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Evidence Guide: HLTENN032 - Apply nursing practice in the rural and remote setting

Student: __________________________________________________

Signature: _________________________________________________

Tips for gathering evidence to demonstrate your skills

The important thing to remember when gathering evidence is that the more evidence the better - that is, the more evidence you gather to demonstrate your skills, the more confident an assessor can be that you have learned the skills not just at one point in time, but are continuing to apply and develop those skills (as opposed to just learning for the test!). Furthermore, one piece of evidence that you collect will not usualy demonstrate all the required criteria for a unit of competency, whereas multiple overlapping pieces of evidence will usually do the trick!

From the Wiki University

 

HLTENN032 - Apply nursing practice in the rural and remote setting

What evidence can you provide to prove your understanding of each of the following citeria?

Elements define the essential outcomes

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Establish the impact of rural and remote context on nursing practice

  1. Establish the systemic impacts of location on healthcare services as a context for work.
  2. Recognise individual situations where time, distance and environmental issues may affect a person’s care
  3. Gather and critically review information to identify gaps, benefits and limitations of health care service options and capacity for effective response
  4. Engage with the community healthcare network to determine the interrelationships and opportunities for collaborative work practice
Establish the systemic impacts of location on healthcare services as a context for work.

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Recognise individual situations where time, distance and environmental issues may affect a person’s care

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Gather and critically review information to identify gaps, benefits and limitations of health care service options and capacity for effective response

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Engage with the community healthcare network to determine the interrelationships and opportunities for collaborative work practice

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Adjust assessment and care practices to the rural and remote context

  1. Prioritise and coordinate work team responsibilities in the context of location being beyond the timely reach of specialist medical assistance in consultation and collaboration with registered nurse
  2. Adjust assessment tools and techniques within the constraints of environmental impacts on care and availability of resources in accordance with organisation policies and procedures
  3. Address concerns with registered nurse related to stabilisation and transport of a person and requirements for further assessment and management
  4. Evaluate options for transporting a person or waiting for medical assistance in relation to environmental issues, risks, transport availability and the person’s condition
  5. Re-prioritise nursing care activities rapidly when in changing or changed circumstances in collaboration with registered nurse
  6. Use emerging health technologies to provide specialist healthcare services
  7. Apply collaborative nursing practice models, which are sufficiently efficient, sustainable, flexible and responsive to rapidly changing needs of healthcare required
Prioritise and coordinate work team responsibilities in the context of location being beyond the timely reach of specialist medical assistance in consultation and collaboration with registered nurse

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Adjust assessment tools and techniques within the constraints of environmental impacts on care and availability of resources in accordance with organisation policies and procedures

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Address concerns with registered nurse related to stabilisation and transport of a person and requirements for further assessment and management

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Evaluate options for transporting a person or waiting for medical assistance in relation to environmental issues, risks, transport availability and the person’s condition

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Re-prioritise nursing care activities rapidly when in changing or changed circumstances in collaboration with registered nurse

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Use emerging health technologies to provide specialist healthcare services

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Apply collaborative nursing practice models, which are sufficiently efficient, sustainable, flexible and responsive to rapidly changing needs of healthcare required

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Contribute to improved outcomes in rural and remote communities

  1. Review own practice and professional isolation in the work environment and identify opportunities for professional development
  2. Use professional and community collaboration and networking to inform practice improvements
  3. Act as a resource for colleagues and other health professionals providing mentoring and coaching within authorised scope of practice
  4. Participate in organisation processes for continuous improvement of health care service delivery using own practice experience to inform contributions
  5. Seek and use community feedback on practice and service delivery in collaboration with registered nurse
  6. Identify and take opportunities to empower community members to seek healthcare, and participate in health promotion and illness prevention initiatives
  7. Provide community health education that targets specific areas of risk and concern in the community initiatives to address chronic disease risk factors and illness prevention using culturally appropriate modes of communication
  8. Recognise symptoms of stress and professional burnout in self, peers and colleagues, and refer to appropriate services within organisation policies and procedures and authorised scope of practice
Review own practice and professional isolation in the work environment and identify opportunities for professional development

