COURSE KIT

NBNC1803 CLINICAL PRACTICE 3

JANUARY SEMESTER 2019

CLUSTER OF APPLIED SCIENCES (NURSING)

NBNC1803
CLINICAL PRACTICE 3
(GENERAL PRACTICUM)

COURSE KIT

JANUARY SEMESTER 2019

 COURSE KIT
NBNC1803 CLINICAL PRACTICE 3
JANUARY SEMESTER 2019

INTRODUCTION

NBNC1803 Clinical Practice 3 is a General Practicum focusing on clinical nursing that is

implemented in the student’s own ward or area of practice. You will continue to work in
your organization and your official working hours will be considered as practicum hours to
fulfill the required 3 credits. You have to record your attendance and provide evidence of
presence at the work place for you to gather information and data that supports your writing
of Reflective Journal. Your learning will take place as you work because you need to apply
the theory that you have learned into your work tasks. Thus, you may find it beneficial to
revisit and review the module NBNS3603 Reflective Thinking and Writing to guide you in
writing your Reflective Journal.

Additionally, you are encouraged to apply all the knowledge and skills gained from your
current learning, particularly relating to NBNS2904 Oncology Nursing / NBNS3504 Renal
Nursing.

SYNOPSIS

This is the general practicum component and prepares the students to integrate, organise
and apply knowledge and skills related to the management and nursing assessment in
delivery of holistic care to patients in their workplace. The Reflective Journal expected at the
end of the placement is evidenced of your progressive application of knowledge achieved in
communication, safe care and critical thinking.

COURSE OBJECTIVES

At the end of this course students will be able to apply their knowledge and skills in upholding
the quality nursing care and advancement of nursing profession at their workplace.

LEARNING OUTCOMES

At the end of this course, students will be able to:

1. Perform nursing care using nursing process based on patient assessment findings.
2. Organize with team members ethically and practice according to standard principles
3. Initiate collaborative approach to communicate effectively with other healthcare
personnel, patients and family members.
4. Provide effective psychosocial care for patients and family members.

CLINICAL PLACEMENT / PRACTICUM HOURS

 You need to be SELF-DIRECTED in implementing your learning activities

 There is NO Local Preceptor to supervise and guide you

 This practicum takes place in your respective area of practice, and your official working
hours are considered as the practicum hour

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 You must carry on with your normal tasks and responsibilities at your respective working
place

 In order to achieve the objectives of this clinical component, you are expected to apply
or practice all skills that you have learned from the specific practicum wherever possible

 You should be able to organise your activities and perform your roles effectively in areas
relating to nursing management, assessment, communication, and clinical decision
making

 By the end of the day, you MUST record your attendance as an evidence for your clinical
experience in general practicum. Make sure that you have achieved a minimum of 104
hours.

ASSESSMENT METHODS

The assessment will be based on your performance in the following subdivision of

NBNC1803 Clinical Practice 3. Please refer to the detail information and instructions in the
respective sections.

ALLOCATION
SN ASSESSMENT METHOD REMARKS
OF MARKS
2500 - 3000 words (to be
1 Reflective Journal 50% submitted to the face-to-face
Tutor)
2 Clinical Activities 40% As stipulated
Provide evidence such as punch
3 Attendance Record 10% card (photocopied) and verified by
the Superior
TOTAL 100%

1. REFLECTIVE JOURNAL – 50%

A reflective journal often called a learning journal is a steadily growing document that
you (student) personally write, to record your learning experiences and the progress of
your learning. It is a space where students can record and reflect upon their
observations and responses to situations, which can then be used to explore and
analyse ways of thinking.

Reflective journal writing is evidence of reflective thinking and involves a description of

an issue or experience as well as an exploration or critical analysis and explanation of
events. Reflective writing is a process where you can learn from your experiences and
is often used to 'reflect forward' to the future as well as 'reflect back' on the past (Moon,
J. -2004).

