Teachins a Client-PatientEmplover Competenci* (Skills Areas)

Clinical CorEpetency AreaCompetency exemplar: Teaching a clienUpatient.

Demonstration of: The ability to effectively teach a client/patient.

lmplementationn evaluation and benchmarking of the pre-registration nursing competenciesassessment schedule (NCAS) for use across Australian rrniversirie. ,..._..-.,""*,^.. )i

Pertormance Criteria

(RN - Please place your initials in the appropriate column)

The coding belowindicates the ANMCNationalCompetencyStandards for theRegistered Nurse(ANMC 2006)

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1. ldentifies specific indications for teaching theclienUpatient (i.e. what initial information is available, ifany? Examples may be relaxation techniques, selfadministration, etc).

1.1,1.2,2.5,4.2, 5.1,9.5

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Verifies the validity of any written information concerningthis cl ient/patient; (e. g. com munication andlor learn i ngand/or skill specific in terms of abilities):

1.1, 1.2, 1.3,2.2,2.5,3.2,9.5, 10.2

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3. Reviews the patient documentation/history/information/medication charilcomm unication(s) from mem bers ofthe multidisciplinary team and others (includingfamilylfriends/carers etc).

1.1, 1.2, 1.3,2.5,8.2,9.5

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1. Considers a range of factors that affecUinfluencelearning and develop strategies to minimise/optimisethese factors;

1.2,2.3,7.1 ,

7.2,7.4,9.5 w5. Effectively plans the activities to work through with the

cllenUpatient (and carer) to optimise their learning;2.35.38.1

3.1, 3.3,5.2,6.3,7,1,7.3,9.5

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3. Gathers the necessary equipment for the teachingactivity (if appropriate):

1.1,1.2,2.1,3.2,5.1 ld{

7. Locates & greets the clienUpatient & "fakes rh'Tassessesa range of cues (visual, auditory and olfactory) at thepoint of contact;

1.2,2.3,2.5,5.2, 5.3,7.2,7.3,7.4.9.1

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3. Ensures that the setting/environment is conducive to theactivity in order to minimise distractions and maximiseconcentration;

1.2,7.1,7.3kFJ

l. Makes the clienUpatlent'feel at ease', and identifies theclienUpatient's ability to engagevisually/verbally/cognitively and physicalty (i.e. theirmotor response) whilst explaininq the activitv:

2.1, 2.3, 5.1,5.2, 9.1.9.2

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l0.Carries out a comprehensive and systematicassessment withiof the clienUpatient concerning theirunderstanding of the intended teaching event;-

i. Notes impressions of their understanding;ii. Gathers a range of evidence from patient and

'family';iii. Utilises appropriate strategies andiv. Appropriate teaching tools;v. Acts appropriately & supportively should this be

evident during the activity;vi. Other: Please specifv:

1.1, 1.2,2.1,2.2,2.3,2.4,2.5,3.1,5.1,5.2,5.3, 6.1,8.1,9.2,9.1, 9.3, 9.5

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11. Clear evidence of a developing rapport and a therapeuticrelationship in the teaching interaction with theclienUpatient:

1.2, 2.3,9.1,9.2, 9.3, 9.4

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12.Uses a range of questioning styles and demonstrateiappropriate listeni n g skills duri n g exploration/explanation of the activitv;

2.1,2.3,2.4,9.1,9.2 ArJ

Performance Criteria

(RN - Please place your initials ir the appropriate column)

coding belowindicates the ANMCNationalCompetencyStandards for theRegistered Nurse(ANMC 2006)

l3.Demonstrates the skill at an appropriate pace, exhibits aprofessional demeanor which illustrates a sense of

1.2,2.1,2.2,2.3,2.4,9.1, 9.2

l4.Explores & verifies, through the use of an appropriateeducative framework, that the clienVpatient isunderstanding what is happening,

i. Knowledge;ii. Skilland

2.3,2.4,4.2,9.1,9.2

lS.Acknowledges and values data from observing theteaching event;

2.2,2.3,2.4,2.6, 4.1,4.2

l6.Demonstrates the ability to give helpful and constructivefeedback about all aspects of the teaching activity/skill;

1.3, 2.3,7 .1,7.7

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lT.Documents the outcome of the teaching event in thenursing plan of care in agreement with the clienUpatient

1.2, 2.1, 2.3,2.5,6.1,6.2,6.3, 8.1, 8.2, 9.5

l8.Maintains a therapeutic relationship with theclienUpatient whilst encouraging and supporti ng practice

l9.Maintains dignity at al[times, provides privacy andcomfort measures - displays problem solving abilitiesparticularly related to;

i. the maintenance of appropriate personal space;ii. the management of boundary issues andiii. any other; Specifically: Shr'^rr^< Reseert

