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Subject:
Health, Medicine, Nursing
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English (U.K.)
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Topic:

Coordinating Care and Becoming the Autonomous Practitioner

Essay Instructions:

 

 

Contents:

The work you submit for this assignment must be your own independent work. More information is available in the ‘Assignment Task’ section of this assignment brief.



Assignment Information

Module Name: Coordinating Care and Becoming the Autonomous Practitioner

Assignment Type: Practice based clinical skill and written work



Course work 2

Word Count (10 credits)(or equivalent): CW2 – (1000 +/- 10%) word case study which is based upon the achievement of proficiency(s) that you have completed in practice.

Learning Outcomes:



ILO3: Initiate management and leadership skills to take the lead in coordinating, delegating and supervising collaborative care safely, including managing risk ensuring public safety.



ILO5: Be capable of leadership in decision making to promote, plan and prioritise service delivery.



Through the case study, acknowledgement of the important elements of patient care, as well as building on one’s knowledge base can be demonstrated.

Assignment Type: CW2

Percentage Grade (Applied Core Assessment). You will be provided with an overall grade between 0% and 100%. To pass the assignment you must achieve a grade of 40% or above.


Assignment Task

** This is not a reflective piece of work it is an opportunity to link evidence-based care to your practice experience**

Why do we do what we do? Are we effective, How, and why we might improve?



CW2: Selecting the case study.

The case study is an academic essay not a reflective piece of work and must be written in 3rd person supported by relevant references.

The case study must be based on a nursing intervention related to the achievement of proficiency(s) during placement 4 by a student nurse under supervision of a registered healthcare professional. This may involve a single or group of individuals depending on the care environment. It should not cover the whole of the patient’s stay in hospital or be descriptive of care that you have provided over 1 shift.

The case chosen must enable discussion of the skills that were employed by the student to demonstrate ability to take leadership and manage patient care effectively which encompasses coordinating, delegation, decision making, prioritisation, supervision, collaborating and managing risk to maintain patient care. Throughout the case study the focus must remain on the patient/case and role played by the student nurse.

Do not simply describe tasks rather discuss/debate/critique rationale behind your actions supported by references in line with evidence-based practice. Always maintain confidentiality.

Proof-read your work and ensure that it is grammatically sound, and that citations and references are recorded correctly in line with APA format. Double space with a font size of 12 (Times New Roman/ Calibri/ Arial). Please submit with a front sheet.





Introduction approximately 200 words (to include case outline)

The introduction must outline what proficiency the case study about. Who is involved? What elements of the learning outcome will you cover (e.g., ‘This essay will discuss/examine/consider…’).

It then includes several sentences which describe the main ideas (elements of the learning outcomes) of the essay and the order in which they will appear (e.g., ‘First the essay will explore…. Then/Secondly it will…. Finally, /Lastly it will….’).

State overall focus that it is a case study based on achievement of a specific proficiency(s) or that it concerns patients or clients for whom you have provided care. Include statement of maintenance of confidentiality (NMC, 2018) Do not identify the person: Use a ‘pseudonym’ e.g., Alan or Joan. State within your introduction that you are using a ‘pseudonym’ with this being supported by your citing the Nursing and Midwifery Council’s (NMC) The Code (NMC, 2018) in that you are respecting people’s right to privacy and confidentiality. Likewise, you must NOT identify your practice placement or any staff with whom you have been working.



Second paragraph: Set the scene, patient details and Condition

Outline your patient case including medical history (physical/ psychological), significant events, main issue, relevant anatomy and physiology or co-morbidities, social history. Be succinct (1 paragraph should suffice)!!!! only include details that are relevant to the proficiency (s) and student nurse’s role with evidence-based practice.



MAIN BODY Approximately 700 words

The body of an essay consist of paragraphs that are organised into main ideas (please use provided essay planning template to develop your ideas). Paragraphs must discuss one main idea at a time. The idea must relate to the patient/case and the student nurse’s involvement in the aspect of care.

When moving on to a new paragraph/main idea within the body of the essay, use signal phrases such as ‘first’, ‘secondly’, ‘next’ or ‘finally’, along with the key words of the next main idea. These topic sentences make it clear to the reader that the essay is moving from one idea to another.

 

Throughout discussions do not just describe tasks aim to critique, analyse, or evaluate by considering relevant theory and related arguments. Ensure to make obvious how it all links with the case study and student’s role. In this way, you are integrating theory with practice and your case study will not just be descriptive.

 

Areas for consideration within the body (this is not exhaustive):

  • What knowledge, skills, behaviours (KSBs) the student employed to demonstrate ability to manage and take leadership? What is the relevant theory and related arguments?

