Over many years the organisation and delivery of nursing care has been forged by differing models of care as a result of economic and social changes (Tiedman & Lookinland 7003). Recently, the Garling Report (7008) and the NSW Models Of Care program (7006) triggered several model-of-care projects, including ?Take the Lead?, ?WoW?, and ?Essentials of Care?. These represent professional nursing initiatives in devising improved systems of nursing care in response to recent developments in demand on health services by managerial developments, consumer needs, and the economics of health-care.
Duffield et al (7051) have shown, however, that nursing unit managers, faced with decisions regarding the organisation of care in their particular work setting, tend to base their decisions on pragmatic factors, such as skill-mix available, rather than any pre-conceived model of care.
Chiarella & McInnes (7051) point out that new styles of managerial control of large acute care hospitals have reduced the effective managerial scope of nurses, with consequences for the kind of care nurses can provide to patients.
What emerges is a situation of tension between perspectives shaped by nursing?s professional insight into optimal care for patients (reflected in the models of care), and managerial and resource factors which are real but not necessarily responsive to patient needs.
The Assignment
The Reflection Assignment asks you to draw on things you have engaged with in 55017 to develop an informed reflection on how consumer needs, skill mix issues, and demands on nursing decision-makers might affect the implementation of professionally devised models of care.
The Reflection Assignment asks you to draw on things you have engaged with in 55017 to develop an informed reflection on how consumer needs, skill mix issues, and demands on nursing decision-makers might affect the implementation of professionally devised models of care.
The task is this:
? Choose one of the models of care (MOC) that you have been introduced to this semester: information about these can be found at the NaMO website (Dept of Health).
? Using the reading provided, and the website information, consider the implications for your chosen MOC of the following things:
o The importance of a professional commitment by nurses to develop models of care which express nursing insight into optimal care for patients
o The actual and potential consequences for your chosen MOC of:
? Changes in the management arrangements of acute care hospitals
? The increasingly ?pragmatic? styles of decision-making forced on unit managers faced with resource shortage problems
o The need to ensure that models of care reflect appropriate legal and ethical standards of care.
? Choose one of the models of care (MOC) that you have been introduced to this semester: information about these can be found at the NaMO website (Dept of Health).
? Using the reading provided, and the website information, consider the implications for your chosen MOC of the following things:
o The importance of a professional commitment by nurses to develop models of care which express nursing insight into optimal care for patients
o The actual and potential consequences for your chosen MOC of:
? Changes in the management arrangements of acute care hospitals
? The increasingly ?pragmatic? styles of decision-making forced on unit managers faced with resource shortage problems
o The need to ensure that models of care reflect appropriate legal and ethical standards of care.
? Prepare a written reflection on your understanding of these implications for the MOC, and
? Close your reflection by addressing the following question:
o Given your evaluation of the impact of the issues listed on your chosen MOC, would implementation of this MOC allow proper expression of the ANMAC Nursing Competencies, or would it compromise
? Close your reflection by addressing the following question:
o Given your evaluation of the impact of the issues listed on your chosen MOC, would implementation of this MOC allow proper expression of the ANMAC Nursing Competencies, or would it compromise
these Competencies?
Set out your paper in four Sections. The ?topics? for each Section are set out below.
Please do not write out the ?topic? questions in your final submission: you need only indicate ?1.?, ?7.?, and so on, and then proceed to write your response.
1. The chosen Model of Care is??????
Please do not write out the ?topic? questions in your final submission: you need only indicate ?1.?, ?7.?, and so on, and then proceed to write your response.
1. The chosen Model of Care is??????
7. What is the main focus or purpose of this Model? Briefly indicate what elements are essential to it.
a. EXPLANATION: All the Models of Care are, broadly, concerned with patient care. However, each Model has a distinctive emphasis or focus. The distinctive focus and the aspects of the Model essential
a. EXPLANATION: All the Models of Care are, broadly, concerned with patient care. However, each Model has a distinctive emphasis or focus. The distinctive focus and the aspects of the Model essential
to it are what you must attend to here.
3. Discuss the prospects of effective implementation of the Model in light of the various constraints (clinical, legal, and ethical) described and reviewed in the available readings (required and other).
a. EXPLANATION: Here you need to use the required readings (see below).
a. EXPLANATION: Here you need to use the required readings (see below).
3. Given your responses in 1-3, would the Competencies relevant to RNs be allowed proper expression with the implementation of the Model, or would they be compromised in some way? Give clear reasons.
