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CPD Self-Directed Evidence Record Assessment 2 Answer

    Assessment 2: CPD self-directed evidence record

    This assessment is worth 35% A template has been provided. A assessment overview and Q and A session will be offered this session.

    Learning plan: Focusing on preparation for transition - reflect on your practice and identify your learning needs, the action plan (CPD activities) and the anticipated learning goals to meet these needs.

    You will be required to complete 5 different activities (one from each activity group) equating to 5 CPD hours (please see CPD activities table)

    Self-directed evidence record: You will complete your self directed CPD evidence record, which included mapping the activity to the RN Standards for Practice (2016), description of the activity and outcome, a reflection on your learning and future and evidence as listed on the CPD activities table.

    Answer

    Continuing Professional Development (CPD) Learning Plan

    Activity NumberIdentified learning needAction planAnticipated learning goalsSource or Provider

    1
    Clinical Practice


    		The learning needs identified for the chosen activity are:
    1. Gaining knowledge of the basic principles of management of critically ill patients. 
    2. Will learn about the assessment of critically ill patient's such as the patient with respiratory failure or hypotension.
    3. Will understand the major care processes used in critical care medicine including neurological critical care, trauma critical care, pneumonia critical care and  paediatric critical care
    4. Reinforce skills o core course including chest X-rays, electrocardiograms and arterial blood gases. 
    5. Understanding the importance of communicating with family members and using a framework for thinking about patient prognosis.
    6. Early recognition and management of sepsis 
    		I will complete an online course on “Introduction to critical care medicine”On completion of this course I will be able to: 
    1. Describe the definition and principles of critical care medicine 
    2. This will help in an adequate understanding of how critical care is different from support and care provided inward
    3. I will gain a deeper understanding of the management of critically ill patients in the intensive care unit and high dependency unit in cases such as respiratory failure
    4. I will be able to provide patients with appropriate management of patients suffering from multiple organ failure due to trauma for example management of the major haemorrhage
    5. Will understand the situation management in critical care 
    6. Knowledge of triage of the number of patients in trauma
    7. Will also be able to know the steps of initial management of patients with sepsis 
    		The Nursing CPD Institute

    2
    Evidence-based Practice: Medicines



    		In this online course I aim to learn the following concepts:  
    1. To describe the common type of medication errors prevalent in nursing practice
    2. To gain knowledge of key principles linked with the prescribing, safe procurement, preparation, monitoring, storage, dispensing, administration and destruction of the medication as per professional conducts. 
    3. Understand the high risk and most common situations that result in medication errors
    4. To know the importance of safe use of medicines and adhering to principles that help professional practice 
    5. To integrate the inter-disciplinary approach for medication safety
    		Will opt to take an online course on “medication safety training” 
    1. After the successful completion of this online course I will be able to: 
    2. I am learning the generic names of many medications 
    3. I will be able to practice proper documentation and taking of thorough medication histories 
    4. This helped in using evidenced-based practices as I learnt to reduce medication errors it is important to use evidence-based practices
    5. I will gain a deep understanding of clear communication during medication administration 
    6. I will learn and comply with professional reporting errors
    7. Will gain knowledge of high-risk situations to mitigate them and taking on time actions. 

    		The Nursing CPD Institute

    3
    Advance care planning and End of Life 


    		The learning needs of this CPD activity includes: 
    1. Knowing the concept of the multidisciplinary team and its importance in end of life care. 
    2. Understanding the importance of teamwork and managing patients and working in their benefit
    3. Knowing the concept of delegation at the end of life care
    4. Developing knowledge of using effective communication and empathy to convey a message to the patients or the family
    5. Developing understating of teamwork and multidisciplinary roles
    		I will complete the online End of life module.On the successful completion of this module online course I will be able to: 
    1. Gaining knowledge of collaborative care and teamwork in patient management
    2. Understating proper delegation in the nursing end of life care practice and assigning appropriate roles to the assigned team for better care provision for the patient
    3. Learning the use of effective communication in end of life care. According to Kisorio and Langley (2016), compassionate and empathic care helps the patients and family to be comfortable ad have hope in the care process during the end of life care
    		The Nursing CPD Institute

    4
    Empathetic care 


    		By taking the following CPD activity I will aim to learn the following things:
    1. Defining the concept of homelessness  
    2. Recognize the causes of being homeless.
    3. Establish knowledge of homelessness.
    4. Learn to work with people who are homeless (patients).
    5. Comprehend them thoroughly and follow the aspects in which health providers will allow them to survive in the community.
    		I will complete the digital storytelling CPD activity and will “provide written responses to the 3 questions selected” 
    1. Via therapeutic communication and therapeutic relationships, I will be able to provide empathetic care and support to the patients.
    2. Developing my view of the numerous causes of being homeless
    3. Attaining a better understanding of the issues surrounding homeless patients
    4. Learning the homeless people are at increased risk of developing chronic diseases and medical comorbidities. I would be able to treat patients and offer secure medical treatment. 
    		The Nursing CPD Institute