  • What knowledge, skills, behaviours (KSBs) the student employed to supervise, collaborate etc (check full details of areas to consider in the learning outcomes) for the patient care interventions they participated in. Any tools used. What is the relevant theory and related arguments?

  • Throughout discussions consider the policies, laws, guidelines that informed all the students’ knowledge, skills, behaviours (KSBs) above.

  • Throughout discussions consider who else was involved and what role they played in assisting the student to achieve the proficiency (s) and include applicable supervision arrangements to maintain safety

  • Was the student’s leadership and management effective? Were there barriers or challenges? How were these overcome?





Conclusion: Approximately 100words

  • State the main points gleaned from the case study.

  • Do not introduce new material OR idea



Reference List:

Please follow university guidance on referencing VERY IMPORTANT TO ADHERE TO THIS



Submission Instructions:

Do proof-read your work and ensure that it is grammatically sound, and that citations and references are recorded correctly. HLS Assessment Brief Double space with a font size of 12 (Times New Roman/ Calibri/ Arial). Please submit with a front sheet.

Use only academic sources to support your work.

 

Front sheet (Essential):

  • Module code and title

  • Coursework 2 - Case Study

  • Student number (and as a footer/ header on each page)

  • Word limit 1000 +/- 10% (State actual word count excluding reference list)





Student Responsibilities and Academic Integrity



It is the student’s responsibility to: • Read the A1- Examinations and Assessment: responsibilities of students’ policy accessed via the student portal which covers all aspects of the exam process, including general conduct before and during the exam and the procedures for dealing with cases of academic dishonesty.

Use of Artificial Intelligence

The University expectations for how AI tools might be used in any assessments fall into the three categories outlined below:

o Red – no use of AI tools permitted; reserved for assessments in examination conditions i.e., Examinations, OSCEs and Vivas.

o Amber – AI can be used to assist the assessment task as specified by the module team.

o Green – integral, use of AI is designed into the task. Students will demonstrate critical engagement with AI tools. As a requirement equitable access must be ensured.

This assignment is in the RED category – The use of AI is limited or Not allowed as this lacks student nurse therapeutic relationship within clinical practice and also undermine academic integrity (Not Recommended)

Please note:

To pass (40%), level 7 students are expected to demonstrate a systematic understanding of knowledge and a critical awareness of current problems and/or new insights at the forefront of their academic discipline. They will show a comprehensive understanding of techniques applicable to their own research or advanced scholarship and originality in the application of knowledge. They will have a practical understanding of how established techniques of research and enquiry are used to create and interpret knowledge in the discipline. They will be able to evaluate methodologies, develop critiques of them and where appropriate propose new hypotheses. They will be competent in dealing with complex issues and make sound judgements in the absence of complete data. They will have the ability communicate their conclusions clearly to specialist and non-specialist audiences, demonstrating self-direction, creativity and originality in tackling and solving problems. They will act autonomously in planning and implementing tasks at a professional level and exhibit the qualities and transferable skills necessary for professional employment. Please find the marking criteria below on how your submission will be graded.



Development of Skills and Attributes

This module aims to develop your professionalism and integrity and self-management skills within variety of clinical setting as outline in the learning outcome

. Communicate effectively; Able to develop and exhibit effective communication and interpersonal skills which demonstrate safe, effective compassionate care .

Act with integrity; Ability to work and make decisions efficiently, demonstrate professionalism and integrity within recognised professional, ethical and legal frameworks, able to value other people’s contribution, compassionate, caring and have respect for others and self. Ability to control emotions especially during stressful times. Work within agreed nursing processes and nursing professional code of practice and standards of proficiency. Maintain dignity and well-being of others.

Adapt approach; To recognise the need to share and disseminate information within the multidisciplinary team, and with service users and carers. Adapt to change and modify care to meet specific needs for individuals. Be responsible and accountable for information disseminated to promote safe, evidence-based nursing practice, able to work more independently in the provision of care and decision-making process.



. Think creatively; Evidenced based critical analysis and creative thinking to make relevant changes to improve the quality of care delivered and in making sound decision best for the individual patients. Develop the skills required to demonstrate self-management in a variety of settings.



Get things done; Effective working and accomplishment of care activities and holistic approach to person-centred care and decision making. Develop basic competence skills in demonstrate ability to manage and take leadership and supervisory role under supervision for safe delivery and in becoming the autonomous Practitioner.

 



Assignment Support and Academic Integrity

If you have any questions about this assignment please see the Student Guidance on Coursework for more information.

