Skills to coosefrom(3000words)

 Blood pressure Temperature Basic Life Support Violence Reduction Breakaway Your introduction should identify the clinical skill that you have chosen and inform the reader what you will be discussing in your assignment.  LO 2- Critically review evidence which enables effective and efficient care delivery;Looking at-• Independent inquires• Systematic reviews• Randomised Controlled Trials• Evidence base – Literature• Underpinning research• Drivers/RegulationsCritically review the evidence base/research that underpins the chosen nursing skill i.e. BLS – what does the research say, how often is this reviewed, changes in the
research ie breaths and chest compressions. M&H RIDDOR (1995)Another example – Violence reduction– How can C&R be carried out effectively and efficiently, what does the research highlight in regards to safe restraint, when
should it be utilised and for how long?LO-3 Critically review available policy that supports contemporary nursing practiceWhat policies underpin the clinical skills you have chosen?Consider:-• World Health Organization (Global)• Department of Health (National)• National Institute for Health and Care Excellence (National)• Local policiesThe learning outcome is asking you to critically review the available policy that is underpinning your chosen clinical skill. For this LO explore the policies that
underpin the nursing skill and consider the effectiveness of this i.e. if you have chosen Moving & Handling for example has everyone been trained for this, how often
should updates be undertaken, what prevents staff from attending updates. M&H regulations,BLS – Resus Council,  Try and avoid describing what the policies state but unpick the policies considering how this can be implemented into practiceYou would benefit from analysing the policies on a Global and National level and if possible local policies.National patient Safety Agency 2007Advanced Life Support Group.(ALSG). (2011). Advanced Paediatric Life Support. The      Practical Approach. 5th Ed. Chichester, UK: Wiley – Blackwell.British Thoracic Society.(2008). BTS guideline for emergency oxygen use in adult patients. Retrieved from www.brit-thoracic.org.uk/emergencyoxygen/ British Hypertension Society.(2011). British Hypertension Society. Retrieved from http://www.bhsoc.org/latest-guidelines/
LO 4 -Synthesise critical understanding and insight of the concept of competency and the influence that ethics, law and professionalism have on decision making• Professionalism – Competency, Governing bodies • Legal Aspects • Ethical principles – Justice, Beneficence (To do good), Non-maleficence (to do no harm), fairness, respect for autonomy and truthfulness. • Critically demonstrate how the above impacts on decision makingThis learning outcome has a number of sections to consider ie competency, ethics, legal aspects and professionalism and how do these impact on decision making. Governing bodies – Nursing & Midwifery Council, Royal College of Nursing, Care Quality Commission, Health & Safety Executive, Royal College of Physicans, etc.Legal Aspects – Law, Mental Health Act, Human Rights Act, Consent, Health & Safety at Work Act, Human Rights ActTo ensure that you meet this LO sufficiently consider For example – if you have chosen Blood pressure are you competent to use the equipment provided, what training is
required? Consider professional issues in terms of competency when using equipment. What does the NMC say?What ethical principles are underpinning the intervention for example BLS – you may do chest compressions in attempts to preserve life (Beneficence) but during this
process you may break the persons ribs which goes against the principle of Non-maleficence. How does this relate to your governing bodies – professionalism.
Conclusively:-
• Key themes – what are the key themes that have emerged• How effective are the policies• Does further research need to be undertaken• Any recommendations• Learning taken place i.e considering the role of nurse – legal, ethical, professional

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