Apprenticeship Learning Log

Date of Learning: 04/10/24

Time: 13:30-16:30

Title of learning activity: Care delivery: Session 10: Nutritional Support and Artificial Feeding

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)

Learning outcomes:

Apprenticeship Learning Log

Date of Learning: 28/02/2025

Time: 09:30-16:30

Title of learning activity: End Point Assessment Preparation

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)

What?

The lecture is about End Point Assessment (EPA) offered crucial insights into the completion of the Nursing Associate Apprenticeship programme and transitioning into a professional practice. Important topics included the Nursing and Midwifery Council (NMC) standards, revalidation, necessary tasks for program completion and the transition into the workforce. Throughout the lecture, I acquired an understanding of the significance of maintaining a learning log, ensuring that hours are properly documented, completing the ePAD documentation and submitting a declaration affirming ‘Good Health and Good Character.’

Revalidation is a significant aspect which mandates the renewal of NMC registration every three years. This procedure includes the accumulation of clinical practice hours, continuing professional development (CPD), feedback collection, and the preparation of written reflections. The lecture also highlighted the critical components of the transition, such as the significance of preserving academic resources and regularly checking email updates to facilitate effective communication with the NMC.

So What?

The lecture made me realise the complexity of transitioning from student to a registered Nursing Associate. It underscored the important roles of organisation, accountability and self-reflection in achieving professional standards. I recognised that completing required task promptly would prevent unnecessary delays in registration. The revalidation discussion reinforced the importance of continuous learning and self-improvement, ensuring that I remain competent and up to date with best practices.

In evaluation my readiness, I identified areas for improvement where I could enhance my efficiency in managing documentation. While I have participated in Continuing Professional Development (CPD) activities and received feedback related to my practice, I had not consistently documented these experiences. This realisation prompted me to take a more proactive stance, ensuring that I fulfil all revalidation requirements without the pressure of last-minute preparations. Moreover, the session reinforced the significance of interdisciplinary collaboration and maintaining professional conduct. As I approach my registration as a Nursing Associate, it is important that I follow to the NMC Code, ensuring that my practice is safe, effective, and ethical. The guidance provided on the transition process also served as a reminder to actively pursue my registration and to notify my employer once the process is finalised.

Now what?

To ensure a smooth transition into professional practice, I have outlined the following action plan:

1. Complete required tasks: I will review my ePAD and learning log to ensure all hours are signed off and all documentation is complete before submission.

1. Organise revalidation documentation: I will establish an organised framework for documenting CPD activities, practice-related feedback, and reflective insights. I will also update my CPD log following each educational engagement
2. Strengthen self-reflection: Utilising the NMC reflective accounts form, I will systematically record my experiences and the feedback received to enhance my professional practice and prepare for initial revalidation.
3. Ensure professional registration preparedness: I will verify that my university has submitted my information to the NMC and will keep my contact information current. I will also notify my employer once my registration has been confirmed.
4. Commit on ongoing professional development: I will participate in study days, seek out learning opportunities, and solicit feedback from experienced colleagues to further enhance my professional competencies.

Apprenticeship Learning Log

Date of Learning: 13/09/2024

Time: 13:30-16:30

Title of learning activity: 13/09/2024 Delivering Quality Care through Evidence Based Practice: Session 3: Evidence based practice in healthcare and frameworks

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):

Learning outcomes:

Learning outcomes:

1. Asking question about evidence-based practice
2. Understand what is evidence-based practice

What?

Session 3 focused on evidence-based practice (EBP) in healthcare, highlighting its significance in enhancing the quality of care. The session discussion detailed how the integration of research evidence, clinical expertise, and patient preferences to guide healthcare decisions. The session acknowledged the foundational work of Florence Nightingale, particularly her use of data to enhance hospital environment. Additionally, frameworks were presented to offer a systematic method for implementing EBP. The session also addressed obstacles to EBP adaptation, including limited resources, resistance to change, and the necessity of critical appraisal.

