Apprenticeship Learning Log

Date of Learning: 08/09/2023

Time: 09:30 – 16:30

Title of learning activity: Introduction to public health policy, screening and the role of the nursing associate and Person-Centred Care

Diary of Learning activity

PROMOTING HEALTH

WHO (1946) Defines “Health” as a state of complete physical, mental, and social wellbeing and not merely the absence of disease.

Wellbeing. What it means to me is being healthy which includes eating a balanced diet, healthy weight, exercise quitting smoking and drinking less alcohol

Health promotion emerged as a process to move healthcare away from the hospital setting.

(Evans and fathers, 2017)

it’s the process of enabling people to increase control over and improve their own health. to promote information on telling people how to stay well.

Public health contributes to reducing the causes of ill health and improving people’s health and wellbeing through health protection: action for clean air, water and food, infectious disease control, protection against environmental health hazard, chemical incidents, and emergency response.

Health education is teaching people about health and how to live healthily. (Evans and fathers 2017)

health education enables individuals to understand and make decisions about their health.

The role of nursing associate within these areas.

It is important for nursing associate to be involved in primary care as primary care focuses on a range of activities within disease prevention and provides services for those at risk.

Primary care promote equality and holds understanding of health and recognises that good health is dependent on multiple determiners.

As a future nursing associate, our standard of proficiency (2018) is to promote health and prevent ill health.

Our key role is to improve and maintain the mental, physical, and behavioural health and wellbeing on people, families, communities, and populations. we support and enable people at all stages of life and in all care settings to make informed choice about how to manage health challenges to enjoy their quality of life and improve health outcomes.

We had a review of what is expected for the assessment for the module, as we are required to make a poster or leaflet.

KSB

K1. Understand the code: Professional standards of practice and behaviour for nurses, midwives, and nursing associates (NMC 2018), and how to fulfil all registration requirements.

K14. Understand the importance of health screening.

K17.  Understand commonly encountered mental, physical, behavioural, and cognitive health conditions as applied to delivery of care.

K19. Know how and when to escalate to the appropriate professional for expert help and advice.

K20. Know how people’s needs for safety, dignity, privacy, comfort, and sleep can be met.

K30. Understand the principles of health and safety legislation and regulations and maintain safe work and care environments.

K33. Understand when to seek appropriate advice to manage a risk and avoid compromising quality of care and health outcomes.

K36. Understand the roles of the different providers of health and care.

K41. Know the roles, responsibilities, and scope of practice of different members of the nursing and interdisciplinary team, and own role within it.

S1. Act in accordance with the Code: Professional standards of practice and behaviour for nurses, midwives, and nursing associates (NMC, 2018), and fulfil all registration requirements.

S5. Safely demonstrate evidence-based practice in all skills and procedures required for entry to the register: Standards of proficiency for nursing associates Annex A & B (NMC 2018)

S7. Communicate effectively using a range of skills and strategies with colleagues and people at all stages of life and with a range of mental, physical, cognitive, and behavioural health challenges.

S13.  Apply the aims and principles of health promotion, protection and improvement and the prevention of ill health when engaging with people.

S16. Promote health and prevent ill health by understanding the evidence base for immunisation, vaccination, and herd immunity.

B1. Treat people with dignity, respecting individual’s diversity, beliefs, culture, needs, values, privacy, and preferences

B2. Show respect and empathy for those you work with, have the courage to challenge areas of concern and work to evidence based best practice.

B3. Be adaptable, reliable, and consistent, show discretion, resilience and self-awareness.

Apprenticeship Learning Log

Date of Learning: 06/10/2023

Time: 09:30 – 16:30

Title of learning activity: Health behaviours and motivational interviewing

Diary of Learning activity

Health behaviours and motivational interviews the rationale behind helping an individual to make healthy lifestyle choices.

Standards for proficiency for registered nurses (NMC, 2018) explain and demonstrate the use of up-to-date approaches to behaviour change to enable people to use their strengths and expertise and make informed choices when managing their own health and making life-style adjustments.

As a future nurse, it is important to involve people in discussions about their health and care, as it will improve health and wellbeing and enable them to make informed choices about a healthy lifestyle.

As a future TNA we can influence behavioural change using motivational interviewing techniques. These methods help to discuss questions in an open manner as it is an opportunity to draw out and listen to an individuals’ experiences, we had a practice in class, and we use the OARS acronym.

O: Open ended question

A: Affirmations

R: Reflective listening

S: Summarising

Open question: to explore concerns, promote collaboration and understanding an individual.

affirmations: to support, strengths or agree to what the individual is explaining.

summarising: to organise discussion and highlight change.

afternoon

clinical judgement and sharp decision making

[clinical judgement is the process that enables nurses to make decisions based on nursing knowledge (evidence, theories ways/ pattern of knowing), critical thinking and clinical reasoning]

clinical judgement is a process in nursing that involves assessing the potential consequences (risk and benefits) of [possible alternative actions before committing oneself or the other (decision making)

factors that can influence over divided decisions.

1. experience as a nurse

our professional experience empathises and communicates with patients and helps decision making and nursing procedures to their circumstance.

ethical consideration in the decision-making process is.

autonomy: the tight of our individual to be involved in shared decision about their care.

beneficence: this is to ensure that clinical judgement always considers the welfare of an individual.

non-maleficence: is focusing on the risk-asses and assessing actual and potential problems.

justice: is the distribution of nursing interventions, resources, and help.

principle of shared decision makeup and application of practices

Health professional and service users work together to make decisions about treatment plan for the service user.

banters and facilitators to shared decision making.

[ time, resource, standardised approach to attitude, lack of decision aids]

decision making capacity: some senile user can provide a history but lack the ability to make informed health care decisions.

you need to determine whether an individual has decision-making capacity which is the ability to understand information related to health weighed choices and their consequences reason through the person and communicate a choice.

shared decision making is an advocate through policy and regulated by law it is required by law that health care professional to take reasonable care to ensure that the service user is aware of any material risk involved in any recommended treatment and of any reasonable alternative treatments.

KSB

K1. Understand the code: Professional standards of practice and behaviour for nurses, midwives and nursing associates (NMC 2018), and how to fulfil all registration requirements

K24. Know how to support people with commonly encountered symptoms including anxiety, confusion, discomfort, and pain.

K33. Understand when to seek appropriate advice to manage a risk and avoid compromising quality of care and health outcomes.

K41. Know the roles, responsibilities, and scope of practice of different members of the nursing and interdisciplinary team, and own role within it.

S1. Act in accordance with the Code: Professional standards of practice and behaviour for nurses, midwives, and nursing associates (NMC, 2018), and fulfil all registration requirements.

S5.  Safely demonstrate evidence-based practice in all skills and procedures required for entry to the register: Standards of proficiency for nursing associates Annex A & B (NMC 2018)

S7. Communicate effectively using a range of skills and strategies with colleagues and people at all stages of life and with a range of mental, physical, cognitive, and behavioural health challenges.

S9. Develop, manage, and maintain appropriate relationships with people, their families, carers and colleagues.

S32. Work collaboratively and in partnership with professionals from different agencies in interdisciplinary teams

B1. Treat people with dignity, respecting individual’s diversity, beliefs, culture, needs, values, privacy, and preferences

B2.  Show respect and empathy for those you work with, have the courage to challenge areas of concern and work to evidence based best practice.

B3.  Be adaptable, reliable, and consistent, show discretion, resilience and self-awareness.