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Use professional and community collaboration and networking to inform practice improvements

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Act as a resource for colleagues and other health professionals providing mentoring and coaching within authorised scope of practice

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Participate in organisation processes for continuous improvement of health care service delivery using own practice experience to inform contributions

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Seek and use community feedback on practice and service delivery in collaboration with registered nurse

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Identify and take opportunities to empower community members to seek healthcare, and participate in health promotion and illness prevention initiatives

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Provide community health education that targets specific areas of risk and concern in the community initiatives to address chronic disease risk factors and illness prevention using culturally appropriate modes of communication

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Recognise symptoms of stress and professional burnout in self, peers and colleagues, and refer to appropriate services within organisation policies and procedures and authorised scope of practice

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Establish the impact of rural and remote context on nursing practice

1.1 Establish the systemic impacts of location on healthcare services as a context for work.

1.2 Recognise individual situations where time, distance and environmental issues may affect a person’s care

1.3 Gather and critically review information to identify gaps, benefits and limitations of health care service options and capacity for effective response

1.4 Engage with the community healthcare network to determine the interrelationships and opportunities for collaborative work practice

2. Adjust assessment and care practices to the rural and remote context

2.1 Prioritise and coordinate work team responsibilities in the context of location being beyond the timely reach of specialist medical assistance in consultation and collaboration with registered nurse

2.2 Adjust assessment tools and techniques within the constraints of environmental impacts on care and availability of resources in accordance with organisation policies and procedures

2.3 Address concerns with registered nurse related to stabilisation and transport of a person and requirements for further assessment and management

2.4 Evaluate options for transporting a person or waiting for medical assistance in relation to environmental issues, risks, transport availability and the person’s condition

2.5 Re-prioritise nursing care activities rapidly when in changing or changed circumstances in collaboration with registered nurse

2.6 Use emerging health technologies to provide specialist healthcare services

2.7 Apply collaborative nursing practice models, which are sufficiently efficient, sustainable, flexible and responsive to rapidly changing needs of healthcare required

3. Contribute to improved outcomes in rural and remote communities

3.1 Review own practice and professional isolation in the work environment and identify opportunities for professional development

3.2 Use professional and community collaboration and networking to inform practice improvements

3.3 Act as a resource for colleagues and other health professionals providing mentoring and coaching within authorised scope of practice

3.4 Participate in organisation processes for continuous improvement of health care service delivery using own practice experience to inform contributions

3.5 Seek and use community feedback on practice and service delivery in collaboration with registered nurse

3.6 Identify and take opportunities to empower community members to seek healthcare, and participate in health promotion and illness prevention initiatives

3.7 Provide community health education that targets specific areas of risk and concern in the community initiatives to address chronic disease risk factors and illness prevention using culturally appropriate modes of communication

3.8 Recognise symptoms of stress and professional burnout in self, peers and colleagues, and refer to appropriate services within organisation policies and procedures and authorised scope of practice

Required Skills and Knowledge

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Establish the impact of rural and remote context on nursing practice

1.1 Establish the systemic impacts of location on healthcare services as a context for work.

1.2 Recognise individual situations where time, distance and environmental issues may affect a person’s care

1.3 Gather and critically review information to identify gaps, benefits and limitations of health care service options and capacity for effective response

1.4 Engage with the community healthcare network to determine the interrelationships and opportunities for collaborative work practice

2. Adjust assessment and care practices to the rural and remote context

2.1 Prioritise and coordinate work team responsibilities in the context of location being beyond the timely reach of specialist medical assistance in consultation and collaboration with registered nurse

2.2 Adjust assessment tools and techniques within the constraints of environmental impacts on care and availability of resources in accordance with organisation policies and procedures

2.3 Address concerns with registered nurse related to stabilisation and transport of a person and requirements for further assessment and management