So what?

This session underscored the importance of EBP in ensuring high-quality, patient centred care. The focus on frameworks clarified how to systematic approach to integrating evidence into clinical practice, effectively bridging the gap between theory and practical application. The example set by Florence Nightingale motivated me to appreciate the value of observation, data collection, and critical thinking as vital competencies in my role as a Nursing Associate (NA). Reflecting on barriers such as limited resources and resistance to change enabled me to identify potential challenges in promoting EBP. Furthermore, its emphasised the importance of combining clinical judgement with evidence to meet the distinct needs of each patient.

Now what?

In the future, I aim to actively integrate EBP principles into my practice by consistently seeking and evaluating peer-reviewed research from resources such as systematic reviews and clinical guidelines. I intend to utilise frameworks to guide my problem-solving and decision-making processes. To address potential obstacles, I will commit to promote a culture that values EBP. Through these efforts, I aspire to enhance the provision of safe, effective and patient centred care, in alignment with the standards set by the Nursing and Midwifery Code (2018).

KSB addressed:

Apprenticeship Learning Log

Date of Learning: 11/10/2024

Time: 13:30-16:30

Title of learning activity: Care Delivery 2: Safe Medicate exam

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):

Learning outcomes:

What?

I completed a Safe Medicate exam as part of my Nursing Associate training. The exam assessed my competency in medication calculations, including dosage and conversions, to ensure safe and accurate administration of medications. Although I had prepared by practising calculations and reviewing guidelines, I found some questions challenging due to time pressure and anxiety.

So what?

This experience highlighted the critical importance of accuracy in medication administration for patient safety. The areas I performed well in, such as basic dosage calculations, boosted my confidence, but the challenges I faced underscored the need for more practice. the exam also made me realise how anxiety can impact performance and decision-making, which is a potential risk in real clinical settings. Reflecting on this, I recognised that improving my mathematical skills and building confidence under pressure are essential for my role.

Now what?

To enhance my skills, I will dedicate more time to practising medication calculations, focusing on complex scenarios. I will use resources such as safe medicate practice modules and seek support from my colleagues for areas I find challenging. Additionally, I will explore stress management techniques, such as mindfulness, to reduce anxiety during exams and in clinical practice. by continuously reflecting on my progress and seeking feedback, I am to strengthen my medication administration skills, ensuring patient safety and meeting the standards required for my role as a Nursing Associate.

Apprenticeship Learning Log

Date of Learning: 29/11/2024

Time: 13:30-16:30

Title of learning activity: Delivering Quality Care through Evidence Based Practice: Session 8: Searching for relevant literature evidence

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):

Learning outcomes:

What?

In this session, we learned how to find and evaluate information for academic clinical research. The lecture covered search strategies, source selection, evaluation techniques, and referencing. We explored Boolean searching (and, or, not) to refine searches, truncation and wildcards to broaden results, and google advanced search to locate credible sources. The session also explained the pros and cons of books, journals, and websites with an emphasis on peer-reviewed sources for reliability. We were introduced to the CRAAP test (Currency, Relevance, Authority, Accuracy, Purpose) to assess the credibility of online resources. The session ended with a discussion on referencing and the importance of citing trustworthy sources.

So what?

This session highlighted the importance of evidence-based practice (EBP) in nursing. As a Nursing Associate (NA), using credible and up to date sources is crucial for clinical decision-making and professional accountability. The CRAAP test ensures that research is reliable, unbiased and relevant to patient care. Learning about Boolean operators and database searching helped me understand how effective search strategies improve the quality of information gathered.

One key lesson was the need to distinguish between reliable and unreliable sources. The session showed that open-access sources like Wikipedia and AI- generated content may contain outdated or incorrect information. This is critical in nursing, where using non-peer-reviewed data can compromise patient safety and professional integrity.

I also realised the importance of proper referencing in avoiding plagiarism and maintaining academic integrity.  Referencing strengthens academic writing and reflects professionalism and adherence to NMC guidelines. Understanding how to structure citations ensures I can confidently use evidence-based arguments in my work.

