Assessment 2 provides a case study that identified potential challenges for new graduates and provides opportunity to propose evidence-based recommendations to address these problems. Using a case study, you will be required to identify potential challenges for new graduates and propose evidence-based recommendations to address these problems. Please review Appendix B to find the Graduate Case Study, assignment questions and assessment rubric.
Weighting: 60%
Length and/or format: 1800 words +/- 10%
Purpose: Transitioning to professional practice is a critical phase for the novice Registered Nurse. Managing professional role requirements, organisational technologies, and team dynamics while on shift can be challenging. This is often accompanied by changed personal circumstances, with graduates balancing shift work, working full time and socialisation with friends and family.
The case study below highlights the professional and personal challenges you may face as a Graduate Registered Nurse.
By Using a case study from below, you will be required to identify potential challenges for new graduates and propose evidence-based recommendations to address these problems.
APPENDIX B
Assessment Task 2 Written Assignment/Case Study
Critically analyse the following case study to answer the following essay questions.
Case Study Background
Harry is a Graduate Registered Nurse (RN) who is 8 weeks into his first graduate rotation at the local metropolitan, tertiary hospital. He is currently working on a Medical Ward. For the first four weeks Harry worked alongside his nurse preceptor, predominately rostered on morning shifts. Harry has just completed his first five (5) night shifts yesterday morning and is back on an afternoon shift today (Saturday).
Harry is still trying to manage his roster and other commitments like social touch football with his friends and mountain biking. Today, Harry is feeling tired and frustrated because he slept through his alarm this morning and missed his sister’s birthday breakfast celebration. He is also disappointed that he can’t join his team for the touch football end of season breakup in the evening.
On Shift
Harry has arrived 15 minutes prior to this shift starting. On arrival, he realises that he hasn’t worked with the Nurse-in-Charge before but there are other nurses on the shift that he has met.
Harry feels a little nervous, but he knows two (2) of the patients he has been allocated from his recent night shifts and he is allocated a further two (2) patients who are to be discharged this afternoon. He has not arranged a discharge before, so he prioritises these activities as he prepares his shift planner.
A short time later the Nurse-in-Charge tells him that his patient allocations have changed due to skill mix. A different nurse will arrange one (1) patient discharge and Harry will be receiving a new patient from Emergency Department.
His patient allocations are now as follows:
| Patient | Age | Diagnosis | Relevant Information | ||
| Mrs Rita Williams | 71 | Pneumonia | New admission from the Emergency Department (ED). Febrile and hypotensive on arrival to the ward.For IVAB and chest X-Ray.Urgent bloods have been taken. Patient’s family present and appear distressed. | ||
| Ms Frances Fernandez | 68 | Hyperglycaemia | Ready for discharge. Discharge paperwork has already been completed by morning shift nurse. Pharmacy has delivered discharge medications and has conducted patient education. Waiting for family to arrive and pick up. | ||
| Mr Sandeep Patel | 62 | Trans Ischaemic Attack | Requires minimal assistance. Needs IVC to be removed. Awaiting neurological team review. | ||
| Mr Gerald Sommersby | 83 | Urinary Tract Infection with Increasing confusion | New admission from ED. Mr Sommersby is a Nursing home resident. He is a high falls risk. He has underlying dementia (Baseline MMSE = 23) however is easily reoriented to time and place. | ||
Harry feels overwhelmed with the admissions and discharge. He is unsure how he will cope with the rest of his shift. Harry has not looked after a patient (Mr Somersby) who is confused, high risk of falls and wanders around the ward. He is reluctant to ask the Nurse in Charge for assistance as he does not want to appear ‘incompetent’. He decides he must push on, and soon it is time for handover. At handover, Harry realises that he had not given Mrs Williams her IVAB. To help with his time management, Harry had set the observation machine to take automatic observations. However, he had forgotten to go in and check this patient for the last 3 hours. Harry has not yet completed the admission documentation for Mr Sommersby as he has been trying to stop him from wandering out of the ward. Additionally, he has not completed any of his patient notes on the computer on wheels (COWS) machine. The nurse he his handing over to rolls her eyes when this information is handed over. Harry stays 30 minutes after the end of his shift to complete his work.
