Course syllabus spring 2014
Course syllabus spring 2014
Title
Nursing and Clinical Practice in Somatic, Emergency, and Municipal Home Care
Swedish title
Nursing and Clinical Practice in Somatic, Emergency, and Municipal Home Care
Course code
OM161E
Credits
30 credits
Grading scale
UA / Excellent (A), Very Good (B), Good (C), Satisfactory (D), Pass (E) or Fail (U)
Language of instruction
English
Decision-making body
Faculty of Health and Society
Syllabus approval date
2011-12-18
Syllabus valid from
2014-01-20
Entry requirements
The entry criteria for nursing students include:
1. successful completion of the first two year of a nursing program
2. formally approved by sponsor university and Malmö University.
Level
Basic level
Main field
Nursing
Progression level
G2F
Progression level in relation to degree requirements
The course is given as the sixth semester of the nursing program and consists of six modules. It is a course within the main field of study that may be counted towards the bachelor degree in nursing science.
Course objectives
Upon completion of the course, the student will manage safely and competently patients’ illnesses. In addition, the student will be capable of providing health information related to prevention, curative, stabilization or palliative care and manage the care team successfully to promote nursing care to patients in accordance with regional and national guidelines.
Course contents
Teaching is based upon students’ prior knowledge, critical reflection abilities and active engagement as methods of development. Of the 20 weeks allotted to this course 15 weeks are in clinical settings (Scandinavian students) and 13 weeks (foreign students) respectively. Here education takes place during weekdays, evenings, nights and weekends. Active engagement in all six components of the course content is compulsory as they provide support to achieve the learning outcomes indicated above.
Modules
1,Medical and Surgical Care (aduls and elderly people), 16 credits
Module contents
This module includes a 256 -hour internship spread over eight weeks on somatic wards. Both scientific and experience-based knowledge in nursing is strengthened and integrated with medical science, management and patient safety. The six core competencies; person-centred care, collaboration in teams, evidence-based care, improving knowledge for quality, safe care and informatics are discussed and critically examined in relation to the nursing process and the nurse's role. Nursing care is based on a humanistic approach where humans are considered as active and creative as well as part of a context. The preventive, curative, stabilized, supportive and palliative care is strengthened and the nursing process applied to a group of patients with different levels of complex illness including the seriously ill and dying. Prescribed medical treatment is performed on these patients; nursing care is documented and conducted in accordance with applicable regulations and policies. The student manages and distributes the work to the care team through inter-professional collaboration are applied and extended in the clinical education department (KUA) for 2 weeks (only Scandinavian students).
2. 2. Emergency Care placement, 8 credits
Module contents
The module conducted in acute wards in pre-and hospital emergency care, intensive care, surgical and anaesthetic care. Theoretical introductions to nursing specialties are provided. The module includes 64 hours of placement day time or night time equivalent spread over a period of two weeks. During this internship the student will be expected to observe vital signs, set priorities, communicate in short encounters and reflect on ethical dilemmas vulnerable patients and their families find themselves in. Students should also reflect on the role of the nurse in these areas. In disaster medicine both the medical and nursing oriented action preparedness, for different kinds of disasters is taught. Principles of community emergency organization from a national and international perspective, along with the importance of preparedness, violence and threats are illustrated. Principles of injury diagnosis and prioritization are exemplified as hospitals' preparedness for disaster alarms.
3. Holme Care, 5 credits
Module contents
The module has a palliative and theoretical introduction to nursing in home care. Teaching focuses on communication, municipal home care organization, cooperation between the county and municipality as well collaboration between social services and health care. The value of relatives, local support networks and the importance of continuity of the patient care chain are highlighted. The module includes 64 hours of placement in home care spread over 2 weeks. In the internship, the student should together with the supervising nurse, perform nursing care and prescribe medication in the patient's home according to their skills. Identification of risks to the patient, the delegation process and coordinated care planning is applied. The student reflects on the importance of nurses' attitudes when carrying out care in the patient's own home. Patient Influence and kindred interaction is emphasized.
4. Clinical Supervision, 1 credits
Module contents
Reflection upon theoretical and applied knowledge, in relation to nursing practice and professionalism, is taught through facilitated peer group discussions.