However, finding reliable sources can be time-consuming. The large volume of information, along with paywalls and restrictive databases, makes accessing quality research difficult. This shows the need for efficient search techniques and strong evaluation skills to filter useful data quickly.

Now what?

To improve my research and information literacy skills, I will apply what I learned in my academic and clinical practice: Specific: Improve my ability to find and evaluate reliable sources by practicing Boolean searches and using the CRAAP test. Measurable: Conduct one structured literature search per week using library databases to improve research efficiency. Achievable: book a library session and attend referencing workshop to strengthen my searching and citation skills. Relevant: Developing research and referencing skills will enhance my academic writing and evidence-based practice. Time-bound: Implement these strategies over the next two months, tracking progress through self-reflection and feedback from academic mentors.

KSB addressed:

Apprenticeship Learning Log

Date of Learning: 08/08/2024

Time: 13:30 to 16:30 (online session)

Title of learning activity: Leadership and Collaborative Working: Session 2: Professionalism and Accountability

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):

Learning outcomes:

1. Reflect on the professional requirements of the nursing associate.
2. Demonstrate how nursing associates are accountable professionals
3. Consider how leadership is demonstrated in relation to professionalism and accountability

What?

During today’s session, we received our leadership module lecture online via Microsoft teams. The session was well-organised and ran smoothly, allowing us to meet our lecturer, who had previously taught us in another module. The morning session provided an overview of the module and a thorough explanation of the assessment, which focus on leadership skills, critical thinking, professionalism and accountability in the Nursing Associate role.

The module assignment is a reflective essay, requiring an understanding of leadership theories, their clinical application, and the development of a SMART action plan. In the afternoon session we participated in interactive group work, preparing a presentation on assigned topics. At the end of the session, we presented our work and provided peer feedback to each other, offering insights into our strengths and areas for improvement.

So what?

This session reinforced the importance of leadership in nursing practice, highlighting how critical thinking, professionalism and accountability impact patient care and team dynamics. Understanding leadership theories is essential for enhancing decision-making and guiding clinical practice. This discussion on reflective practice emphasised that critical reflection extends beyond summarising knowledge- it requires questioning how leadership theories apply to real-time nursing scenarios.

Through the group presentation, I recognised the value of collaboration and communication. We had to discuss ideas, delegate tasks, and present confidently, which enhanced teamwork skills. Additionally, receiving peer feedback was beneficial, as it provided different perspective on our presentation, helping me identify areas for improvement in communication and teamwork. However, I realised that effective leadership involves not only guiding others but also being open to feedback and adapting strategies accordingly.

Furthermore, I became aware o the challenges in group collaboration, such as differing opinions, time constrains, and balancing leadership with shared responsibilities. This experience highlighted the importance of active listening, adaptability and assertiveness in leadership roles.

Now what?

To develop my leadership skills, I will apply what I have learned in this session to clinical practices by using SMART action plan to stay focus and track my progress.

1. Specific: I will improve my understanding of leadership theories by reading relevant literature and attending leadership workshops.
2. Measurable: Each week, I will reflect on at least one leadership experience, noting how I applied leadership principles in practice.
3. Achievable: I will seek guidance from senior colleagues to gain insights into effective leadership strategies in clinical settings.
4. Relevant: developing leadership skills will enhance my decision—making, teamwork and accountability as a nursing associate.

1. Time-bound: over the next three months, I will evaluate my progress through self-reflection and feedback from colleagues.

