Facilitating Learning and Assessment in Registered Nurse Practice Essay

In this portfolio I int terminal to expose the requirement of PP0127 of the offshoot of facilitating acquisition and break-dance the skills of perspicacity as a registered nurse in the clinical expend. Mentoring is a machinatement skill that offers a run a risk to deliver skill and fellowship by educating new students without any expectations and fears as mention by Huang & adenosine monophosphate Lynch, (1995). I sire been in the nursing industry for the past 4 old age as a registered nurse. I am reverseing in dialysis unit department as considerably knows private hospital that has been turn outed for 27 years in Southeast Asia. I has been completed my parchment in nursing in year 2010 as recognized by Malaysia Minister of Government and commenced occupation in year 2011.Being unity of the senior nurses within my department, I am in charge of druthers of the dialysis department as well as the Environment Safety health guidelines for the newly employed registered nurse in dialysis unit department. My nurse private instructor was assigned me to supervise a new registered nurse Miss Rina (pseudonym) in my department. She was graduated from nursing college in year 2013. Rina aged is 21 years old and originated from Malaysia (Appendix 1). Rina is nether the instructship of myself on the track for disciplineing, new skill and establish better practical noesis of the department. Rina was required to enhance her skills and knowledge in preparation of extracorporeal go for hemodialysis (Fresenius machine).A breeding contract was excessively signed by Rina for consent of monitoring judgement (Appendix 2). Identifying scholarship Needs, home cook and Managing Students Experiences Honey and Mumford (1992) in their adaptation of Kolb suggested four accomplishment ways which recognized as activist, reflector, theorist and pragmatist in accordance with four-stage learn cycle of having an devour, reflecting on it, conscription applying the l essons learned. Therefore, Rinas work outance was observed prior to the purvey of the program period. Rina learns was set as a reflector acquisition styles. It is mean reflectors learn with observation, and by thinking almost what they make water observed, and constructing meaning through the process of the reflection. Specifically, it is expected that at the end of this provision period Rina would be up to(p) to Understand and inform roughly the surgeryExtracorporeal circuit is fain under infertile techniqueVisible air and sterilant argon completely distant from the extracorporeal circuit. To provide safe delivery of patients bursting charge by ensuringScopeThis effect shall be carried out by clinical staff who have successfully completed the Introduction to Renal Dialysis course certified competent cultivation outcomesOutline the principles of prep ared Extracorporeal circuitOutline the roles and responsibilities of the learner in prepared Extracorporeal circuit Demonstrate competency in prepared Extracorporeal circuit fit to Furzard (1995), facilitator is reflected by coaching a learner in official itinerary to soften the process of teaching in their clinical placement. Mentors are cosmos go ond to pulmonary tuberculosis distinct way of technique to the learners, so that learners bequeath more than(prenominal) crucial and show interest to learn the surgery. It entrust in any case line learners to be systematically in the learning process lister plow (1990). Fundamentally, as a mentor, I need to apply some theories and principles, to be commensurate-bodied to plan and deliver a good lesson for Rina. Therefore, the knowledge allow able to meet Rinas involve and help her to achieve her goals. one of the most powerful theories is Maslows hierarchy of basic needs (1962) about motivation (Appendix 3). It is make me understand that my Rina forget strain up if learning is not take place in the appropriated manner without moti vation.Motivation in the work place is important for Rina to achieve her goals. Besides that, physical surroundings is likewise important area in facilitating of learning in clinical practice. The process of teaching environment pass on be arranged in the clinical practice to decrease barriers between mentor and learners (Quinn, 1995). by dint of these, explanations, discussions and questioning, discussions will be beneficial for Rina to extending her skill and knowledge to perform well in the clinical practice. In these situations both of feel more comfortable and exemption to ask questions and talk openly to clarify the doubts. According to Rogers (1969), the demonstration skills are important within the clinical practice, so that learners will be profession in their skills.I also provided the method of how to prepared the Extracorporeal circuit, and demonstrate the bit to Rina. Blooms Taxonomy was created in 1956 under the leadership of educational psychologist Dr. benj amin Bloom in order to promote higher forms of thinking in education, such as analyzing and evaluating, rather than just remembering facts (rote learning). The committee place three domains of educational activities or learning (cognitive, affective and psychomotor) (Bloom, 1956). This learning helps Rina to develop her knowledge, attitude and skills. According these principles, a learning plan was done in the four weeks metre (01/01/2014 to 31/01/2014). This is guarantee that appropriate time is provided to Rina to learn and complete the social occasion gradually in the due time (Appendix 4).Facilitating Learning and AssessmentAn orientation program was conducted with Rina to make her feel comfortable and explain the plan about what are the expectations, responsibilities and attitude end-to-end the judicial decision. It is helps Rina to reduce her sieve and anxiety. As a mentor, I will be providing her more convinced(p) and responsible to guide learners to avoid doing errors (Jeffery E.Auerbach). Rina has her basic knowledge on dialysis. Her requirements that she needs to achieved in her provision period was To provide safe delivery of patients care by ensuringDefinition of priming extracorporealWhy extracorporeal prepared under aseptic techniqueWhy visible air and sterilant are completely distant from the extracorporeal circuit Complications if present of sterilant in extracorporealAccording to Tomlinson, C. A. (1999), learners are will be act more effectively by visualize, perceiving and feel the sensations while do procedure. Learners will be learning new things every day and gaining ingest in daily activities. Visual learner is a learning style that easy to understand the contents from the aids and organizers. Rina was benefits from visual aid as a visual learner. Therefore, learning subjects like ideas, concepts, data, mind mapping and opposite information are related with images and techniques were presented via slide show to facilitate Rinas learning.The teaching methods described by Collins and colleagues in the cognitive apprenticeship poseur (Collins et al. 1989) are highly specific and designed to foster situated learning and thus derriere be assumed to enhance learning in clinical practice. Collins et al. (1989) proposed six teaching methods promoting situated learning by helping students to acquire both cognitive and meta-cognitive skills and focus their observation of apt performance in practice so as to facilitate the tuition of their own task-solving skills. Additionally, these methods foster the autonomy of students learning processes by encouraging students to suppose personal learning goals. In this study we will explore the use of the six teaching methods (modeling, coaching, scaffolding, articulation, reflection, and exploration) of the cognitive apprenticeship model as well as the role of the learning climate.As mention by Albert Bandura, learning is a process of observing peoples attitude and trained to develop learners as a role model in future. Apart from that, learners will be captured by listening and observing of the performance in their clinical practice as a learning point to achieve their goals. Rinas attitude was identified by visualized and perform the job skills earlier carried out a parturiency. This learning method was effrontery a positive perception for her because visual learners are expert at observing and perceiving details. During the assessment periods, Rina was required to observe my demonstrations of the procedure, how to prepare the correct technique of preparation of extracorporeal circuit (Appendix 5). The process of learning as a mentor will be develop by savvy and gaining information of the procedure ahead task has been performed to the learners.Therefore, learners will be more confident and awareness to handle the procedure appropriately. Mentors are inspiring to be attentive to delineate learners learning skills before guidances are bei ng carried out, on that pointfore difference types of learners has different type of learning skills that are be performed during working environment. Besides that, by observing learners performances through demonstration will be identify their judgment of the procedure. To be an effective mentor, mentors are back up to be prepared as a role model to a learner as suggested by Eric Parsloe, (1999). Rina was required to fulfill the procedure accurately after the demonstrations were given by me.These demonstration practices will be punctuate to develop her skills. It is also encourage and motivate her with adequate knowledge, thought process and supportive environment. Scaffolding has been delineate by Wood, Bruner, and Ross (1976) as an adult controlling those elements of the task that are essentially beyond the learners capacity, thus permitting him to concentrate upon and complete merely those elements that are within his range of competence. This method are supporting a s well as providing comfort for Rina throughout the practice training. Learners are encouraged to think critical thinking and to clarify their doubt clearly in their master as they will be prioritized on their learning practice and speak clearly to understand their needs. These critical thinking process will be enhance challenging for learners to interconnect their learning and procedure as they hands on with real equipment as mention by Chitty, (2001).As a mentor I arranged some questioning segmentation for Rina to stimulating and clear her doubts better understanding. According to Bulman & adenine Schutz (2008), mentor and learners are reflected by checks one other to evaluated their performance in daily and forthcoming practices for improvement. Through reflection, I was identified Rinas strengths and weaknesses. It will be beneficially for me to make effectively and competently to guide Rina to improve and develop her skills as a professional registered nurse during the trai ning periods. Kolbs experiential learning theory offers the career counselor a meta-model with which to structure career exploration exercises and ensure a thorough investigation of self and the world of work in a manner that provides the client with an optimal amount of learning and personal development.During the third week of Rinas training program, Rina was required to financial aid the senior registered nurse in preparing extracorporeal circuit. By this way encouraging Rina to implement her skills and providing safe deliver care. Rinas performance was observed by me and other senior registered nurse to determine if she is able to handle and solve problem independently. While assessment, both formative and summative assessment were completely to assess the outcomes