2.4 Evaluate options for transporting a person or waiting for medical assistance in relation to environmental issues, risks, transport availability and the person’s condition

2.5 Re-prioritise nursing care activities rapidly when in changing or changed circumstances in collaboration with registered nurse

2.6 Use emerging health technologies to provide specialist healthcare services

2.7 Apply collaborative nursing practice models, which are sufficiently efficient, sustainable, flexible and responsive to rapidly changing needs of healthcare required

3. Contribute to improved outcomes in rural and remote communities

3.1 Review own practice and professional isolation in the work environment and identify opportunities for professional development

3.2 Use professional and community collaboration and networking to inform practice improvements

3.3 Act as a resource for colleagues and other health professionals providing mentoring and coaching within authorised scope of practice

3.4 Participate in organisation processes for continuous improvement of health care service delivery using own practice experience to inform contributions

3.5 Seek and use community feedback on practice and service delivery in collaboration with registered nurse

3.6 Identify and take opportunities to empower community members to seek healthcare, and participate in health promotion and illness prevention initiatives

3.7 Provide community health education that targets specific areas of risk and concern in the community initiatives to address chronic disease risk factors and illness prevention using culturally appropriate modes of communication

3.8 Recognise symptoms of stress and professional burnout in self, peers and colleagues, and refer to appropriate services within organisation policies and procedures and authorised scope of practice

The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role. There must be evidence that the candidate has:

undertaken work in accordance with Nursing and Midwifery Board of Australia professional practice standards, codes and guidelines

worked as part of the multidisciplinary health care team within scope of practice in the Australian rural and remote workplace setting for at least 3 of each of the following situations:

emergency situations involving stabilisation and transport

non-emergency situations

responded to the required clinical interventions for 3 people to treat and manage the person’s condition, illness or injury as authorised by medical practitioner via communication modes such as phone, video or radio

conducted 1 activity in workplace with the multidisciplinary health care team that supports improved outcomes of nursing practice in rural and remote contexts

conducted 1 health education session to engage the community in development and ownership of health programs that meet locally specific health needs.

The candidate must be able to demonstrate essential knowledge required to effectively complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the work role. This includes knowledge of:

changing demands for services in rural and remote communities in Australia and National E-Health Strategy

current economic, political and socio-economic factors impacting rural and remote health care including:

funding arrangements including federal, State/ Territories and local government that impact availability of health services and health programs

expansion of scope of practice for nurses

shortage in health workforce

ageing population

prevalence of chronic disease

social disadvantage

organisations in rural and remote areas and models of healthcare provided including:

Consumer Directed Care (CDC)

mobile health service

Person-Centred Care (PCC)

Primary Health Care (PHC)

tertiary level care (community or regional hospital)

nursing practice models used in rural and remote contexts:

team nursing or ‘shared care’ approach

total patient care or patient focused care

quality-caring model (used in acute care)

process engagement or community health nursing (used in chronic disease management)

assessment tools, techniques, procedures and nursing guidelines used in rural and remote contexts

remote considerations in the provision of nursing care including:

how and when to access emergency response services

communication systems, equipment and methods available in remote situations

emergency situations and the ways in which the care approach may be adjusted in the rural and remote context

non-emergency situations and the ways in which the care approach may be adjusted in the rural and remote context

emerging health technologies, their features and how they are used and accessed:

Telehealth services

mobile health services with specialised diagnostic equipment

hospital in the home services

types of participants in a rural and remote multidisciplinary health care team and their roles:

Aboriginal health practitioner

community care worker

health care assistants

medical practitioners

nurse practitioners

pharmacists

physiotherapists and occupational therapist

registered nurses and registered midwives

social workers

options for transport may include emergency services using road, air or water

sources of information on best practice nursing in rural and remote settings

organisational processes and how they may be adapted and used in rural and remote context such as:

risk identification

and risk management processes

community-based health services, public health services, social health care programs and health promotion programs

community health education – health promotion activities, social media content and interactions, health information literature

local and community culture including culturally appropriate health promotion activities.