5. Drug Calculation, 1 credits
Module contents
The module includes theoretical exercises, and consists of current calculations, preparation and administration of drug prescriptions. The content is based on the course literature.
6 Clinical Examination, 1 credits
Module contents
Student’s accumulative, combined knowledge and skills, developed throughout their education, which are utilized in preparation for this clinical examination.
Learning outcomes
The course is divided into six modules:
1. Medical and Surgical Care (adults and elderly people), 16 credits
Upon completion of the module students should be able to:
1. communicate effectively within the health care team to assist in care provision for patients, provide support and inform relatives in line with patient consent guidelines
2. participate in professional teamwork and exercise leadership skills
3. develop a nursing journal using the nursing process and apply knowledge of patho-physiology, pharmacology, critical thinking and reflection
4. independently apply crucial aspects of the nursing process in conjunction with patient’s individual needs relating to prevention, curative, stabilization or palliative care delivery according to current regional and national guidelines
5. apply relevant principles and laws related to professional nursing
6. inform and educate patients, families, (in accordance with patient consent guidelines) and staff concerning nursing care provision throughout the duration of care
7. safely calculate, prepare and administer pharmaceutical medications to patients in accordance with regional and national guidelines
8. prepare and execute prescribed medical treatments, hygiene and aseptic techniques in accordance with current local and national guidelines
2. Emergency Care, 6 credits
Upon completion of the module the student should be able to:
1. carry out associated nursing care and treatments in emergency situations in line with specific regional and national criteria
2. explain the importance of maintaining the patient’s airway, accuracy of vital sign management and prioritization of patient care swiftly; according to local and national guidelines
3. explain the principles of disaster medicine techniques
3. Home Care, 5 credits
Upon completion of the module the student should be able to:
1. carry out associated nursing care and treatments in patients' homes and reflect on the specific role of the nurse to secure professional - patient relationships in a home care context
2. apply a phenomenological empathic attitude when communicating with patients
4. Clinical Supervision, 1 credit
Upon completion of the module the student should be able to:
1. reflect upon theoretical and applied knowledge in nursing practice
5. Drug Calculation, 1 credit
Upon completion of the module student should be able to:
1. apply drug calculations in relation to unit conversion, dilution calculations, infusion rates, percentages and infusion preparation of concentrated additives
6. Clinical Examination, 1 credit
This module students should be able to:
1. integrate theory into clinical situations and relate these to professionalism.
Learning activities
The course consists of six modules which are designed to synthesize theoretical and clinical knowledge in focused areas. In so doing a range of organized teaching methods has been devised which work in tandem with the discipline of self-directed study.
1. Medical and Surgical care (adults and older people), 16 credits
Module one includes introduction and placement onto a somatic ward. In order to successfully fulfil learning outcomes 1-8; a series of complimentary interactive lectures are provided. Invasive technique training is offered to all students to optimize their clinical skills. Scandinavian students attend a two week internship in KUA (multi-disciplinary teaching ward) as well as a half day dialysis visit. For further details concerning any of the above, please refer to the corresponding study guide.
2. Emergency Care placement, 6 credits
Module two includes introduction and placement in specialist acute departments within the hospital. In order to successfully fulfil learning outcomes 1-3; a series of complimentary lectures are provided. For further details please refer to the corresponding study guide.
3. Community Care placement, 5 credits
Module three includes introduction and placement in community care. In order to successfully fulfil both learning outcomes; a series of complimentary lectures are provided. For further details please refer to the corresponding study guide.
4. Clinical Supervision, 1 credit
Module four includes continued development of nursing professionalism through clinical
supervision that provides support to achieve the learning objective set for this module. For further details please refer to the corresponding study guide.
5. Drug Calculation, 1 credit
Module five includes guidance to achieve the learning objective for this module. For further details please refer to the corresponding study guide.
Assessment
The Grading system A-U is used for full course and in module 1. Grades that are used are pass with distinction (A, B), pass (C, D, E) and fail (U) as specified below:
A = Excellent – outstanding performance with only minor errors
B = Very good – above average standard but with some errors
C = Good – generally sound work with a number of notable errors
D = Satisfactory – fair but with significant shortcomings
E = Pass – performance meets the minimum criteria
U = Fail – considerable further work is required
The Malmö School of Nursing grading system is applied in module 1-6. In these modules the grades Pass (G) or Fail (U) are used.
