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Task 2: Scenario task (35%)
Instructions:
Communication within nursing practice is often challenging and nurses need to be equipped with concepts and strategies to respond effectively in these situations.
Select one of the two communication scenarios presented below and write a 1200 word essay that analyses the scenario in relation to nursing communication. In your assignment, you need to draw on:
- On supporting literature or concepts taught this semester (for example person centred care, family centred care, nursing governances, etc.) to strengthen and support your assignment.
- These concepts in turn reinforce your choice of a Communication Framework that can be applied to overcome the ineffective communication displayed in the scenario (for example: managing aggression, assertive communication, managing conflict, de-escalating conflict, self-awareness, resilience and self-care).
- The concepts and the communication framework work together to enhance the effectiveness of nursing communication tools to be improved in the scenario (for example SOAP, SOAPIE, ISBAR, ISOBAR, hand over, etc.)
Scenario 1
You are commencing your evening shift as a Registered Nurse in the local emergency department. You have just received patient handover from the morning shift. One of your patients is a woman who has had a fall outside the local supermarket and has sustained a serious head injury. She is presently unconscious and being prepared for transfer to the intensive care unit. As you approach the family to introduce yourself, you are confronted with a very unhappy and concerned family. One of the family stands really close to you, and in a loud voice says:
“What’s going on? We received a phone call saying Mum has been taken to hospital and then we are left sitting here for hours with no information from anyone! What is going on?”
In the handover, you did not receive any information informing you that the family were here.
Scenario 2
You are on clinical placement as a first year nursing student. The nurse you are working with today has requested that you attend a simple wound dressing on one of your patients. As you are completing the dressing and communicating with the patient, the nurse you have been working with arrives and challenges your technique with the dressing. The nurse states:
“You’ve got it all wrong; just stop what you’re doing!
The nurse then comments:
“Having a student is such a pain and I really don’t have time to deal with your incompetence!”
The nurse then leaves you alone in the room with the patient, who is very upset with the outburst of the nurse. You try to calm down, complete the dressing, and clear away the dressing trolley. As you leave the room, you try to find the nurse you have been working with to discuss what has just happened.
The 1200-word essay (+- 10%) Please structure the essay in the following way:
Introduction (150 words): State the chosen scenario and the concepts and framework you will use in your essay. This first paragraph should provide the thesis statement in the first sentence and the overview of main points or brief plan for what will be included in your essay.
Identification of the concepts, communication framework and nursing tools (200 words): Select the concepts, communication framework and nursing communication tool/s to be applied to the scenario. Explain how they are relevant to your chosen scenario. Discuss why they are suitable, including the relevant positive or negative aspects of the concepts, framework and nursing tools that are important considerations for nurses). Write one paragraph here with the first sentence of the paragraph providing the main point – the concepts and the communication framework – and their relationship to the scenario. In the rest of the paragraph, discuss their suitability and their positive and negative aspects for nurses, using evidence from the literature.
Analysis of the Communication Scenario (300 words): Analyse the communication scenario and identify the nursing concepts and governances that have impacted on the interpersonal communication displayed in the scenario. Draw upon some literature to support your analysis of the communication scenario. Use two paragraphs here with each paragraph’s main point relating to a reason why the communication in the scenario is not effective. The rest of each paragraph will explain and support the main point by referring to the evidence and relating it to the scenario using examples.
Application of the chosen concepts, communication framework and nursing communication tools (400 words): Discuss how the use of the concepts, framework and tools can improve communication within the chosen scenario and support your discussion with reference to evidence based literature. Use at least 2 paragraphs here, with each paragraph’s main point explaining an area of effective communication. The rest of each paragraph will explain and support the main points by referring to the evidence and relating it to the scenario using examples.
Conclusion (150 words): Briefly restate the case scenario and your chosen nursing concepts, communication framework and nursing communication tools, and summarise how they were relevant. Summarise the main ways you applied them to enhance the communication within the chosen scenario. Use one paragraph for this conclusion, restating your thesis statement, providing an overview of main points and providing a concluding sentence or two, that rounds out your learning from the assignment.
WRITING TIPS:
Refer to current (no later than 7 years; older seminal literature is accepted) academic peer-reviewed journal articles to justify your ideas.
