Assessment and Accountability in Nursing

Assessment and Accountability in Nursing Mentors have responsibility to assist students to develop their clinical skills and knowledge on placements. As well as developing clinical skills, students also develop their interpersonal skills and as a result of this experience gain maturity. (NMC, 2008) .To determine students have achieved the professional standards or competence, mentors must make assessments while their placement. This is vital to protect the public from unsafe and incompetent practitioners. Assessment is an essential role of a mentor. A good assessment process gives the students valuable feedback, it helps them to identify where they are, highlights, deficits in their learning ,identifies what they need to do and enables them to set realistic future goals.(Danny Walsh 2010). A good assessment process help us to predict future behaviour of the nurse we train. However we can cut down the risks by ensuring that the assessment processes itself meets certain standards and criteria which are considered best practi ce. Proper assessments of students are essential because, they are the future nurses are responsible for protecting the public in patient care, (Necklin and Kenworthy, 2000:108).Through assessment mentor can identify the strength and weakness, knowledge and practical skill of a student. According to (Walsh 2010) student nurses are assessed for variety of reasons in their clinical practice. Examples of this; to monitor the students’ progress to give feedback, to discover learning needs, to encourage students, to monitor their progress, to assess students level of competence, to assess knowledge, skills and attitudes, to measure the effectiveness of the teaching and to safeguard the patient and protect the public. As students work alongside with mentors, need to encourage students to perform patient care through instructions, guidance and supervision. While they are caring the patients mentors can observe and give feedback, this means while student is learning she is being asse ssed. Managing the process of assessment and feedback is hugely important. Students fail their placements for a wide range of reasons, but certain key factors can help minimise this happening. The student needs to feel welcomed and wanted to be able to perform into the placement quickly and so get on with meeting their competencies. Duffy (2003) cited several reasons for students failing and the key aspect was the lack of a good mentor/student relationship. Mentors must be meeting with students regularly can identify the problems or deficits the students going through. Learning needs should then be identified and action plan must be put in place. Mentors and assessors have the right and responsibility of making professional judgements about the performance of their student. (ENB and department of Health, 2001).Students needs to be respected while maintaining their professional standards, it is important to recognise the rights and to be supported to succeed in clinical practice. Mon itoring progress is about finding the students quality and quantity of learning and any difficulties students may experiencing that can be identified and action plan to be applied. There are different methods of assessment like observation of patient care, questions and answers, reflection, briefing, self assessment peer assessment, testimonies, portfolios.(Stuart 2003). Duffy and Hardicre (2007) identify the reasons of a failing student are lack of insight, lack of interest poor communication or interpersonal skills, personal issues, being over confident. The Nursing and Midwifery Council (NMC2004a) states that nurses are accountable for their own practice. The public has a right to expect competence from the qualified professional in healthcare. With the purpose of assessment as a form of quality control for the healthcare professions, assessors should be able to identify failing students and provide enough support and resources to overcome the difficulties.