    5
    Self-care and Wellbeing


    1. Need for proper implementation of self-care techniques using the foundation of PCC4U
    2. Developing knowledge of self-management 
    3. Healthy lifestyle and knowing various self-care strategies 
    		I will complete the “Activity 15 of adopting self-care strategies” After successful completion of the 5th CPD activity I will be able to: 
    To be able to continue providing self-care and well-being by proper implementation of self-care techniques given on the PCC4U website
    		PCC4U

    Continuing Professional Development Record


    		Course Title/Summary of ActivityCourse Provider or Source and Mode of Delivery Professional Standard(s)CPD hoursDescription of the topic(s) covered during activity and outcomeReflectionEvidence



    1

    		Introduction to critical care medicine The mode of delivery is online This CPD activity is according to Standard 1 of nursing and midwifery council for registered nurses that imply Thinking critically and analysing nursing
    practice
    		1 hour
    1. Knowledge of pneumonia
    2. Multi-organ dysfunction management of trauma
    3. Early awareness of sepsis and its treatment
    		After completion of this, I learnt that the assessment and treatment of various spectrums of health conditions that reflect the extreme of human illness include critical care medicine. Intensive treatment from a coordinated team is needed for critically ill patients. The key source of care or a specialist may be a critical care expert.
    Not only in a wide variety of situations familiar to chronically ill patients but even in the advanced techniques and equipment used in intensive care facilities, nurses need to be professional. Many specific social and ethical problems are often posed by the treatment of chronically ill patients, and the nurses must be knowledgeable in fields such as end-of-life decisions, informed consent, prognosis estimation, and patient and family consultation.
    I also learnt that during septicaemia and septic shock, resuscitation aims to recover intravascular volume, improve the supply of oxygen to tissue, and restore organ failure. Within 3 hours after diagnosis of extreme sepsis or septicaemia, a crystalloid bolus of 30 mL/kg is suggested.
    		Certificate of completion attached


    2

    		Online course on “medication safety training”The mode of delivery is onlineThis activity complies with standard 4 Comprehensively conducts
    Assessments and standard 6 
    		1 hourThe topics covered during this activity includes: 
    1. Medical tests- this comprised of the number of medical tests that helps in identifying the drug testing mechanisms and colouring agents used in such tests. Also, the online course adds value by the efficient discussion on developing practical skills
    2. The second part was the inclusion of adequate use of the dose administration aids. This helps in knowing the administration aids and improves medication management. 
    		I have the ability to discuss the different causes of drug errors through such a course and empowered me with the expertise and training to help deter errors in the workplace from happening.
    This course helped me in learning that the most frequent drug errors have been shown to arise from prescription to drug delivery and are perpetrated by nurses and medical practitioners (Patel et al., 2018). Communication breakdown, over medicating, insufficient patient records, marking, dosing uncertainty (Gorgich et al., 2016) are several causes that contribute to prescription errors. 
    Medication errors have a detrimental effect on the health and wellbeing of patients. These failures include elevated morality, comorbidities and hospital readmissions for patients (Patel et al., 2018). Distraction, loss of comprehension, insufficient knowledge, environment and systemic concerns may be triggered. An example can be respiratory distress due to excessive doses of opioids. The body can respond unusually to these inappropriate doses of medication. 
    Further, I learnt, For certain persons, medication administration aids may enhance the handling of drugs. They have a range of restrictions, however, which are not appropriate for all patients. To determine causes leading to non-adherence or prescription errors, patient assessment is conducted. Before using a dosage administration assist, techniques such as simplifying the opioid regimen, education and therapy, and a medication alert map or warning should be addressed. 
    		Certificate of completion attached


    3

    		Acute Hospitals End-of-Life Education.
    Module: Teamwork and patient continuity: Insight into the teamwork
    		The mode of delivery is onlineThis work-in compliance with standard 1, 2, 3, and 4.  1 hour
    1. What is the multidisciplinary team is and how critical is it to have a successful team?
    2. Identify the underlying parameters and assets for effective team functioning.
    3. Steps to improve the team and encourage the patient and family to cooperate.
    4. Importance of delegation and allotting tasks to other team members 
    		Inpatient care, I would make sure to include a multidisciplinary approach. For my patients, I will set a clear target and, if possible, I will become an advocate for my patient. I am also going to teach the patient and the family about end of life treatment. I would also work with the patient's family representatives in their care. In addition, in my future work, to connect and create an efficient team, I will introduce the RN requirements for work.
    With regards to the patient, registered practitioners have a responsibility for treatment and a moral obligation. When an action has been assigned, they must confirm that it has been assigned properly. In the section entitled 'Efficient practise,' the Nursing and Midwifery Council (NMC) Code (2015) specifies that registrants should: be responsible for their choices to assign duties and obligations to other persons.
    An integrated collaborative approach to treatment is multidisciplinary treatment. The collaborative method involved medical and related healthcare providers in collaboration with the patient and the patient's families are the assessment of treatment choices and treatment preparation.
     "In healthcare, it is a" unit effort "to provide the finest medical services. The aims include: improving patient safety ( e.g. minimising AE) and comfort, lowering, and raising the consistency of results. Added advantages include improving the efficiency of health professionals, reducing expenses/health problems in hospitals, and increasing organizational productivity.
    		Certificate of completion attached