Requirements
Required reading for the Assignment is as follows:
? Tiedman & Lookinland
? Duffield et al
? Chiarella & McInnes (7051) ?Who to turn to? ?Knowing the ropes? in an underbounded health care system?, Contemporary Nurse, 381 (1-7): 51-70
? Atkins et al (7077), Ethics and law for Australian nurses, Cambridge Uni Press, Melbourne, Chapter 3.
? The Garling Report (relevant sections)
Required reading for the Assignment is as follows:
? Tiedman & Lookinland
? Duffield et al
? Chiarella & McInnes (7051) ?Who to turn to? ?Knowing the ropes? in an underbounded health care system?, Contemporary Nurse, 381 (1-7): 51-70
? Atkins et al (7077), Ethics and law for Australian nurses, Cambridge Uni Press, Melbourne, Chapter 3.
? The Garling Report (relevant sections)
Recommended reading:
? Gordon, S. (7006) ?Beyond the bedside: what do nurses really do??
? Gordon, S. (nd), ?How are nursing roles and nursing work organised??
3
? Gordon, S. (7006) ?Beyond the bedside: what do nurses really do??
? Gordon, S. (nd), ?How are nursing roles and nursing work organised??
3
Submission of assignment
The Assignment id to be submitted through the Turnitin portal located in the ?Reflection Assessment? folder, Assessment compartment, of the Online site.
Length: 7100 words
Due date: Sunday June 5th, 77:35pm
Weighting: 30% of total subject mark
______________________________ End Document ___________________________________
AHPRA Registered Nurse Competencies.
Atkins Britton and de Lacey, Ethics and Law for Australian Nurses,
7071, Cambridge University Press, Chapter 3.
Crisp J and Taylor C, Potter and Perry?s Fundamentals of Nursing,
Elsevier, Sydney, 7071, Chapter 73, Communication
Davidson, P. & Elliott, D. 7008, Managing approaches to nursing
delivery, In Transitions in nursing, Chang, E. & Daly, J, 7nd Edn,
Sydney, Churchill Livingstone, Elsevier
Gordon S, Beyond the Bedside, What do Nurses Really do? July
August 7006. Ohio Nurses Review, 81, 3, 8-5.
The Ways of Working Model of Care on the Nursing and Midwifery
Office Page of the NSW Health website
http://www.health.nsw.gov.au/nursing/projects/Pages/wow.aspx
Usher K and Holmes C, 7006, Reflective Practice, What, Why and
How, In Contexts of Nursing an Introduction, by Daly J, Speedy S
& Jackson D, eds., Chapter 8.
UTS
READ THE INFORMATION ON THE NAMO OFFICE PAGE RE THE WOW MODEL OF CARE AND WATCH ALL OF THE FOLLOWING VIDEO
https://www.youtube.com/playlist?list=PLpXDJ5In7QhQ5IiC8aQw- VMR381Xt78AU7&feature=view_all
The Assignment id to be submitted through the Turnitin portal located in the ?Reflection Assessment? folder, Assessment compartment, of the Online site.
Length: 7100 words
Due date: Sunday June 5th, 77:35pm
Weighting: 30% of total subject mark
______________________________ End Document ___________________________________
AHPRA Registered Nurse Competencies.
Atkins Britton and de Lacey, Ethics and Law for Australian Nurses,
7071, Cambridge University Press, Chapter 3.
Crisp J and Taylor C, Potter and Perry?s Fundamentals of Nursing,
Elsevier, Sydney, 7071, Chapter 73, Communication
Davidson, P. & Elliott, D. 7008, Managing approaches to nursing
delivery, In Transitions in nursing, Chang, E. & Daly, J, 7nd Edn,
Sydney, Churchill Livingstone, Elsevier
Gordon S, Beyond the Bedside, What do Nurses Really do? July
August 7006. Ohio Nurses Review, 81, 3, 8-5.
The Ways of Working Model of Care on the Nursing and Midwifery
Office Page of the NSW Health website
http://www.health.nsw.gov.au/nursing/projects/Pages/wow.aspx
Usher K and Holmes C, 7006, Reflective Practice, What, Why and
How, In Contexts of Nursing an Introduction, by Daly J, Speedy S
& Jackson D, eds., Chapter 8.
UTS
READ THE INFORMATION ON THE NAMO OFFICE PAGE RE THE WOW MODEL OF CARE AND WATCH ALL OF THE FOLLOWING VIDEO
https://www.youtube.com/playlist?list=PLpXDJ5In7QhQ5IiC8aQw- VMR381Xt78AU7&feature=view_all
YOUR TASK HERE ?
1. Nurses in their daily practice need to practice in accordance with the expectations of the Registered Nurse Competencies and the Faculty of Health Graduate Attributes.
7. After reading and watching the video about the WOW Model of Care, reflect on how the WOW model facilitates those nurses, meeting the standards expected by the Registered Nurse Competencies and the Faculty of Health Graduate Attributes?
3. How does this model of care facilitate those nurses meeting their legal and ethical obligations to patients?
Use the literature above in your answers
800 -5100 words
TASK THREE
Write a brief reflection on what you have learnt that you believe will help improve your clinical practice and aid your professional development from the reading and work of this assignment.
700 words
800 -5100 words
TASK THREE
Write a brief reflection on what you have learnt that you believe will help improve your clinical practice and aid your professional development from the reading and work of this assignment.
700 words
Z Not yet satisfactory P Basic, adequate quality C Good, sound quality D Very high quality HD Outstanding quality Professional Dimension of Nursing Not addressed, or poor understanding of this theme. Little or no grasp of relevant attributes or their relation to MOC. Professional Dimension of Nursing At least some main attributes noted, and relationship of these to chosen MOC basically described. Professional Dimension of Nursing Plausible identification of relevant attributes; basic, clear and mostly adequate explanation of relation to MOC provided. Professional Dimension of Nursing Relevant attributes confidently identified; very competent explanation of relation to MOC provided: clear evidence of understanding Professional Dimension of Nursing Very resolved and insightful identification of relevant attributes. Explanation reveals fine depth of understanding.
Professional Insight (PI) & Learning Experience (LE)
Professional Insight
Little or no use of required reading. Inadequate ability to identify, explain implications.
Professional Insight
Little or no use of required reading. Inadequate ability to identify, explain implications.
Learning Experience
Little or no evidence of independent learning, or reflective evaluation of implications. Professional Insight (PI) & Learning Experience (LE)
Professional Insight
Required reading (mostly) referred to. Identification of implications mostly adequate; explanation of these basic and clear. Some omissions tolerable.
Little or no evidence of independent learning, or reflective evaluation of implications. Professional Insight (PI) & Learning Experience (LE)
Professional Insight
Required reading (mostly) referred to. Identification of implications mostly adequate; explanation of these basic and clear. Some omissions tolerable.
Learning Experience
Some evidence of independent learning. Evidence of basic but adequate evaluation of implications. Professional Insight (PI) & Learning Experience (LE)
Professional Insight
Required reading all used, and plausibly integrated into discussion. Identification, explanation of implications is accurate and sound.
Some evidence of independent learning. Evidence of basic but adequate evaluation of implications. Professional Insight (PI) & Learning Experience (LE)
Professional Insight
Required reading all used, and plausibly integrated into discussion. Identification, explanation of implications is accurate and sound.
Learning Experience
Clear evidence of ability to reflect with understanding. Evaluation of implications indicates independent capability. Professional Insight (PI) & Learning Experience (LE)
Professional Insight
Required reading all used, and very capably integrated.
Identification, explanation of implications managed with evidence of a clear and competent grasp.
Clear evidence of ability to reflect with understanding. Evaluation of implications indicates independent capability. Professional Insight (PI) & Learning Experience (LE)
Professional Insight
Required reading all used, and very capably integrated.
Identification, explanation of implications managed with evidence of a clear and competent grasp.
Learning Experience
Capability for independent reflection and evaluation very evident. Clear that student understands learning experiences and can articulate these as such. Professional Insight (PI) & Learning Experience (LE)
Professional Insight
Required reading all used, very well integrated into text.
Identification, explanation of implications shows significant and mature insight into these.
Capability for independent reflection and evaluation very evident. Clear that student understands learning experiences and can articulate these as such. Professional Insight (PI) & Learning Experience (LE)
Professional Insight
Required reading all used, very well integrated into text.
Identification, explanation of implications shows significant and mature insight into these.
Learning Experience
Independence of thought and insight clear and sophisticated: shows a maturity well beyond average.
Independence of thought and insight clear and sophisticated: shows a maturity well beyond average.
General Literacy No use, or inadequate use, of literature.
Text unclear, incoherent in places.
Referencing poor.
General layout unhelpful General Literacy Basic and adequate use of literature: may be some oversights, misunderstandings.
Text clear enough, and sufficiently coherent.
Referencing (mostly) adequate.
Layout is clear. General Literacy
Literature well understood.
Text always clear and coherent.
Referencing good.
Layout helpful: enhances readability. General Literacy
Very good understanding of literature.
Text is clear, coherent throughout.
Referencing impeccable.
Layout positively enhances readability. General Literacy
Excellent understanding, use of literature.
Clarity, coherence of text: at high level.
Referencing impeccable.
Layout positively enhances readability.
Marking criteria
Text unclear, incoherent in places.
Referencing poor.
General layout unhelpful General Literacy Basic and adequate use of literature: may be some oversights, misunderstandings.
Text clear enough, and sufficiently coherent.
Referencing (mostly) adequate.
Layout is clear. General Literacy
Literature well understood.
Text always clear and coherent.
Referencing good.
Layout helpful: enhances readability. General Literacy
Very good understanding of literature.
Text is clear, coherent throughout.
Referencing impeccable.
Layout positively enhances readability. General Literacy
Excellent understanding, use of literature.
Clarity, coherence of text: at high level.
Referencing impeccable.
Layout positively enhances readability.
Marking criteria
REFLECTION ASSIGNMENT - How to understand the Grading Rubric
The Reflection Assignment Grading Rubric comprises three categories of evaluation. Below is an explanation of these categories, and how they apply to the Assignment.
Refer to the Assignment Information document while reading this explanation.
Category 1. ?Professional Dimension of Nursing?
o ?The importance of a professional commitment by nurses to develop models of care which express nursing insight into optimal care for patients? (Assignment Information)
The Reflection Assignment Grading Rubric comprises three categories of evaluation. Below is an explanation of these categories, and how they apply to the Assignment.
Refer to the Assignment Information document while reading this explanation.
Category 1. ?Professional Dimension of Nursing?
o ?The importance of a professional commitment by nurses to develop models of care which express nursing insight into optimal care for patients? (Assignment Information)
What this Category asks: What professional attributes are needed, other than clinical competence, for the ability to develop nursing-based models of care?
Category 7. ?Professional Insight (PI) & Learning Experience (LE)?
o ?The actual and potential consequences for your chosen MOC of:
? Changes in the management arrangements of acute care hospitals
? The increasingly ?pragmatic? styles of decision-making forced on unit managers faced with resource shortage problems
o The need to ensure that models of care reflect appropriate legal and ethical standards of care.
? Close your reflection by addressing the following question:
o Given your evaluation of the impact of the issues listed on your chosen MOC, would implementation of this MOC allow proper expression of the ANMAC Nursing Competencies, or would it compromise these Competencies?? (Assignment Information)
Category 7. ?Professional Insight (PI) & Learning Experience (LE)?
o ?The actual and potential consequences for your chosen MOC of:
? Changes in the management arrangements of acute care hospitals
? The increasingly ?pragmatic? styles of decision-making forced on unit managers faced with resource shortage problems
o The need to ensure that models of care reflect appropriate legal and ethical standards of care.
? Close your reflection by addressing the following question:
o Given your evaluation of the impact of the issues listed on your chosen MOC, would implementation of this MOC allow proper expression of the ANMAC Nursing Competencies, or would it compromise these Competencies?? (Assignment Information)
What this Category asks:
(i) Professional Insight: using the required reading, are you able to identify, describe, and explain the likely implications for your chosen MOC of the managerial arrangements in acute-care hospitals, the necessity for ?pragmatic? decision-making by NUMs, and the recommended legal/ethical standards to be met by any MOC?
(i) Professional Insight: using the required reading, are you able to identify, describe, and explain the likely implications for your chosen MOC of the managerial arrangements in acute-care hospitals, the necessity for ?pragmatic? decision-making by NUMs, and the recommended legal/ethical standards to be met by any MOC?
(ii) Learning Experience: Do your responses in this section of the assignment show evidence of independent learning and development of understanding of the professional dimension of nursing? Are you able to convey a reflective evaluation of the implications written about ? beyond simply registering these implications?
Category 3. ?General Literacy?
What this Category asks:
? Have you used the core/required readings?
? Have these been used in ways which contribute to development of your response, and not mere ?references??
? Is the writing clear and coherent?
? Is the work organised well?
What this Category asks:
? Have you used the core/required readings?
? Have these been used in ways which contribute to development of your response, and not mere ?references??
? Is the writing clear and coherent?
? Is the work organised well?
End Document
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