Country : Australia
Assignment Task
 


Task
Assessment 2 provides a case study that identified potential challenges for new graduates and provides opportunity to propose evidence-based recommendations to address these problems.
Transitioning to professional practice is a critical phase for the novice Registered Nurse. Managing professional role requirements, organisational technologies, and team dynamics while on shift can be challenging. This is often accompanied by changed personal circumstances, with graduates balancing shift work, working full time and socialisation with friends and family. Using a case study, you will be required to identify potential challenges for new graduates and propose evidence-based recommendations to address these problems.
Critically analyse the provided case study to answer all of the following three questions within an essay format:
1. Determine and justify whether the graduate RN met (or did not meet) their role and responsibilities as an RN during this shift. Provide at least two (2) case study examples and support your discussion using evidence, including Nursing and Midwifery Board Australia (NMBA) Registered Nurse Practice Standards (2016).
2. Construct at least three (3) recommendations as to how the Graduate RN could have undertaken this shift differently. Consider in your discussion the knowledge, skills and attitudes inherent in the RN role, including utilisation of technology and teamwork skills, and justify your discussion with evidence.
3. Transitioning from student to Graduate Registered Nurse can be difficult. Construct and analyse at least two (2) evidence-based strategies that would support the Graduate RN’s work life balance and promote resilience during the transition period.
Marking rubric
Content and Critical Thinking: 45 marks
Comprehensive, concise discussion that is all directly relevant to the case study and the essay questions.
Clear identification of whether the graduate RN met their role and responsibilities. Comprehensive justifications provided. At least two (2) comprehensive and relevant case study examples provided.
Construction of at least three (3) clear and comprehensive recommendations as to what could have been done differently. Clear and comprehensive consideration of RN knowledge, including utilisation of technology and teamwork skills.
Construction and comprehensive analysis of at least two (2) comprehensive, clear and relevant strategies that would support the graduate RN’s work life balance and promote resilience.
Evaluation of the Evidence: 45 marks
Discussion is all supported and justified by high quality, credible and appropriate literature and evidence.
There is evidence of both depth and breadth of reading.
Mechanics and Intelligibility: 5 marks
There is a clear introduction and a clear concluding paragraph.
Cohesive writing that has information organised appropriately within each paragraph. Each paragraph relates to a discrete idea. There are clear linking sentences that links each paragraph to the next.
There are no errors with grammar, spelling and punctuation, and the meaning is easily discernible.
Referencing: 5 marks
Accurate use of APA referencing style on all occasions. Accurate and consistent use of a range of in-text citations throughout.
Instructions:
• Word limit is 1800 words (+/- 10%), including the introduction and conclusion
• Paper to be written in essay format, must answer the questions and should be written in academic writing style (not first person).
References: 18-20 references (equivalent to 1 reference per 100 words)
Case Study
Assessment Task Overview
Transitioning to professional practice is a critical phase for the novice Registered Nurse. Managing professional role requirements, organisational technologies and team dynamics while on shift can be challenging. This is often accompanied by changed personal circumstances, with graduates balancing shift work, working full time and socialisation with friends and family. The case study below highlights the professional and personal challenges you may face as a Graduate Registered Nurse.
Critically analyse the following case study to answer the essay questions.
Case Study Background
Toby is a Graduate Registered Nurse (RN) who is 8 weeks into his first graduate rotation at the local metropolitan, tertiary hospital. He is currently working on a Medical Ward. For the first four weeks Toby worked alongside his nurse preceptor, predominately rostered on morning shifts. Toby has just completed his first five (5) night shifts yesterday morning and is back on an afternoon shift today (Saturday).
Toby is still trying to manage his roster and other commitments like cycling with his friends and hiking. Today, Toby is feeling tired and frustrated because he slept through his alarm this morning and missed hiking activity to celebrate his best friend’s birthday. He is also disappointed that he can’t join his cycling group in the evening.
On Shift
Toby has arrived 15 minutes prior to this shift starting. On arrival, he realises that he hasn’t worked with the Nurse-in-Charge before but there are other nurses on the shift that he has met.
Toby feels a little nervous, but he knows two (2) of the patients he has been allocated from his recent night shifts and he is allocated a further two (2) patients who are to be discharged this afternoon. He has not arranged a discharge before, so he prioritises these activities as he prepares his shift planner.
A short time later the Nurse-in-Charge tells him that his patient allocations have changed due to skill mix. A different nurse will arrange one (1) patient discharge and Toby will be receiving a new patient from Emergency Department.

Mr Frank WIlliams 62 Trans Ischaemic Attack Requires minimal assistance Needs IVC to be removed
Ms Frances Fernandez 68 Hyperglycaemia Ready for discharge. Discharge paperwork has already been completed by morning shift nurse. Pharmacy has delivered discharge medications and has conducted patient education. Waiting for family to arrive and pick up.
Mr Gerald Sommersby 83 UTI Increasing confusion New admission from ED. Mr Sommersby is a Nursing home resident. He is a high falls risk.
Toby feels overwhelmed with the admissions and discharge. He is unsure how he will cope with the rest of his shift. Toby has not looked after a patient (Mr Somersby) who is confused, high risk of falls and wanders around the ward. He decides he must push on, and soon it is time for handover.
At handover, Toby realises that after he had not given Mrs Jones her IVAB. Toby had set the observation machine to take automatic observations. However, he had forgotten to go in and check this patient for the last 3 hours. Toby has not yet completed the admission documentation for Mr Somersby as he has been trying to stop him from wandering out of the ward. The nurse he his handing over to rolls her eyes when this information is handed over. Additionally, he has not completed any of his patient notes on the computer on wheels (COWS) machine. Toby stays 30 minutes after the end of his shift to complete his work.
Following his shift
On his commute home, Toby feels really stressed and feels that he did not provide sufficient care for Mrs Jones. He is frustrated with himself that he may have missed other things this shift and that he had to stay late to finish his patient notes. At home, he spends some time reflecting on his shift and plans to ask his nurse preceptor for any advice/tips on their next shift together.

 

 

    


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  • Posted on : October 25th, 2019
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