Assessor Resource

HLTEN502B
Apply effective communication skills in nursing practice

Assessment tool

Version 1.0
Issue Date: May 2024


The knowledge and skills described in this competency unit are to be applied within jurisdictional nursing and midwifery regulatory authority legislative requirements

Enrolled/Division 2 nursing work is to be carried out in consultation/collaboration with registered nurses and under direct or indirect supervisory arrangements in line with jurisdictional regulatory requirements

This competency unit describes the skills and knowledge required for effective communication in complex communication situations and its application to nursing practice; the function and purpose of small groups; meeting procedures; and the dynamics of group work and evaluation as a tool for continuous improvement

You may want to include more information here about the target group and the purpose of the assessments (eg formative, summative, recognition)

Prerequisites

Not Applicable


Employability Skills

This unit contains Employability Skills




Evidence Required

List the assessment methods to be used and the context and resources required for assessment. Copy and paste the relevant sections from the evidence guide below and then re-write these in plain English.

The evidence guide provides advice on assessment and must be read in conjunction with the Performance Criteria, Required Skills and Knowledge, the Range Statement and the Assessment Guidelines for this Training Package.

Critical aspects for assessment and evidence required to demonstrate this competency unit:

The individual being assessed must provide evidence of specified essential knowledge as well as skills

Observation of performance in a work context is essential for assessment of this unit

Consistency of performance should be demonstrated over the required range of workplace situations and should occur on more than one occasion and be assessed by a registered nurse

Context of and specific resources for assessment:

Where, for reasons of safety, access to equipment and resources and space, assessment takes place away from the workplace, simulations should be used to represent workplace conditions as closely as possible, prior to assessment in the workplace

Method of assessment

Observation in work place or simulated situations

Written assignments/projects

Case study and scenario as a basis for discussion of issues and strategies to contribute to best practice

Questioning verbal and written

Role play/simulation

Access and equity considerations:

All workers in the health industry should be aware of access and equity issues in relation to their own area of work

All workers should develop their ability to work in a culturally diverse environment

In recognition of particular health issues facing Aboriginal and Torres Strait Islander communities, workers should be aware of cultural, historical and current issues impacting on health of Aboriginal and Torres Strait Islander people

Assessors and trainers must take into account relevant access and equity issues, in particular relating to factors impacting on health of Aboriginal and/or Torres Strait Islander clients and communities

Related unit:

This competency unit incorporates the content of:

HLTEN402B Communicate effectively in a nursing role


Submission Requirements

List each assessment task's title, type (eg project, observation/demonstration, essay, assingnment, checklist) and due date here

Assessment task 1: [title]      Due date:

(add new lines for each of the assessment tasks)


Assessment Tasks

Copy and paste from the following data to produce each assessment task. Write these in plain English and spell out how, when and where the task is to be carried out, under what conditions, and what resources are needed. Include guidelines about how well the candidate has to perform a task for it to be judged satisfactory.

This describes the essential skills and knowledge and their level required for this unit.

Essential knowledge:

The candidate must be able to demonstrate essential knowledge required to effectively do the task outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the identified work role

This includes knowledge of:

Confidentiality principles

Group dynamics

Issues and needs of clients taking into account differing cultures, religious practices, languages, physical disabilities and emotional disorders

Legal implications of documentation/duty of care

Medical terminology

Potential constraints to effective communication

Principles of informed consent

Principles, processes and practices of open disclosure

Risk assessment in critical and non-critical clinical situations

Statutory framework within which nursing takes place

Essential skills:

It is critical that the candidate demonstrate the ability to effectively do the task outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the identified work role

This includes the ability to:

Apply Professional Standards of Practice:

ANMC code of conduct

ANMC code of ethics

ANMC national Enrolled/Division 2 nurse competency standards

state/territory Nurse Regulatory Nurses Act

state/territory Nursing and Midwifery Regulatory Authority standards of practice

scope of nursing practice decision making framework

Apply problem solving skills, including an ability to use tools and techniques to solve problems, analyse information and make decisions that require discretion and confidentiality

Comply with:

open disclosure processes

principles of informed consent

Communicate effectively with clients and other staff

Provide mentoring in line with jurisdictional regulatory requirements

Recognise and address the special needs of clients

Record assessment outcomes according to organisation policy and procedures which may include electronic data systems

Report and record clinical information using appropriate medical terminology

Use information technology to support nursing practice

Use interpersonal skills, including working with others, empathy with clients, family and colleagues, using sensitivity when dealing with people and relating to persons from differing cultural, spiritual, social and religious backgrounds

