BSc (Hons) in NURSING (Mental Health)
Short Practice Placement – Year Three
(3 weeks or less)
Student name (as per candidate register):
National Competence Assessment
Student ID number
Document for the Undergraduate
Practice Module Code:
Psychiatric Nursing Student
Practice Module Co-Ordinator:
(2020)
NMBI National Competence Assessment Document – YEAR THREE
Signature Bank
PRECEPTORS/ASSOCIATE PRECEPTORS/REGISTERED NURSES/PRACTITIONERS
REGISTERED WITH NMBI/ SUPERVISORS
SIGNATURE SHEET
All Preceptors/Associate Preceptors/Registered Nurses/Practitioners Registered with NMBI /Supervisors 1
signing nursing student documentation should insert their details below, as indicated.
Name of Preceptor/Associate
Preceptor/Registered Nurse/
Practice Placement
Practitioner Registered with Signature Initials
Area
NMBI/
Supervisor (PRINT NAME)
Completing this grid is a requirement for any professional who is signing or making an entry in the National
Competence Assessment Document.
1 Adapted from Nurse Registration Programmes Standards and Requirements (NMBI, 2016:124 - 3.2.6.6)
NMBI – Short Practice Placement National Competence Assessment Document – YEAR THREE 1
NMBI National Competence Assessment Document – YEAR THREE
Self-Evaluation
PRACTICE PLACEMENT: SELF-EVALUATION OF LEARNING NEEDS
AND EXPECTATIONS
This section is to be completed by the nursing student prior to practice placement, incorporating theory
and clinical skills learning to date. The learning plan for practice placement is agreed with
Preceptor/Associate Preceptor/Supervisor in accordance with the practice placement learning outcomes.
See Appendix 1 in Guidelines for the National Competence Assessment Document.
The previous applicable experiences that I bring with me to this practice placement are …
The learning outcomes and opportunities that I hope to achieve during this practice placement are …
Any concerns that I have about this practice placement are …
The relevant theoretical and practical learning that I bring to this practice placement are …
NMBI – Short Practice Placement National Competence Assessment Document – YEAR THREE 2
NMBI National Competence Assessment Document – YEAR THREE
Competence Assessment Interviews
PRACTICE PLACEMENT: PRELIMINARY INTERVIEW
(Must be completed within the first 2 days)
Name of Preceptor/Associate
Preceptor/Supervisor
To be completed by the Nursing Student:
Learning needs identified by the nursing student (refer to practice placement learning outcomes)
To be completed by the Preceptor/Associate Preceptor/ Supervisor:
Learning plan agreed with Preceptor/Associate Preceptor/Supervisor for practice placement (in
accordance with the practice placement learning outcomes)
Orientation to placement and Practice
Date:
placement learning outcomes
Nursing student signature Date:
Preceptor/Associate Preceptor /
Date:
Supervisor signature
Proposed date for final interview
If the nursing student requires additional learning supports, these must be introduced in a timely
manner, as per local HEI policy and procedures.
NMBI – Short Practice Placement National Competence Assessment Document – YEAR THREE 3
NMBI National Competence Assessment Document – YEAR THREE
Competence Assessment Interviews (Reflection)
As part of the nursing student’s competence assessment, the nursing student is required to complete ONE
piece of reflective writing per practice placement regardless of the duration of the placement. The
purpose of reflective writing is to demonstrate learning. The reflective writing is to provide one source of
evidence relevant to the learning that has been achieved and must be linked to the practice placement
learning outcomes in a particular domain. The nursing student should follow the template provided in the
national competence assessment document.
*The nursing student, Preceptor/ CPC/ Link Academic Staff/ Supervisor must ensure that Children,
Persons, Service Users or Staff are not identifiable in the reflective writing piece.
REFLECTIVE PRACTICE: NURSING STUDENT REFLECTION USING GIBBS MODEL OF REFLECTION
(1988)
Reflection must relate to situations encountered by the nursing student in this practice
placement.
Description – What happened?
Feelings – What were you thinking and feeling?
NMBI – Short Practice Placement National Competence Assessment Document – YEAR THREE 4
Evaluation – What was good and bad about the experience?
Analysis – What sense can you make of the situation?
Conclusion – What else could you have done?
NMBI – Short Practice Placement National Competence Assessment Document – YEAR THREE 5
Action plan – If it arose again, what would you do?
Nursing student signature Date:
Preceptor/Associate Preceptor/
Practitioner Registered with Date:
NMBI/ Supervisor signature
NMBI – Short Practice Placement National Competence Assessment Document – YEAR THREE 6
NMBI National Competence Assessment Document – YEAR THREE
Competence Assessment Interviews
DCU PRACTICE PLACEMENT: PROGRESS NOTES
(Performing at Year 3 Level of Competence)
These are sample progress notes and will be operationalised in each HEI in accordance with local policy
and procedures.
