TE TARI MĀTAURANGA HAUORA

SCHOOL OF NURSING

CLINICAL COMPETENCY SELF-ASSESSMENT TOOL:

NZ Diploma in Enrolled Nursing: Rehabilitation & Community
These competencies must be demonstrated to successfully complete this course: One example per competency is required.
Student ID Student Name

Course No 7 2 6 • 5 0 1 Paper Name Enrolled Nursing Practice: Rehabilitation & Community

Date: ______/_______/______ Clinical Hours required is a minimum of 150. Total hours complete
INTRODUCTION—
The graduate of the NZ Diploma in EN programme undergoes a developmental process to demonstrate competence in the prescribed areas. This
process culminates in the profile of the graduate at the conclusion of the programme. It should be noted that learning is not static but a dynamic
process, which continues on beyond the programme. The intellectual capabilities of the person provide possibilities that go well beyond this
diploma programme. It is anticipated that students will have their minds opened, stimulated and extended in order to enjoy their learning
experience. This enjoyment is the foundation of learning for life.
Assessment is undertaken in order to determine the ability of students in clinical practice. It is expected that at the end of eighteen months, the
student will have achieved the competencies as prescribed by Nursing Council for a registered NZ Enrolled Nurse.
The NZ Enrolled Nursing practice is defined as student actions that are showing understandings of “nursing” and “client care” knowledge and
skills that are evolving at levels working under the direction and delegation of the Registered Nurse ensuring client safety.

INSTRUCTIONS
This form is to be completed by the student and must be discussed with the lecturer at the time of the interim and final assessments. Lecturers may
enter comments in the space provided under each competency. It may also be copied for moderation purposes. A copy must be placed on student
file.

Ward/Area ________________________________________ Lecturer Name _______________________________

DOMAIN 1: Professional Responsibility
Competency 1.1 MET NOT MET SUPPORT
Accepts responsibility for ensuring that his/her nursing practice and REQ Y/N
conduct meet the standards of the professional, ethical and relevant (see attached)

legislated requirements.

Indicator of achievement: Provide an in-depth example from your practice to indicate how you demonstrated competent
performance, in the above competency refer to the integrated DEN Competency Assessment and Learning guide, for the
competency criteria.

Student Example (up to 250 words):

Lecturer Comment:

Lecturer: Date:

2
DOMAIN 1: Professional Responsibility

Competency 1.2 MET NOT MET SUPPORT

Demonstrates the ability to apply the principles of the Treaty of REQ Y/N
Waitangi/Te Tiriti o Waitangi to nursing practice (see attached)

Indicator of achievement: Provide an in-depth example from your practice to indicate how you demonstrated competent
performance, in the above competency refer to the integrated DEN Competency Assessment and Learning guide, for the
competency criteria.

Student Example (up to 250 words):

Lecturer Comment:

Lecturer: Date:

3
DOMAIN 1: Professional Responsibility

Competency 1.3: MET NOT MET SUPPORT

Demonstrates understanding of the enrolled nurse scope of practice and REQ Y/N
the registered nurse responsibility and accountability for direction and (see attached)

delegation of nursing care.

Indicator of achievement: Provide an in-depth example from your practice to indicate how you demonstrated competent
performance, in the above competency refer to the integrated DEN Competency Assessment and Learning guide, for the
competency criteria.

Student Example (up to 250 words):

Lecturer Comment:

Lecturer: Date:

4
DOMAIN 1: Professional Responsibility

Competency 1.4: MET NOT MET SUPPORT

Promotes an environment that enables client safety, REQ Y/N
independence, quality of life and health. (see attached)

Indicator of achievement: Provide an in-depth example from your practice to indicate how you demonstrated competent
performance, in the above competency refer to the integrated DEN Competency Assessment and Learning guide, for the
competency criteria.

