Tuesday, February 26, 2019

PP0126 Learning Arena As A Learning E Essay

Medical Assistant transaction is entirely known in Malaysia. It is part of the medical profession creates by the Ministry of Health, Malaysia in the sixties to overcome the shortage of medical officer in the country. We need to go through common chord years cookery design conducted by our Ministry of Health in order to be a fit as a Medical Assistant. My speciality is in Emergency and distress cargon management, with sixteen years working births in the Emergency surgical incision (ETD) and currently aband mavind to the ETD in one of the hospital set(p) in central region.In this assignment I leave behinding discourse and explore how do demesne trick assist in reading as well to make the training opportwholey visible(prenominal) for savants and how I integrate my professional agency to develop health cargon profession competency. My focus will be on the factors of physical and social clime and how does it affect discipline in my physical exercise atomic number 18na. Based on the theories of secular humanism and Androgogy compargon with the concept suggested in the literature, I will come with my recommendation on how I am going to enkindle my practice theatre of operations into a more contributing(prenominal) learn milieu.There are a couple of(prenominal) factors or element that can affect or influence scholarship surround. The closely important elements are physical surroundings, social climate and attainment opportunities (Ministry of Health Malaysia, 2006) that I am focusing now. Discussing ab come out of the closet the physical element, resources are among thing that we should considered within the transcription. Ileris (2011) claimed the variety of prospect and situation scissure to learners is the most significant factors influencing the quality of practice arena as 1 learning environment.He further quotes that difference type of work shoot for offer distinguishablelearning environment with different learning opportu nity. The speck and trauma subdivision or my practice arena cover one whole keep mum and the facilities and operate available encompassing a wide station of rising trauma and non trauma condition, from the critic completelyy ill or severely wound to those with minor ailment. The scope include pre hospital care services, resuscitation and stabilisation, diagnosis and authorised care management, one stop crisis centre and medical coverage. The facilities available are dividing into order ranging from a critical toa non critical zone where enduring management are triage according to the severity of illness.There are three main zones, one observation bay equipped with 5 beds, a procedure room for minor surgical procedures and a sterilisation unit for collecting and receiving sterile item from the central sterilisation department. Each zone or treatment areas are equipped with standard equipment for it functionalities inclusive of an emergency trolley, cardiac monitor and defib rillators, portable ventilators and straining elbow room management, radiography machine, ultra effective machine, electrocardiogram,refrigerator and blood analyser machine. It allow for a wide range of learning opportunity to learners and students to develops their skills ,cognition and understanding of the role and function with the organisation( Evan et. al, 2006). provided all these equipment ineluctably speciality and skills to be operates and 2 learners need period of cartridge holder to get familiar with the equipment. The department need to send learners for user training and courses before they can handle the machine. My practice arena is amongst the busiest business office in the hospital compound. Even worsewhen facing the incidence of mass casualties where all(prenominal) staffs busy with their own task. However it doesnt mean that they yield no time with the learner.They are actually a good role archetype for learner where they can work and learn at the same ti me. They are willing to shares their working experience, skills, knowledge and ideas with student or learners even though they are very with their tasks. In fact chaotic working environment is rich for learning because of large volume of patient of varying sharpness and learner will take responsibility of their own learning, identifying gap in knowledge, seeing feedbackand working toward closing these gap. (Goldman et. al, 2009) Every zone is fully air conditioning and furnished with patients beds, trolleys and wheelchairs. We also have an advance to internet and intranet where Learners will have the opportunity to access the heath info organization, interaction between the instructors and as well among learners as it is the key capitulum for good practice and learning expectation for each area (Severs and Pearson, 1999), (Ileris, 2011). exactly there are limitations as some of the equipment and facilities only can be use by professionaland expert and the use of internet has bee n contain by the management from being access in an improper modal value and only involved with certain website, this may lead to frustration and conflict to extensive use in workplace learning (Ileris, 2011). We also 3 have afternoon teaching room or a seminar room with extract of books, journal and handout available which is accessible to learners. Apart from the facilities above my organization arena also have 2 unit of type A, 3 unit of type B and 5 unit of type C ambulances. They are all equipped with standard equipment and also link by the radio communication services.In order to be part of the ambulance services team, learner need to undergo staple fibre training on the basic equipment available inside the ambulance and how to use radio communication system. They are attached with qualified personnel as a learn who is in drag down of the ambulance services. For the convenience of any staffs, student and even public, my placement arena offer excellent facilities such as rest room with television set, tea room and pantry, accessible wash room and toilet, emergency fire scrag with fire extinguisher and waiting area provided with chairs and queue number system.Quinn (2007) states that this basic need make learner feel secure and comfortable and alter them to concentrate in their learning. Nevertheless my placement area doesnt have any skill laboratory where student can practice their skills and knowledge. However the higher management has planned to set it up in a few(prenominal) years time for the advance of all parties. 