Reference no: EM132992184

HLTENN001 Practise nursing within the Australian health care system - EQUALS International

Assessment task 1 - Knowledge questions

Part A - Descriptive questions:

1. Access the Enrolled Nurse Standards for Practice. List the three domains and summarise in your own words how these should manifest in your nursing practice.

2. Review the NMBA Code of Conduct for Nurses and summarise what it is, and why it is important for nurses to adhere to the code.

3. Review the International Council of Nurses Code of Ethics for Nurses. Summarise the content and purpose of this document and discuss how it will affect your nursing practice.

4. Review the NMBA National Framework for the development of decision-making tools for nursing and midwifery practice and summarise how this will impact on your nursing practice.

5. Review the NMBA Guidelines Continuing Professional Development. Summarise the content and discuss how these guidelines will affect your nursing practice.

6. Review the NMBA Guideline - Informing a National Board about where you practice. Summarise the content and discuss how these guidelines will affect your nursing practice.

7. What is the role of an Enrolled Nurse in a health care team? How does this differ to the role of a Registered Nurse?

8. Identify four (4) other health care professionals that might be part of a health care team. Discuss their roles.

9. What is the role and position of non-western approaches to health care in Australia? What are these? Provide examples. How are these integrated into western health care approaches?

10. Identify five (5) audit and accreditation requirements you might be asked to participate in as a nurse. Discuss ways you can comply with audit and accreditation processes of your organisation.

11. Explore and discuss factors that have affected the changing role and function of the nurse.

12. Discuss the role of ANMAC, ANMF, AHPRA and NMBA in relation to nursing practice and nursing education. Include in your answer what each of these abbreviation stands for:

13. Discuss the impact of a sub-standard health care system on the population of a country.

14. What is the Chronic Care Model and what are the key components? Discuss the application of this model in nursing practice.

15. Explore and briefly describe any four (4) key challenges or issues that have an impact on the health care systems and health policy development.

16. Briefly describe the term integrated care. Discuss the role of interdisciplinary health care team in integrated health service delivery.

17. What are the different funding responsibilities of the Australian commonwealth and state and territory governments in relation to health services? Discuss the impact of these funding allocations on the health care delivery.

18. Discuss the differences between the five levels of the healthcare services delivery system, i.e. public health, primary care, hospitals, specialised health services and aged care and disability services.

19. Explore and briefly describe health and illness issues commonly encountered (faced) by people who have come from countries other than Australia.

20. Identify two (2) health insurance-related organisations (one private and one public). Discuss their roles in the Australian health care system. How do public and private health insurances complement each other?

21. Research and discuss the major health issues faced by Aboriginal and Torres Strait Islander people. Explain the impacts of these health issues for the healthcare delivery for Indigenous Australians.
Include in your response why a nurse should understand health issues affecting Indigenous Australians and their impact.

22. Research and outline any five (5) major milestones in the historical development of the nursing profession in Australia (specify the year/approximate period and milestones). Include in your response the current perspectives of the nursing profession in Australia.

23. Discuss the application of the National Safety and Quality Health Service (NSQHS) standards in the Australian healthcare system. Identify one standard and briefly describe ways you could comply with the identified standard.

24. Research and discuss any five (5) major milestones in the historical context and development of the Australian healthcare system (specify the year/approximate period and milestones).

25. Explore and discuss the overall structure, strengths and weakness of the Australian health care system in relation to your State or Territory.

26. Discuss the impact of environmental factors, cultural barriers and community acceptance in the overall health of a person. What is the significance of these concepts/factors or understanding of their impacts in your nursing practice?

27. Explore and discuss how the social, political and economic factors impact the following in relation to nursing care provision:
• Funding sources
• Constraints on services
• Resource allocation.

28. Identify and discuss factors that may affect health of migrants in general.

29. Briefly describe the philosophical framework and key principles of primary health care. Discuss the application of these principles and the philosophical framework in nursing care provision.

30. Briefly describe the key principles of wellness. Discuss the application of these principles in nursing care provision.

31. What is meant by the holistic health model? What is the application of this model in your nursing practice?

32. Identify two (2) different community health promotional strategies/initiatives implemented in your State or Territory by Government or private agencies. Explore the purpose of the identified strategies/initiatives and discuss their effectiveness.

33. Discuss the application of Orem's Self-Care Deficit Theory in your nursing practice.

PART B - CASE STUDY QUESTIONS

1. Assume you are working as an enrolled nurse in a residential aged care facility. A new resident (migrated from India) asked you whether she can take her ayurvedic medicines. The resident said she always relied on ayurvedic medicines to manage her body pain and other ailments. The resident is on a new medication chart and a range of new medications are prescribed for her after initial assessment by the doctor.
Discuss the best response in this scenario.

2. Assume that you are mentoring a newly graduated enrolled nurse. You are working in a surgery ward and the new recruit has limited experience in a surgical environment.
Discuss five (5) levels of nursing experience outlined by Ms Patricia Benner in her theory ‘from novice to expert'. Explain how you should apply Ms. Patricia Benner's theory in mentoring the new enrolled nurse.

3. Your organisation is preparing an application to request Commonwealth funding. You are aware that there are recent funding changes in various other sectors. The government is focussing on its funding approaches and aims to cut down budgetary allocation on healthcare funding. However, there is no detailed information or any plan discussed on authority websites. Would it be appropriate for the organisation to apply at the earliest opportunity? Or, should they wait for the government decision on healthcare funding?

