STUDENT
You are required to gain written feedback from a service user / patient / carer during each year of your nursing programme. Your mentor will advise you and make the relevant recommendations.
MENTOR GUIDANCE
Student nurses are required during placement to gain written feedback from a patient/ service user / carer under the following specific categories. The placement mentor will need to select and recommend an appropriate patient / service user / carer who would able and willing to participate in providing the student with constructive written feedback under each of the categories below.
- Appropriate communication skills
- Provision of caring and compassionate nursing care
- Demonstration of dignity and respect at all times
- Involvement of patient / service user / carer / advocate in decisions of care
- Provision of information about care
MINIMUM REQUIREMENTS
Year One – at least one placement Year Two – at least two placements Year Three – two placements, one of which is the final sign-off placement.
NB: The term ‘carer’ includes a relative of a patient, parent of a child patient and also a significant individual who may be a patient advocate.
I can confirm that student nurse ……………………………………… undertook supervised clinical practice with the service user / carer / patient named below and that the service user / carer / patient has consented to participate and complete this form.
Mentor Name and Signature……………………………………… Student Nurse Signature …………………………………………
Date…………………… Year of Programme……………………… Placement……………………………………………………………
Service User/ Patient / Carer Signature or Mentor can provide a PP Signature…………………………………………………………..
SERVICE USER / PATIENT / CARER REPORT DURING PLACEMENT STUDENT NURSE…………………………………………………
Thank you for agreeing to help us assess one of our nursing students. We would like you to let us know about your experience of the student named above by answering the questions in the box below. Please provide additional comments / examples.
- How did the student nurse identify his / her self and their role?
- Did the student nurse communicate with you in a manner that you found appropriate and relevant? ( Examples might relate to; putting you at ease, conveying warmth and kindness and giving you their full attention)
- Did you feel that you were treated with dignity and respect at all times? – Please provide an example(s)
- Did the student nurse involve you in decisions about your care and treatment? – Please provide an example(s)
- How did the student nurse provide information about your care?
- Were your family members / carers acknowledged and included in your care / care decisions? Please provide an example(s)
Outstanding Excellent Very Good Satisfactory Unsatisfactory
BSc (Hons) Nursing - Ongoing Achievement Record (OAR) 2016- Adult Nursing1