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Student Name Student Number Unit Code/s & Name/s HLTENN006 Apply principles of wound management in the clinical environment

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Student Name Student Number Unit Code/s & Name/s HLTENN006 Apply principles of wound management in the clinical environment

Assessment Type Written

Assessment Name Case Studies with short answer and multiple-choice questions Assessment Task No. Assessment Due Date Date submitted Assessor Name Student Declaration: I declare that this assessment is my own work. Any ideas and comments made by other people have been acknowledged as references. I understand that if this statement is found to be false, it will be regarded as misconduct and will be subject to disciplinary action as outlined in the TAFE Queensland Student Rules. I understand that by emailing or submitting this assessment electronically, I agree to this Declaration in lieu of a written signature.

Student Signature Date PRIVACY DISCLAIMER: TAFE Queensland is collecting your personal information for assessment purposes. The information will only be accessed by authorised employees of TAFE Queensland. Some of this information may be given to the Australian Skills Quality Authority (ASQA) or its successor and/or TAFE Queensland for audit and/or reporting purposes. Your information will not be given to any other person or agency unless you have given us written permission or we are required by law.

Instructions to Student General Instructions:

This assessment is an open-book assessment that consists of a combination of short answer and multiple-choice questions related to the workplace simulated scenarios on the following pages.

Students are required to attempt all questions in the assessment to support a successful result. Students are expected to complete unit content and personal study to assist in completing the assessment successfully.

Students are to adhere to the TAFE Queensland Student Rules and Policies for assessment; for more information, refer to https://tafeqld.edu.au/about-us/policy-and-governance/policies-and-procedures/student-rules-and-policies/index.htmlStudents are reminded to submit their own workings and that collusion and plagiarism are recognised as Academic Misconduct. If you have any questions about this please email your teacher.

Please review the marking criteria for this assessment to ensure you are providing the required information in your answers.

Information / Materials provided:

This is an open book assessment.

Assessment Criteria:

To achieve a satisfactory result, your assessor will be looking for your ability to demonstrate the following key skills/tasks/knowledge as outlined in the marking criteria for this assessment task.

Number of Attempts:

You will receive up to two (2) attempts at this assessment task.

Should your 1st attempt be unsatisfactory (U), your teacher will provide feedback and discuss the relevant sections / questions with you and will arrange a due date for the submission of your 2nd attempt.

If your 2nd submission is unsatisfactory (U), or you fail to submit a 2nd attempt, you will receive an overall unsatisfactory result for this assessment task.

You must complete this assessment task by the due date provided or you may receive an unsatisfactory (U) result.

If you are unable to meet a scheduled assessment due date, you must notify your teacher at least 48 hours prior to the due date to request an extension. All requests for extensions must be in writing on a request for extension form. Extensions are granted in exceptional circumstances only and must be supported by appropriate documentary evidence.

For more information, refer to the TAFE Queensland Student Rules and Policies: https://tafeqld.edu.au/about-us/policy-and-governance/policies-and-procedures/student-rules-and-policies/index.htmlSubmission details Insert your details on page 1 and sign the Student Declaration - his will confirm you are submitting your own work. Include this template with your submission.

Your due date for this assessment can be found in the unit study guide.

Academic and research misconduct

APA 6th edition style in-text referencing must be used throughout and a reference list submitted with the assessment. Students must use their own words to answer the questions. Assessments that use, reproduce or adapt the work or ideas of another person without due acknowledgment will be graded as unsatisfactory and considered academic misconduct. For more information, refer to the TAFE Queensland Student Rules and Policies: https://tafeqld.edu.au/about-us/policy-and-governance/policies-and-procedures/student-rules-and-policies/index.htmlMethod of submission

Assessment to be submitted via

TAFE Queensland Learning Management System: Connect url: https://connect.tafeqld.edu.au/d2l/loginUsername; 9 digit student number

For Password: Reset password go to https://passwordreset.tafeqld.edu.au/default.aspxInstructions for the Assessor Students are to attempt all assessment questions / tasks and submit for review and resulting by the due date. Please refer to QLD TAFE Student Rules and Policies for assessment and appeals processes:

https://tafeqld.edu.au/about-us/policy-and-governance/policies-and-procedures/student-rules-and-policies/index.html

Students are expected to complete unit content and personal study to assist in completing the assessment successfully.

The student must demonstrate key skills and knowledge identified in the marking criteria for this assessment task.

Assessors are to refer to the Benchmark Answers to ensure objectivity and consistency

Note to Student An overview of all Assessment Tasks relevant to this unit is located in the Unit Study Guide.

Please answer all questions in the 3 case studies and general questions.

Case study

Case Study Scenario 1 Burn Injury:

Carol Mitchell, aged 64 was admitted to the burns unit after sustaining burns to the front and back of her left lower leg and foot. Carol had been cooking in her kitchen, when she accidently knocked a saucepan full of hot oil over herself. Carols husband drove her to the nearest medical centre where Carols burn was treated and then she was transported by ambulance to the hospital for further assessment.

