Apprenticeship Learning Log
Date of Learning: 19/02/2025
Time: 9:30 – 16:30
Title of learning activity: The Nursing Process and Care Planning.
Diary of Learning activity
(itemise learning activity and reflect on the main points of learning from each. You should identify for each entry the relevant KSB)
Reflection on Learning Activity (include model of reflection e.g. Driscoll or Gibbs):
On today’s session we were discussing two very important and closely related concepts in healthcare, forming a systematic approach to patient care.
The Nursing process is a four – steps framework called: APIE
A – assess
P – plan
I – implement
E – evaluation
Used by Nurses to deliver quality, person centred and holistic care.
During patient assessment we identify patient needs. Checking patient Vital Signs.
During planning we established the changes and the impact on the problem and how to solve it. Making patient condition better.
During implementation, we carry out the planned intervention and provide care to achieve the goals, which is patient better condition or condition before nurse’s intervention.
Evaluation is a final step involves assessing the effectives of the interventions and adjusting the plan as needed.
Care planning is a written document that outlines the plan of care developed through the nursing process. It acts as a communication tool for healthcare professionals, ensuring continuity and coordination of care.
Nursing process and care planning improves:
- Quality care. The structured approach of the nursing process and care planning ensures that care is delivered in systematic and comprehensive manner.
- Patient safety, by documenting and following a plan of care, nurses can minimalised errors and ensure that patient receive the appropriate interventions.
- Improved communications, care plans facilitate communication among healthcare professionals, ensuring everyone is aware of the patient’s needs and plan of care.
- Patient involvement, care planning can be a collaborative process, involving the patient and their family in the development of their care plan.
- Improved outcomes by using the nursing process and care planning, nurses can work towards achieving positive patient outcomes.
Second subject discussed on today’s session was, Health Promotion – the process of enabling people to exert control over the determinants of health and improves their health.
Five core principles of health promotions:
- broad health concept
- participation
- action competence
- setting perspective
- health equality
Health promotion is essential, as healthier population creates better economy.
The Ottawa Charter for Health Promotion is a foundational document in public health. It was developed at the First International Conference on Health Promotion, held in Ottawa, Canada, in 1986, and organized by the World Health Organization (WHO).
The Ottawa Charter outlines five key action areas for health promotion:
- Build Healthy Public Policy
- Health should be a central consideration in all areas of policy (e.g., transportation, housing, education).
- Example: Implementing smoking bans or seatbelt laws.
- Create Supportive Environments
- Focus on making environments where people live, work, and play safe and supportive of healthy living.
- Example: Clean air policies, safe walking paths, access to parks.
- Strengthen Community Action
- Empower communities to take control of their health by increasing participation and ownership.
- Example: Community-led health campaigns or support groups.
- Develop Personal Skills
- Provide education and support to help people make healthy choices.
- Example: Health education in schools, workshops on nutrition or mental health.
- Reorient Health Services
- Shift the focus from treatment to prevention and health promotion.
- Example: More community-based services, preventive care programs.
Underlying Principles:
- Empowerment – Enabling people to take control of their health.
- Holistic view of health – Health is a resource for everyday life, not just the absence of disease.
- Equity – Reducing health disparities.
- Participation – People should be actively involved in decisions affecting their health.
- Intersectoral collaboration – Health promotion involves many sectors, not just healthcare.
KSBs addressed:
K11: Understand the factors that may lead to inequalities in health outcomes
K2: Understand the demands of professional practice and demonstrate how to recognise signs of vulnerability in themselves or their colleagues and the action required to minimise risks to health
K21: Understand co-morbidities and the demands of meeting people’s holistic needs when prioritising care
K22: Know how to meet people’s needs related to nutrition, hydration and bladder and bowel health
K23: Know how to meet people’s needs related to mobility, hygiene, oral care, wound care and skin integrity
K24: Know how to support people with commonly encountered symptoms including anxiety, confusion, discomfort and pain
K25: Know how to deliver sensitive and compassionate end of life care to support people to plan for their end of life
K26: Understand where and how to seek guidance and support from others to ensure that the best interests of those receiving care are upheld
S17: Protect health through understanding and applying the principles of infection prevention and control, including communicable disease surveillance and antimicrobial stewardship and resistance
S18: Apply knowledge, communication and relationship management skills required to provide people, families and carers with accurate information that meets their needs before, during and after a range of interventions
S23: Work in partnership with people, to encourage shared decision making, in order to support individuals, their families and carers to manage their own care when appropriate
S24: Perform a range of nursing procedures and manage devices, to meet people’s need for safe, effective and person-centred care