Use oral communication skills (language competence) required to fulfil job roles as specified by the health environment. Advanced oral communication skills include interviewing techniques, asking questions, active listening, asking for clarification from client or other persons, negotiating solutions, acknowledging and responding to a range of views. The work may involve using interpreters

Use written communication skills (literacy competence) required to fulfil job roles as specified by health environment. The level of skill may range from reading and understanding client reports and documentation to completion of written reports

Utilise organisation protocols for electronic communication

The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance

Common terms associated with communication may include

Active listening

Argument

Body language

Brainstorming

Counselling

Debate

Discussion

Electronic aids

Empathy

Facial expression

Interview

Intimate space

Non-verbal communication - space, gesture, expression, posture, dress, voice tone, gaze

Public space

Reflective listening

Self disclosure

Social space

Symbols and pictures

Sympathy

Touch

Trust

Verbal communication

Written communication

Effective communication may include the use of:

Non-verbal communication

Establishing rapport

Empathy and sympathy

Honesty and openness

Active and reflective listening

Conflict resolution

Therapeutic touch

Use of personnel with special communication skills eg. use of interpreters

Communication process must include:

Information

Encoder / sender

Decoder / receiver

Channel

Message

Feedback

Factors affecting communication may include:

Age

Bereavement and grief

Cognitive impairment

Culture

Discrimination

Educational background

Emotional state

Environment (e.g. noise)

Gender

Illness

Language

Non-verbal communication

Pain and discomfort

Perceptions

Personal bias

Physical constraints to hearing, sight and speech

Socialisation

Stereotyping

Stress

Urgency of situation

Values and beliefs

Complicated or difficult situations may include:

Post suicide attempts

Drug and alcohol affected people

Disabilities

Hearing impaired

Personal threat

Aggression

Anger

Emergency and crisis situations

Trauma

Death

Grief and loss

Open disclosure includes:

The provision of an open, consistent approach to communicating with clients following an adverse event

Expressing regret for what has happened, keeping the client informed and providing feedback on investigations

Includes steps taken to prevent an event from happening

Provides information that enables systems of care to be changed or to improve client safety

(Open Disclosure - a handbook for health care professionals to assist with the implementation of the open disclosure standard, Safety and Quality Council. 2005)

Oral communication may include:

Responding to questions and delivering health care environment information

Interpretation of complicated situations

Questioning, clarifying and confirming information

Explaining information , procedures and descriptions

Constraints to effective communication may include:

Environment difficulties

Family and/or friends involvement

Language difficulties

Hearing and/or speech impairments

Religious, social, spiritual or cultural factors

Emotional state

An adverse event means:

An incident in which unintended harm resulted to a person receiving care

(Open Disclosure - a handbook for health care professionals to assist with the implementation of the open disclosure standard, Safety and Quality Council. 2005)

Stressful situations may be:

Staff centred

Client centred

Terms associated with group dynamics may include:

Leadership styles

Teams

Group behaviours

Cooperation

Diversity

Conflict

Consensus

Internal conflict

Interpersonal conflict

Aggression

Assertion

Passivity

Time management

Trust

Forming

Brain storming

Performing

Mourning/reforming

Characteristics of effective partnerships include:

Confidentiality

Trust

Self reflection

Social conversation

Creating a therapeutic environment

Encouraging autonomy and independence

Performance improvement may include:

Use of health care environment and professional standards

Effective and constructive feedback

Evaluation of all performances

Use of constructive comments

Accountability for own actions and evaluation

Performance appraisal against role statement and/or environment contract

Professional development based on personal and professional identified needs

Remediation as identified by self and/or others

Self assessment strategies may include:

Setting goals

Journal writing

Reflective learning principles

Professional development activities

Performance appraisal

Evaluating own performance

Health terminology may include (but should not be limited to):

Anatomy and physiology terms

Medical conditions

Medical investigations and procedures

Abbreviations for medical and pharmacological terms

Names of equipment and instruments

Medico-legal terminology

Conflict resolution strategies may include:

Win/win

Win/lose

Lose/lose

Compromising

Confronting

Withdrawing

Forcing

Peace maker

Three-part statement

Broken record

Meeting procedures may include:

Types of meetings (formal, semi-formal, informal)

Handover

Agenda formation

Purpose of the meeting

Attendees

Duration of meeting

Day, date, time and venue

Key roles (chairperson, note-taker)

Summarising and evaluating processes

Terms associated with meetings may include:

Agenda

Minutes

Apologies

Business arising

General business

Propose

Second

Motion

Parliamentary procedure

Consensus

Compromise

Concession

Interview

Performance improvement

Common terms associated with performance improvement may include:

Standards

Benchmark

Feedback

Evaluation

Constructive criticism

Accountability

Performance appraisal

Performance management

Professional development

Strategic plan

Remediation

Evaluation of own performance

Self disclosure

Reflective learning principles

Professional development activities

Copy and paste from the following performance criteria to create an observation checklist for each task. When you have finished writing your assessment tool every one of these must have been addressed, preferably several times in a variety of contexts. To ensure this occurs download the assessment matrix for the unit; enter each assessment task as a column header and place check marks against each performance criteria that task addresses.

