A. The nursing topic/area of concern that will be reviewed with respect to competency based learning is caring for the patient with chronic respiratory disease.
B. Develop at least four competency statements based on national competencies and standards.
- Based on Professional practice, every nurse shall carry out their legal duties and responsibilities, and while staying accountable, and compliant to the ethics they will demonstrate a satisfactory knowledge base in nursing.
- Critical thinking and analysis; every nurse will be appraised on the basis of evidence of research and feelings that reflect an individuals’ and or group’s perception on nursing as a practice.
- Provision and coordination of care; concerns the providing, organizing and coordinating of nursing services in health care system and this include, diagnosing patients, planning and evaluating the healthcare in the institution.
- Collaborative and therapeutic care; relates to steering the nurses to understand, and contribute to the interdisciplinary health team by ensuring that professional relationships between groups and individuals are established, sustained, and consolidated.
C. Develop at least five objectives for each competency statement.
- Professional practice
- Critical thinking and analysis
- Provision and coordination of care
- The first objective is to collect accurate data using a series of techniques. Data can be sourced from hospital charge sheet, humanitarian organization, government and other health agencies’ databases. The techniques used will include observation, interviews, and the very basic diagnosis.
- The other objective of this competency is to plan the nursing care by working in consultation with other health care teams and individuals. Nurses will be mandated to use relevant data to make priorities when handling patients, as opposed to jump to the conclusion without consulting where necessary.
- The other objective is to use evidence based approach to administer medication and identify individual health concerns. For instance when a patient is in ICU, the use of facilities at once disposal like a breath aiding equipment should show competence.
- Respond to emergency cases and unexpected situations while showing a great deal of current knowledge in emergency plans that ensure efficiency is high. When planning for emergency response, equipping the ambulance must foster planning in deciding what is very crucial for he situation.
- Collaborative and therapeutic care
- The objective of this standard is to enable the establishing, maintaining and appropriate conclusion of any therapeutic relationships. nurses should lead supportive interactions with the groups they deal with especially when diagnosing the patient for initial treatment and progressive treatment.
- He other objective is to enable the nurse strategize and promote the dignity, self-esteem, integrity and comfort of the individual patient or group of them by identify strategies that involve family in the care.
D. Design a course of study of at least one of the identified competencies.
1. Use the GEM model for each new concept to be learned
With GEM model, there are four levels that are necessary to achieve an improved outcome in health care delivery. Capacity building and liaison is one of them and under this sphere, nurses will be trained to be in a position to handle barely everything that concerns respiratory diseases. For instance, how to diagnose a patient and establish the nature of respiratory disease the patient in infected with. The second sphere is based on obtaining and equipping resources which include, health care learning institutions, hospitals, community and home. The health care role played at each of these points involves detection of the ailment, and providing any primary and emergency care. The third sphere in the model is emergency department identification and intervention. In this case, the hospitals need to have a well-equipped emergency services department to address respiratory disease. The nurses in that department must be competent to know which equipment can be used for instance when a patient is experiencing breathing challenges and how to adjust external oxygen equipment for that purpose. The fourth sphere involves informing and empowering client & family, coordinating comprehensive family–centered care and proactive practice. Family and client need to know what the cause of their ailment is, and how they can help to prevent further worsening of their health, on the other hand, proactive practice among nurses is paramount in order to ensure they are up task I attending to the clients. It also ensures that nurses learn new content through research.
2. Design at least one nursing case in which students will apply knowledge of concepts.
The one nursing case in which students can apply the knowledge of the concepts above is responding to an emergency case where there are no specific facilities that can help the situation. For instance, a small child is burned extensively in a fire accident and is exposed to all sorts of infections. From the concepts in each competency, first every person is entitled to health care by law and for that matter emergency care must be sought in consultation with other nurses in the hospital to rescue the life. Perhaps this is the case that will be treated as a referral case so that, the nurses in the first hospital will handle the patient to emergency level then organize to transfer to a better institution with better facilities to handle the same. Communication from the first health institution to the other health institution expecting to receive the patient must be done for them to prepare their system and get ready anyway. Nurses are mandated by law to do anything in her capacity to safe life, and that is the knowledge behind every concept. This course of empowering the nurse stretches from intellectual empowerment to limits of their authority (Gordon, 2008).
3. Describe at least two different activities for each new concept, besides reading the text, that support competency-based education.
Continuous learning and introduction of new techniques in human health care ensures that nurses continue to gain more experience in health care and gain the capacity a hospital is expected to have. For instance, a hospital sending says 10 of their staff for specialized training, will elevate the hospital’s capacity to handle more complex cases arising from time to time. There is always a gap in every system that must be bridged by a given period of time during which expertise and the ideal candidate will be trained and empowered to suit he circumstance. The fact that health problems keep mutating from being a common and easy to address to be a serious and one that needs extra efforts and for that reason, continuous health care training, is paramount.
The other activity that these competence based education brings about improved confidence and enough personnel to handle emergency and any other crisis as it arises. Whenever a crisis hits, some hospitals are overwhelmed by the situation leading a high loss of survivors on transit. In such circumstances, nurses are better in delivering their duties as they continue to undergo further training that gives them more skills in handling psychological issues and technical issues (Nay, & Garratt, 2010).
4. Design at least one associated clinical experience that allows students to apply what they are learning.
A clinical experience will be used to teach the students the various content of health care system. All the departments that are compulsory are and that need to be done once, shall be grouped together alongside the details that students must acquaint themselves about them. This item will be updated periodically and in particular the real cases happening at the ground regarding these competencies and how the nurses have been able to approach them. For instance, how the patients ailing from the respiratory disease respond to treatment and how that data is becoming helpful to the whole course of health care. Health care contributions of the students towards each item are availed via a drop box that will contain all the research work and evidence backing those researches. Students will also have the chance to access other areas that require prolonged research to cover substantially and carry out their study; finished and suspended projects on the same will be availed for review and continuation respectively.
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