KSB addressed:

Apprenticeship Learning Log

Date of Learning: 03/05/2024

Time: 13:30 to 16:30

Title of learning activity: Care Delivery 2: Session 2: Venepuncture

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):

Learning outcomes:

1. Identify the indications, contraindications and risks of venepuncture
2. Recall the anatomy and physiology of the peripheral vasculature
3. Identify veins appropriate for venepuncture
4. Obtain a blood sample using a vacutainer system from a manikin

What

In this session, we discussed the practices of venepuncture and phlebotomy, emphasising on important principles such as legal and professional accountability, the anatomy and physiology of veins, infection control, and risk management. I learned about the importance of vein selection, procedural preparation, and post procedure care to ensure the patient safety and avoid complications such as haematoma, nerve damage, or infection. The discussion also focussed on the need of obtaining consent, understanding patient history, and using proper equipment and techniques to perform phlebotomy safely.

So what?

This session highlighted significant of combining the technical skills with professional accountability in clinical practice. I gained knowledge the importance of using proper equipment, techniques, preparation of the site, vein selection while maintaining infection control and accurately documenting the procedure ensures legal and professional responsibility including post-procedure care to ensure patient safety and preventing problems like infection, haematoma or nerve injury. This session made me more conscious of the risk involved and the careful attention required in each step of the process and the importance of getting consent including understanding the patient’s medical history and preferences.

Now what?

In the future, I will concentrate on enhancing my venepuncture skills by learning to locate the ideal veins for phlebotomy based on patient’s specific criteria and by practicing probing techniques. I will make sure to follow to the recommended infection control procedures that include cleaning the area and refraining from palpating the skin again after is cleansed.  Additionally, I will improve my awareness of possible complications such as infection, haematoma and nerve damage. I will continue to reflect on my practice, making sure that I follow the legal and professional standards, obtain valid consent, and keep a record of all aspects of the procedure to provide safe and accountable care.

KBS addressed:

Knowledge:

K1, K4, K6, K7, K9, K14, K18, K24, K30

Skills:

S1, S2,  S4, S5, S6, S32, S33,

Behaviours:

B1, B2, B3

Apprenticeship Learning Log

Date of Learning: 08/08/2024

Time: 9:30 to 12:30 (online session)

Title of learning activity: Leadership and Collaborative Working: Session 1: Module Introduction & Reflecting Critically

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):

Learning outcomes:

What?

Session 1 provided an overview of the module on leadership and collaborative working, highlighting the importance of critical reflection in fostering professional growth. Key topics included the comprehension of learning outcomes which included effective leadership, management of workload, interprofessional collaboration, and supervision of students. Additionally, the session highlighted the application of reflective models such as Gibbs’ reflective cycle, as instruments for examining personal experiences and enhancing professional practice. Student engaged in self-assessments activities and group discussion that focused on previous learning experiences, placements, and the impact of reflection on clinical practice.

So what?

This session highlighted the importance of reflection as a dynamic instrument for enhancing self-awareness and fostering professional development. Reflecting on m practice highlighted how my understanding of leadership and teamwork has evolved since starting the programme. Engaging with self-assessment exercises helped me identify areas of strength, such as being a self-aware learner, and as well as areas needing improvement, such as enhancing my critical thinking skills during clinical tasks. Furthermore, group discussions highlighted the potential of reflection to enhance patient outcomes by facilitating a thorough analysis of my actions and enabling adaptation for improved results.

Now what?

In the future, I aim to incorporate reflective techniques into my daily practice, using tools such as Gibbs’ reflective cycle to evaluate clinical scenarios and refine my decision-making processes. I aim to engage actively in discussions and seek feedback from peers to enhance my self-awareness and understanding of collaborative efforts. Furthermore, I will focus on connecting theory to practice by applying module concepts such as leadership strategies, to my role as a Nursing Associate. Continuous engagement with reflective exercises will support my professional development and enhance the quality of care I provide.

KSB addressed:

Apprenticeship Learning Log

Date of Learning: 06/09/2024

Time: 13:30 to 16:30

Title of learning activity: Leadership and Collaborative Working: Session 3: Providing and Monitoring Care

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):

Learning outcomes:

• 1. To demonstrate how professional values can impact upon care delivery
  2. To demonstrate the importance of shared decision making and partnership working when delivering care
  3. To understand the importance of and how to follow safeguarding protocols

What?

