Mentorship in Practice Introduction Mentorship sounds good as it means guiding somebody who is yet to gain knowledge and understanding of the job and to be able to perform that job precisely and effectively - Mentorship assessing introduction. Mentorship in practice therefore means an exercise of one’s fine knowledge and experience to help others learn the job and to be effective and efficient in performing duties. Mentorship then is important in a work environment particularly with newly hired employees and to management trainees. But mentorship is particularly important in the clinical environment especially in hospitals because what is at stake is the patient’s life. The case study below reflects the value of mentorship and supervision in the assessment process in clinical environment. The case Study In a case study presented in this paper, it affirms the importance of mentorship and supervision in clinical environment and their influence in the assessment process. The case study involves a forty seven year old man who was admitted to the surgical ward following a diagnosis of perforated gastric ulcer and is scheduled for emergency surgery. Assessment In my initial assessment to Frank, it seems all my learning in the classroom was suddenly gone and I felt I needed somebody to consult with, as Frank was in a state of shock and obviously was in great pain. According to Begin Match to source 7 in source list: (9-7-05)
http://www.mediboek.nl/lijst.php?cat=Chirurgie&sort=auteurJohn R. T. Monson, Graeme Duthie,End Match and Begin Match to source 7 in source list: (9-7-05) http://www.mediboek.nl/lijst.php?cat=Chirurgie&sort=auteurKevin O’Malley,End Match there are various types of shocks, and some of them may even lead to patient’s death. There is also specific treatment on each of these types. Nevertheless, the assessment includes tracing history of Frank’s illness and prescribing medication to relieve his symptoms. The assessment was advised to be based on three factors: the normal life style, the level of dependency, and what contribute to health breakdown in order to determine the individual’s normal habits and routines and identify where the patient is weak. In such kind of emergency case, I realized I am not prepared to handle such serious case scenario, and that I still need to learn more on handling patient with complicated serious ailments. In this case study, mentorship is obviously important as Frank’s situation is critical and requires precise and accurate assessment; any mistake could lead to a worse case scenario. Frank’s case reminds me of important clinical principle in handling such situation. I realized that clinical learning environment is important for learning for psychomotor skills and also for developing my attitudes, knowledge and clinical problem solving abilities. Carol Chapelhow reminded that although there are mentors willing to extend support, “there are times you will work with unqualified staff or on your own” (p. 3). The consultations to somebody who is more experienced of Frank’s health condition does not mean of being unqualified but to make sure judgement is appropriate to the patient clinical needs. Frank’s critical condition was assessed through the assistance of a more experienced and capable mentor and this kind of supervision helped the nurses in providing ample care for the patient. Mentorship hence is important because nurses need to perform the required care appropriately and in so doing; they need to know the skills and working patterns of other experienced care provider. Thus, in this case, mentorship and supervision plays great influence on the assessment processes.
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Going back to the case study, Frank’s physical condition is a case that demands mentorship. It reminded me of my in ability to perform my duty by my self and of the lesson that I learned in that situation that there are unexpected situations that requires mentorship or supervision such as patients having complicated ailments that needs extreme clinical care, new equipments that urgently needed to be use in patient’s treatment, and so on, that expressly and extremely suggest such assessment from the mentor and supervisor themselves. The Influence of Mentorship and Supervision in Assessment Process Judith Canham and Joanne Bennett explained the assessment of specialist practice is a complex process that takes time, energy, and commitment and to enter mentoring is to enter the complicated world of practice assessment (p. 87); thereby this matter requires enough consideration on the part of the hospital for much effective care giving to patients. The author stated further that the integrity of practice assessment is “enhanced when the mentor is fully integrated as a member of the course team” (p. 86). It only emphasizes that mentors should be equipped with both knowledge and expertise before he could perform as what is expected of them in providing appropriate learning experience to student- nurses. On the other hand, clinical supervision’s role, purpose, and function has seen very significant in the practice of clinical assessment as it helps in educating, supporting, managing, and monitoring clinical activities. Cutcliffe, Proctor, and Butterworth (2005) stated that clinical supervision as guided by experience is helpful in “improving the quality of services that hospital personnel provide” (Cutcliffe, Butterworth, and Proctor, p. 100). The need for mentorship and supervision is necessary to maintain standard and excellence. Although it is common knowledge that supervision is facilitated by skilled supervisor but Tony Thompson, Peter Mathias, and Jack little (2000 p. 544), argued that, “clinical supervision can influence professional development only if it is made accessible regularly to all.”
