University Nursing Practice (NMIH308) Learning Plan Development Report

This report details a nursing practice learning plan developed to address two key learning needs identified by the student: improving documentation and enhancing communication skills, aligned with NMBA standards 1.6 and 2.2, respectively. The plan outlines various activities, including clinical placements, ISBAR exercises, journal readings, and TED talks, to facilitate skill development in comprehensive assessment, effective communication, and therapeutic relationship building. The student utilizes Rolf's reflection model to evaluate the learning experience, reflecting on the impact of these activities on their confidence, knowledge, and ability to provide safe and responsive patient care. The report highlights the importance of accurate documentation, effective communication, and cultural competency in nursing practice, emphasizing the student's commitment to continuous professional development and patient well-being.

Running head: NURSING PRACTICE
NURSING PRACTICE
Name of the student:
Name of the university:
Author note

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NURSING PRACTICE
PART B:
Develop a learning plan:
In order to provide safe and responsive care to the patients, registered nurse must acquire skills and involve themselves in
continuous development process. The continuous professional development and education assist nurses to improve critical thinking
and decision making which in turn facilitate the professional practice. The purpose of this essay is to develop learning plan for two
learning needs identified in part A such as standard 1.6 and standard 2.2. The standard 1.6 stated that it is responsibility of the nurse
to conduct accurate and systematic assessment with efficient communication skills. To address this learning need, the involvement
in various activities such as involve in ISBAR of the patient history and vital signs in clinical practice, assessment of the patients
in clinical practice in presence of supervisors, reading journals and listening to ted talk. While I gathered knowledge in
documentation and comprehensive assessment, I was not confident enough to document every cues. These activities will guide me to
develop knowledge regarding documentation and comprehensive assessment of the patient. Hence, with the assistance of these
activities , I would be able to gain knowledge and confidence which will further assist me to provide care which ensures patients’
safety.
On the other hand, the second learning need for which I would require to involve myself in learning plan is effective
communication skills according to standard 2.2 of NMBA. It stated that it is necessary to build therapeutic relationship with patients

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NURSING PRACTICE
since it improve patients satisfaction, empower patients and improve patient participation. It can be built by involving myself
training and workshops for active listening, non-judgemental approach. I will ask patients questions, speak at measured pace and take
time to responded with empathy in presence of supervisor. I will also gather knowledge through journals and ted talks. The detailed
activities and learning opportunities will be provided below.

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NURSING PRACTICE
Learning opportunities:
Evidence record
Self-directed continuing professional development
Name:
Date Identified
learning need
Action plan Type of
activity
Description of topic
(s) covered during
activity and outcome
No./Title/
Description of
evidence provided
CPD hours
5/9/2019 Standard 1.6
provides a guide
for
comprehensive as
well as safe
practice by
maintaining
accurate, through
documentation of
assessments,
decision-making,
planning, actions
and evaluations.
I would like to
involve in activities
such as training and
workshops. Moreover,
I will involve myself in
podcast and gather
evidence based
knowledge in order to
improve
documentation of
assessment, planning
for the patient,
improve decision
making and evaluation.
Clinical
placement in
the university
for
improvement
of proper
documentatio
n of
assessment
Comprehensive
assessment of vital signs
of a patient who is
suffering. After
assessment, detailed
documentation of vital
signs of the patients so
that the data can be used
for further intervention
Cardona-Morrell, M.,
Prgomet, M., Lake,
R., Nicholson, M.,
Harrison, R., Long, J.,
... & Hillman, K.
(2016). Vital signs
monitoring and nurse–
patient interaction: A
qualitative
observational study of
hospital practice.
International journal
of nursing studies, 56,
9-16.
45 minutes

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NURSING PRACTICE
Date Identified
learning need
Action plan Type of
activity
Description of topic
(s) covered during
activity and outcome
No./Title/
Description of
evidence provided
CPD hours
10/9/2019
Learned
about
documentatio
n through
ISBAR
Learn about
Documentation of a
patient history and
possible recommendation
through is ISBAR in
presence of supervisor
for the co-worker of my
next shift. ISBAR is a
documentation process
involving identify,
situation, background,
assessment and
recommendation. It is
most frequently used
documentation process
which is used for patient
safety and improved
quality of care.
Shahid, S., & Thomas,
S. (2018). Situation,
background,
assessment,
recommendation
(SBAR)
communication tool
for handoff in health
care–a narrative
review. Safety in
Health, 4(1), 7.
1 hour

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NURSING PRACTICE
Date Identified
learning need
Action plan Type of
activity
Description of topic
(s) covered during
activity and outcome
No./Title/
Description of
evidence provided
CPD hours
22/9/2019 Reading
from
government
website
 Australian
nursing and
midwifery
federation
provide a guide
which include
importance of
documentation.
 Clearly identify
needs of the
patients and
record number
 Be clear and
concise when
documenting
 Accurate and
legible
 Taking informed
consent from the
patient before
documentation.
 Gather skills
regarding
technological
documentation.
Australian Nursing
and Midwifery
Federation. (2019).
Importance of
Documentation.
Retrieved 22
september 2019, from
https://www.anmfnt.or
g.au/resources/importa
nce-documentation
30 Minutes