    4



    		Empathetic care: communities that are vulnerable. Activity: Digital story-telling room: Various explanations for homelessness and problems faced by homeless people.Digital Empathy Museum- Web operation and distribution mode of CPD are online.This includes standard 1, 2, 3, 4, and 7. 1 hour
    1. The effect of Australian homelessness.
    2. Homelessness, discrimination and deterioration of health.
    3. Rationales for the homeless.
    4. The effect of homelessness on people's quality of life.
    5. Why health workers with sensitivity and reverence should interact with homeless persons.
    6. Why street people should be helped to survive in society.
    		According to Prakash et al. (2020), The outcomes of this research study indicate that nursing students displayed a higher degree of concern for the homeless by involvement in a project requiring contact engaging with the homeless community. A significant increase has also been found in empathy, civic activism and personal activism.
    An individual has the moral right to have access to medical care that satisfy their needs. This affects persons impacted by homelessness. For homeless people, receiving services is a big challenge and these people benefit from some of the worst healthcare in our society.
    For homeless people, health treatment is a major concern and nurses need to be mindful of the complex number of health issues facing homeless people, along with the various challenges they may encounter when attempting to access some healthcare.
    		Attaching the written responses along with 
    5

    Self-care and Wellbeing










    		PCC4U. The mode of delivery is onlineStandard 6: Provide Safe, appropriate and quality nursing practice1 hour
    1. The protected subjects emphasised the implementation of self-care techniques to ensure desired well-being and self-care. I have completed a written response for Activity 15 to two thought-point questions. 
    2. By understanding those self-help techniques I should use when caring for people who suffer from life-limiting diseases and also techniques I may use to help other members of the health care team, I became knowledgeable in maintaining safety and self-care.
    		My engagement in this learning has allowed me to be better aware of how to prioritize self-care and well-being, as I can successfully implement self-care techniques. Now, I understand what basic techniques I need to follow when coping with life-restricting diseases in patients. I now realise that death is imminent, but when coping with dying patients, I can never fear. I also recognise that in dealing with certain patients I will face difficulties, but I should still focus on where I performed well and worst in order to strengthen my communications in the future to support my patients.A written reaction to two questions regarding thinking points   


    [Attach/insert/cut and paste your evidence for each CPD activity from here onwards]

    [Ensure that they are in order as represented on your evidence record]

    Activity 1

    Activity 2

    Activity 3

    Activity 4

    1. Discuss your views, belief, and assumptions about people who are homeless.

    I always had a soft side for the people who don’t have homes and mainly for children and older adult. I always helped with eatable or by providing water and other clothing materials. Also, many people have believed that homeless people are drug addict (Jakimowicz & Govind, 2018). But I had a positive attitude towards them. I believe most individuals who face homelessness are not coping with disorders or addictions or drug abuse. Much as with the general public, addictions contend with only a fraction of people who are facing homelessness. People with homelessness can struggle with other problems linked to their homelessness experiences, such as depression and suicidal thoughts, for instance (Rodriguez et al., 2019).

    2. Why do you think people become and/or remain homeless?

    The specific conditions of individual suffering homelessness are influenced by human and relational influences and can include: stressful incidents (e.g. house fire or work loss), traumatic experiences (e.g. family break-up or sexual abuse), mental wellbeing and drug issues (such as brain damage and foetal alcohol syndrome) (Gaetz et al., 2019). That may be both a sign and a result of difficulties or illnesses related to homelessness and overall wellbeing. Family conflict and harassment, addictions, and psychological issues of other family and friends and severe hardship can be part of relational problems. Unemployment has an especially difficult effect on homeless people, considering that they also face many other obstacles. The lack of availability to jobs leads to the lack of adequate and sustainable income for homeless individuals to meet basic needs, especially for those that do not obtain government benefits (Koprowska et al., 2020).

