Learning Portfolio 1 Learning Portfolio Due Date – Relevant Academic – Student Name – Student ID Number – Learning Portfolio 2 Table of Contents Learning activity 1: Case study analysis on mandatory notification ......................................... 3 Case study 1 ........................................................................................................................... 3 Case study 2 ........................................................................................................................... 4 Learning activity 2: Case study analysis on graduate attributes and nursing professionalism .. 6 Part A: Graduate attributes..................................................................................................... 6 Part B: Nursing Professionalism - Case study ....................................................................... 7 References .................................................................................................................................. 9 Learning Portfolio 3 Learning activity 1: Case study analysis on mandatory notification Case study 1 Identification of the relevant section of guidelines Principle 2: Person-centred practice [Domain: Practice safely, effectively and collaboratively] 2.1 (c). “Document and report concerns if they believe the practice environment is compromising the health and safety of people receiving care.” (AHPRA, 2021) Analysis Lisa as a graduate registered nurse should have reported the ill condition of Sally who is a senior registered nurse. As a senior registered nurse, it’s a duty for Sally to provide safe and person-centred service for the well-being and health of people (Araki, 2019). However, in the case study, it can be observed that one of the junior nurses of Sally, named Lisa has observed that Sally drinks at the local pub quite a lot after shifts, and recently she has smelt alcohol on Sally’s breath when she begins her shifts. When making rounds, Sally appears to be slower and pays little attention to Lisa as well as the other employees under her supervision. Lisa discovered Sally asleep in a chair in a vacant patient room on a recent shift, slurring her speaking and looking unstable on her feet. It is perfectly fine to do anything for any employee, but if that affects the duty hours then it would be an ethical concern for the employer and the organisation. On the other hand, Lisa isn't sure if she has to file a mandated report on Sally because Lisa believes, that Sally is a caring nurse who frequently supports Lisa with practice decisions. However, considering the current situation of Sally, it is quite clear that Sally is not guiding and mentoring Lisa which she should do as a senior registered nurse because it is her duty (Vassbø et al., 2019). Additionally, in order to provide person-centred and safe healthcare service to people, it is Learning Portfolio 4 important for nurses to stay completely stable and healthy during duty time and if not then immediately report it to the authorities. Therefore, Lisa should absolutely make a mandatory report about Sally's health condition. Case study 2 Identification of the relevant section of guidelines Principle 7: Health and wellbeing [Domain: Promote health and wellbeing] 7.1 (e). “Take action, including a mandatory or voluntary notification to AHPRA, if a nurse knows or reasonably suspects that they or a colleague have a health condition or impairment that could adversely affect their ability to practise safely, or put people at risk (see Principle 1: Legal compliance).” (AHPRA, 2021) Analysis As a registered nurse, Judy should know that her health condition can adversely impact the healthcare quality of patients. She has recently been diagnosed with early-onset Alzheimer's disease. Judy's current symptoms include forgetfulness and difficulties concentrating. Judy has always been talkative, but she is having difficulty finding the perfect words for some situations. Her general physician Peter has recommended she consider retiring soon, because of her symptoms of forgetfulness and trouble communicating properly. Judy discussed it with one of her colleagues, Mary and told her she doesn't want to retire. As a clinical nurse, Mary should know that Alzheimer's is a serious disease which can compromise the healthcare quality of patients. People with Alzheimer's disease experience more memory lapses and additional cognitive impairments as the disease progresses. Wandering and getting lost are common problems, as are difficulties managing processing Learning Portfolio 5 payments, repeating inquiries, taking longer to do everyday tasks, as well as changes in temperament and behaviour (Scheltens et al., 2021). Keeping people with diseases like Alzheimer's as an employee like Judy can be quite harmful to the environment. The severity of the disease worsens with time. It will impact Judy in many ways such as memory loss, decreases reasoning and thinking capability, making poor decisions and judgements, increment in aggressiveness and irritability along with many others (Silvaggi et al., 2020). Therefore, as a responsible clinical nurse, as per Principle 7.1 (e), Mary should make a mandatory notification about Judy's current health condition. Learning Portfolio 6 Learning activity 2: Case study analysis on graduate attributes and nursing professionalism Part A: Graduate attributes GA 1 Thinkers The registered nurses need to foster interest in the causes and effects of health and sickness, as well as the