It is designed to help you think deeply about your learning, especially on issues such
as: your progress in learning, the difficulties you encountered in the process of

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learning, the strategies you have taken to get around those difficulties, and your
evaluation of your own performance.

Therefore, the task of submitting reflective journal writing is given to students because
of the established link between reflection and deeper learning. As well as facilitating
learning, the intention of the task of reflective journal writing is for students to acquire a
habit of reflection, achieve high levels of self-awareness and grow in the profession of
nursing.

Requirement:

You are required to write a Reflective Journal to reflect and record your learning
experiences during the tenure of this practicum based on your area of practice as
stipulated in the suggested learning activities that you think significant to your learning
and professional development. (You are required to select any of your learning
experience at your own clinical area related to your current clinical
specialisation; either Oncology Nursing / Renal Nursing).

Reflective Journal Writing Guidelines

The following may provide you with a framework upon which to build each journal
entry.  You are not required to set up your journal entries this way; however it may
be helpful if you are feeling a little tangled or stumped

Item 1: Title
(Addressing the focus of the entry)

Item 2: Introduction
Brief introduction: 3 – 4 paragraphs that introduce the particular situation from
your clinical experience that you will be writing about.  The introduction should
set the context for the reflective entry.  The introduction must also include
other key concepts that will be discussed in the entry.

Item 3: Trigger Event

The trigger event is a positive or negative impression evoked by behaviours,
ideas, or feelings that intrigue you (puzzlement, surprise, or shock, something
that aroused curiosity or makes you say “a-ha”).This section should be 3 - 4
sentences that tell the reader why you have chosen to write about this
particular situation or about an incident from your clinical experience.

Item 4: Appraisal
This section offers you the opportunity to identify and clarify a concern and
engage in self-examination.  Perhaps begin with those who face a similar
contradiction.

This section needs to be 1 – 2 paragraphs in length.  In this section, you return
to the situation and ask: “What is generally known about this issue?”, “What
does the literature say about it?”  There is a requirement to use the literature
(scholarly writing in textbooks and professional journals) to support your
thoughts and ideas.

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Item 5: Exploration
This section provides you with the opportunity to take the time and begin
searching for new ways of explaining discrepancies in your understanding or
new ways to live with them.  Test options and search for new meanings –
develop alternative perspectives: come to a way of thinking and acting that
you feel make sense of a situation – it is a transition stage.

Leaving behind a familiar but inappropriate assumption can be a wrenching

experience.  A common tendency is to hand onto the assumption or
behaviour. Try to modify it to fit the situation more closely.

Include 2 - 3 paragraphs describing how this process has affected your

understanding, your sense-making of what you wrote in the initial paragraphs.
Are there other ways to look at the situation?  What did you read in the
literature that led you to think differently about the experience?

Item 6: Integration
This section should be 1 – 2 paragraphs in length.  You may begin by asking
yourself, “Have I learned something that I think will inform / further my
professional development? Something I had not thought of before?”  Line what
you knew before to what you know now and to how this might affect your
thinking and/or your responses (language and/or actions) in the future

Item 7: Conclusion
The conclusion should be concisely and precisely written that builds new
knowledge and draws out personal learning and professional development.

Item 8: References
Should be in the APA format

The Writing Format

 Word count: 2500 - 3000

 Font: Times New Roman / Arial, Size 12
 Spacing: 1.5
 Binding: combed

Additional Instruction:

 You can write your Reflective Journal either in English or Malay

 You are encouraged to observe the Reflective Journal Writing Guidelines
provided above
 The evaluation of this Reflective Journal writing is using the Rubric as illustrated
in Appendix 1
 Submit your work directly to your Face-to-Face Tutor on the last tutorial session
or as informed (before or on 30 April 2019)

....................................................................................................................................................

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2. CLINICAL ACTIVITIES - 40%

This is SELF-DIRECTED learning. Hence, you are required to plan your learning
activities to fulfill the objectives of your general practicum.

Below is a list of suggested Learning Activities which you should perform at least
FIVE of them and document / summarize as per format provided. The summary of
each activity should be written in not less than one page (approximately 200 words;
with 1.5 spacing); and MUST be verified by your Superior.

You may add any other relevant learning activities that positively ameliorate your
learning and professional development.

2.1 Advanced Nursing Assessment:

Perform advanced nursing assessment using nursing process to derive nursing

interventions.

2.2 Communication Skills:

Apply effective communication skills with patient, team members and family using
standard practices.

2.3 Team Building / Collaboration:

Participate with team members and/or collaborate with other healthcare team in
delivery of care / services.

2.4 Psychosocial Care:

Deliver independently and/or participate with team members in provision of

psychosocial care for patients and family members.

2.5 Management and Leadership skills:

Engage in any form / level of management process and/or leadership capability

in nursing.

2.6 Clinical Decision Making:

Play a substantial role in clinical decision making to achieve positive patient

outcomes.

2.7 Research Activities and Evidence-based Practices:

Involve any form / level of nursing research activities and evidence-based

practices.

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The Format for Documenting Learning Activities:

Date / Time: ……………………………………………………………………..............

Workplace / Unit: …………………………………………………………………………
Title of Learning Activity / Task: ………………………………………………………...
Summary: …………………………………………………………………………………
……………………………………………………………………………………………..
Verified by: (Name / Post & Signature)…………………………………………………

…………………………………………………………………………………………………..

3. ATTENDANCE RECORD – 10%

RECORD OF ATTENDANCE FOR CLINICAL PRACTICE HOURS

Please record your Attendance for Clinical Practice Hours in the table below. Make sure that
you have achieved a minimum of 104 hours of clinical practice hours at your own workplace
and be verified by your Superior. This is MANDATORY.

Attach the verified photocopies of your Records of Working Hours (e.g. Punch Card) to
substantiate the total number of your Clinical Practice hours.

Superior’s Signature
No. Date & Time Total Hours
(e.g. Director/Matron/Sister)

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TOTAL HOURS

IMPORTANT INSTRUCTION TO STUDENTS

The Reflective Journal should be compiled separately from the rest of the documents for
submission. Thus, section 2, 3, & 4 should be compiled in one. Please use the checklist
provided below to organize your work appropriately.

Checklist of Items for Submission

SECTION ITEMS YES NO

1 Reflective Journal – combed binding (individually compiled)

2 Learning Activities – all activities are described completely and

verified

Attendance Record:
3
 Clinical practice hours (min 104 hours) - verified
4 Student’s Evaluation of Clinical Practice 3

Please take note that the Cover Page of your Reflective Journal and compilation of other
parts of your work / documents (Section 2, 3 & 4) MUST use the format for Front Page as
provided in Appendix 3

Appendix 1
RUBRICS FOR REFLECTIVE JOURNAL

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JANUARY SEMESTER 2019

NBNC1803 CLINICAL PRACTICE 3

Criteria Weight Low Fair Above Average Excellent Score

-age (0) (1) (2) (3) (4)

1. 1 No title and The title is The title is The title is The title is 4
Title & introduction created. created. created. created.
Introduction The The The introduction The introduction
introduction is introduction is is good; areas to is excellent;
poor; areas to fair; areas to be discussed are states the
be discussed be discussed relatively clear particular
are very vague are vague and and organized but situation of the
and disorganized inadequately clinical
disorganized explained experiences
involved. The
context and
concepts that will
be discussed in
the reflective
entry are
explicitly
explained

2. 4.5 Does not Merely Includes Illustrates Demonstrates an 18

Reflections: demonstrate includes description of satisfactory ability ability to
Ability to reflection descriptions of events, and a to relate acquired proficiently reveal
integrate theoretical little further knowledge to reflection and
learning into knowledge; no consideration previous deep thinking of
real-world reflection is behind the experiences; acquired
experiences demonstrated events using a demonstrates knowledge and
and analyze beyond the relatively attempt to concepts, and
issues with a descriptions descriptive analyze the issues integrate them
critical attitude style of from a number of into different
language; no different issues from wide
evidence of perspectives range of
using multiple perspectives (e.g.
perspectives different
in analyzing contexts,
the issues cultures,
disciplines etc.);
creative solutions
and critical
thinking skills
demonstrated in
the writing

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3. 2.5 Demonstrates Does not Demonstrates Demonstrates Demonstrates a 10

Presentation: a very bad show any vague clear arguments well-focused
Articulation entry; the original arguments or or perspectives; writing;
and work is thinking or perspectives; organized flow in arguments or
organization of completely perspectives; the writing writing but not perspectives are
ideas and not original chaotic in lacked an deep enough to precisely defined
perspectives organization organized flow be very insightful and explained;
and and the ideas demonstrates
presentation were hard to coherent flow in
of ideas follow developing an
insightful idea

4. 2.5 Does not Demonstrates Demonstrates Demonstrates Demonstrates 10

Completeness: demonstrate no weak journal entries concrete
Incorporation any feature of connections connections that is generally connections
of the journal journal entry between between connected; still between journal
entries into a journal journal able to observe entries into a
whole, entries. The entries; how the student whole; signifying
demonstration entries are development develops during clear steps in the
of the learning mere gained from the learning developmental
process descriptions of the learning process learning process
events rather process is
than showing hardly
a sequence of observed
learning steps

5. 1 No conclusion A poor A fair A good conclusion An excellent 4

Conclusion conclusion conclusion which indicates conclusion which
which does which considerable is concisely and
not indicate indicates analysis and precisely written.
an attempt to reasonable synthesis of ideas It provides
synthesize the analysis and concluding
content of the synthesis of remarks that
reflective ideas builds new
journal knowledge and
draws out
personal learning
and professional
development

6. 1 No reference Citations for Some citations Most citations are All citations are 4
References or citation statements for statements included in the included in the
and Citations included in included in journal and most journal and
the journal the journal or references match references match
are not references with the citations the citations
present, or which are according to the according to the
references included are APA format APA format
which are not found in
included are the text
not found in
the text
TOTAL SCORE 50

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Appendix 2

STUDENT’S EVALUATION OF CLINICAL PRACTICE 3

Name: ........................................................................... Matrix No: ....................................

Year: .............................................................................Semester: ....................................

Area of Practice/Discipline: ...................................... Course Code: ..............................

INSTRUCTION

Tick (√) your level of agreement for each statements based on the scale. You may give your
opinion or suggestions in the comments section.

Your evaluation is important for continuous improvement of our programme and to enable us
to provide the best for you.

Scale : 1=strongly disagree 2= disagree 3= indifferent 4= agree 5= strongly agree

No Statement 1 2 3 4 5
I have adequate opportunities to enhance my clinical skills
1.
and knowledge
I have adequate opportunities to apply the theory that I have
2.
learned into your work tasks
I have adequate opportunities to perform the required
3.
learning activities
I have adequate opportunities to achieve my learning
4.
outcomes
5. The length of clinical placement was adequate
My Superior was supportive of my learning needs and
6.
activities
The faculty was able to address my concerns / problems /
7.
questions as regard to my learning needs

Comments:

__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

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Appendix 3

CLUSTER OF APPLIED SCIENCES (NURSING)

CLINICAL PRACTICE RECORD

NBNC1803 Clinical Practice 3

STUDENT’S PARTICULARS

Name : __________________________________

Matrix No. : __________________________________

Semester & Year : __________________________________

Ward / Area of Practice : __________________________________

Name of Institution : __________________________________

Face-to-Face Tutor : ___________________________________

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