for Practice (2016) requires that an RN ‘Thinks critically and analyses nursing practice’. How would you demonstrate that you are developing this skill when you are on clinical placement? [6 marks]
4. Caring for the Community (300 words)
In this unit we discussed 9 C’s of Caring.
Name and describe FOUR of the 9Cs of caring. [2 marks]
1)Competence
• Skilled performance
• Experience
• Knowledge
• Judgement
• Energy and motivation
• Evidence-based practice
• Critical thinking / clinical reasoning
• Theory application
• Attitude – respect
2) Conscience
• Moral, legal and ethical decision-making
• Accountability and responsibility
• Altruism
• Advocacy
• Autonomy
3) Communication
• Verbal communication
• clear and plain language
• Introduction: ‘hello, my name is…’
• What they would like to be called
• Non-verbal: body language, eye contact
• Learning to listen
• Between nurse, patient, family and other interdisciplinary team members.
• Essential to therapeutic relationships and teamwork
(b) Explain how these FOUR can be demonstrated by nurses in practice, with an example for each. [6 marks]
5. Ethics in nursing (300 words)
Please answer the following two questions based on the following scenario: You are working as a nurse in an aged care facility during an acute gastroenteritis outbreak. Many of the residents are affected by the symptoms of gastroenteritis (with various degrees of severity), but not all. Some residents have cognitive impairments, other do not. Some residents’ family members are insisting they be allowed to access their relative’s daily report. Some need to be allocated treatment-related resources that may deprive others. For example, nurses and other staff need to give residents affected by gastroenteritis more diligent and regular attention with toileting and person hygiene. Residents affected have been moved to single rooms with all new linen that is changed frequently that has resulted in restriction of linen available to other residents. Residents not affected are given a lower priority and sometimes need to wait longer for assistance with activities of daily living as staff are very busy. Extra personal protective equipment needs to be purchased and this has impacted on the faculty budget so extra activities such as music and art therapy has been reduced for that month.
(a) Briefly describe the nature of the power relation between nurses and patients in this scenario. In the light of this, explain why the fiduciary model is the legally prescribed model of the nurse/patient relationship (approximately 150 words). [4 marks]
(b) There are ethical considerations that arise in this scenario. Discuss two of these considerations, explaining their ethical nature by utilising one or more theories or principles you have learned about in this unit (approximately 150 words). [4 marks]
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