Following his shift
On his commute home, Harry feels anxious and feels that he did not provide sufficient care for his patients, in particular Mrs Williams. He is frustrated with himself that he may have missed other things this shift and that he had to stay late to finish his patient notes. At home, he spends some time reflecting on his shift and plans to ask his nurse preceptor for any advice/tips on their next shift together.
Assessment Task 2 Questions:
Harry appears to be struggling during his clinical shift. He also seems to be having difficulty maintaining a work/life balance. Critically analyse the provided case study to answer all the following three (3) questions within an essay format:
- Determine and justify whether the graduate RN met (or did not meet) their role and responsibilities as an RN during his shift.
Provide at least two (2) case study examples and support your discussion using evidence, including Nursing and Midwifery Board Australia (NMBA) Registered Nurse Practice Standards (2016).
- Construct at least three (3) recommendations as to how the graduate RN could have undertaken this shift differently.
Consider in your discussion the knowledge, skills, and attitudes inherent in the RN role, including utilisation of technology and teamwork skills, and support your discussion with literature.
- Transitioning from student to Graduate Registered Nurse can be difficult.
Construct at least two (2) evidence-based strategies that could be implemented to promote resilience, build capacity, and support work/life balance during the graduate RN’s transition period.
Criterion Referenced Marking Rubric: Assessment Task 2 – Written Assignment/Case Study
| Criteria (marks) | High Distinction (HD) 100-85% |
| Content and Critical Thinking 45 marks | 45 – 38 marks |
| Comprehensive, concise discussion that is all directly relevant to the case study and the essay questions. Clear identification of whether the graduate RN met their role and responsibilities. Comprehensive justifications provided. At least two (2) comprehensive and relevant case study examples provided. Construction of at least three (3) clear and comprehensive recommendations as to what could have been done differently. Clear and comprehensive consideration of RN knowledge, including utilisation of technology and teamwork skills. Construction and comprehensive analysis of at least two (2) comprehensive, clear and relevant strategies that would support the graduate RN’s work life balance and promote resilience. | |
| Evaluation of the Evidence 45 marks | 45 – 38 marks |
| Discussion is all supported and justified by high quality, credible and appropriate literature and evidence. There is evidence of both depth and breadth of reading. | |
| Mechanics and Intelligibility 5 marks | 5 marks |
| There is a clear introduction and a clear concluding paragraph. Cohesive writing that has information organised appropriately within each paragraph. Each paragraph relates to a discrete idea. There are clear linking sentences that links each paragraph to the next. There are no errors with grammar, spelling and punctuation, and the meaning is easily discernible. | |
| Referencing 5 marks | 5 marks |
| Accurate use of APA 7th referencing style on all occasions. Accurate and consistent use of a range of in-text citations throughout. At least 18 quality and evidence-based references; less than 5 years old. |
Student Notes for Written essay
- The format of this essay should be Introduction, Discussion, Conclusion and References. Within the discussion, you can have a heading(s)/paragraph
- Written this assessment as a 3rd person with academic writing style
- I would suggest that there should be two example that highlights that he did NOT meet his role and responsibilities in Question 1 as Question 2 asks you to consider and recommend what he should do differently next time.
- Please write in-text citation as per APA 7th references in every researched work
- This essay should be plagiarism free and please write in a simple and understanding way.
- Each sentences/ research work should focus on the question.
- Please do not put any unnecessary information to increase the word count.
- Please make sure you check every detail of the marking rubric attached above before starting the work as I need a High Distinction marks work.
- This is a very practical assignment which is usually faced by new registered nurse.
- Please contact me if you need any further information, I am happy to assist you if I can instead of making you redo the work. Hope you understand.
Thank You
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