Students are expected to draw extensively upon their work practice, independent studies and feedback from peers and colleagues to successfully complete course assessments. Much of the work based learning in these modules is incorporated into the variety of assessment activities, including formal assessment by qualified educators. Examinations will be conducted through combinations of individual examinations, seminars, and in clinical practice. To receive the grade pass with distinction (A, B) for the course in all this grades is required for nursing process and clinical practice in module 1.
1. Medical and Surgical Care (adults and elderly people), 16 credits
The student is assessed using the following examinations: Learning outcomes 1 - 8 are examined thought assessment of student performance during clinical practice in either a medical or surgical ward in which knowledge, skills and analytical approaches are evaluated; based on Assessment of Clinical Education (AssCE) criteria (8 credits).
The second learning outcome is examined through assessment of the student’s ability to reflect, apply theoretical concepts, and leadership performance using a specific marking rubric (1 credit). (NB: All marking rubrics referred to in this document are published on the course website from the outset of the course.)
The fourth learning outcome is individually examined through assessment of the theoretical development of nursing journal using a specific marking rubric (4 credits). The assessment of the fifth and seventh learning outcome focuses on regulations through completion of written examinations (2 credits).
The student’s awareness of patient safety is examined using critical analysis of one aspect of poor performance (related to any of the learning outcomes identified above) using a national auditing tool. This is accomplished as a group exercise; however individual contributions will be assessed, using a specific marking rubric (1 credit).
2. Emergency Care, 6 credits
Assessment of the first learning outcome focuses on nursing care and treatments in emergency situations which are assessed and evaluated in clinical practice by an assigned clinical mentor. The assessment criteria are contained in the emergency care placement form designed for this course (3 credits).
The second learning outcomes focuses on explanation of the importance of maintaining the patient’s airway, accuracy of vital sign management and prioritization of patient care swiftly which is accomplished as a group exercise; however individual contributions are assessed using a specific marking rubric (1 credit). An interactive role play seminar, based on the aforementioned assignment is used to assess the students ability to prioritize care in accordance with ABCDE prioritization principle (1 credit).
The student’s understanding of disaster medicine principles is assessed through an examination (1 credit).
3. Home Care, 5 credits
The first learning outcomes focuses on completion of associated nursing care and treatments in patients' homes and reflection on their approach to obtain a professional patient relationship is assessed in clinical practice by an assigned clinical mentor. The assessment criteria are contained in the home care placement form designed for this course (3 credits).
Assessment of the ability to apply a phenomenological empathic attitude in community based situations is executed through an individual assignment marked using a specific marking rubric along with attendance to two developmental role-play seminars (2 credits).
4. Clinical Supervision, 1 credit
Integration of theory into clinical situations and the connection to professional nursing is assessed in a written examination with peer feedback.
5. Drug Calculation, 1 credit
Application of drug calculations are assessed through the completion of an individual mathematical test paper which reflects situations encountered by nurses during clinical placement. 100% correct answers will equal a pass.
6. Clinical Examination, 1 credit
Students will be assessed using the following formulae and methodologies:
1. Integration of theory into clinical situations and relation of these to professionalism will be assessed in two distinct parts, although both parts are considered as a continuous assessment.
Part I: includes the successful completion of a written paper based on patient cases (0,5 credit)
Part II: includes the successful completion of a patient-specific practical examination (0,5 credit)
(See study guide for further information.)
Examination Re-sits
Students who fail in theoretical examinations have two further opportunities to re-sit with the same content and requirement. Thereafter students have the opportunity to re-sit in the following course according to the same rule. Examinations and retakes are scheduled throughout the course timetable.
The clinical practice can be interrupted by the student or by the examiner. In cases where students take the initiative and without the consent of the examiner interrupts clinical practice, it leads to a fail (U). The student is offered to retake the course, unless the maximum numbers of examinations not already has been reached. If the interruption agreed upon the examiner, one opportunity to complement in the same or in the next semester, or it is considered as failed (U). The decision will be based on the individual case. Students who have failed their clinical practice will get the opportunity of one (1) retake corresponding in length and content to the failed placement subject to availability of clinical placements, clinical teachers, and preceptors. If the student has demonstrated such a lack of skill that may harm patients and clients, the examiner in consultation with the preceptor, and the head of the Department of Care Science may decide to reject and remove the student from the placement prematurely. When this occurs, the student is offered a new practice only under the condition that the maximum number of examinations has not already been reached, and that the student has shown necessary knowledge and skills according the individual plan drawn on these occasions. The student has the right, within one year after the interruption to undergo two trials according to the student’s individual plan.