Preceptor/Associate Preceptor/Supervisor can use this space to write any progress notes
they may have on nursing student’s development of competencies
Signature Date
Signature Date
Signature Date
Signature Date
NMBI – Short Practice Placement National Competence Assessment Document – YEAR THREE 7
NMBI National Competence Assessment Document – YEAR THREE
Six Domains of Competence
NMBI have determined that to practise safely and effectively as a Registered Nurse, a nursing student
must demonstrate competence in the following Six Domains of Competence:
1. Professional Values and Conduct of the Nurse Competences
2. Nursing Practice and Clinical Decision Making Competences
3. Knowledge and Cognitive Competences
4. Communication and Interpersonal Competences
5. Management and Team Competences
6. Leadership Potential and Professional Scholarship Competences
Competence is defined as the attainment of knowledge, intellectual capacities, practice skills, integrity
and professional and ethical values required for safe, accountable and effective practice as a Registered
Nurse. To assist in determining if a nursing student has met the required level of competence, NMBI has
detailed performance criteria for each domain and relevant indicators which demonstrate if the
performance criteria have been met.
Year 3: At this level, the student nurse is an advanced beginner under the indirect supervision of the
Registered Nurse/ Practitioner Registered with NMBI/ Supervisor. They can identify the needs of people and
family in practice, and begin to adopt a problem-solving approach to the provision of safe nursing care.
Indirect supervision is defined as the Preceptor being accessible to the undergraduate student nurse
for guidance and support while providing delegated nursing care to children/ persons/service users
and supports family members. The undergraduate student nurse actively participates in the
assessment, planning, delivery and evaluation of person-centred nursing, and is able to provide a rationale
for their actions. It may be difficult for the student nurse to prioritise care in particular or complex
situations.
NMBI – Short Practice Placement National Competence Assessment Document – YEAR THREE 8
In Year 3, at the end of each practice placement, nursing students have to achieve all domains and all
indicators at participation and/or identification level.
Advanced Beginner
The nursing student demonstrates acceptable performance based on previous experience gained in
real clinical situations.
Participation
The nursing student becomes a participant rather than an observer with the support of the
Preceptor/Supervisor where learning opportunities are identified in partnership.
Identification
The nursing student takes more responsibility for their own learning and participation and initiates
appropriate action and evaluates the same.
NMBI – Short Practice Placement National Competence Assessment Document – YEAR THREE 9
NMBI National Competence Assessment Document – YEAR THREE: Six Domains of Competence
(Where the Supervisor is not a Registered Nurse, a Registered Nurse must sign this assessment following a consultation with the Supervisor)
Registered
YEAR 3: Advanced Beginner Achieved Not Achieved Nurse
Signature
Domain 1: Professional values and conduct of the nurse competence
Knowledge and appreciation of the virtues of caring, compassion, integrity, honesty, respect and
empathy as a basis for upholding the professional values of nursing and identity as a nurse.
Domain 2: Nursing practice and clinical decision making competence
Knowledge and understanding of the principles of delivering safe and effective nursing care through the
adoption of a systematic and problem-solving approach to developing and delivering a person-centred
plan of care based on an explicit partnership with the person and their primary carer.
Domain 3: Knowledge and cognitive competence
Knowledge and understanding of the health continuum, life and behavioural sciences, and their
underlying principles that underpin a competence knowledge base for nursing and healthcare practice.
Domain 4: Communication and interpersonal competence
Knowledge, appreciation and development of empathic communication skills and techniques for
effective interpersonal relationships with people and other professionals in healthcare settings.
Domain 5: Management and team competence
Using management and team competencies in working for the person’s wellbeing, recovery,
independence and safety through the recognition of the collaborative partnership between the person,
family and multidisciplinary healthcare team.
Domain 6: Leadership potential and professional scholarship competence
Developing professional scholarship through self-directed learning skills, critical questioning/reasoning
skills and decision-making skills in nursing and the foundation for lifelong professional education,
maintaining competence and career development.
NMBI – Short Practice Placement National Competence Assessment Document – YEAR THREE 10
NMBI National Competence Assessment Document – YEAR THREE
Competence Assessment Interviews
PRACTICE PLACEMENT: FINAL INTERVIEW
To be completed by the Nursing Student:
Nursing student’s review of progress during practice placement (refer to original practice placement learning
outcomes and nursing student reflection)
To be completed by the Preceptor/Associate Preceptor/ Supervisor:
Preceptor/ Associate Preceptor/ Supervisor review of nursing student’s progress during practice placement
(refer to original practice placement learning outcomes and nursing student reflection)
Competence achieved
Yes No**
Preceptor/Associate Preceptor/
Supervisor* signature
Practitioner Registered with NMBI
signature
Nursing student signature
Date
*Where the Supervisor is not a Registered Nurse, a Registered Nurse must sign this assessment following a consultation
with the Supervisor.
**If no, please indicate the domains which were not achieved. Contact the CPC in line with HEI’s local policy and
procedures.
NMBI – Short Practice Placement National Competence Assessment Document – YEAR THREE 11
NMBI National Competence Assessment Document – YEAR THREE
Competence Assessment Interviews
Domains that were not achieved by the Nursing Student in this Practice Placement
Preceptor/Supervisor signature Date:
Nursing student signature Date:
CPC/ HEI signature Date:
NMBI – Short Practice Placement National Competence Assessment Document – YEAR THREE 12