ability to plan and execute nursing interventions based on clinical evidence and assessment. They should also analyse the health factors for a person and a community, as well as the influence of these determinants on specific individuals. Being a critical thinker is a quite significant characteristic for a registered nurse to determine how biological, psychological, and social elements interact in an individual's health and sickness experience (AlMekkawi & El Khalil, 2020). GA 4 Communicators Being an efficient communicator is quite important for a registered nurse. Registered nurses have to efficiently communicate with other nurses to properly guide and mentor them. On the other hand, it is important in the context of patient care because efficient communication with the patient is quite important for nurses to take care of their mental health and assuring them that they will receive the best healthcare service. Therefore, they should identify communication and interpersonal skills that can be improved to enhance nurse-patient and interprofessional partnerships. Additionally, improve communication skills adequate enough to describe to a colleague a patient's condition, physical signs, and symptom profile (Brown & Crookes, 2016). Learning Portfolio 7 GA 5 Leaders In order to initiate and implement beneficial change in the communities, together with occupations and workplaces, a registered nurse must have good leadership skills. It is significant for them to have excellent decision-making and interpersonal skills, accompanied by responsiveness to personal limitations and strengths. These are necessary skills to be a registered nurse to become a competent mentor for the future generation of nurses or learners (Sfantou et al., 2017). Part B: Nursing Professionalism - Case study As per the case study, Peter (the nurse) has breached Principle 2: Person-centred practice [2.3 – Informed consent] and Principle 3: Cultural practice and respectful relationships [3.2 – Culturally safe and respectful practice]. Additionally, “Standard 2: Plans care and engage others [Statement 2.2: Educates and supports others to enable their active participation in care]” for the RN practice has not been met (AHPRA, 2021). As per Principle 2: Person-centred practice, Peter should have first taken the consent from the Aboriginal woman before conducting the examination. As per the principle 2.3 (b), “Give the person adequate time to ask questions, make decisions and to refuse care, interventions, investigations and treatments, and proceed in accordance with the person's choice, considering a local policy.” (AHPRA, 2021). Peter just informed the patient about the examination; however, he did not wait for her confirmation or final decision and executed the procedure. Principle 3.2 (b) refers that “respect diverse cultures, beliefs, gender identities, sexualities and experiences of people, including among team members.” (AHPRA, 2021). On the other hand, as per Standard 2, "Respects the rights of the person to make informed decisions throughout their health/illness experience or episode, whilst ensuring Learning Portfolio 8 access to accurate and appropriately interpreted information.” (AHPRA, 2021). Peter did not provide any time for the Aboriginal woman to make an informed decision regarding her health examination. Breaching numerous principles and standards led to an adverse healthcare outcome. The woman was uneasy about Peter performing the test, but she felt she had no option. The woman's family plans to file a complaint with the facility's manager regarding Peter since he failed to consider her personal and cultural preferences. Learning Portfolio 9 References AHPRA. (2021). Professional standards. Nursingmidwiferyboard.gov.au. Retrieved 21 May 2022, from https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines- Statements/Professional-standards.aspx. AlMekkawi, M., & El Khalil, R. (2020). New Graduate Nurses’ Readiness to Practise: A Narrative Literature Review. Health Professions Education, 6(3), 304-316. https://doi.org/10.1016/j.hpe.2020.05.008 Araki, M. (2019). Patient Centered Care and Professional Nursing Practices. Journal Of Biomedical Research And Clinical Investigation, 1(1). https://doi.org/10.31546/jbrci.1004 Brown, R., & Crookes, P. (2016). What are the ‘necessary’ skills for a newly graduating RN? Results of an Australian survey. BMC Nursing, 15(1). https://doi.org/10.1186/s12912016-0144-8 Scheltens, P., De Strooper, B., Kivipelto, M., Holstege, H., Chételat, G., & Teunissen, C. et al. (2021). Alzheimer's disease. The Lancet, 397(10284), 1577-1590. https://doi.org/10.1016/s0140-6736(20)32205-4 Sfantou, D., Laliotis, A., Patelarou, A., Sifaki- Pistolla, D., Matalliotakis, M., & Patelarou, E. (2017). Importance of Leadership Style towards Quality of Care Measures in Healthcare Settings: A Systematic Review. Healthcare, 5(4), 73. https://doi.org/10.3390/healthcare5040073 Silvaggi, F., Leonardi, M., Tiraboschi, P., Muscio, C., Toppo, C., & Raggi, A. (2020). Keeping People with Dementia or Mild Cognitive Impairment in Employment: A Literature Review on Its Determinants. International Journal Of Environmental Research And Public Health, 17(3), 842. https://doi.org/10.3390/ijerph17030842 Learning Portfolio 10 Vassbø, T., Kirkevold, M., Edvardsson, D., Sjögren, K., Lood, Q., & Bergland, Å. (2019). The meaning of working in a person-centred way in nursing homes: a phenomenologicalhermeneutical study. BMC Nursing, 18(1). https://doi.org/10.1186/s12912-019-0372-9