15595171 / Bork / shutterstock.com

In the emergency room, Carol was conscious and in evident distress. Her admission notes were: areas of variable depth of injury over her posterior lower leg and foot only; dark pink discoloration with sluggish capillary refill, blistering is evident; an area on her inner left ankle has an area of blotchy red/white with sluggish to absent capillary refill, patient is complaining of pain on her lower leg, but states that her ankle is somewhat pain free.

After consultation with the Burns team, the burns are to be surgically debrided and a small skin graft will be applied to her inner ankle injury.

Case Study 1 - Short answer questions: word count and referencing stated where required

Read each question carefully and ensure you answer each part.

1. The wound healing process commences when any damage to the skin has occurred. Once the skin is impaired and a wound is created the healing process begins. This is a dynamic and complex process. It consists of four stages

Match the stage with the physiological and biochemical processes

haemostasis stage 1

inflammation phase stage 2

proliferation or reconstruction phase stage 3

maturation phase stage 4

Stage Physiological and Biochemical Processes

During this phase tissue is temporarily replaced and the area is cleaned up by macrophages which digest the dead bacteria and debris. New blood capillaries are developed and granulation tissue (mainly collagen) is laid down. As granulation tissue continues to be laid the epithelium thickens to 4 to 5 layers forming the epidermis. The wound contracts and becomes smaller. This stage can take from 2 to 24 days

Process of the wound being closed by clotting. Starts when blood leaks out of the body. The first step is when blood vessels constrict to restrict the blood flow. Next, platelets stick together in order to seal the break in the wall of the blood vessel. Finally, coagulation occurs and reinforces the platelet plug with threads of fibrin which are like a molecular binding agent, this stage happens very quickly

Vasodilation of surrounding tissues occurs due to the release of histamine and other vasoactive chemicals. This increases blood flow to the surrounding areas which leads erythema, swelling, heat and pain. White blood cells descend into the area as a defense response. This phase lasts approximately three days

The wound and surrounding tissue is gradually remodeled and the collagen cells laid down are strengthened. This stage can last from 24 days to approximately one year. During this stage the wound is still at risk and should be protected.

2a. Skin Assessment outline the steps of the skin assessment for Carols burn that would be carried out immediately on admission to the emergency department. (Word Count Range: 50-100 words, reference)

2b. Part of the assessment (here is a clue for the above question) is burn size. Using the burn chart (below), tick the correct estimate of the size of Carols burn using the information in the scenario

Burn percentage 20% approx.

Burn percentage 9% approx.

Burn percentage 27% approx.

Burn percentage 0.7% approx.

224297740 / stihii / shutterstock.com

2c. When a patient suffers a burn injury it is important to classify the wound.

Provide a description for each of the classifications in the table below. (Word Count Range: 50-100 words, reference)

Classification Description

Superficial Partial thickness Full thickness State which one would most likely apply to Carols area of her burn around her inner left ankle and give a rationale for your choice (Word Count Range: 25 - 50 words, reference)

2d. When undertaking a wound assessment, the main purpose is to optimise the healing process and to produce a baseline status against which the healing process can be measured

Outline four (4) aspects you may consider when conducting a holistic wound assessment.

Provide a reason for each of your choices. (Word Count Range: 50 - 100 words, reference)

3a. As stated in the case study, Carol is complaining of pain

Which of the following strategies may be utilised to provide comfort to Carol? (There is more than one)

Provide pain relief

Provide distraction therapy

Elevate Carols foot above heart level

Ensure bed comfort

Assess stress / anxiety levels and look at reducing these

Inform Carol that pain is a normal aspect of a burn and there is not much that can be done to reduce all pain

3b. Describe an appropriate pain assessment tool and then explain why it is important to reduce pain levels in patient with wounds? (Word Count Range: 100-150 words, reference)

4.It was noted in the case study for Carol that she required surgical debridement to her burns

Explain what surgical wound debridement is and why is it done?

(Word Count Range: 50-100 words, reference)

5. Describe how the skin heals with the assistance of a skin graft. (Word Count Range: 50-100 words, reference)

6. When assessing a patients wound discuss 2 common problems / complications you may encounter (Word Count Range: 50-100 words, reference)

Case study

Case Study Scenario 2 Pressure Ulcer:

John James is an 82-year-old male who has been a resident in the high care ward of a local aged care facility for the past 2 years. His mobility has been decreasing since admission and he now requires 2 hourly turns when in bed and is reliant on a hoist and wheelchair.

John is incontinent of both urine and faeces and has a poor dietary intake. Johns skin is paper thin and the pressure ulcer on his sacrum, below has increased in diameter by 2cms over the last 2 weeks.

John was recently transferred into your hospital ward with chronic bronchitis.

417970330 / Elena Kitch / shutterstock.com

Case Study 2 - Short answer questions: word count and referencing stated where required

Read each question carefully and ensure you answer each part.

1a. You have been asked to attend to the dressing of Johns wound. What would be a suitable dressing to use on Johns wound? (you must give a rationale for your choice). (Word Count Range: 50-100 words, reference)

1b. Explain the goal of this treatment as per Q1a what are you trying to achieve by maintaining a moist wound environment (Word Count Range: 50-100 words, reference)

1c. Explain whether John required a primary or secondary dressing, or both, and provide a rationale for your choice (Word Count Range: 50-100 words, reference)

2a. Most infections agents are micro-organisms, these include: (choose one answer)

Bacteria, viruses, Soil, protozoa and prions

Bacteria, Candida, fungi, protozoa and prions

Bacteria, viruses, fungi, protozoa and prions

Bacteria, viruses, fungi, protozoa and dust

2b. Match the common fungal infections with their major reservoir

Common fungal infection: Candida albicans, Aspergillus organisms

Common fungal infection Major reservoir

Soil, dust, mouth, skin, colon, genital tract

Mouth, skin, colon, genital tract

2c. Match the common viral infections with their major reservoir

Common viral infections Viral infection, Hepatitis A virus, Hepatitis B virus, Hepatitis C virus, Human immunodeficiency virus (HIV), Herpes simplex virus (type I)

Common viral infection Major reservoir

Reservoir

Faeces

Blood and body fluids

Blood

Blood, semen, vaginal secretions (also isolated in saliva, tears, urine and breast milk, but not proved to be sources of transmission)

Lesions of mouth or skin, saliva, genitalia plus herpes zoster (shingles) or viral warts or herpangina (oral ulcers)

2d. On the picture below, place an X on each of the areas that pressure sores can develop (if your computer doesnt allow you to do this, you may write the answers underneath).

132726884 / Anna Rassadnikova / shutterstock.com

Discuss 4 pressure relieving devices that may be used for John either in hospital or when he goes back to the aged care facility (Word Count Range: 25 50 words, reference)Pressure relieving devices

3. Match the Ulcer type with their specific characteristic

Ulcer type: Venous ulcers, Diabetic ulcers, Arterial ulcers, Pressure ulcer:

Ulcer type Characteristic

Caused by ischemia; related to the presence of arterial occlusive disease; symptoms include pain and tissue loss

Local losses of epidermis and various levels of dermis and subcutaneous tissue, occurring over or near the malleoli at the distal lower extremities; caused by edema and other sequalae of impaired venous return.

: Caused by trauma or pressure secondary to neuropathy or vascular disease related to diabetes mellitus.

Caused by pressure which destroys soft tissue

4. As John is quite elderly and his mobility has decreased, outline 3 risk assessments you can do, and using your research state 2 common risk assessment tools used in Australia (Word Count Range: 50-100 words, reference)

5. There are four stages of pressure ulcer formation and each stage has its noted characteristics. Match the stage with the presentation.

Stage: Stage 1, stage 2, stage 3, stage 4.

Stage Presentation

pressure injuries present as shiny or dry shallow ulcers without any bruising present

Pressure injuries are the most severe and represent full-thickness tissue loss with exposed bone, tendon or muscle

pressure injuries present as areas of persistent, non-blanch able redness when compared with the surrounding skin

Pressure injuries represent full-thickness skin loss. Subcutaneous fat may be visible, but bone, tendons or muscle are not exposed.

Give a rationale to support which stage you think Johns pressure ulcer is at (Word Count Range: 25 50 words, reference)

6. When the nurse is assessing Johns wound, he/she documents what it looks like using a variety of methods.

Choose from the following words and fill in the blanks with words that match them to the sentences.

Probe, marking pen, wound tracing, a ruler, written consent, transparent acetate grid, clinical wound photography, wound measurement.

provides the most accurate and objective means of assessment and

evaluation of wound treatments.

can be used to provide an accurate measurement of the length and width

of a wound

Assessment of the depth or length of a wound can be performed using a

Using a two-dimensional method, such as by tracing the margins of the wound, can be assessed

using a and

It is essential that is obtained from the patient/relative or carer

prior to taking photographs

7. Johns doctor has ordered a Doppler ultrasound, explain what this means and how it is performed? (Word Count Range: 50-100 words, reference)

8. Identify and discuss 2 effects on wound healing in regards to complex and challenging wounds (Word Count Range: 50-100 words, reference)

Factor Effect on wound healing

9. Many factors affect the wound-healing process. Therefore, wound management strategies must be tailored to meet the individual holistic needs of the patient, their wound and their environment.

Tick the sentence that best outlines the principles of wound management

Assess and correct cause of tissue damage

Assess wound history and characteristics

Ensure adequate tissue perfusion

Wound-bed preparation

Wound cleansing

Wound-cleansing solutions and techniques

All of the above

Case study

Case Study Scenario 3 Infected Surgical Wound:

Ms Maggie Malone is an obese 52-year-old female, who was admitted to the orthopaedic ward for a total left knee replacement. Staples were the method of wound closure.

Ms Malones medical history reveals that she is a heavy smoker, smoking at least 30 cigarettes / day and was diagnosed with Diabetes type 2 around 4 years ago, but has not been following a recommended diet.

Day 5 post-op: Maggie is complaining of pain in her left knee, she is febrile 38.7C and an increase in discharge from her wound on her dressings is apparent. On removal of the wound dressings, the wound appeared reddened and inflamed; staples are insitu; an open 1.3cm gap at the lower end of the wound was obvious and is oozing purulent fluid. A wound swab is taken and results show a Methicillin-resistant Staphylococcus aureus (MRSA) infection

On reading the surgeons instructions: Antibiotics to be commenced; Wound cavity to be dressed daily with Dressing as per directed by wound specialist

Ms Malone is reviewed by the wound management nurse who documented the following:

Nursing: Wound to heal by secondary intention. Wound cavity measures 13mm long x 10mm wide and 8mm deep, extending to the subcutaneous tissue layer. Wound bed consists of 100% granulation tissue; is malodorous and is oozing a moderate amount of haemopurulent exudate. Staples to remain insitu until day 10 post-op.

74838715 / jsouthby / shutterstock.com

Case Study 3- Short answer questions: word count and referencing stated where required

Read each question carefully and ensure you answer each part.

1a. Maggies Husband comes to visit and he has asked you to explain Maggies infection, how she got it and how long will she have it for. To be able to explain to Maggies husband you need to understand the chain of infection

Listed below are the 6 elements required for a disease to be spread (starting with infectious agent).

Re-arrange the elements below in the in the correct order. Beside each element state how it applies to Maggies wound. (Word Count Range: 100-150 words, reference)Infection Agent

Susceptible host

Portal of exit

Reservoir

Mode of transmission

Portal of entry

95425765/ billdayone/ Shutterstock.com. Modified by TAFE Queensland.

1b. Using the above model, it could be suggested that this is a healthcare-associated infection (HAI).

Provide an example of a brief discussion on how you would explain this type of infection and its development to Maggies husband. Provide this education as though you were speaking to the clients husband using appropriate terminology. (Word Count Range: 50-100 words, reference)

1c. Tick true or false for the following in regards to the bodies defence mechanisms against wound infections

True False

The body has normal defenses against infection. FORMCHECKBOX FORMCHECKBOX

Each organ system has defense mechanisms to protect against exposure of infectious microorganisms. FORMCHECKBOX FORMCHECKBOX

Normal flora, body system defences and inflammation are non-specific defences that protect against microorganisms, regardless of previous exposure. FORMCHECKBOX FORMCHECKBOX

Separate cells and molecules of the immune system dont help the body resist disease. FORMCHECKBOX FORMCHECKBOX

Immune-system responses are either pathogen-specific or non-pathogen-specific defenses. If any of the body's defenses fail, an infection can quickly progress into a serious health problem. FORMCHECKBOX FORMCHECKBOX

1d. Explain in terms that you can understand - the immune response in regards to infections. (Word Count Range: 50-100 words, reference)

2. Standard and Additional precautions Using the word bank complete the sentences in regards to precautions. (fill in the blanks)

Word bank: Mucosa, airborne, fluids, single, all, contact, suspected, infection, skin, known, droplet, cohortedMaggie requires both standard and additional precautions. Standard precautions are infection

control practices used for patients, regardless of their known

status.

Standard Precautions dictate that personal protective equipment (PPE) must be worn when there

is a risk of contact with body , non-intact or

Infection may be transmitted in various ways. The 3 transmission categories are ,

and

Maggies type of transmission is

Transmission-Based Precautions are infection control practices used for patients with

or conditions.

As Maggie has MRSA (an infectious condition) she would require additional precautions and should be nursed in a room or in a room with a patient with

the same infectious condition.

3. As stated in the case study Maggie had a wound specimen taken. Which of the following are correct in regards to obtaining a wound specimen and interpreting laboratory results (Tick 4 correct answers)

Always collect a wound culture sample from viable granulation tissue near the centre of the wound that has just been cleansed or irrigated with 0.9% sodium chloride solution.

Evaluation findings and laboratory results must be communicated to the clinical team leader per the organizations practiceCleanse the wound and surrounding skin with 0.9% sodium chloride solution from the most to least contaminated area.

If there is more than one wound, obtain only one culture from each wound. Perform hand hygiene and change gloves between wounds.

Determine when a dressing change is scheduled. If possible, plan the specimen collection and wound evaluation during the next scheduled dressing change.

4. What impact will the following issues have on Ms Malones wound healing and her activities of daily living? (including psychological impact).

Put each of the above issues under a heading and discuss each in detail. Support each issue with research and a clear rationale (reason) for why it will affect her healing. This question is looking for your ability to problem solve and critically think. (Max 150 - 200 words, reference)

Poor nutrition

Smoking

Diabetes

5. Develop a nursing plan of care for Ms Malone. Your care plan must follow a nursing problem solving approach using the table below

Give one nursing intervention for each problem stated below i.e. a total of 5 nursing interventions that you would put into place to assist Ms Malone with the following problems.

Support each intervention with a rationale/reason, evaluation and a reference

PROBLEMS:

the location of her wound

activities of daily living

reduced mobility

Pain

Referral needs which other health team members both within and outside the hospital environment would be involved in the care of Ms Malone.

Problem Intervention Rationale Evaluation

(including how you would involve the patient?)

Location of Wound Activities of Daily Living Reduced Mobility Pain Referral Needs General Questions

1. Refer to the National Safety and Quality Health Service (NSQHS) Standards - Second Edition and identify and provide a brief description regarding the intention of the 2 standards that could relate specifically to wounds and infections (including pressure injuries)

(Word Count Range: 50-100 words, reference)

2. Explain the difference between an acute wound and a chronic wound (Word Count Range: 50-100 words, reference)

3. Review the following case studies and underline if you think it is either an Acute or Chronic wound.

Acute Chronic

Sam had a motor bike accident 72 hours ago and sustained a leg wound that required stitches, there is serous discharge coming from the wound. FORMCHECKBOX FORMCHECKBOX

6 weeks later Sams leg wound has an area where there is thick yellowish drainage into the dressing FORMCHECKBOX FORMCHECKBOX

John is 66-years-old and has been a widower for 6 year. His neighbour has noticed that John has had no appetite, has lost weight, and has had a meaningful decline in function. She visits more frequently, bringing meals and trying to encourage him to eat. On her most recent visits she has noticed a foul odour in Johns home. He attributes it to his poor housekeeping and hygiene. She perceives the odour in his home to be fouler and notices that the front of his shirt over his abdomen is damp. She is very worried and after a lot of coaxing she convinces John to go to the hospital, and calls an ambulance. An abdominal examination reveals an extensive open wound with copious discharge and a foul odour, which has permeated the whole area. The wound extends from about the midline of his abdomen to his left flank, measuring 22 cm by 16 cm. a biopsy of the wound is performed and confirms a malignant squamous cell carcinoma. FORMCHECKBOX FORMCHECKBOX

A 55-year-old woman was admitted to the surgical ward for exploration of a persistent sinus on the lower left leg. An ultrasound examination showed a cavity suspected to be an abscess, which was then explored and drained FORMCHECKBOX FORMCHECKBOX

Mrs Brown is a 65-year-old lady who is a diabetic with peripheral neuropathy. 8 weeks ago, she sustained a scape on her left leg while weeding some dense bush in her backyard. She treated it herself but it is not healing and has gotten bigger and begun to ulcerate with some parts turning dark brown. Finally, she went to her GP and he admitted her to hospital where she was facing cleaning and debridement of the wound which was diagnosed as a diabetic neuropathic ulcer. FORMCHECKBOX FORMCHECKBOX

A 65-year-old gentleman was operated with abdominoperineal rectal excision and a sigmoid ostomy. Ten days later total wound dehiscence and evisceration (bowel contents protruding through the abdominal wall). Abdomen had to be left open collecting small bowel contents in a specially designed fistula bag. The patient went home with ongoing wound dressings over a period of 3 months. FORMCHECKBOX FORMCHECKBOX

4a. Jack Sparrow has a surgical wound with a Jackson Pratt drain. Which of the following are correct in regards to management of Jacks drain (Tick 4 correct answers)Check for infection

Maintain bulb patency as per Drs Orders

Immediately remove if you think it is blocked

Adhere to facility policy and procedures when caring for a Jackson Pratt Drain

Document the amount of drainage

No need to check the connections as this is a closed system

4b. Mr Jones who has a history of chronic venous disease and leg ulcers has returned from theatre after hip surgery and is fitted with elastic compression stockings (TED) and sequential compression device (SCDs).

Which of the following 2 points are NOT true when it comes to the management techniques of compression devices?

The stockings are not to be rolled down, cut or otherwise altered

Thigh-length stockings prevent proximal VTE better than knee-length stockings

SCDs are not worn when a patient has an active VTE because of the risk of PE

If the stockings are not fitted and worn correctly, venous return is impeded

SCDs will still be effective if they are not applied correctly

They apply external pressure to the lower extremities by means of an electric pump

TED stockings are a part of VTE prevention in hospitalised patients

SCDs are inflatable garments wrapped around the arms

5a. Provide a brief outline in regards to the historical development of contemporary wound management strategies.

(Word Count Range: 150-200 words, reference)

5b. Visceral wounds often involve the internal organs of the body, specifically those within the chest (heart, lungs) or abdomen (as the liver, pancreas or intestines). Often injury is by gunshot or stabbing.

Steven was involved in a fight late at night where he was stabbed and sustained a deep penetrating abdominal wound. He was transferred to the emergency department where he underwent a laparotomy to discover the extent of damage and a temporary closure to part of his wound was made with a vacuum dressing. He was to have further surgery once stable.

Which of the following may NOT be included as wound management strategies for visceral wounds?

Pain control

Keep wound area clean

Daily wound dressing change

Watch for bleeding

5c. Research your local community to identify a minimum of 2 educational resources, community services, and/or professional organisations associated with wound management and prevention programs.

Include in your answer their contact details and location. (Word Count Range: 50-100 words, reference)

Student Name Student Number Unit Code/s & Name/s CHCPOL003 Research and apply evidence to practice

Assessment Type Written

Assessment Name Written activities / questions Assessment Task No. AT2

Assessment Due Date Date submitted Assessor Name Student Declaration: I declare that this assessment is my own work. Any ideas and comments made by other people have been acknowledged as references. I understand that if this statement is found to be false, it will be regarded as misconduct and will be subject to disciplinary action as outlined in the TAFE Queensland Student Rules. I understand that by emailing or submitting this assessment electronically, I agree to this Declaration in lieu of a written signature.

Student Signature Date PRIVACY DISCLAIMER: TAFE Queensland is collecting your personal information for assessment purposes. The information will only be accessed by authorised employees of TAFE Queensland. Some of this information may be given to the Australian Skills Quality Authority (ASQA) or its successor and/or TAFE Queensland for audit and/or reporting purposes. Your information will not be given to any other person or agency unless you have given us written permission or we are required by law.

Instructions to StudentGeneral Instructions:

The aim of this open-book assessment is to demonstrate the skills and knowledge required to establish the information need, gather information and critically analyse the information for relevance to own work.

Students are required to attempt all questions in the assessment to support a successful result. Students are expected to complete unit content and personal study to assist in completing the assessment successfully.

Students are to adhere to the TAFE Queensland Student Rules and Policies for assessment; for more information, refer to https://tafeqld.edu.au/about-us/policy-and-governance/policies-and-procedures/student-rules-and-policies/index.htmlStudents are reminded to submit their own workings and that collusion and plagiarism are recognised as Academic Misconduct. If you have any questions about this please email your teacher.

Please review the marking criteria for this assessment to ensure you are providing the required information in your answers.

Information / Materials provided:

This is an open book assessment.

Assessment Criteria:

To achieve a satisfactory result, your assessor will be looking for your ability to demonstrate the following key skills/tasks/knowledge as outlined in the marking criteria for this assessment task.

Number of Attempts:

You will receive up to two (2) attempts at this assessment task.

Should your 1st attempt be unsatisfactory (U), your teacher will provide feedback and discuss the relevant sections / questions with you and will arrange a due date for the submission of your 2nd attempt.

If your 2nd submission is unsatisfactory (U), or you fail to submit a 2nd attempt, you will receive an overall unsatisfactory result for this assessment task.

You must complete this assessment task by the due date provided or you may receive an unsatisfactory (U) result.

If you are unable to meet a scheduled assessment due date, you must notify your teacher at least 48 hours prior to the due date to request an extension. All requests for extensions must be in writing on a request for extension form. Extensions are granted in exceptional circumstances only and must be supported by appropriate documentary evidence.

For more information, refer to the TAFE Queensland Student Rules and Policies: https://tafeqld.edu.au/about-us/policy-and-governance/policies-and-procedures/student-rules-and-policies/index.htmlSubmission details Insert your details on page 1 and sign the Student Declaration - his will confirm you are submitting your own work. Include this template with your submission.

Your due date for this assessment can be found in the unit study guide.

Academic and research misconduct

APA 6th edition style in-text referencing must be used throughout and a reference list submitted with the assessment. Students must use their own words to answer the questions. Assessments that use, reproduce or adapt the work or ideas of another person without due acknowledgment will be graded as unsatisfactory and considered academic misconduct. For more information, refer to the TAFE Queensland Student Rules and Policies: https://tafeqld.edu.au/about-us/policy-and-governance/policies-and-procedures/student-rules-and-policies/index.htmlMethod of submission

Assessment to be submitted via

TAFE Queensland Learning Management System: Connect url: https://connect.tafeqld.edu.au/d2l/loginUsername; 9 digit student number

For Password: Reset password go to https://passwordreset.tafeqld.edu.au/default.aspxInstructions for the Assessor Students are to attempt all assessment questions / tasks and submit for review and resulting by the due date. Please refer to QLD TAFE Student Rules and Policies for assessment and appeals processes:

https://tafeqld.edu.au/about-us/policy-and-governance/policies-and-procedures/student-rules-and-policies/index.html

Students are expected to complete unit content and personal study to assist in completing the assessment successfully.

The student must demonstrate key skills and knowledge identified in the marking criteria for this assessment task.

Assessors are to refer to the Benchmark Answers to ensure objectivity and consistency

Note to Student An overview of all Assessment Tasks relevant to this unit is located in the Unit Study Guide.

PART 1

This section consists of short answer questions. Please answer all questions taking note of word count range and referencing requirements.

From your experience in nursing practice, select one (1) relevant, current issue which you think may require change or improvement.

Some examples of topic areas are provided below. You may use your own idea or select one of the examples listed below:

Mentoring of student nurses

Handover practices

Wound care

Using a relevant database (e.g. CINAHL, PubMed, Google Scholar) find one (1) primary research (i.e. describing an actual study) article relating to your chosen topic area.

Ensure that the article is:

Relevant (related to your topic area and context)

Current (published within the last ten years)

From a reputable source (i.e. a peer reviewed journal)

This article will be reviewed; therefore, you need to upload a copy of the article with your assessment OR provide a working web link.

Using APA referencing format, reference the article below and then provide a summary of your article. (Word Count Range: 50-100 words, reference)

Provide a rationale for why you used the database you did, to find the article (consider the type of database/journals/articles; the database size; the credibility of the research). (Word Count Range: 50-100 words, reference)

Now read the article carefully and using the table below as a guide, complete the relevant sections. A word count guide has been provided for the sections which require a more in-depth response.

What is the research problem/s? What is the research question? Is the research important? Why?

(Word count: 100 words) What methods were used to conduct the research?

(Word count: 50 words) What type of research is this? What is the approach and methodology?

(Word count: 50 words) Who/what was the study sample? What are the relevant cultural or ethical issues in this research?

(Word count: 50 words) What are the findings of the research? Are they important?

(Word count: 100 words)

What would you do to improve this research?

(Word count: 50 words)

PART 2

In this part of the assessment, you will compare and contrast two primary research articles. (You can use the article Part A of this assessment, for one of your comparison articles.)

The aim of this is for you to compare and contrast the research (the topic areas are not relevant).

These articles will be reviewed; therefore, you need to upload copies of the articles with your assessment OR provide working web links.

Using the table below, compare and contrast the two (2) research articles. Provide a rationale for each section to support your answer (see the example provided).

Article 1 Article 2

Is the research current? Is the research reliable? Is the research relevant?

Article 1 Article 2

What are the benefits of the research? Are there any ethical considerations? What are they? Are there any risks associated with the information?

Is the research relevant to any other disciplines? Identify which.

Student Name Student Number Unit Code/s & Name/s CHCPOL003 Research and apply evidence to practice

Assessment Type Written

Assessment Name Multiple choice and short answer questions. Assessment Task No. AT1

Assessment Due Date Date submitted Assessor Name Student Declaration: I declare that this assessment is my own work. Any ideas and comments made by other people have been acknowledged as references. I understand that if this statement is found to be false, it will be regarded as misconduct and will be subject to disciplinary action as outlined in the TAFE Queensland Student Rules. I understand that by emailing or submitting this assessment electronically, I agree to this Declaration in lieu of a written signature.

Student Signature Date PRIVACY DISCLAIMER: TAFE Queensland is collecting your personal information for assessment purposes. The information will only be accessed by authorised employees of TAFE Queensland. Some of this information may be given to the Australian Skills Quality Authority (ASQA) or its successor and/or TAFE Queensland for audit and/or reporting purposes. Your information will not be given to any other person or agency unless you have given us written permission or we are required by law.

Instructions to Student General Instructions:

This assessment is an open-book assessment that consists of a combination of short answer and multiple-choice questions to demonstrate the skills and knowledge required to establish the information need, gather information and critically analyse the information for relevance to own work.

Questions

Students are required to attempt all questions in the assessment to support a successful result. Students are expected to complete unit content and personal study to assist in completing the assessment successfully.

Students are to adhere to the TAFE Queensland Student Rules and Policies for assessment; for more information, refer to https://tafeqld.edu.au/about-us/policy-and-governance/policies-and-procedures/student-rules-and-policies/index.htmlStudents are reminded to submit their own workings and that collusion and plagiarism are recognised as Academic Misconduct. If you have any questions about this please email your teacher.

Please review the marking criteria for this assessment to ensure you are providing the required information in your answers.

Information / Materials provided:

This is an open book assessment.

Assessment Criteria:

To achieve a satisfactory result, your assessor will be looking for your ability to demonstrate the following key skills/tasks/knowledge as outlined in the marking criteria for this assessment task.

Number of Attempts:

You will receive up to two (2) attempts at this assessment task.

Should your 1st attempt be unsatisfactory (U), your teacher will provide feedback and discuss the relevant sections / questions with you and will arrange a due date for the submission of your 2nd attempt.

If your 2nd submission is unsatisfactory (U), or you fail to submit a 2nd attempt, you will receive an overall unsatisfactory result for this assessment task.

You must complete this assessment task by the due date provided or you may receive an unsatisfactory (U) result.

If you are unable to meet a scheduled assessment due date, you must notify your teacher at least 48 hours prior to the due date to request an extension. All requests for extensions must be in writing on a request for extension form. Extensions are granted in exceptional circumstances only and must be supported by appropriate documentary evidence.

For more information, refer to the TAFE Queensland Student Rules and Policies: https://tafeqld.edu.au/about-us/policy-and-governance/policies-and-procedures/student-rules-and-policies/index.htmlSubmission details Insert your details on page 1 and sign the Student Declaration - his will confirm you are submitting your own work. Include this template with your submission.

Your due date for this assessment can be found in the unit study guide.

Academic and research misconduct

APA 6th edition style in-text referencing must be used throughout and a reference list submitted with the assessment. Students must use their own words to answer the questions. Assessments that use, reproduce or adapt the work or ideas of another person without due acknowledgment will be graded as unsatisfactory and considered academic misconduct. For more information, refer to the TAFE Queensland Student Rules and Policies: https://tafeqld.edu.au/about-us/policy-and-governance/policies-and-procedures/student-rules-and-policies/index.htmlMethod of submission

Assessment to be submitted via

TAFE Queensland Learning Management System: Connect url: https://connect.tafeqld.edu.au/d2l/loginUsername; 9 digit student number

For Password: Reset password go to https://passwordreset.tafeqld.edu.au/default.aspxInstructions for the Assessor Students are to attempt all assessment questions / tasks and submit for review and resulting by the due date. Please refer to QLD TAFE Student Rules and Policies for assessment and appeals processes:

https://tafeqld.edu.au/about-us/policy-and-governance/policies-and-procedures/student-rules-and-policies/index.html

Students are expected to complete unit content and personal study to assist in completing the assessment successfully.

The student must demonstrate key skills and knowledge identified in the marking criteria for this assessment task.

Assessors are to refer to the Benchmark Answers to ensure objectivity and consistency

Note to Student An overview of all Assessment Tasks relevant to this unit is located in the Unit Study Guide.

PART A

This section consists of 12 multiple choice questions. All questions must be answered.

Which of the following is an example of a primary source in a research study?

FORMCHECKBOX A published report on a research study

FORMCHECKBOX Textbook of medical-surgical nursing

FORMCHECKBOX An editorial commentary

FORMCHECKBOX A systematic review

Which of the following are all steps in the research process? (select all that apply)

FORMCHECKBOX Identify the problem

FORMCHECKBOX Review the literature

FORMCHECKBOX Collect data

FORMCHECKBOX Analyse data

Which statement best describes qualitative research?

FORMCHECKBOX Studies are conducted in natural settings.

FORMCHECKBOX Data is collected from a large number of subjects.

FORMCHECKBOX Data collected tend to be numeric.

FORMCHECKBOX The research design is systematic and objective.

What does a critique of a research study always include? (select all that apply)

FORMCHECKBOX Determining its strengths and weaknesses

FORMCHECKBOX Conducting your own research

FORMCHECKBOX Using critical reading skills

FORMCHECKBOX Explaining your own personal opinions

Which of the following phrases would be found in a report of a qualitative study?

FORMCHECKBOX The hypothesis of this study is?

FORMCHECKBOX The study was a double-blind randomised controlled trial

FORMCHECKBOX The control group received no instruction?

FORMCHECKBOX Subjects were asked to relate their perceptions of pain?

Which of the following statements is the best definition of a hypothesis?

FORMCHECKBOX An approach to research which incorporates both qualitative and quantitative methods. FORMCHECKBOX A proposed explanation made on the basis of limited evidence as a starting point for further investigation.

FORMCHECKBOX The data obtained from a quantitative research study.

FORMCHECKBOX A data collection method commonly used in qualitative research.

Evidence based practice is best described as:

FORMCHECKBOX Following traditions within nursing

FORMCHECKBOX Integrating individual clinical expertise with the best available evidence from systematic research

FORMCHECKBOX Performing literature reviews for all aspects of clinical care

FORMCHECKBOX Disseminating research to the wider public

Continuous quality improvement is best described as:

FORMCHECKBOX Changing clinical practices every twelve months to determine the best approach

FORMCHECKBOX The use of data about systems, processes and outcomes to assist health care teams to develop and implement plans for improving the quality of care

FORMCHECKBOX The integration of research into practice

FORMCHECKBOX The use of quantitative research methods

The rules of evidence relate to:

FORMCHECKBOX The implementation of research in the practice setting

FORMCHECKBOX The quality of evidence

FORMCHECKBOX How research should be conducted

FORMCHECKBOX The ethical rules that need to be followed when conducting research

Who decides if ethical approval for a research study is granted?

FORMCHECKBOX The researcher

FORMCHECKBOX The hospital director

FORMCHECKBOX Ethics committee

FORMCHECKBOX The participants

Ethical approval must be obtained for:

FORMCHECKBOX All research studies

FORMCHECKBOX Only research involving children

FORMCHECKBOX Only research involving animals

FORMCHECKBOX Only research conducted in the hospital setting

Nurses have a duty of care to ensure that their practice is:

FORMCHECKBOX Repetitive

FORMCHECKBOX Evidence based

FORMCHECKBOX Based on tradition

FORMCHECKBOX Experimental

PART B

This section consists of short answer questions. Please answer all questions taking note of word count range and referencing requirements.

Identify one area of practice that you think research may be required to improve practice in that area and provide a rationale for why you have selected that area of practice. (For example, acute care nurses require more education on the care of patients with dementia). (Word Count Range: 50-100 words, reference)

Establish a research objective for the chosen issue. (For example, Develop and implement an educational intervention for acute care nurses on the care of the patient with dementia)

(Word Count Range: 25 - 50 words)

Using a nursing database (for example, CINAHL) find one (1) primary research study related to the issue identified. Ensure that you compare articles you find in the database to ensure that the one you select is relevant, reliable and current. Provide a reference (APA format) for the article below.

From the article you have chosen, identify one way in which the research could be used to change practice. (For example, Dementia Care workshops for acute care nurses result in higher levels of patient satisfaction and so Dementia Care workshops will be introduced for all acute care nurses). (Word Count Range: 25 - 50 words)

For your chosen issue and research objective, select an appropriate research approach and data collection method. Then provide a rationale for your chosen approach and data collection method. (For example, Qualitative approach/ Survey). (Word Count Range: 50-100 words, reference)

Imagine you have completed a research study on your chosen issue and you are ready to disseminate your research findings. Explain the concept of dissemination within your answer identify two (2) ways nurses can be involved in this process. (Word Count Range: 50-100 words, reference)

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