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Guided professional Case study Analysis :Nursing and Midwifery

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Guided Professional Case Study Analysis (40%)
Word count: 1250 words

Aim of assessment
The purpose of this assessment is to facilitate student learning and critical reflection through the use of guided questions that assist the student in identifying how the regulatory framework for nursing and midwifery applies to professional practice.

The assessment requires students to use a set of guided questions to analyse a discipline specific case study drawn from the Nursing and Midwifery Council of New South Wales website:

The site lists hearings and decisions from inquiries. The following discipline specific case studies were selected from the Decisions of the Professional Standards Committee. The hearings were held in response to complaints received by the NSW Health Care Complaints Commission (HCCC).

Nursing discipline specific case study:

CONYARD � HCCC v Heather Conyard [2015] NSWNMPSC 3

Complaint of unsatisfactory professional conduct. Conditions placed on registration.
A patient who was unwell for a number of days died in hospital of septicaemia. The complaint: Failure to recognise a deteriorating patient, failure to escalate concern and obtain medical assistance, and failure to document the assessment and plan of action for a patient in the �red zone� described in the �Between the Flags� policy.

Guided questions:

The Nursing and Midwifery Council of NSW receives notifications via three different pathways: the impaired health pathway, the performance pathway, or the conduct pathway. How does the definition of �unsatisfactory professional conduct� apply to the case study and why was the nurse or midwife in the case assessed under the conduct pathway?

Accurate, very clear and analytical application of the definition of �unsatisfactory professional conduct� to the nurse or midwife in the case study.
Insightful, informative and concise statement of the criteria in the case that apply to assessment under the conduct pathway.

� Refer to the Nursing and Midwifery Council of NSW website to identify the correct definitions.
� Read the Complaint and Applicable Law sections of the Inquiry Decision Statement for your discipline specific case study. State how the definition applies to the nurse or midwife.
� Write a concise statement of the factors in the case that fit the conduct pathway criteria.
� Background information is available in Savage (2015) Chapter 7; Staunton and Chiarella (2013) Chapter 8; Pairman et al (2015) Chapter 13. See also the Health Care Complaints Act.

2. This question relates to individual professional accountability. What activities did the nurse or midwife need to complete in the immediate situation? Who else in the health care team needed to be involved in the coordination of care? What mitigating factors reduced the individual accountability of the nurse or midwife?

Highly analytical and critical outline of how the actions or inactions of the nurse or midwife relate to individual professional accountability.
The outline includes a coherent and insightful critical discussion of the accountability to coordinate care and the factors that limited individual professional accountability in the case.
� Read through the Inquiry Decision Statement. In your answer outline the actions or inactions by the nurse or midwife that relate to their individual professional accountability, accountability to coordinate care with others, and the limits of their individual accountability.
� Background reading on professional accountability can be found in Savage (2015) Chapter 1; Pairman et al (2015) Chapter 12.

3. What professional standards apply/were breached in this situation?
Comprehensive identification of the relevant NMBA statements (at least three) that apply to the case study.
Insightful, clear, concise rationale for selection that is relevant to the context of the case study.

� Read through the NMBA codes and standards to identify (at least three) relevant statements that apply in the discipline specific case study.
� Background information is located in Chang and Daly (2016) Chapter 21.
� Provide a clear and concise rationale for your selection. Your answer must be specific to the case study context.

4. What professional behaviours may have made a difference in this situation?

Very focused, clear, concise discussion of the professional behaviours that may have made a difference in the case study situation.
A comprehensive range of contributory factors is identified with excellent support from the literature

� Your discussion needs to be focused and relevant to the case study. In writing your answer, consider the level of engagement, personal attributes, knowledge base, prior clinical experience, evidence of clinical reasoning, clinical actions, and whether the nurse or midwife involved evaluated or reflected on the care they provided.
� See Dempsey et al (2014) Chapter 14; See also Pairman et al (2015) Chapter 13 and 14.

5. What do you learn from this case study about your own preparedness for professional practice?

Comprehensive discussion of an aspect of care from the case study that is within the scope of graduate practice.
A highly analytical and critical understanding of how professional accountability applies to own preparedness for graduate professional practise.

Choose one aspect of care from the case study that is within the scope of practice for a new graduate nurse or midwife and reflect on what accountable actions apply.
� Read through the answer you provided to Question 2. Think about your understanding of professional accountability as it relates to the scope of practice for a new graduate.
� Your answer to this final question can be written in the first person, where appropriate, as you are reflecting on your own preparedness for professional practice.

6. Reference list and in-text referencing
Outstanding, fluent, writing style and use of language.
Consistently accurate referencing, with all references correctly given, both in text and in final reference list according to APA style. A minimum of 6 references provided and consistently used to support all answers.

� List the references to the Nursing and Midwifery Council website, the NMBA documents, and any other resources that you have discussed in support of your answers using the correct APA (6th ed.) referencing conventions.
� Your answer to all questions must include relevant in-text references that fit the context of your discussion at the appropriate place in the paragraph of your text.
The in-text reference for the case study can be abbreviated as Conyard [2015] or Bull [2015].

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