Observation Checklist

Tasks to be observed according to workplace/college/TAFE policy and procedures, relevant legislation and Codes of Practice Yes No Comments/feedback
Apply principles of effective communication, with an understanding of communication processes and factors that facilitate and inhibit communication 
Maximise opportunities for staff to involve clients, family and carers in their care and treatment 
Take into account the roles and responsibilities of various health care personnel involved in communicating in complicated situations 
Complete all documentation detailing complicated and difficult situations complying with legal requirements 
Apply a respectful and confidential manner throughout all communications 
Provide a therapeutic environment in all interactions with clients through a caring, sensitive, confident and reassuring manner 
Demonstrate politeness, respect and empathy in all interactions with clients, family and carers 
Use health terminology correctly in written and verbal communication with clients, family, carers and colleagues, using accurate spelling and pronunciation 
Deliver complex information in a manner that is clearly understood by clients, carers, colleagues and others 
Allow time for complex information to be comprehended taking into account people's differing levels of understanding 
Actively encourage clients, family and carers to share their information 
Confirm the understanding of information by clients, carers, colleagues and others 
Communicate effectively in an emergency situation in line with the health organisation policy and procedure and in consultation/collaboration with registered nurse 
Address stressful situations using effective communication skills or refer to the most appropriate health care team member for resolution 
Deliver complex information to clients/carers in a manner that enhances understanding and prevents 'information overload' 
Identify actual and potential constraints to effective communication in the workplace 
Identify and apply communication strategies and techniques appropriate to a range of varying complicated situations 
Identify early signs of potential complicated or difficult situations 
Implement strategies to address complicated or difficult communication situations in line with relevant policies and procedures and within scope of role 
Clarify roles of other health professionals involved in complicated communication situations 
Clarify and address the issues and needs of people taking into account differing cultures, religious practices, language, physical disability and emotional state 
Document and report outcomes of communication strategies to address complicated situations 
Refer to appropriate health personnel when situation is outside own role and responsibility 
Assist in assessing the effectiveness of communication strategies in complicated situations 
Ensure debriefing sessions are available for self and staff following difficult situations 
Use computers and related information technology to support nursing practice 
Comply with organisation protocols for electronic communication with clients, family and carers 
Use information technology, including the internet to access data appropriate to own role and organisation requirements 
Use basic computing and word processing skills to access, develop and manipulate information in line with own role and organisation requirements 
Monitor and respond appropriately to changing group dynamics 
Clarify the purpose of group meetings and manage discussion in line to achieve identified objectives 
Implement appropriate meeting procedures and roles of members to support effective contribution to discussion 
Use feedback as a tool to achieve performance improvement 
Use appropriate language and a respectful manner to achieve performance improvement through feedback 
Apply strategies to deliver constructive outcomes from giving and receiving feedback 
Assess own performance as a basis for assessing the performance of others and providing feedback 
Undertake mentoring within scope of practice of Enrolled/Division 2 nurse 
Apply organisation principles and processes of open disclosure in consultation/collaboration with registered nurse 
Follow organisation processes for notifying adverse events to clients, family or carers 
Outline potential impact of adverse events on clients, family and carers 
Communicate effectively with clients after an adverse event in consultation/collaboration with registered nurse 
Address own role and responsibilities in relation to open disclosure in line with organisation policies and procedures 
Apply principles and practices of risk management and quality improvement in regard to open disclosure in consultation/collaboration with registered nurse 

Forms

Assessment Cover Sheet

HLTEN502B - Apply effective communication skills in nursing practice
Assessment task 1: [title]

Student name:

Student ID:

I declare that the assessment tasks submitted for this unit are my own work.

Student signature:

Result: Competent Not yet competent

Feedback to student

 

 

 

 

 

 

 

 

Assessor name:

Signature:

Date:


Assessment Record Sheet

HLTEN502B - Apply effective communication skills in nursing practice

Student name:

Student ID:

Assessment task 1: [title] Result: Competent Not yet competent

(add lines for each task)

Feedback to student:

 

 

 

 

 

 

 

 

Overall assessment result: Competent Not yet competent

Assessor name:

Signature:

Date:

Student signature:

Date: