Assessment 4 – Clinical Reasoning and Care Planning

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Assessment Details:

• Topic: bachelor of nursing
• Document Type: Essay (any type)
• Subject: Medical & Nursing
• Deadline:*: As Per Required
• Number of Words: 1800
• Citation/Referencing Style: APA

ASSIGNMENT TASK

You are the registered nurse caring for a patient on their return to the hospital ward following surgery. You will be provided with the clinical scenario on the Interact2 site for this subject. Apply the clinical reasoning cycle to this scenario at the point in time in which you have assumed nursing care of the patient, to establish one priority goal of care. Use the headings of the clinical reasoning cycle to guide your thinking.

The following book chapter will guide you through each phase of the clinical reasoning cycle. It can be accessed via your subject Interact2 site.

Levett-Jones, T. (2018). Clinical reasoning: what it is and why it matters. In T. Levett-Jones (Ed.), Clinical reasoning: learning to think like a nurse (2nd ed., pp. 2-13). Pearson Australia.

For this purpose of this assessment, not all phases of the clinical reasoning cycle need to be responded to. The phases of the cycle that you need to discuss and their suggested word count are:

Phase 2- Collect information (300 words). 

Use a systematic assessment tool (e.g. Head-to-Toe, A2K or Primary/Secondary Survey) to collect all relevant objective and subjective data in the scenario.

A video overview of Assessment 4 from the Subject Coordinator:

 

Phase 3- Process information (500 words) 

Phase 4- Identify problems/ issues (300 words)

Phase 5- Establish goal of care (300 words). 

For the purpose of this assessment, identify and discuss one priority goal only, using the SMART goal format. For more information about SMART goals, see:

Doran, G. T. (1981). There’s a SMART Way to Write Management’s Goals and Objectives. Management Review, 70, 35-36.

Phase 8- Reflection (400 words)

Additional Information

• You do not need to include an introduction or conclusion.
• You must use the phases of the clinical reasoning cycle as headings (as provided above).
• Your responses must be written in full sentences and adhering to academic convention (no use of personal pronouns and no dot points).
• Approved nursing abbreviations and acronyms are allowed.
• A minimum of 10 current (less than 7 years old) and appropriate sources of information should be used to support the discussion. This includes peer-reviewed journals and text book and, policy/guideline documents. Inappropriate sources of information include blogs, Wikipedia, general information websites.

RATIONALE

SUBJECT LEARNING OUTCOMES

This assessment task will assess the following learning outcome/s:

• be able to conduct and document at a beginning level a systematic evidence based nursing assessment and risk screen (aligns with Nursing and Midwifery Board of Australia National Competency Standards for the Registered Nurse: 1.1 1.2 2.2 2.5 2.6 5.1 5.2 5.3 8.1 8.2 9.2).
• be able to participate in the planning and documentation of nursing care in consultation with individuals significant others and the interdisciplinary health care team in accordance with organisational and legal requirements (NMBA 1.1 1.2 2.2 2.5 6.1 6.2 6.3 6.4 9.2 10.3).
• be able to provide basic health education to clients in an effective manner including appropriate documentation (NMBA 1.2 2.5 2.6 7.7 9.2 9.3 9.4).
• be able to describe and demonstrate safe and legal medication administration via identified routes (NMBA 1.1 1.2 1.3 2.2 2.5 2.6 7.1 7.2 7.4 7.8 9.2 9.5).
• be able to demonstrate a broad factual knowledge base pertaining to health assessment and risk screening maintaining and enhancing skin integrity alteration in bowel and urinary function pre and post operative care and patient education (NMBA 1.1 1.2 2.2 2.6 3.2 5.1 5.2 7.3 7.4 7.7).

This assessment item will help you to develop several skills important to clinical nursing such as collecting subjective and objective data, prioritising the data and documenting the data, and developing a care plan. The phases of the clinical reasoning cycle will facilitate problem-solving and decision making, allowing you to prioritise the patient’s goals of care and to provide the best care.

GRADUATE LEARNING OUTCOMES

This task also contributes to the assessment of the following CSU Graduate Learning Outcome/s:

• Academic Literacy and Numeracy (Knowledge) – CSU Graduates understand the use and structure of appropriate language in written, oral, visual, mathematical, and multi-modal communication.
• Professional Practice (Knowledge) – CSU Graduates possess the knowledge and understanding of the discipline and the nature of professionalism required for the given profession or discipline in contemporary societies.

MARKING CRITERIA AND STANDARDS

Assessment Task 3: Marking Rubric

Adapted from the Laster Clinical Judgement Rubric (2007)

PRESENTATION

Scholarly papers, reports, or other similar assessment items must be ‘word processed’ and not handwritten. Requirements include:

• Leave 2 cm margins and double line space your work;
• Use 12pt font, unless otherwise indicated;
• Number all pages;
• Insert student name and number in header or footer of every page of every assignment; and
• Include a title page that includes the subject name and code, title of the assessment task, due date, lecturer’s name, student’s name and student’s number.

REQUIREMENTS

Referencing

Correct and consistent referencing is an important component of producing professional and credible academic work. Marks will be awarded for high quality referencing.

 

Related Questions and Answers

NRS122 Clinical Scenario Assessment 4 Answers

 

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