Learning Contract: Assessing Chest Tube Drainage in Healthcare

This learning contract focuses on chest tube drainage, a critical and complex procedure in clinical care, particularly in medical-surgical nursing. The student, using Kolb’s reflective framework, aims to enhance their knowledge of post-operative care, drainage procedures, infection prevention, and common errors made by nurses. The learning objectives include understanding aftercare, proper drainage techniques, infection control, blockage prevention, and effective patient communication. The student plans to utilize human resources like nursing educators and clinical supervisors, along with literary resources such as IHM online library databases (CINAHL, PubMed, Medline) and NMBA guidelines. The proposed method involves a structured seven-week timeframe with sessions for research, learning, and doubt clearing, followed by interactive quizzes to assess progress. The ultimate goal is to improve nursing practice and patient outcomes related to chest tube insertion and management. The references include key research papers on chest tube insertion and related practices.

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Learning Contract
Learning Contract
ID number:
Unit code and title:
Title of assignment:
Name of Unit Coordinator:
Due date: Extension date (if applicable):
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Learning Contract
Clinical Area of Interest
The area of concern for this paper on the otherv hand focuses on chest
tibe drainage for the patient, a highly complicated procedure in the
clinical care which is also associated with many challenges in care
planning and implementation (Adlakha, Roberts & Ali, 2016). The chest
tube is also called thoracic catheter, which is inserted within the pleural
space of the chest wall. This complicated and invasive procedure is
carried out to drain any fluid or blockage from the pleural space and allow
better gaseuous exchange and expand the functionaliyy of the lungs
(Gross, Jennings & Clark, 2016). There are many complications that might
arise ion the post operational care environment, such as infection,
drainage clearance error, pain and many other related issues. This is a
challenging area of practice in medical surgical nursing and there is need
for optimal training and knowledge in nurses to be able to provide
adequate care (Lu et al., 2018). Hence, this is the area of concern chosen
by me to expand my knolwdge on this topic.
Conceptual Reflective Framework
In this case, I would be taking the assistance of the Kolb’s reflective
framework which emphasises on experiential learning. This reflective
framework is baded on the theory of Kurt Lewin of experiencial learning
and how the implementation of this format of learning with reflective
practice can ease and enhance the learning process. This framework is
divided into 4 clear subdivisions, what happened, what was my
experience of it, why it happened, and what i will do if it happens again
(Purnell, 2018). This reflective format will let me realy focus on the
common errors in caring for post insertion of thoracic tubes, understand
why the errors occur and how I can avoid the common errors, in turn
enhancing my practice.
Learning Objectives
The learning objectives for this learning contract are as follows:
1. learning the process of after care patients with Chest tube insertion.
2. learn the process of drainage properly
3. learn the common infection processes and how to prevent it
4. learn common drainage blocking instances and its contributors
5. learn the common errors made by nurses and why

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Learning Contract
6. learn addressing the care needs of the patient and communicating
with them
7. apply reflective framework in learning practice
Resources
Human resources
Many human resource stakeholders will be utilized in this project,
including the nursing educator, clinical supervisors, clinical course co-
ordinators, the IHM staff, the registered nurses working in the Australian
health care facilities. I would ensure involving only the specialists in the
are of concern, to ensure they can answer any critical question or doubt i
mkight have on the topic. They will also help me understand the practice
setting for the Australian health care setting.
Literary Resources
I will first and foremost take the assistance of the IHM online library to use
the databases such as CINAHL, PubMed or Medline. These database will
give me access tlo relevant, peer reviewed and authentic nursing research
journals on the topic. i will also take assistance of NMBA nursing
guidelines and standards of opractice, along with ethical code of conduct.
Other Resources
In this case as well, i would enrol in professional online course or
workshops to ennahance my professional communication and patient
handling skills.
Proposed Method
Each learning objective will be given two sessions from my educators, and
each session will be three days apart in a week. On the first day me and
my educator will research on the learning objective and take pointers for
discussion, the next day we will commence with the learming process and
doubt clearing sessions. At the end of the program we will have a
interactive quiz to understand my progress on the topic.

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Learning Contract
Proposed Timeframe
The project will take close to 7 weeks to be completed.
References
Adlakha, S., Roberts, M., & Ali, N. (2016). Chest tube insertion. Eur Respir
Monogr, 74, 229-239. Retrieved from HYPERLINK
"https://books.google.co.in/books?
hl=en&lr=&id=nEC7DQAAQBAJ&oi=fnd&pg=PA229&dq=chest+tub
e+insertion+site&ots=RCZsOy50hC&sig=uqrsDIZiqp4BMHqDkaTehj
7URH8#v=onepage&q=chest%20tube%20insertion
%20site&f=false"https://books.google.co.in/books?
hl=en&lr=&id=nEC7DQAAQBAJ&oi=fnd&pg=PA229&dq=chest+tub
e+insertion+site&ots=RCZsOy50hC&sig=uqrsDIZiqp4BMHqDkaTehj
7URH8#v=onepage&q=chest%20tube%20insertion%20site&f=false
Gross, S. L., Jennings, C. D., & Clark, R. C. (2016). Comparison of three
practices for dressing chest tube insertion sites: a randomized
controlled trial. MedSurg Nursing, 25(4), 229-233. Retrieved from
https://go.galegroup.com/ps/anonymous?id=GALE
%7CA461945690&sid=googleScholar&v=2.1&it=r&linkaccess=abs
&issn=10920811&p=AONE&sw=w
Lu, C., Jin, Y. H., Gao, W., Shi, Y. X., Xia, X., Sun, W. X., ... & Si, J. (2018).
Variation in nurse self‐reported practice of managing chest tubes: A
cross‐sectional study. Journal of clinical nursing, 27(5-6), e1013-
e1021. Doi: 10.1111/jocn.14127
Purnell, L. (2018). Critical reflection. In Global Applications of Culturally
Competent Health Care: Guidelines for Practice (pp. 97-112).
Springer, Cham. Doi: 10.1007/978-3-319-69332-3_10
Declaration
Student: By placing a mark in this checkbox, I agree that undertaking this
project will constitute one of the assessments that will determine my
grade and ability to successfully complete the course in which I am
enrolled. ☐

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Learning Contract
Lecturer: I agree that this project falls within the scope of the unit of study
and is deemed a feasible means of assessing the student’s learning.
X
Airelyn Albarillo
Lecturer