Apprenticeship Learning Log

Date of Learning: March 31, 2023

Time: 9:30 -16:30

Title of learning activity: Introduction Day 5

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):

Gibbs:

Today’s learning activity consisted of the following:

• Uniform ordering
• VARK questionnaire results
• Care Delivery 1 – Practice Learning – Learning in the clinical area rather than working
• Moodle update
• SWOT Analysis and SMART objectives
• Feedback exercise on Week 1 Introduction

Uniform ordering

Each learner needed uniform to conform to the standard and behaviour. Details on how to order was shown and all questions were answered, and uniforms were successfully ordered.

VARK questionnaire results

Each learner introduced themselves to Emma, general practitioner, who joined in the learning activity. The VARK questionnaires of each learner revealed that most are in a multi-modal style in learning.

Care Delivery 1 – Practice Learning – Learning in the clinical area rather than working.

This learning was held in the simulation area that looks like a ward in a hospital. The same rules applied as if it was a real hospital.

This required:

Being mindful and respectful towards other learners, lecturer and most specially the patient.

Being self-aware of the patient’s feeling towards being touched or watched. Or even feeling intimidated just by someone standing next to them.

Respiration was discussed, how important it is and it’s the first sign to show that a patient is not feeling well.

The recommended time to take the respiration is a whole minute but in gold level it should be two minutes. No short cut.

It is also best not to take it in an obvious manner as this may affect the result and can make the patient uncomfortable and will breathe faster than normal. Note that new-borns’ oxygen saturation is around 60% to 70% after birth.

The importance of consent was emphasised by the lecturer.

Group task was given by splitting up into groups of two and taking each other’s respiration and oxygen saturation and recording it on the NEWS score.

Again, being mindful of self-awareness of each other feelings were repeated.

Moodle update

Vivek, a NEST technician, came and tried to sort the delay on the Moodle. It was humbling of him to continue his patient and support as there are things still not working on Moodle. A lot of questions were asked and Vivek patiently helped everyone.

SWOT Analysis and SMART objectives

SWOT Analysis

‘SWOT analysis or SWOT matrix is a strategic planning and strategic management technique used to help a person or organization identify Strengths, Weaknesses, Opportunities, and Threats related to business competition or project planning. It is sometimes called situational assessment or situational analysis.

‘(https://en.wikipedia.org/wiki/SWOT_analysis)

SWOT analysis can be helpful and harmful and origins can be internal or external. Analysing SWOT can help turn weaknesses into strength and treats into opportunities.

SMART objectives

‘Smart objectives are useful guide for setting objectives specially for performance management and personal development.’ (Moodle)

It gives realistic and timely objectives and breaking down each objective to achievable ones.

Feedback exercise on Week 1 Introduction

The lecturer asked for feedback anonymously. It was clear it will be used to improve the learners understanding of the Week 1 Induction and for lecturer’s insight.

The learning activity was a very helpful introduction for the Nursing Associate apprenticeship.

The uniform ordering was very straight forward.

VARK questionnaire results were a quick recap from the previous learning day.

Care Delivery 1 – Practice Learning – Learning in the clinical area rather than working was an introduction to where and how the lecture and simulation will be. It was an exciting time and hopefully more information will come in future lectures.

Moodle update was a bit confusing, but a lot of support was given, and assurance given that things would get better as soon as the Moodle is back on track.

SWOT Analysis and SMART objectives were very eye opening that there are ways to break down all things and make it possible without getting stressed out.

The word ‘achievable’ and ‘realistic’ stick to mind.

Feedback exercise on Week 1 Introduction made a relaxing time to reflect on the good aspects and even the unsure ones. It illustrates that nothing is perfect and there is still room for improvement.

 

References: https://en.wikipedia.org/wiki/SWOT_analysis and Moodle

KSBs addressed:

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.

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.

K3 Understand the professional responsibility to adopt a healthy lifestyle to maintain the level of personal fitness and well-being required to meet people’s needs for mental and physical care.

K4 Understand the principles of research and how research findings are used to inform evidence-based practice.

K5 Understand the meaning of resilience and emotional intelligence, and their influence on an individual’s ability to provide care.

K6 Understand and apply relevant legal, regulatory and governance requirements, policies, and ethical frameworks, including any mandatory reporting duties, to all areas of practice.

K7 Understand the importance of courage and transparency and apply the Duty of Candour

K13 Understand the contribution of social influences, health literacy, individual circumstances, behaviours and lifestyle choices to mental, physical and behavioural health outcomes.

K18 Understand and apply the principles and processes for making reasonable adjustments.

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

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.

K42 Understand and apply the principles of human factors and environmental factors when working in teams.

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.

S2 Keep complete, clear, accurate and timely records.

S3 Recognise and report any factors that may adversely impact safe and effective care provision.

S4 Take responsibility for continuous self-reflection, seeking and responding to support and feedback to develop professional knowledge and skills.

S6 Act as an ambassador for their profession and promote public confidence in health and care services.

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.

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

S33 Maintain safe work and care environments.

S40 Support and motivate other members of the care team and interact confidently with them.

S41 Monitor and review the quality of care delivered, providing challenge and constructive feedback when an aspect of care has been delegated to others.

S42 Support, supervise and act as a role model to nursing associate students, health care support workers and those new to care roles, review the quality of the care they provide, promoting reflection and providing constructive feedback.

S43 Contribute to team reflection activities to promote improvements in practice and services.

S44 Access, input, and apply information and data using a range of methods including digital technologies and share appropriately within 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.