demonstrate an understanding of safeguarding in line with Standards for competence for registered nurses
Electronic submission via turnitin
Workbook
Welcome to NURS 1450 Leadership and Management in Adult Nursing
You are about to qualify as an adult nurse which is a complex and diverse field of nursing. The scenarios in this workbook provide you with the opportunity to apply knowledge of professional issues to realistic scenarios that you may face in the workplace.
It is important that you discuss and relate leadership and management styles and other relevant material taught in the module within these scenarios. You are advised to refer and include the NHS Leadership Model. You may also wish to link the impact of COVID 19 to the issues you discuss in the workbook.
These scenarios relate to the following professional issues:
- Care and compassion (compulsory)
- Time Management and prioritisation (option A)
- Risk management (option B)
- Safeguarding (option C)
You should complete two reports centred around a discussion of the professional issue in relation to the outlined scenario. Professional issue 1. Care and compassion is compulsory, you may choose 1 other and for each:
- Write a concise report of 1250 words therefore, total word allowance is 2,500. You may use sub-headings to structure your report
- Provide an overview of the professional issues raised in the scenario and outline the potential impact of these on patient outcome supported by relevant contemporary evidence.
- Critically discuss with rationale how you would respond to this scenario demonstrating safe and effective practice in line with The Code (NMC 2018)
- You should discuss related professional issues such as leadership, accountability, confidentiality and the patient experience.
- You should discuss practice implications in relation to relevant national or professional guidance and policy
- You may provide one reference list for both reports.
You should refer to additional guidance provided by the Module leader in the assignment preparation sessions on the Module and on the Module Moodle shell.
Professional issue 1 – Care and compassion (compulsory)
Being unwell or admitted to a hospital can be an extremely stressful life event. Adult nurses are in a privileged position to support patients through this time by providing compassionate care. This scenario provides an opportunity for you to demonstrate your understanding of compassionate care in line with Standards for competence for registered nurses (NMC, 2018).
(50%)
It is the night shift and you are looking after a 70 year old man admitted with an exacerbation of Chronic Obstructive Pulmonary Disease. After handover you notice that his mouth appears very dry and he asks for some water. He tells you he hasn’t had anything to drink all afternoon. His water jug is full but he tells you he can’t pour it himself due to the shakes in his hand caused by his medication. You challenge the day staff about this as they leave who respond that it has been so busy they didn’t even get a chance for a break. They say that the ward should have a housekeeper who could make sure patients get fed and watered as it’s not really their job.
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Your discussion must centre around care and compassion.
Professional issue 2 – Time management and prioritisation
Time management and prioritising clinical demands are challenges you will face throughout your career as a nurse. Whether you work in the community or acute health setting you will face constant demands on your time which will require you to make many clinical decisions. This scenario provides an opportunity to demonstrate safe and effective clinical decision making in line with Standards for competence for registered nurses (NMC, 2018).
(50%)
You are a newly qualified nurse working in an acute medical ward. You receive handover for a bay of six patients. The health care assistant you are expecting to work with has not arrived on shift yet. Patient 1 (Mr Brown) is frail and confused and is wandering around the ward. The night nurse tells you he has been a nuisance overnight which has prevented her doing much of her work. Patient 2 (Mr Green) has just arrived from the emergency department with pneumonia. The night nurse hands over that he still hasn’t received his first dose of intravenous antibiotics yet. She states that he seemed quite short of breath when she admitted him but hasn’t had a chance to review him as she has been trying to get the Mr Brown back to bed. Patient 3 (Mr Black) is a surgical patient and is due to go to theatre this morning for an appendicectomy. Patient 4 (Mr Grey) has been admitted with acute sickle cell crisis. He is requesting some subcutaneous morphine which is prescribed. You looked after the two other patients yesterday and understand they are in a stable condition. Directly after handover the consultant arrives and asks you to attend the ward round.
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Your discussion must centre around time management and prioritisation.
Professional issue 3 – Risk management
There are many risks in healthcare. Nurses must be able to safely recognise and assess risks and instigate prevention strategies appropriately. Risk cannot be totally removed from healthcare and incidents may occur occasionally. Nurses must be alert to recognise incidents when they occur and immediate incident management including immediate management and reporting. This scenario provides an opportunity for you to demonstrate safe and effective risk management in line with Standards for competence for registered nurses (NMC, 2018).
(50%)
You are admitting a patient to the ward. She has been admitted with a urinary tract infection and you learn that she has a history of mild dementia. She is partially sighted and you are informed she has left her glasses at home. She has a history of falls both at home and on previous admissions. She seems anxious about coming into hospital but says she doesn’t want to be a burden on the nurses as she knows you are so busy.
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Your discussion must centre around risk management.
Professional issue 4 – Safeguarding
Working as an adult nurse it is likely you will come into contact with vulnerable patients. A working knowledge of safeguarding is crucial in order to recognise potential safeguarding issues and take appropriate action. This scenario provides an opportunity to demonstrate an understanding of safeguarding in line with Standards for competence for registered nurses (NMC, 2018).
(50%)
You are a newly qualified nurse working in a community district nursing team. You visit a patient at her home to dress a non-healing surgical abdominal wound. During the visit you notice she seems more quiet than usual. You notice some bruising on her right face. Her husband is present while you are doing the dressing and when you ask how she got the bruise he answers stating that she hit her face on the kitchen door, joking that she is very clumsy.
Your discussion must centre about safeguarding.
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Reference
Nursing & Midwifery Council (2018) Standards for competence for registered nurses. London, NMC. Available online @ http://www.nmc-uk.org/Documents/Standards/Standards%20for%20competence.pdf
Useful Websites:
Department of Health https://www.gov.uk/government/organisations/department-of-health
National Institute for Health and Clinical Excellence http://www.nice.org.uk/
NHS England http://www.england.nhs.uk/
NHS Improving Quality http://www.nhsiq.nhs.uk/
NHS Leadership Academy http://www.leadershipacademy.nhs.uk/
Nursing & Midwifery Council http://www.nmc-uk.org