Format of Assessment
- Do not use headings or subheadings
- All parts of the essay should be attempted
- Margins: 2cm on 4 sides; & line spacing: at least 1.5; Font size: 12
- Adherence to the stated word limit is required
- Use APA 6th Edition referencing style
- A full reference list is required at the end of the assignment. For further information on referencing at USQ, refer to https://www.usq.edu.au/library/referencing
| Task 2: Scenario task (35%) | ||||||||
| Understanding Communication Theories and Concepts (10%)
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| 10-8.5 | 8.4-7.5 | 7.4-6.5 | 6.4 -5 | < 5 | ||||
| Introduction
Demonstrates an understanding of nursing concepts, communication frameworks and nursing communication tools relevant to the chosen case scenario |
· Introduction contains an outstanding, highly relevant thesis statement.
Introduction provides a very clear and succinct overview of the chosen scenario. Articulates very well into the body of the essay.
· Selects appropriate concepts, communication framework, and nursing tools and comprehensively and accurately explains and justifies how they relate to the chosen scenario · Provides a thoughtful discussion of the positive/negative aspects that nurses need to consider in relation to their use · Very clearly identifies and explains guidelines for nurses to consider in the scenario. |
· Introduction contains a quality, relevant thesis statement.
Introduction provides a clear overview of the chosen scenario. Articulates well into the body of the essay.
· Selects appropriate concepts, communication framework and communication nursing tools; and clearly explains and justifies how they relates to the chosen scenario · Provides a clear discussion of the positive/negative aspects that nurses need to consider in relation to their use · Clearly identifies and explains guidelines for nurses to consider in the scenario. |
· Introduction contains an above average thesis statement.
Introduction provides an overview of the chosen scenario. Some articulation into the body of the essay is evident. · Selects appropriate concepts, communication framework and communication nursing tools; Mainly clear – explains and justifies their selection for the chosen scenario · Provided some discussion of the positive/negative aspects. Some significant concepts were missing and/or the negative and positive aspects; were not always described in sufficient detail · Some identification and explanation of guidelines for nurses to consider in the scenario. |
· Introduction contains a sound thesis statement.
Introduction provides some overview of the chosen scenario. Does not articulate well into the body of the essay. · Selects appropriate concepts, communication framework and communication nursing tools; Soundly explanation and justification for their selection for the chosen scenario · Provided only a limited discussion of the positive/negative aspects that nurses need to consider in relation to its use. Some concepts were missing and/or the negative and positive aspects; were not described well or in sufficient detail · Limited identification and explanation of guidelines for nurses to consider in the scenario. |
· Introduction did not contain a thesis statement and or was vague and or inappropriate.
Provided a limited and or did not provide an overview of the chosen scenario. Did not attempt articulation into the body of the essay. · Did not selects appropriate concepts, communication framework and communication nursing tools. Did not explain or justify why it was selected for the chosen case scenario · Did not discuss the appropriate concepts, communication framework and communication nursing tools nor explained their usefulness to the chosen case scenario · Overall, there was little/no coverage of the negative and positive aspects and how they were applied to the chosen case scenario No evidence of guidelines for nurses to consider in the scenario. |
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| Application of Concepts, Communication Frameworks and Nursing Communication Tools, to Chosen Case Scenario (15%)
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| 15-12.5 | 12.4-11 | 11-9.5 | 9.4 -7.5 | < 7.5 | ||||
| Demonstrates the analysis, application and evidence provided in relation to the nursing communication tools; communication framework and concepts, to the chosen case scenario and supported them with evidence | Analysis
In your assignment you have: · Analysed the communication scenario very clearly; differentiating and justifying 5 or more elements of ineffective interpersonal communication in the scenario
Application · Very clearly – critically discusses how the nurse should approach effective communication in the scenario · Very clearly explains and supports main points.
Evidence base · Supported your discussion with well integrated references (6 or more) · Provided a very clear and comprehensive explanation of the link between supporting evidence and the suggested communication strategies
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Analysis
In your assignment you have: · Analysed the communication scenario clearly; differentiating and justifying 4 elements of ineffective interpersonal communication in the scenario
Application · Clearly – Critically discusses how the nurse should approach effective communication in the scenario · Clearly explains and supports main points.