1.2,2.3,9,1, 9.2,9.3, 9.5

May not be,tecessary

20.If necessary uses the 'rights' to assist in the safeadministration of any medication (i.e. self administration)to the clienUpatient durinq the

1.1, 1.2, 1.3,2.12.5,3.2,4.2,5.1

21. lmplements appropriate beginning discharge planning &to clienUpatient and

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22.Concludes the teaching activity with the clienUpatient byconsideratelv concl udi nq the therapeutic relationshi o:

1.2, 9.1,9.3, 9.5rtF.t

23. Facilitates clienVpatient repositioning to maintain privacydignity, ensures comfort as far as possible at that point;

1.2,2.3,2.5,7.1t^l

24.Cleans/tidies area; explains the disposal of any wasteappropriately and as soon as is practicable, removesqloves & other PPE (as necessarv):

1.1, 1.2, 1.3,9.5, 10.1

/.^l25. Explores with the clienUpatient if appropriate how to

replace, clean and/or dispose of equipment:1.1,1.2,9.5,10.1 ftr,

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Reporting and Recording of relevant information:i. Outcome of the clienUpatients attempt to undertake

the skill;ii. Share the observations about their clienUpatients';

a. knowledge;b. skill andc. attitude/behaviour

iii, other if appropriate (e.9. particular assessmentchart)

Specify i.e. plan

1.1,1.2,1.3,2.6,9.2.1A.2

May not benecessary

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lmplementation, eval uation and benchmarking of th e pre-reg istrationassessment schedule (NCAS) for use across Australian universities.

nursing competencies21

Pertormance Cribrta

(RN - Please place your initials in the appropriate column)

The coding belowindicates the ANMCNationalCompetencyStandards for theRegistered Nurse(ANMC 2006)

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27. Demonstrates ability to reflect on the activity and tolink theory to practicei. Relates to teaching strategies used & decisions

made,ii. Evidence utilised andiii. tmplications for assessing & planning of

clienUpatient education in the future.

1.2,2.1 ,

2.3, 3.1 ,

3.2,4.1,4.2,5.?,5.3,7.1,8.1

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Bondy, K, M, 1983, 'Criterion-referenced definitions for rating scales in clinical evaluation', Journal ofNursing Education, vol 22(9), pp. 376-381Rorden, J, W, 1987 Nurses as Health Teachers: A Practical Guide, Saunders, San Jose, California, USATollefson, J 2010 Clinical Motor Skilts: Assessment Taots for Student Nurses, ath Edition, Thomson,Australia

lmplementation, evaluation and bench markin g of the pre-reg istrationassessment schedule (NcAs) for use across Austratian universities.

lndependentl(t)

Refers to being safe & knowledgeable; proficient & coordinatea anO appropriatety contiOentand timety. Does not require supportinq cues

Supervised:(s)

Refers to being safe & knowledgeable; efficient & coordinated; displays sonre confidenceand undertakes activities within a reasonably timely manner. Requires occasionalsupporting cues.

Assisted: (A)Refers to being safe and knowledgeable most of the time; skilful in parts howeverlsinefficient with some skill areas; takes longer than would be expected to complete the task.Requires frequent verbal and some phvsical cues

Marginal: (M) Refers to being safe when closely supervised and supported; unskilled and inefficienl usese:xcgss energy and takes a prolonged time period. Continuous verbal and phvsicat cues.

Dependent:tD)

Refers to concems about being unsafe and being unable to demonstrate behaviour orarticulate intention; lacking in confidence, coordination and efficiency. Continuous verbaland physical cueslinterventions necessary.

COmpulsory Reflection by StUdent: lPlease refer to Levett-Jones and Burgeois tex rhe Clinica! ptacemenf ppg;102 - model for reflection)

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Continue on a sheet if necessary

How would you rate your overall performance whilst undertaking this clinical activity? (ptease initial)

Unsatisfactory n Satisfaqtory f] Gooo l-l Exceuent 16I

nursing competencies22

Student Name: (pteasepint) Rorn-io Sh'qtftaS isn, W ,rr"' ZVfog/rS

Clinical facititator (RN): lprease prinl k&e Nzara Sign: fAlz.ara Date: 2+lglrS

lmplementation, evaluation and benchmarking of the pre-registration nursing competenciesassessment schedule (NCAS) for use across Australian universities.