Nursing is primarily a practice-based profession whereby knowledge is both generated from and applied to practice. This is the first of two practicum placements during year 2 of the programme whereby students the requirements to develop six domains on competence for advanced practitioners (NMBI 2017). This practicum (225 hours) facilitates the consolidation, integration and application of theory within practice. This module is M-Graded to the Advanced Practice Clinical Practicum (Nursing) 2.

This module facilitates the development of students' clinical knowledge and practice competence towards practicing at an advanced level within their specific area of practice. Practice experience enables students to pursue in-depth, directed and supported learning in advanced nursing practice demonstrating core competences across the six domains for advanced nursing practice as set out in NMBI standards and Requirements (2017). • Domain 1: Professional Values and Conduct of the Registered Advanced Nurse Practitioner (RANP) Competences). • Domain 2: Clinical-Decision Making Competences). • Domain 3: Knowledge and Cognitive Competences). • Domain 4: Communication and Interpersonal Competences). • Domain 5: Management and Team Competences). • Domain 6: Leadership and Professional Scholarship Competences The student will complete competencies integrating and reflecting on advanced health assessment, leadership and decision-making skills essential to their practice and development within a person centred approach. Confirmation of supervision of competences will be negotiated on an individual practice area basis with the student their preceptor/mentor and their employer/manager.

At the end of this module students will be able to: Use evidence based frameworks, to synthesise and interpret assessment information to identify normal, subnormal and at risk states of health. Determine the timely use of diagnostic investigations to inform clinical decision making when planning, delivering and evaluating person centred care. Actively consider access, cost, clinical effectiveness when planning, delivering and evaluating care. Apply knowledge of therapeutic interventions including pharmacological and non-pharmacological nursing interventions relevant to their advanced practice area. Maximise opportunities to educate, mentor, role model and facilitate clinical supervision, on-going reflection, and engagement in continuous professional development. Incorporate effective leadership and communication skills when interacting with interprofessional health care teams in the development, implementation and evaluation of care and services in their area of practice. Evaluate the provision of care and services pertaining to their area of practice and reflect on feedback received to identify gaps in provision of care and services pertaining to area of practice.

At the end of this module students will be able to: Demonstrate an appreciation of and promote person centred choices within health care. Critically reflect on their own and others' learning and practice. Uphold the professional values and standards as laid out in the Code of Professional conduct and Ethics (NMBI 2014) supported by the University of Limerick Code of Conduct.

At the end of this module students will be able to: Integrate relevant knowledge and skills in the conduction of a comprehensive holistic assessment of patients/clients, and manage identified issues/needs at an advanced level within their practice area (or identified scope of practice). Evaluate the provision of care and services pertaining to their area of practice and reflect on feedback received to identify gaps in provision of care and services pertaining to area of practice.

The practical (225 hours) elements, completed by students as part of their normal working hours is a requirement to complete an Advanced level 9 Programme. Students will demonstrate competencies at the six domains of advanced professional practice (NMBI 2017). The structures and records for the attainment of competencies and clinical skills and completion of clinical assessment documentation are detailed in the (Competency Booklet ) Through practice based preceptorship/supervision, students gain the opportunity to develop clinical competence at an advanced practice (competent) level. These are agreed under the site declaration form).