Student Example (up to 250 words):

Lecturer Comment:

Lecturer: Date:

5
DOMAIN 1: Professional Responsibility

Competency 1.5: MET NOT MET SUPPORT

Participates in ongoing professional and educational development REQ Y/N
(see attached)

Indicator of achievement: Provide an in-depth example from your practice to indicate how you demonstrated competent
performance, in the above competency refer to the integrated DEN Competency Assessment and Learning guide, for the
competency criteria.

Student Example (up to 250 words):

Lecturer Comment:

Lecturer: Date:

6
DOMAIN 1: Professional Responsibility

Competency 1.6: MET NOT MET SUPPORT

Practises nursing in a manner that the health consumer determines as REQ Y/N
being culturally safe. (see attached)

Indicator of achievement: Provide an in-depth example from your practice to indicate how you demonstrated competent
performance, in the above competency refer to the integrated DEN Competency Assessment and Learning guide, for the
competency criteria.

Student Example (up to 250 words):

Lecturer Comment:

Lecturer: Date:

7
DOMAIN 2: Management of Nursing Care

Competency 2.1: MET NOT MET SUPPORT

Provides planned nursing care to achieve identified outcomes REQ Y/N
(see attached)

Indicator of achievement: Provide an in-depth example from your practice to indicate how you demonstrated competent
performance, in the above competency refer to the integrated DEN Competency Assessment and Learning guide, for the
competency criteria.

Student Example (up to 250 words):

Lecturer Comment:
.

Lecturer: Date:

8
DOMAIN 2: Management of Nursing Care

Competency 2.2: MET NOT MET SUPPORT

Contributes to nursing assessments by collecting and reporting REQ Y/N
information to the registered nurse. (see attached)

Indicator of achievement: Provide an in-depth example from your practice to indicate how you demonstrated competent
performance, in the above competency refer to the integrated DEN Competency Assessment and Learning guide, for the
competency criteria.

Student Example (up to 250 words):

Lecturer Comment:

Lecturer: Date:

9
DOMAIN 2: Management of Nursing Care

Competency 2.3: MET NOT MET SUPPORT

Recognises and reports changes in health and functional status to the REQ Y/N
registered nurse or directing health professional. (see attached)

Indicator of achievement: Provide an in-depth example from your practice to indicate how you demonstrated competent
performance, in the above competency refer to the integrated DEN Competency Assessment and Learning guide, for the
competency criteria.

Student Example (up to 250 words):

.
Lecturer Comment:

Lecturer: Date:

10
DOMAIN 2: Management of Nursing Care

Competency 2.4: MET NOT MET SUPPORT

Contributes to the evaluation of health consumer care. REQ Y/N
(see attached)

Indicator of achievement: Provide an in-depth example from your practice to indicate how you demonstrated competent
performance, in the above competency refer to the integrated DEN Competency Assessment and Learning guide, for the
competency criteria.

Student Example (up to 250 words):

Lecturer Comment:

Lecturer: Date:

11
DOMAIN 2: Management of Nursing Care

Competency 2.5: MET: NOT MET: SUPPORT

Ensures documentation is accurate and maintains confidentiality of REQ: Y/N
information (see attached)

Indicator of achievement: Provide an in-depth example from your practice to indicate how you demonstrated competent
performance, in the above competency refer to the integrated DEN Competency Assessment and Learning guide, for the
competency criteria.

Student Example (up to 250 words):

Lecturer Comment:

Lecturer: Date:

12
DOMAIN 2: Management of Nursing Care

Competency 2.6: MET NOT MET SUPPORT

Contributes to the health education of the health consumers to REQ Y/N
maintain and promote health. (see attached)

Indicator of achievement: Provide an in-depth example from your practice to indicate how you demonstrated competent
performance, in the above competency refer to the integrated DEN Competency Assessment and Learning guide, for the
competency criteria.