Course literature and other study material
1,Medical and Surgical Care (aduls and elderly people), 16 credits
Gould B (2011). Pathophysiology for the Health Professions. (Fourth Edition), Toronto, Canada Saunders Elsevier. Approx. 650 pages.
Marquis B, Huston C (2012). Leadership Roles and Management Functions in Nursing. Theory and Application. Seventh Edition. Lippincott Williams and Wilkins. Approx. 150 pages
Smeltzer S, Bare B, Hinkle J, Cheever K (2010). Brunner & Suddarth’s Textbook of Medical-Surgical Nursing. Twelfth Edition. Lippincott Williams and Wilkins. Baltimore, New York, Hong.
Kong, London, Sydney, Tokyo. Lippincott Williams and Wilkins. Nursing Process Overview. Approx. 30 pages.
Young Johnson J (2008). Handbook for Brunner and Suddarth’s Textbook of Medical Surgical Nursing. (11th Edition), Lippincott. Philadelphia, Baltimore, New York, Hong Kong, London, Sydney, Tokyo. Approx. 895 pages.
2. 2. Emergency Care placement, 8 credits
Smeltzer S, Bare B, Hinkle J, Cheever K (2010). Brunner & Suddarth’s Textbook
of Medical-Surgical Nursing. Twelfth Edition. Lippincott Williams and Wilkins. Philadelphia, Baltimore, New York, Hong Kong, London, Sydney, Tokyo. Lippincott Williams and Wilkins.
Preoperative Nursing Management. Approx. 20 pages.
Intraoperative Nursing Management. Approx. 40 pages.
Postoperative Nursing Management. Approx. 30 pages.
Emergency Nursing. Approx. 50 pages.
Terrorism, Mass Casualty and Disaster Nursing. Approx. 30 pages.
3. Holme Care, 5 credits
Brazier D (1993) Empathy, occasional paper. Amida Trust. 9 pages.
http://www.amidatrust.com/article_empathy.html.
Englander M, Folkesson A (2013). Evaluating the Phenomenological Approach to Empathy Training. Journal of Humanistic Psychology. Approx. 20 pages.
Smeltzer S, Bare B, Hinkle J, Cheever K (2010). Brunner & Suddarth’s Textbook of Medical-Surgical Nursing. Twelfth Edition. Lippincott Williams and Wilkins. Philadelphia, Baltimore, New York, Hong Kong, London, Sydney, Tokyo. Lippincott Williams and Wilkins. approx. 30 pages
5. Drug Calculation, 1 credits
Gatford J, Anderson R (2011). Nursing Calculations, (8th Edition), Churchill Livingstone, Edinburgh, Philadelphia, New York, London, Sydney, Toronto, p 45 - 131.
6 Clinical Examination, 1 credits
Butterworth T, Faugier J Clinical supervision in Nursing, Midwifery and Health Visiting.
Briefing paper. The University of Manchester, England. http://www.nursing.manchester.ac.uk/research/officialreports/ClinicalSupervision4.pdf
Briefing paper II The University of Manchester, England
http://www.nursing.manchester.ac.uk/research/officialreports/ClinicalSupervision2.pdf
Please note: Additional reference material may be added during the course (maximum 100 pages).
Course evaluation
The teacher/examiner in charge of the course is responsible for completing at least two course evaluations. The first will be conducted mid-term with feedback to students as soon as possible. The second evaluation will be collated upon completion of the course. Both will be published on the school website along with the actions to be taken to improve future courses resulting from this feedback. All evaluation summaries will be collated in the form of a course report at the end of the course and a series of relevant timely actions generated. Outcomes from these documents will be made available on the follow-on course web page.
Interim rules
If the course ceases or goes through major re-structure, students retain the right to two retake examinations based on the original course content.