Assessment task 2 - Simulation Based Assessments

Simulation based assessment task 1:
Assume that you are working as a community nurse under the supervision of a registered nurse. Your organisation has organised an information session to people who have migrated to Australia from different parts of the world as part of community empowerment and health promotion.

Mr Vinh Chang, 45 years old, migrated from Vietnam to Australia five (5) years ago. He got his permanent residency in Australia four months ago. Mr Chang has five young children, under the age of
12. His children live with him. He is separated from his wife.

Mr Chang is working as an asbestos removalist and a plumber who installs and repairs water, drainage, gas and sewerage pipes and systems. He lives in a rural town in South Australia. He has recently moved to a different home.

Mr Chang is a chronic smoker and alcoholic. He is obese and recently started having breathing difficulties. He is upset about his health now and he wants to live a normal life for his children.

Mr Chang participated in an information session organised by the community nurses about health promotion. Your supervising registered nurse asked you to provide required information and support to Mr Chang.

As part of Task 1, perform the following activities:
a) Collect basic information about Mr Chang's health status through appropriate interview questions and discussion. The information must include:
• Risk factors associated with the current health status, e.g. family history and medical history.
• Social circumstances applying to the current health status, e.g. work pattern, socio- cultural, economic factors influencing health.
• Emotional wellbeing of the person.
b) Provide information on the health professionals Mr Chang should approach to seek further assistance from in relation to his health status. Discuss the roles of these health professionals.
c) Identify the health agencies and services Mr Chang could approach to address his health requirements. You are expected to apply a knowledge of levels of health care when demonstrating this activity. You must also demonstrate how you would assist Mr Chang in accessing one (1) of these agencies.
d) Discuss appropriate health care service funding sources and health-related insurances Mr Chang could apply for or access.
e) Identify two (2) available community health promotional strategies that Mr Chang could access to address his health needs. Discuss the effectiveness of these community health promotional strategies with Mr Chang.

Simulation based assessment task 2:

Assume that you are working as an enrolled nurse (casual) in EQUALS' Hospital.

A patient from a Chinese background was admitted in your ward this morning. You completed the physical health examination and health history of the person as requested by the registered nurse.

The summary of the health examination and history collection is provided below:
• The person has difficulty in understanding English due to a culturally and linguistically diverse background.
• The person is confused whether they can undergo acupuncture along with the newly prescribed medications.
• The person has had reduced food and fluid intake for a week.
• The person is weak, anxious and worried about their health.
• The person has high blood pressure and is not on any medicines.

You are required to identify four (4) different healthcare personnel you should liaise with to provide comprehensive care to your client. Discuss with the assessor the role of these healthcare personnel in addressing the healthcare needs of the person.

Demonstrate to your assessor how you would establish collaborative relationships with these healthcare personnel. You must demonstrate how you would actually interact with these personnel under supervision rather than telling your assessor "I will call them or I will page them".

Simulation based assessment task 3:

Your organisation is preparing for an accreditation audit. You are coordinating an interdisciplinary team meeting as requested by the registered nurse to discuss the progress of preparations for the audit. Your team includes a total of five (5) team members including yourself.

All your team members have been active and contributed effectively to audit preparations. However, you noticed today that Cheryl, a team member, was extremely quiet. She sat with folded arms. Sandra, another team member, was noticed occasionally staring at Cheryl. Sandra, also, was silent most of the time.

Demonstrate the best approach in this scenario to achieving effective team work and supportive group dynamics when working in an interdisciplinary team.

Demonstrate how you would liaise with Cheryl and Sandra in supporting them.

Assessment task 3 - Professional Practice Assessment

Professional Practice Assessment Task 1:

When working as an enrolled nurse (during your placement), you are required to apply appropriate knowledge and maintain various professional interactions with your clients (residents or patients).

As part of this unit assessment requirements, you must:
• Perform five different professional interactions
• Demonstrate adaptation to the nursing role and application of knowledge of nursing practice in these interactions, and
• Reflect on any five (5) professional interactions with clients using the templates provided at the end of this task.

These nursing interactions could include:
• Assisting residents to perform personal care procedures, such as showering, feeding and elimination;
• Assisting residents with a range of motion exercises;
• Conducting a health examination;
• Gathering healthcare information to develop or amend a nursing care plan;
• Providing health teaching;
• Assisting with pain assessment and management; and
• Resolving residents' complaints.
You must comply with the requirements of the:
• Principles and parameters of nursing practice (Nursing and Midwifery Board of Australia professional practice standards, codes and guidelines);
• Enrolled nurse scope of practice; and
• Role of the enrolled nurse within health care environments.

You are required to de-identify the resident when preparing the report (do not use any information in your report that would identify the resident).

This assessment task could be undertaken while performing nursing procedures relevant to other units of competency. Your professional interactions with residents, family, carers, colleagues and healthcare team members will be considered in assessing your skills.

The Host Facilitator or EQUALS' Clinical Facilitator will observe your performance and complete the observation checklist (provided in the logbook) and assessment outcome sections based on the skills you demonstrated (in relation to demonstrating adaptation to the nursing role and application of knowledge of nursing practice) and the documentation completed.

You should familiarise yourself with the observation checklist prior to undertaking the assessment.

a) Professional interaction one (1)
b) Professional interaction two (2)
c) Professional interaction three (3)
d) Professional interaction four (4)
e) Professional interaction five (5)

Attachment:- Australian health care system.rar