    3. Do you think homelessness is a matter of choice? Why?

    There are those who make life on the streets an option. There are those on the street that have no option but to live without perpetual shelter. And all in between is there. For several reasons, people go without permanent homes. Not strictly due to addictions, income, violence, or personal relationships. Each person has an individual situation of their own that have led them down the path to where they are now. This is one of the reasons that addressing homelessness is continually so complicated (Kramer & Hsieh, 2019). For us, it shifts and grows. To learn their storey and to recognise available services that can support that unique person, we have to reach each person where they are now. Shelters, food pantries, therapy, pharmacies, medical services, and many other programmes aid greatly, but for others, but not others, they are essentially fine.

    Activity 5

    1. What are some self-care strategies you might use when caring for people with life-limiting illnesses?

    Stress is a significant concern to the wellbeing, productivity, and comfort of nurses with extreme or life-limiting conditions that are cared for by nurses and other healthcare professionals. Palliative care professionals can face a sequence of significant patient, professional and personal effects without diligently practising self-care. Studies suggest that excessively distressed physicians provide poorer services, are liable to suits for misconduct, are at risk of possibly severe injury, and have difficulties communicating with patients and peers. Palliative Care nurses should perform Self-Care and Resilience as it offers productive tools and support to alleviate pressure, maximise efficiency and improve the well-being of nurses. Personal self-management extends to approaches for different nurses to take proper care of themselves. It begins with the identification that in continue to function a "healthy" life, like lived experiences, families, work; culture, and faith, individuals have several personal aspects to attend to. Personal self-care techniques include prioritising meaningful relationships such as interpersonal relationships; sustaining a safe lifestyle through maintaining sufficient sleep, daily activity, and holiday time; encouraging outdoor interests and hobbies; practising meditation and mindfulness; and encouraging personal development (Wei et al., 2020). The Wellness Wheel, a readily accessible guide, applies to 6 forms of wellness-"physical, psychological, emotional, spiritual, social and occupational"-and helps nurses to focus on the present quality of life and self-care. Individuals can increase workplace satisfaction and general well-being by using such a programme, reducing the risk of depression and burnout. As an aspect of self-care, the value of cultivating self-awareness needs special consideration. In the field of psychology, self-awareness, described as the capacity of a clinician to incorporate self-knowledge and the dual-awareness of both her or his subjective perception and the patient's preferences, has been established as the most significant element in the capacity of psychologists to perform well in the light of professional and personal stressors. Higher self-awareness among nurses will contribute to higher work performance and satisfaction with compassion increased self-care, and improves clinical care and safety. Nurses with lower degrees of self-awareness, on the other hand, have a higher risk of concern and burnout. Evidence supports meditation on mindfulness and insightful writing as 2 strategies for raising self-awareness (Wei et al., 2020).

    Workplace self-care- 

    1. Join a support group 
    2. Regular meetings with supervisors 
    3. Attend training programmes

    Physical self-care- 

    1. Developing a regular sleep routine 
    2. Daily exercise 
    3. And a healthy diet

    Psychological self-care- 

    1. Keeping a regular reflective journal 
    2. Regular meets with experienced staff 
    3. Save time for family or friends 

    Emotional self-care- 

    1. Maintaining supportive friends and colleagues
    2. Meditation and daily walk (Apostol et al., 2020)

    2. What strategies can you use to support other members of the health care team?

    I will employ different methods when helping other members of the healthcare team. The first approach is to encourage them to ensure that their work-life balance is maintained by teaching them how to discern among work and personal life and how to achieve a balance between the different significant principles. Another technique I'm trying to take is to clarify to them why death is a natural thing and also advise them to cope with death as an inevitability. This will allow them not to be terrified of death, and therefore allow them to deal with dying patients safely. The next approach I will try to use is to show them that anything they do has to be viewed as a good service to the patients and realise that everything they do makes the patient happier. This would encourage the team not to be afraid to assist patients even though they are not sure of the outcomes. It will continue their dignity and respect their patients despite their hardest time in life (Sucato¸2020). I can use the following technique to perform debriefing meetings with my staff (co-workers and team members) and resolve issues openly with the staff. I'm trying to make them feel free to address and suggest all their problems about how they can change. In doing so, I would also take their feedback and encourage them to contribute their own opinions on how they believe we should work together for the better benefit of the patients. Another technique I would use is to allow them to search for a person to speak to after dealing with dying patients when they are emotionally exhausted (Sucato, 2020). This solution is successful because it will help restore the team’s trust in continuing to offer their care to patients with life-limiting disorders. Another approach I  will try to use for my healthcare staff is to encourage them to constantly realise that they're always going to have issues interacting with the client, but since we're all human and will still make mistakes, they need not abandon faith (Arnett et al., 2017). I will still encourage them to focus on the areas in which they have made mistakes or faced problems interacting with patients as a chance for change. I will try to encourage them to remember their relationship as not being the strongest they had with a patient to focus on what went better and use the insight to cause progress.

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