4 My practice arena offer a placement for student nurses, newly graduates medical patron and medical students doing their internships and housemanship program from the nearby colleges and higher institution. In fact the facilities has been gazetted as oneof the teaching hospital by the government and the Ministry of Health Malaysia as a whole.Learners and student will need to be introduced to the new environment to get them off to a good start by establishing a sense of belonging, creating a welcoming learning environment, supplying information that will answer their question and removing any uncertainties once they reporting themselves for the placement. Gopee (2008) stated this as an essential and effective when new experience are linked to prior(prenominal) knowledge where it begin with familiarisation with the clinical backdrop, clinical specialism,get to know with mentor and staffs and feeling that they are part of the team inorder to meet the learning needs and fulfilment of their practice objective.The availability of the multidisciplinary staffs ranging from the higher level management and clinician to a well trained paramedics (Goppe, 2008) form the basis of inter- professional learning and will be an advantage for the student to learned and adopted as their role model and mentors. West et. al (2007) foreground that the practice is not only the environment where services is delivered to c lient but also a learning area wherefuture and qualified practioner continually utilise the opportunity provide to them as an experience to facilitate their professional development.5 It is an effort of every personnel to create the practice arena into an interesting and conducive place to learn. Fox (2009) describe learning environment as a place or setting where learning occur. This include physical setting, interpersonal and instructional characteristic that influence learners performance. The nature of learning environment is important in establishing an expansive learning area (Evan et. al, 2006)but sometime(prenominal) it is difficult to achieve as to some leader it is not a priority and therefore there must be a dimension against priority in order to improve learning.Hand(2006) suggest that placement should be of higher quality accompanied by improved teaching book to help student gain better practical skills. But a high standard ward with rigid task allocation, with hier archical system exist are unlikely to meet student learning needs (Fretwell, 1980) Relationship between manager and subordinates and vice versa is another important formulation of social climate in learning environment.Hand (2006) stated that usual respect, integrated and valued student, managers commitment, interactive communication, motivated employers, accessaryness and bareness are among the element that contributing to a conducive learning environment. Chan (2001) highlight that inter personnel kind between staffs are crucial in order to develop a positive learning environment. Hand (2006) expound the relationship between teacher and learner must be genuine, non- threatening, indestructible relationship and encourage learner to give feedback in order to promote learning and Nolan (1998) found out that learningdesire will depress without supportive from learning arena. 6 My unit manager is very supportive and committed person, caring attitude and openness especially towar d professional development, friendly, reachable and knowledgeable.He motivates the staffs by sending them for courses, workshops and seminar to upgrade their skills and knowledge, counselling and indirectly benefit student placement in the areas. I believe he is a role model in my placement areas. The success and fall of the placement as a conducive learning arena depend on the management, leadership style and the relationship which exist between the people, themanager and the goals in the organisation (Weir et. al, 2010). Inorder to develop a positive learning environment, there must be a positive management style and interpersonal relationship among manager, staffs and learner. Fretwell (1988), Pembrey (1988) described ward manager as a key figure out in the organisation in establishing and maintaining a ward atmosphere conducive learning environment and patient care environment as well. utilisation area learning are mostly student centred learning where learner and student need s to participates and involve themselves in the activities design in the practicearea. Self ken is therefore very important and Cook (1999), allude that many nurses educationist are focused on ego awareness to get the learning opportunity in the practice area. In this way student are able to make judgement of their own and identify their strength and weakness in consistent to andragogy approach as self assessment which help them to develop awareness of their own standard of practice (Chambers, 1998). This can be in the form of formal and informal learning activities. In my placement area, student or learners will have the opportunity to involve themselves in7 discussion, case presentation, in house courses and round-the-clock medical education which is plan weekly for every qualified personnel.For pre accommodation student this is a good chance to get new ideas, knowledge and skills and for post registration it is professional refreshment. Spouse (2001) clarified that knowledge quick become outdated as rapid pace of technology and to be more effective this continuous professional development should be carried out under the guidance of experience and knowledgeable colleagues with the evidence of attendances. The collaboration of onedepartment with other organisation and between unit and section in the department should be considered as one of the factors that influencing the provision of good experience within the placement. This is because exchange and sharing of ideas between these two different organisations happened to achieve the same goal.We have been discussed many factors influencing learning in my practice setting such as physical environment, social climate and learning opportunities available in my practice setting and this will definitely give a better output toward learning environmentin the placement arena. Although I have identified many of the learning opportunities but there are some limitation on the implementation especially on the reso urces. I have made some recommendation to be bringing in front to improve the placement arena in future. I believe that this can be fulfils if the higher level management, training institution, mentors as well learners themselves is in truth committed to make changes toward the excellence learning environment. To make the process going smoothly everybody should take parts and plays their role accordingly.

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