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NURSING PRACTICE
Date Identified
learning need
Action plan Type of
activity
Description of topic
(s) covered during
activity and outcome
No./Title/
Description of
evidence provided
CPD hours
29/
9/2019 Journal
reading
Development of
collaborative skills and
conflict management
skills
 Holistic and
cultural approach
during
documentation
 Process of proper
planning of
intervention and
improved
decision making
 Incorporation of
cultural values
when designing
intervention or
planning
1. Dickerson, J.,
& Latina, A.
(2017). Team
nursing: A
collaborative
approach
improves
patient
care. Nursing2
019, 47(10),
16-17.
2. Ylitörmänen,
T., Kvist, T.,
& Turunen, H.
(2015). A
web-based
survey of
Finnish
nurses’
perceptions of
conflict
management in
nurse-nurse
collaboration.
International
Journal of
Caring
Sciences, 8(2),
1 hour

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NURSING PRACTICE
Date Identified
learning need
Action plan Type of
activity
Description of topic
(s) covered during
activity and outcome
No./Title/
Description of
evidence provided
CPD hours
1/10/2019
Ted talk
Innovation in the
medication and
intervention improve the
quality of care in nursing
The nurses represent
nearly half of the
workforce around the
globe. Hence, proper
nursing skills in
assessment,
documentation and
decision making are
effective in providing
best possible care and
reducing mortality of
disease
263-273.
Rebecca Love. (2018).
Nurse Innovation:
Saving the Future of
Healthcare | Rebecca
Love |
TEDxBeaconStreet.
Retrieved 1 october
2019, from
https://www.youtube.c
om/watch?
v=IPBcRW8NQPY
13 minutes

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NURSING PRACTICE
Date Identified
learning need
Action plan Type of
activity
Description of topic
(s) covered during
activity and outcome
No./Title/
Description of
evidence provided
CPD hours
3/10/2019 Standard 2. 2 of
NMBA suggested
that nursing
professionals
must
communicate
effectively in a
way which is
respectful of a
person’s dignity,
culture, values,
beliefs and rights
I would like to
understand and gather
effective
communication skills
and participate in
training process so that
I can develop effective
communication skills
and respect the dignity
of the patient.
Assistance of
supervisor in
developing
proper
communicati
on skills.
 Observation of
communication
skills of
supervisor during
placement
 Communicated
with supervisor
regarding
development of
the
communication
skills.
 I started talking
in proper pace
with non-
judgemental
values along with
active listening.
 I have
communicated a
patient in
presence of
supervisor and
she felt confident.
1 hour

9
NURSING PRACTICE
Date Identified
learning need
Action plan Type of
activity
Description of topic
(s) covered during
activity and outcome
No./Title/
Description of
evidence provided
CPD hours
9/10/2019
Journal
reading  Discussed about
verbal skills and
nonverbal skills
 Such as active
listening
 Cultural
awareness and
nursing values
in
communication
facilitate cultural
sensitivity
 Communication
should be reflect
empathy,
professional
values so that
patient can
experience safe
and empowered.
Trifkoviĉ, K. Ĉ.,
Lorber, M., Denny,
M., Denieffe, S., &
Gönc, V. (2017).
Attitudes of nursing
students towards
learning
communication
skills. Teaching and
Learning in Nursing,
1.
1 hour

10
NURSING PRACTICE
Date Identified
learning need
Action plan Type of
activity
Description of topic
(s) covered during
activity and outcome
No./Title/
Description of
evidence provided
CPD hours
17/10/201
9
Ted talk
 Suggested that
communication is
fundamental part
of nursing
practice which
further help
nurses to handle
emergency
situation
 Cultural values
and beliefs in
communication
process not only
provide safe care
but also improve
patient
satisfaction.
Sana Goldberg (2018).
What if You Became
a Nurse? | Sana
Goldberg |
TEDxHarvardCollege
Retrieved 1 October
2019, from
https://www.youtube.c
om/watch?
v=0WnLA6bSmwA

11
NURSING PRACTICE
Evaluation of the first nursing standard:
For evaluating the learning experience, Rolf’s reflection model will be used.
What?
My learning need 1 was to increase knowledge regarding the proper documentation, improve decisions making and planning
and evaluation process. During the process of transition to professional practice, I was not confident enough regarding proper
documentation which affected my nursing practice since I failed to document various crucial cues that impacted practice. I gathered
the understanding that without proper documentation of comprehensive assessment, the quality of care can be compromised. The
potential errors associated with a lack of proper documentation and maintenance are medication errors and other clinical errors which
can subject patients into potential harm and questioned patient safety. In this context, becoming confident and considering each point
of vital assessment can facilitate decision making, planning, and evaluation.
So what?
Lack of confidence, as well as knowledge along with experience, had highlighted that the need of involving in training and workshops
along with the evidence-based knowledge in the area of safe documentation of assessment, planning, and evaluation. Hence, I involve
myself in activities that assisted me to gather information and improve my confidence. I believe that after involving myself in the
learning activities, I have gathered an in-depth insight into nursing values and responsibilities which will further help me in the future
to empathize with patients and empower them and respect their dignity. The first activity was clinical placement where I involved in
documentation of vital signs. The values I have gathered is that it is critical to conduct appropriate assessments and immediately