Evidence base · Supported your discussion with recent relevant evidence (5 sources) · Provided a clear explanation of the link between evidence and suggested communication strategies required more detail
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Analysis
In your assignment you have: · Analysed the communication scenario – above average; differentiating and justifying 3 elements of ineffective interpersonal communication in the scenario. Application · Mostly clear – Critically discusses how the nurse should approach effective communication in the scenario. · Mostly clear – explains and supports main points. Evidence base · Supported your discussion with reference to some evidence from mostly relevant sources (4 sources) · Mostly clear – explanations of the link between evidence and suggested communication strategies |
Analysis
In your assignment you have: · Analysed the communication scenario – soundly; differentiating and justifying 3 of the elements of ineffective interpersonal communication in the scenario
Application · Some critically discussion on how the nurse should approach effective communication in the scenario. · Some explanation and support of main points. Some aspects were missing and/or not sufficiently detailed. Evidence base · There was little evidence from relevant sources in your assignment (3 sources) · Explanations of the link between evidence and suggested communication strategies required more detail |
Analysis
In your assignment you have: · Analysed the communication scenario briefly (3 elements); incorrectly and or did not differentiate and justify the elements of ineffective interpersonal communication in the scenario Application · Critical discussion is absent/ vague and or inappropriate how the nurse should approach effective communication in the scenario. · Explanation and support of main points absent/vague/ inappropriate Evidence base · There was limited reference to evidence to support your assignment (0 -2) · Supporting evidence was not present or not relevant/appropriate · Links between evidence and suggested communication strategies were not explained |
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| Academic Writing Skills (10%)
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| 10-8.5 | 8.4-7.5 | 7.4-6.5 | 6.4 -5 | < 5 | ||||
| Academic Writing: structure, referencing expression /grammar
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Expression
· Used appropriate professional, non-discriminatory language very well · Used appropriate clinical terminology very well · Expressed all ideas very clearly, concisely & fluently · Spelling or grammar excellent Structure · Argument was very clearly set out; very well structured and logically developed introduction & conclusion · Provided very well-constructed paragraphs with clearly delineated main points linked to the argument/question
Referencing · Referred to more than 6 high quality, recent, relevant evidence sources in your body paragraphs · Correctly cited sources both within the text and reference list · No mistakes in citation or referencing format (APA)
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Expression
· Used professional , non-judgmental, non-discriminatory language well · Used clinical terminology well · expressed ideas clearly and concisely · 1-2 mistakes in spelling or grammar Structure · Argument was clearly set out with an introduction and conclusion · Provided well-constructed paragraphs with clearly expressed and linked main points
Referencing · Referred to recent relevant evidence (5) sources in your body paragraphs · Correctly cited sources both within the text and reference list · 1-2 mistakes in citation or referencing format (APA) in text and in the Reference List
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Expression
· Used generally professional, non-discriminatory language · Used some clinical terminology · Expressed most ideas clearly but not concisely · 3-4 mistakes in spelling or grammar Structure · Argument was set out with both introduction and conclusion · Provided paragraphs with main points, somewhat clear and attempted linkage to the argument and/or not always clearly expressed Referencing · Referred to some evidence from mostly relevant sources (4) in your body paragraphs · Correctly cited sources both within the text and reference list · 3-4 mistakes in citation/ referencing format (APA) in text and in Ref List |
Expression
· Used some professional , non-judgmental, non-discriminatory language but this was inconsistent · Clinical terminology only briefly used · Ideas were not clear · 5-8 errors in spelling or grammar Structure · Argument included both an introduction and conclusion but these were either too brief or too detailed · Provided paragraphs but either main points were at times not linked to the argument/question
Referencing · Referred to evidence in your body paragraphs (3) · Not all sources cited; both within the text and reference list · Several mistakes (5-6) in citation and/or referencing format (APA) in text and in the References
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Expression
· Used unprofessional, judgmental or discriminatory language · Used incorrect terminology · Many mistakes in spelling and/or grammar
Structure · Introduction and conclusion were either not present or unclear · Paragraphs were either unclear, were only one-sentence long or were far too long · Paragraphs did not have a main point and/or were absent/ vague/inapproprtiate. Did not link to the argument Referencing · Relied heavily on direct quotations · Many mistakes (7 or more) in citation and/or referencing format (APA) · In text and/or reference list not included (0-2) sources |
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| Adhered to 10 minute word limit (plus /minus 10%) | Adhered to word limit so no marks deducted | Did not adhere to word limit so 5 marks deducted – 5 marks | ||||||
| /50 (overall Mark out of 50 with weighting 50% | ||||||||
| You addressed these aspects of your assessment well:
Areas needing improvement included:
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