Spelling, Punctuation, and Grammar:

You are expected to use effective, accurate, and appropriate language within this assessment task.

Academic Integrity:

The work you submit must be your own, or in the case of groupwork, that of your group. All sources of information need to be acknowledged and attributed; therefore, you must provide references for all sources of information and acknowledge any tools used in the production of your work. We use detection software and make routine checks for evidence of academic misconduct.

It is your responsibility to keep a record of how your thinking has developed as you progress through to submission. Appropriate evidence could include: version controlled documents, developmental sketchbooks, or journals. This evidence can be called upon if we suspect academic misconduct.

If using Artificial Intelligence (AI) tools in the development of your assignment, you must reference which tools you have used and for what purposes you have used them. This information must be acknowledged in your final submission.

Definitions of academic misconduct, including plagiarism, self-plagiarism, and collusion can be found on the Student Portal. All cases of suspected academic misconduct are referred for investigation, the outcomes of which can have profound consequences to your studies. For more information on academic integrity please visit the Academic and Research Integrity section of the Student Portal.

Support for Students with Disabilities or Additional Needs:

If you have a disability, long-term health condition, specific learning difference, mental health diagnosis or symptoms and have discussed your support needs with health and wellbeing you may be able to access support that will help with your studies.

If you feel you may benefit from additional support, but have not disclosed a disability to the University, or have disclosed but are yet to discuss your support needs it is important to let us know so we can provide the right support for your circumstances. Visit the Student Portal to find out more.

Unable to Submit on Time?

The University wants you to do your best. However, we know that sometimes events happen which mean that you cannot submit your assessment by the deadline or sit a scheduled exam. If you think this might be the case, guidance on understanding what counts as an extenuating circumstance, and how to apply is available on the Student Portal.

Essay Sample Content Preview:



Coordinating Acute Care for Atrial Fibrillation in the Emergency Setting: A Case Study of Leadership and Evidence-Based Practice

Your Name

Course and SectionProfessor’s Name

July 25, 2025

Introduction

The case study is going to delve into nursing leadership, coordination, and clinical decision-making used in the provision of emergency services to a patient following the steps of atrial fibrillation with rapid ventricular response (AF with RVR). The competency gained is based on carrying out phlebotomy and cannulation procedures safely, coordinating the work with the professionals of other fields, and the management of risks in a high-acuity environment. This case occurred in the context of a placement at the department of the Accident & Emergency (A&E), where I was supervised by a registered nurse. It is specifically used to emphasize the initiative shown by the student nurse who exercised clinical judgment in order to help the team by providing high-risk intervention- DC-synchronized cardioversion. To comply with The Code, confidentiality is ensured through a pseudonym (Nursing and Midwifery Council [NMC], 2018). The essay will start with a description of the clinical condition and presentation of the patient. It will next assess the manner in which the student nurse maintained coordination of care by way of leadership, communication, and technical skills (Whitehead et al., 2021). Finally, it will look into the evidence base of these practices and evaluate the areas where improvements are possible.

Case Overview and Patient Context

Mr. Jones (pseudonym) consulted A&E with AF with RVR; he was found with a heart rate of 145 bpm, blood pressure of 154/75 mmHg, respiratory rate of 19, temperature of 36.9, and oxygen saturation of 100% on room air. Although he was not hypoxic, tachycardia caused him to be haemodynamically unstable. As a form of response, the medics had drawn a DC synchronized cardioversion approach after the first diagnostics. The student nurse was tasked with obtaining a complete set of vital signs, insertion of intravenous access, and the acquisition of acute bloods, including the troponin level. The student assisted the team, which was interdisciplinary, to establish emergency apparatus and kept watch over the patient before and after the intervention.

Leadership and Procedural Execution

The use of ideas of both technical and non-technical leadership abilities is demonstrated by the role of the student nurse in the described case. Student nurses should be allowed to show autonomy and supervision in time-dependent procedures, in particular. An intravenous cannula was a peripheral intravenous cannula, which needed technical skills, sterile handling, and patient assurance. Surveys have shown that when learnt early, venepuncture and IV cannulation increase confidence and patient safety.

In accordance with local policy, the student also took blood samples to measure biochemical and cardiac markers, which are a fundamental aspect in the treatment of AF with potential myocardial involvement. This was an act that supported the NMC proficiency framework, which required prioritisation of care (NMC, 2018). The student has ensured that any clinical decisions are made in time by elevating abnormal observations and showing a leadership quality called situational leadership, where leadership qualities are conceptualized (Hersey and Blanchard, 2013; Tiffen et al., 2014; Turner and Wilson, 2021).


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