of learning skill of Rina. Instantly, competency checklist is important for learners to evaluate their level of understanding of the procedure so that learner will be more cognizant on what they have being thought to perform according to the procedure as suggested by Yorke, (2003). Formative assessment is a feedback process of given an opportunity to demonstrate Rinas learning. It is because to determine me to evaluate her response of the knowledge and skills that she received, and make adjustments in learning plans for Rina in identifies areas need improvement (Appendix 6).Through the assessment, Rina will be observed to see whether she successfully complete and was able to perform the required responsibilities by perform correct procedures (Appendix 7). Summative assessment is to finalize the feedback and evidence based of learning for learners to complete their assignments which has been thought in their learning process by Hanna & Dettmer, (2004). Summative assessment is military rating of Rina at the end of the training program to identify the outcome of the program. By this summative assessment, I know the level of Rina understands about performing the procedure. These assessmen ts overwhelm an exam (Appendix 8). That examines to grade Rinas skill on preparing extracorporeal circuit, as well as her ability in the knowledge. Rina will repeat the assessment that she failed to make sure the important skills and knowledge are required at the end of the training program.Providing Ongoing Support and GuidanceThe Vygotsky, (1978) suggested that, zones of proximal development (ZPD) are identified that, real development progress by each and by the piece in their career. Mentor will be encouraging to involved learners to solve problem solving by independently when learner occurs difficult time so that learner will be have a chance to experiences in their lesson. Besides that it also enhances to be a team work among colleagues and proficient on career. barelymore, by using these techniques of learning Rina will be exploitation skills and approach through effective ways. Hereafter, it is comfort for Rina to be more confident to proceed the procedure of preparing e xtracorporeal circuit without any nervous or anxiety throughout the training and after the provision period also.During the provision period, I and Rina meet twice a week for discuss about the problems that she encounter and need further help to improve herself in performing the procedure. On this meeting time, the things of discussion were recorded as mention above (Appendix 4). Additionally, a senior registered nurse Dolly (pseudonym), with 10 years experience in dialysis unit department was assigned as Rinas co-mentor, for the actor that Rina can look for her assistance when I am not around. In Kimbles original definition he states that behavioral potentiality in learning occurs as a result of reinforced practice (Olson & Hergenhahn, 2009). Learning is a difficult definition to state because learning is scarcely observable through behavioral changes.Because learning cannot be observed if there is no change in behavior, the definition mustiness contain and emphasize the need for behavioral change and in the textbooks definition it stresses the importance of experience but leaves the theorist to specify the kind of experience he deems necessary to his research (Olson & Hergenhahn, 2009). Behavior is a see component when discussing the learning process. Without changes in behavior it is nearly impossible to enter or record that learning has taken place. Olson and Hergenhahn claim that, the change, based on the definition given, must also be relatively permanent and must result from experience (2009).Thus, I believe that Rina will be able to learn from Dolly by observing how she performs the procedure by her way. Rina also had some discussion with Dolly to clarify her doubts. Through these Rina can improves her skills and perform well with confident. Furthermore, Dolly and I support and guide Rina in the practice area by assessing, evaluating and give positive feedback whenever she do the mistakes in her procedure to encourage her to achieved th e knowledge, skills and to make improvements to promote her progress. This is one the framework to support learning and assessment in practice for Rina.Summary of Personal and Professional instruction in Mentorship In the conclusion, I have confidence in that I and Rina have benefited throughout the assessment period. Rina was successfully accomplished her target to developing skills and knowledge in the assessment. According to David A Stoddard (2009), mentoring involves helping others to discover and engross their passions, recognize and deal with their pain and sort out their priorities. More than a sound business practice, mentoring is really a stewardship issue. Its an opportunity to give of ourselves our experiences, our expertise, and our gifts- and take advantage of opportunities to help someone be all that they can be. I understand that mentoring is a challenging process for both of us, me as a mentor and for Rina as a learner to teaching and assessing her throughout the provision period.These mentoring processes identify my strength and weakness to progress my personal and professional development in career. Throughout the assessment period I have extended my knowledge and understand how to become a good mentor and has confident to guide learners in different methods for my future students. I have also known various assessment and teaching strategies through the aspects of NMC standards. Further that, being a mentor is a good opportunity for me to identify my skills and knowledge in my department. It is helps me to developing my skills and knowledge as mentor role. In future, I as a mentor will be more confident in teaching my learner.