Integrated Nursing Practice 5
Major case study
Trimester 2, 2019
The purpose of this assessment is for you to demonstrate how you
will assess the needs of a whole family located within a rural
area, and to identify the strategies you will implement to assist
them in living a healthy life through improving their health
Part one (500 words)
Provide a brief overview of the case study, highlighting the
Identify one actual problem and one potential problem from
the information gathered, and determine how you, as the
School nurse, can provide interventions to support Maisie and
her parents during this time.
Provide rationales for the interventions you suggest and cite
evidence supporting your chosen rationale.
Each intervention should also include a method for evaluating
Writing a Case Study
Read and examine the case thoroughly. Take notes, highlight
relevant facts, underline key problems.
Focus your analysis. Identify two to five key problems. (you only
need to write about one and one potential problem) ..
Uncover possible solutions/changes needed. Review course
readings, discussions, outside research, your experience.
Select the best Solution.
Reflection on a case Study
Exam the case thoroughly
Reviewing the case study allows you the practice of reflection.
Identify the important information in the case study
Rather than just reviewing the case study you need to be reflective that
is your own awareness of how clinical practice (you as a nurse) can
effect the care provided
Then reflect on the care situation within the case study
Nurse need to have critical thinking skills to work in the increasingly
complex clinical environment
Reflexivity allows you to “deeply self-examination, your own political
consciousness, cultural awareness and take ownership of your own
Briefly note the ‘problem’ or problems that exist within the
Make a list of the problems (brain storm)
Identify from this list
One actual problem
One potential problem
This will allow you to use your own knowledge and
independently develop solutions, rather than refer to the
knowledge imparted to, this will assit you in developing of
your own problem‐solving abilities
Nursing Practice – decision
Solution – Intervention
Then review the possible solutions and identify any
possible causes to identify the changes needed
Look at the literature on the problem you identified
Review the learning form the unit
Review the reading for the unit
Results – evaluation
Select the best solution to the problem and rationalise why
with the support of the literature
Nursing decision making
General steps to decision making include:
Identifying a problem: What is the purpose of the decision?
Establishing intervention: Who will be affected?
Identifying options: What interventions are possible?
Making a plan: Which rational for this?
Taking action: Do it.
Evaluating the interventions: How did it work out?
Part two – 2000 words
Write a short essay that demonstrates you understanding of
child abuse and neglect, including the potential harm they can
have on the child.
Then, outline your role as a School Nurse in the process of
Mandatory Reporting when you have good evidence to suggest
that Maisie is at risk of significant harm (Maisie keeps
coming to school with no lunch and has visibly lost
weight. Parents have refused all resources offered or
provided for nutrition).
Child abuse and neglect
Define child abuse and neglect
The effects child abuse and neglect has on a child
Role as a School Nurse
The role of the school nurse
The role of the nurse in mandatory reporting
The role of the school nurse is relation to mandatory
What t is mandatory reporting
Ensure that al this relates to your case study so integrate your
case study into the essay
Peer reviewed Journals
One mistakes student often make is not using research to support their argument in their essays.
You need to read a lot to be able to find the right information –
skim each of the abstracts of the research article you identify in a literature review to see if the information is what you
need for the essay you are writing
Using the search term: school nursing and child neglect
Harding, L., Davison-Fischer, J., Bekaert, S., & Appleton, J. (2019). The role of the school nurse in protecting children and young people from
maltreatment: An integrative review of the literature. International journal of nursing studies.
Jordan, K. S., MacKay, P., & Woods, S. J. (2017). Child maltreatment: Optimizing recognition and reporting by school nurses. NASN school
nurse, 32(3), 192-199.
Lines, L., Grant, J., & Hutton, A. (2018). How do nurses keep children safe from abuse and neglect, and does it make a difference? A scoping