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1-5. Exit Level Assessment Criteria:
Assessment And Diagnosis:
Provider/Facilitator/Collaborator Role:
During placement in the community or general midwifery health unit, a learner should be able to:-
Conduct a comprehensive (preventive, curative and rehabilitative) health assessment and diagnosis of individuals in a variety of settings (both institutional and non-institutional) in which nursing takes place, including:
– the healthy/high risk antenatal woman
– the healthy/high risk post-natal woman
– the healthy/high risk neonate
– the uncomplicated pregnant client during labour
– clients with communicable diseases
– reproductive health
– psychosocial issues
– woman’s health
– emergency situations
Professional Role
The learner should be able to:-
Use professional knowledge to assess, plan, implement and evaluate nursing practice
Assess and monitor nursing care plans within parameters of expected expertise
Identify resources for referral of clients
Assess own nursing care workload
Identify safety and equipment deficits in the health unit
Identify wasteful and costly use of resources
Assess staff development needs
Assist the multidisciplinary team to analyse problems and reach solutions
Advocacy Role
The learner should be able to:-
Identify contemporary health issues
Identify reproductive health issues
Identify woman’s health issues
Assess nursing practice for cultural insensitivity that could hinder nursing care
6-11. EXIT LEVEL ASSESSMENT CRITERIA
PLANNING
Provider/Facilitator/Collaborator Role
The learner should be able to:-
Facilitate and negotiate realistic and contextualised health and nursing care plans for:
– the uncomplicated antenatal woman
– the uncomplicated post-natal woman
– the healthy neonate
– clients with communicable diseases impacting on midwifery/neonatal nursing care
– reproductive health issues
– psychosocial issues
– woman’s health
– emergency situations
Design client – focused teaching plans for/in collaboration with above mentioned client(s)
Outline referral line procedures for accessing the referral system both within the health system and in communities
Assist with the drawing up of proposals for midwifery nursing services
Participate in the collaboration with client(s) and stake holders in developing financial plans for health care programmes
Professional Role
The learner should be able to:-
Demonstrate knowledge of “planning of/for change and transformation leadership”
Plan patient care plans to support the delivery of nursing care while ensuring patient and staff safety needs
Devise plans to implement new nursing practice
Plan staff development programmes in collaboration with all stakeholders
Advocacy Role
In the planning of nursing care for individuals, families and communities, the learner should be able to:-
Display understanding of the professional responsibility for advocacy in the case of human rights in health care settings
Demonstrate knowledge regarding ethical concepts relating to advocacy
Demonstrate knowledge of the implications of relevant legislation on the professional advocacy role
Critically analyse the impact of human rights violations on pregnant woman/neonate
Demonstrate knowledge of the rights of workers and providers in the workplace
Demonstrate knowledge of the principles of negotiating for workers’ rights
Demonstrate an understanding of techniques for promotion of safety in the workplace
Demonstrate knowledge of conflict resolution process for individuals / family / groups / communities
IMPLEMENTATION
Provider/Facilitator/Collaborator Role
The learner should be able to:-
Uphold Batho Pele principles during implementation of nursing and health care plans
Implement a promotive/preventive intervention plan for families, groups and the uncomplicated antenatal and post-natal client and neonate to promote health and prevent physical illness
Professional Role
The learner should be able to:-
Use principles of teaching and learning when delivering health education to patients and peers
Display an understanding of policies and legislation of health services
Utilise pharmacology effectively within the parameters of midwifery legislation
Demonstrate accountability for practice
Demonstrate ethical behaviour in own practice by working within the multidisciplinary team
Display evidence of pursuing excellence and originality in own work
Implement staff development programmes
Display knowledge of the role of the midwife in various health settings
Identify own learning needs by evaluating own practice
Ability to utilise available technology to improve practice and service
Document professional progress effectively
Demonstrate in practice the utilisation of informed choice
Advocacy Role
The learner should be able to:-
Utilise principles in the ethical code to advocate for improvement in health care
Protect all clients from human rights violation
Participate in the development, implementation and evaluation of policy aimed at upholding clients’ rights
Utilise appropriate technology in the advocacy process
Maintain a professional confidentiality
Promote an inclusive approach to all cultural groups/diversity
Take firm action to prevent discrimination and harassment in the work place
Act as the clients’/patients’ advocate where appropriate
Demonstrate awareness of ethical/legal implications in implementing patient care
Intervene to protect clients/patients/staff from violation of their human rights as well as unethical behaviour from others
EVALUATION
Provider/Facilitator/Collaborator Role
The learner should be able to:-
Evaluate the process and outcome of the implementation of nursing care plans for midwifery patients in collaboration with patients and families
Professional Role
The learner should be able to:-
Evaluate relevance of new nursing practices and implications of implementation on nursing strategy
Accept accountability and responsibility for nursing practice and management skills within the context of scope of practice
Advocacy Role
The learner should be able to:-
Monitor the response to the above programmes
Critically analyse issues related to the advocacy role with emphasis on Midwifery
Critical Cross-Fields:
Exit Level Assessment Criteria:
1.