Session 3 focused on providing and monitoring care with a particular emphasis on the importance of professional values, collaborative decision-making, partnership approaches, and safeguarding measures in the provision of high-quality care. Central to the session were the concepts of person-centred care, which prioritises the individual over their condition and the biopsychosocial model that promotes holistic care. Shared decision-making was highlighted with the principles of ‘no decision about me without me,’ emphasising collaboration between patients and healthcare providers. Additionally, the session addressed the principles of partnership working, promoting community involvement and the need to tackle health disparities, alongside safeguarding protocols designed to protect vulnerable populations (NHS England, 2023).

So what?

This session highlighted the necessity of aligning care delivery with professional values such as empathy, respect, and accountability. It illustrated the role of shared decision-making in building trust and empowering patients, which ultimately contributes to improved health outcomes. Reflecting on the principles of collaborative practice led me to acknowledge the importance of effective partnership with patients, communities, and multidisciplinary teams. Discussions surrounding safeguarding highlighted the essential duty of recognising and addressing risk faced by vulnerable populations. Additionally, I also recognised areas for personal development opportunities, particularly in enhancing my communication skills and developing my understanding of social determinants of health to promote person-centred and equitable care.

Now what?

In the future, I aim to incorporate these principles into my role as a Nursing Associate, I will engage patients in the decision-making process by presenting evidence-based alternatives and respecting their individual preferences. I intend to enhance my knowledge of safeguarding protocols and implementing them rigorously to ensure the protection of vulnerable patients. Additionally, I will focus on cultivating trust and collaboration with community partners and colleagues to tackle health disparities. Regular reflection on my professional values, along with continuous improvement in communication and partnership skills, will empower me to provide safe, person- centred care wile promoting a culture of shared responsibility and learning.

KSB addressed:

Apprenticeship Learning Log

Date of Learning: 13/09/2024

Time: 9:30 to 12:30

Title of learning activity: Session 4: Resilience and Emotional Intelligence

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):

Learning outcomes:

1. Understand where emotions are processed
2. Define and understand what is meant by the terms emotional intelligence and resilience
3. Understand the role emotional intelligence and resilience in your development as a nursing associate
4. Develop an awareness of and reflect on your own emotional intelligence.

What?

I gained knowledge on resilience and emotional intelligence in this session and their importance in nursing practice.  EQ involves self-awareness, self-management, social awareness and relationship management. The session covered how understanding and managing emotions are key to becoming an effective nursing associate, as well as how resilience helps nursing associate cope with the challenges of their role. The concept of emotional hijacking, empathy, and resilience were discussed alongside Johari’s window which is a tool that help increase self-awareness by understanding how we and others perceive our behaviour.

So what?

I learnt from this session that my emotional responses and resilience directly impacted my capacity to provide high -quality of care. For example, emotional hijacking, may lead in rash choices that may impact patient outcomes. It is significant to be conscious of my own emotions, control them and understand the emotion of others, especially in high stress situations. Additionally, the importance of empathy in patient care was emphasised by understanding patients’ emotions, I can improve their experience and make sure improve health results. In order to cope with the pressure of the job, resilience is also critical. By building emotional resilience, I can be able to handle challenging circumstances and remain calm and effective, ensuring that I provide to give the best care possible.

Now what?

In the future, I will focus on improving my self-awareness and emotional resilience, especially in stressful situations. I will practice analysing my emotions, identifying when I am at risk of emotional hijacking, and use techniques to pause and respond more thoughtfully. Additionally, I will actively seek feedback from colleagues to better understand my “blind spots” as highlighted by Johari’s Window. I will also prioritise empathy in patient care, ensuring I remain sensitive to their emotional states. Developing my resilience will help me manage challenges more effectively, making sure I maintain a calm and professional behaviour especially in crisis situations. This had made it clearer to me how significant it is to include emotional intelligence and resilience into my everyday practice in order to enhance patient care and my personal development as future nursing associate.

KSB addressed: