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Knowledge and Skills for Adult Nursing Assignment

You are required to write a reflective account of a skill you have undertaken in clinical practice. Your account should be no more than 1500 words in length (not including your reference list) and should follow the template provided.

Please be aware that reflective writing should be written in the first person as it is an account of your personal experience. It is important to explore how this experience, and your reflection of it, has helped your professional growth and as such you will be marked down for spending too much of your word count describing your feelings rather than discussing the underpinning evidence for your actions.

You can choose to discuss one of the skills that you have learnt about in the module so far, some examples are provided below:

  • Blood pressure (manual and automated)
  • Pulse
  • Temperature
  • Respiratory rate
  • Pulse oximetry
  • Giving injections (you will need to include both subcutaneous and intramuscular)
  • Medicine administration
  • Nutritional assessment
  • Urinalysis
  • Hand washing

N.B. If you are unsure whether your skill is an appropriate skill to discuss consider whether you have learnt it within the skills session. if you are still unsure please contact me on:

Your account should include:

  • An introduction (approximately 150 words) where you explain to the reader what will be discussed in the rest of your essay
  • An account of what has happened (approximately 200 words). This is your ‘what?’ section. In this section you need to outline the steps taken to perform your chosen skill. These steps should be written in full prose, not bullet points. Please be aware that it is important to maintain confidentiality throughout the assignment (NMC 2015) and therefore names and places should be changed or given pseudonyms
  • The ‘so what?’ section is a discussion of the evidence that supports the approach you used in undertaking the skill (approximately 750 words). Here, you will need to consider current literature, whether or not it is consistent, and how it can or should be implemented into clinical practice. This section is the main body of your work and should also include some discussion of why this skill is fundamental to patient care. You should also consider professional values, as outlined by the Nursing and Midwifery Council and local (Trust) policies, and how they have impacted on the way you carried out the skill in practice
  • The ‘now what?’ section is a discussion of how your experience has impacted on your own practice and whether you might use the same, or a different, approach in the future (approximately 250 words)
  • A conclusion (approximately 150 words) will summarise what you have written about. This section should not introduce any additional information, or new references, but should recap the main points that you have covered within your work



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