Platform 5: leading and managing nursing care
10 marks of the 100 in Part B, which runs for 150 minutes.
Platform 5 puts you in charge of something. A shift that is short-staffed, a colleague whose practice worries you, a task to hand over, a student to supervise. The questions ask how a registered nurse leads, not how they cope.
What this section asks about
- Delegation and supervision, and the scope of practice of everyone in the team
- Prioritising and organising the care of a group of people
- Supporting and supervising students, and giving constructive feedback
- Managing conflict and challenging the practice of others
- Evaluating the quality of care given by other members of the team
- Using digital systems to record and share information
Where the marks go
10 marks of the 100 in Part B, which runs for 150 minutes. The NMC splits this section across the levels of Bloom's taxonomy:
- Remember and understand: 4
- Apply and analyse: 3
- Evaluate and create: 3
Where candidates lose marks
- Escalating instead of acting, or acting instead of escalating. The question usually signals which is needed.
- Delegating by task rather than by competence. What matters is whether that person is trained and competent for it.
- Avoiding the difficult conversation with a colleague. Raising it directly and supportively is usually the first step.
Questions people ask
- Why is leadership tested at the point of registration?
- Registered nurses delegate, supervise and lead from their first shift. The Future Nurse standards make it one of the seven platforms.
- What is the difference between delegation and abdication?
- Accountability. When you delegate, you remain accountable for the decision to delegate and for checking the task was done, even though the person doing it is accountable for their own actions.
Practise this section
Practice is filtered by section, so you can work on this one on its own. Every account gets 10 new questions a day without a card.