Supervision does not have much influence on the assessment process because most often supervisors do not concentrate on individual. They are occupied by a much bigger responsibility that prevents them to engage frequently on individual. The issue in supervision according to Ci Ci Stuart (2003, p. 31) is the appropriateness of delegation and instruction, after which the individual is expected to perform his or her duty with minimum supervision. Stuart reminds that “practitioner must be satisfied that the person delegated the task is competent to carry it out.” Because of the principle of delegation, it limits the supervisor’s involvement with the practitioner and his influence, as he is more detached in the way the job is done. Mentorship on the other hand, is seen as a structured and facilitated method for support, challenge, and modelling. Others see it as being possible only where the chemistry is right. Thompson, Mathias, and Lyttle noted that mentorship occurs when there are nurses newly qualified “to help them reflect on practice and learn from their experience” (2000, p. 544). However, both supervision and mentorship may have an influence on the assessment process by virtue of personal biases. Stuart pointed out that personal bias can influence the assessor’s judgment and detract from reliability of assessment (2003, p. 124). Achieving standards in the clinical practice must be the motive behind this influence Begin Match to source 1 in source list: Acumen PI- Title: MENTORSHIP ASSESSING, Date: 2005-08-03to be able toEnd Match provide Begin Match to source 1 in source list: Acumen PI- Title: MENTORSHIP ASSESSING, Date: 2005-08-03quality careEnd Match among Begin Match to source 1 in source list: Acumen PI- Title: MENTORSHIP ASSESSING, Date: 2005-08-03patients.End Match Mentors Begin Match to source 1 in source list: Acumen PI- Title: MENTORSHIP ASSESSING, Date: 2005-08-03andEnd Match supervisors therefore must be personally accountable for all their influences they give among the newly qualified personnel as the higher educational institution and the heath care institution continuous to provide ground for training and development of potential health care practitioner. It suggests that evaluation should be an iterative process where feedback at each meeting will then influence subsequent work until the next supervision meeting.
This suggests that supervision in view of evaluation of their performance must be done systematically by giving feedback for the improvement of performance. What Stuart is trying to point out is that, when giving assessment to patients, health care givers should be objective in analyzing the case and they should practice ethical principles in doing so, in which both mentors and supervisors are to provide such example for the nurses to follow. This kind of role modelling and mentorship should be provided during student’s clinical experience to emphasize attention to detail and diligence necessary in the clinical practice. Conclusion Due to the increasing demand for health care practitioners, it is important that hospitals recognize the necessity for continuous support and guidance for newly hired nurses; this time hospitals must be keen in providing mentorship in the clinical assessment. Clinical assessment undertaken in clinical environment is certainly important particularly if it involves the patient. Life is precious and it should be the prime consideration in all clinical practice. It cannot be denied that mentorship and supervision exercise some degree of influence on the assessment process regardless of the motive behind.
The case of Frank who was assessed based on the symptoms and history of illness is a good example. He was diagnosed and was given treatment for his illness because of sufficient and adequate assessment of his case through the supervision of much experience health care provider in the hospital. Cases such as this could help the newly hired nurses in the future because definitely, not everything is learned in the classroom; there will always be new cases that may be met while on duty. Thus, hospitals should allow rooms for learning on the part of new nurses. Although supervision seems to have little attachment but it provides instruction that may influence the newly qualified personnel especially in the assessment process. Mentorship on the other hand plays an important role as it provides support, challenge, and modelling in order for the newly hired nurses to gain considerable experience.