Student Example (up to 250 words):

Lecturer Comment:

Lecturer: Date:

13
DOMAIN 3: Interpersonal Relationships

Competency 3.1: MET NOT MET SUPPORT

Establishes maintains and concludes therapeutic interpersonal REQ Y/N
relationships with client. (see attached)

Indicator of achievement: Provide an in-depth example from your practice to indicate how you demonstrated competent
performance, in the above competency refer to the integrated DEN Competency Assessment and Learning guide, for the
competency criteria.

Student Example (up to 250 words):

.
Lecturer Comment:

Lecturer: Date:

14
DOMAIN 3: Interpersonal Relationships

Competency 3.2: MET NOT MET SUPPORT

Communicates effectively as part of the health care team REQ Y/N
(see attached)

Indicator of achievement: Provide an in-depth example from your practice to indicate how you demonstrated competent
performance, in the above competency refer to the integrated DEN Competency Assessment and Learning guide, for the
competency criteria.

Student Example (up to 250 words):

Lecturer Comment:

Lecturer: Date:

15
DOMAIN 3: Interpersonal Relationships

Competency 3.3: MET NOT MET SUPPORT

Uses a partnership approach to enhance health outcomes for REQ Y/N
health consumers. (see attached)

Indicator of achievement: Provide an in-depth example from your practice to indicate how you demonstrated competent
performance, in the above competency refer to the integrated DEN Competency Assessment and Learning guide, for the
competency criteria.

Student Example (up to 250 words):

Lecturer Comment:

Lecturer: Date:

16
DOMAIN 4: Interprofessional Health Care & Quality Improvement

Competency 4.1: MET NOT MET SUPPORT

Collaborates and participates with colleagues and members of REQ Y/N
the health care team to deliver care. (see attached)

Indicator of achievement: Provide an in-depth example from your practice to indicate how you demonstrated competent
performance, in the above competency refer to the integrated DEN Competency Assessment and Learning guide, for the
competency criteria.

Student Example (up to 250 words):

Lecturer Comment:

Lecturer: Date:
DOMAIN 4: Interprofessional Health Care & Quality Improvement

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Competency 4.2: MET NOT MET SUPPORT
Recognises the differences in accountability and responsibilities REQ Y/N
of registered nurses, enrolled nurses, and health care (see attached)

assistants.

Indicator of achievement: Provide an in-depth example from your practice to indicate how you demonstrated competent
performance, in the above competency refer to the integrated DEN Competency Assessment and Learning guide, for the
competency criteria.

Student Example (up to 250 words):

Lecturer Comment:

Lecturer: Date:
DOMAIN 4: Interprofessional Health Care & Quality Improvement

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Competency 4.3: MET NOT MET SUPPORT
Demonstrates accountability and responsibility within the health REQ Y/N
care team when assisting or working under the direction of a (see attached)

registered health professional who is not a nurse.

Indicator of achievement: Provide an in-depth example from your practice to indicate how you demonstrated competent
performance, in the above competency refer to the integrated DEN Competency Assessment and Learning guide, for the
competency criteria.

Student Example (up to 250 words):

Lecturer Comment:

Lecturer: Date:

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DATE ASSESSORS COMPLETED COMPETENCY REFLECTION MAKING SUPPORT PLAN REQ
CLINICAL EXAMPLES EXAMPLES PROGRESS Y/N
HOURS MET MET Y/N (see attached)

Student Comment:

Lecturer Comment:

Lecturer:

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FINAL ASSESSMENT

DATE ASSESSORS COMPLETED ALL COMPETENCY EXAMPLES ALL REFLECTION EXAMPLES

CLINICAL MET Y/N MET Y/N
HOURS

Student Comment:

Lecturer Comment:

Lecturer:

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Three individual reflections will be entered below. Please follow the Gibb’s Reflective Cycle to support your reflections
around your clinical learning and experiences.

Student Example (up to 250 words/per reflection)

Reflection Week 2:

Student Example (up to 250 words/per reflection)

Reflection Week 4:

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