NMC OSCE Professional Values and Evidence-Based Practice 2

Question 1

What are the 6Cs of nursing, introduced by the Chief Nursing Officer for England?

Accepted Answer

Care, compassion, competence, communication, courage, commitment

Answer

The 6Cs were introduced by Jane Cummings (Chief Nursing Officer) in 2012 as part of the Compassion in Practice strategy. They define the values and behaviours expected of all nursing staff: Care (core business), Compassion (intelligent kindness), Competence (skills and knowledge), Communication (central to relationships), Courage (to do the right thing), and Commitment (to improving care).

Question 2

A nurse witnesses a colleague speaking disrespectfully to a vulnerable elderly patient. According to NMC safeguarding requirements, what action must the nurse take?

Accepted Answer

Challenge the behaviour immediately if safe to do so, report to the nurse in charge, and document the incident; if it constitutes abuse, follow the local safeguarding adults policy

Answer

The NMC Code requires nurses to act as advocates for vulnerable people and to challenge poor practice immediately. Disrespectful treatment of a vulnerable patient could constitute psychological abuse under the Care Act 2014. The nurse must intervene to protect the patient, report to the nurse in charge, document the incident, and follow the local safeguarding policy. Failure to act is itself a breach of the NMC Code.

Question 3

What is the significance of the Equality Act 2010 for nursing practice in the UK?

Accepted Answer

It protects patients and staff from discrimination based on nine protected characteristics and requires reasonable adjustments to ensure equal access to healthcare

Answer

The Equality Act 2010 protects against discrimination based on nine protected characteristics: age, disability, gender reassignment, marriage/civil partnership, pregnancy/maternity, race, religion/belief, sex, and sexual orientation. In nursing, this means providing equitable care to all patients, making reasonable adjustments for disabled patients, and challenging discriminatory practices.

Question 4

A nurse wants to implement a new evidence-based catheter care protocol on their ward. What framework can guide the implementation of evidence into practice?

Accepted Answer

The PARIHS framework (Promoting Action on Research Implementation in Health Services) — considers evidence, context, and facilitation

Answer

The PARIHS framework considers three key elements for successful implementation: Evidence (research, clinical experience, patient preferences), Context (culture, leadership, evaluation), and Facilitation (type, characteristics of the facilitator). Other frameworks include the Iowa Model and the Knowledge-to-Action cycle. Successful implementation requires engagement, education, audit, and ongoing evaluation.

Question 5

What is the purpose of clinical supervision in nursing, and how does it differ from managerial supervision?

Accepted Answer

Clinical supervision is a reflective practice support process focused on professional development and clinical effectiveness, whereas managerial supervision addresses performance management and operational issues

Answer

Clinical supervision is a supportive process enabling practitioners to reflect on practice, develop clinical skills, and manage emotional demands of care. It is not performance management. It provides a safe space to explore challenging situations, ethical dilemmas, and professional development. The NMC recognises its value in supporting safe, effective practice and maintaining wellbeing.

NMC OSCE Practice Test

NMC OSCE Practice Test

NMC OSCE Professional Values and Evidence-Based Practice 2