Saturday, February 5, 2011

What legal issue keeps me up at night?

Nursing educators are faced with the dual purpose of not only educating future nurses, but also protecting the public by denying graduation to those nursing students who do not show sufficient knowledge and/or technical skill to render them competent to provide nursing care. However, proving that a student does not possess enough knowledge and/or skill to be considered minimally competent is often problematic, especially in the clinical setting.

My major concern is that I will be faced with the situation where I need to fail a student, but lack documented evidence regarding the reasons for failure. In the clinical setting, the students receive weekly reports on their performance. However, instead of stating the specific mistakes the students made, my teaching philosophy is that it will be more beneficial to the students to describe what they did well, and to provide them with areas for improvement. However, it is documented only as an area that could use improvement, which does not imply that the care they provided was unsafe. Therefore, I would not have sufficient proof that the care they provided was unsafe in the event that I would need proper documentation.

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