Utilise effective communication skills/ technology across the cultural spectrum amongst various sectors and the multidisciplinary team.
Give appropriate health related education to individuals, families, groups and communities based on identified health information needs.
Use professional nomenclature in written and verbal communication.
Keep clear, accurate and complete records of patient and/or client care.
Write reports for various audiences.
Disseminate documented information, where appropriate, to colleagues and other relevant stakeholder in an ethical manner.
Confer with and refer to team members about nursing and health concerns.
2. Demonstrate ability to critically reflect on own practice as a nurse by:
– Raising and exploring questions
– Identifying problems and distinguishing between problems within the scope of practice, including those that need referral
– Selecting the best alternative for a problem
– Evaluate the results of the alternative implemented together with relevant role players
– Apply problem-solving skills related to psychiatric nursing situations, partners in health care, stakeholders and partners in communities (community and environmental issues)
3. Demonstrate ability to:
Collaborate and consult with the multidisciplinary team and other stakeholders including communities in the assessment, diagnosis, planning and evaluation of the nursing care aimed at prevention, promotion, treatment and rehabilitation of individuals, families, groups and communities
Demonstrate understanding of the role of the other stakeholders in health care by establishing and maintaining partnerships with relevant stakeholders and communities in the application of PHC approach and principles in the nursing care of psychiatric patients and communities
Establish inter-professional and inter-sectoral relationships through networking and forming alliances with key players in dealing with community health issues and demands
Assume leadership role as well as function effectively as a team member
4. Demonstrate ability to:
Use a wide range of processes, techniques, tools and materials to gather information, solve problems, create and evaluate products as well as communicate results
Use equipment and technology in health settings safely, appropriately and ethically
Creatively improvise when technology is lacking
Apply/utilize technology appropriate to the identified need of the client(s):
– In psychiatry
– In midwifery
– The broader community
5. Demonstrate ability to:
Identify nursing and health problems on which research is needed
Initiate and design a research plan
Implement planned research activities
Disseminate results – written and verbal presentation
Interpret and facilitate utilization of research-based information in own practice
6. Demonstrate ability to:
Apply principles of advocacy in support and protection of clients = human rights in the provision and facilitation of nursing care
Understand the concepts of clients = rights in the health care settings, including Bill of Rights and SANC policies
Disseminate information about human rights to the clients of nursing
Understand the purpose, functions and characteristics of labour/representative organisations for the protection of the rights and interests of health workers and employers
7. Demonstrate ability to:
Examine own values, strengths, abilities and aspirations in terms of their influence on future options and opportunities
Explore and evaluate available career and professional development opportunities
Voluntarily participate in professional development activities
8. Demonstrate ability to:
Reflect on own learning
Identify own learning needs
Identify, effectively access and utilize resources (literature, technological and human) to meet identified learning needs
Design realistic plans for meeting identified learning needs
Implement plans for meeting identified learning needs
Willingly subject his/her views and learning to validation by others through shared reflection
Critically analyse his/her meaning perspectives about health and illness in order to affirm and/or transform same
Continuous assessment:
A variety of methods are used with constructive feedback to assist the learner to master theory and practica skills in order to achieve their maximum potential.
Portfolios
Simulations
Comprehensive evaluation of nursing through assessment at workplace and practica
Written examinations
Case studies and case presentations
Clinical and academic ward rounds
Ward inspections
Clinical workbooks
Community projects and seminars
Journal assessment and self-evaluation
Peer group and preceptor evaluation
Competency evaluation of clinical skills
Problem-based solving strategies
Community participation
Formative assessment:
Credit assessment for theory and practica contributes 50% to the final assessment mark.
Summative assessment:
Formal university moderated assessments. Final examinations (both theoretical and practical) for each subject and at each exit level will be implemented prior to entrance to next level of training programme.
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