NURSING 7205 - Clinical Nursing Practice II

North Terrace Campus - Semester 2 - 2019

This course provides opportunity for students to experience the reality of practice and begin to apply theoretical and scientific concepts. Students will have the opportunity to begin to learn how to practice in accordance with the NMBA National Nursing Competency Standards for the Registered Nurse.

  • General Course Information
    Course Details
    Course Code NURSING 7205
    Course Clinical Nursing Practice II
    Coordinating Unit Adelaide Nursing School
    Term Semester 2
    Level Postgraduate Coursework
    Location/s North Terrace Campus
    Units 3
    Contact Intensive
    Available for Study Abroad and Exchange N
    Restrictions Available to M.Clin Nurs students only
    Assessment eLearning module, structured clinical assessment, portfolio
    Course Staff

    Course Coordinator: Professor Frank Donnelly

    Course Coordinator: Dr  Frank Donnelly
    Phone: +61 8 8313 3639
    Email: frank.donnelly@adelaide.edu.au
    Location: Level 4 AHMS, University of Adelaide

    School Office
    Phone: +61 8 8313 3595
    Email: nursing.studentliason@adelaide.edu.au
    Course Timetable

    The full timetable of all activities for this course can be accessed from Course Planner.

  • Learning Outcomes
    Course Learning Outcomes
    1 Further develop and refine skills of observation, assessment, communication and documentation.
    2 Apply and integrate knowledge from the nursing and biologivcal sciences and evidence based practice into complex health care
    3 Identify and describe pharmacokinetics for selected health problems
    4 Discuss the impact of complex health problems on patients and families across the lifespan
    5 Provide nursing care for patients with complex health problems
    6 Perform drug calculations accurately and administer medications competently
    University Graduate Attributes

    This course will provide students with an opportunity to develop the Graduate Attribute(s) specified below:

    University Graduate Attribute Course Learning Outcome(s)
    Deep discipline knowledge
    • informed and infused by cutting edge research, scaffolded throughout their program of studies
    • acquired from personal interaction with research active educators, from year 1
    • accredited or validated against national or international standards (for relevant programs)
    1-6
    Critical thinking and problem solving
    • steeped in research methods and rigor
    • based on empirical evidence and the scientific approach to knowledge development
    • demonstrated through appropriate and relevant assessment
    1, 4, 5
    Teamwork and communication skills
    • developed from, with, and via the SGDE
    • honed through assessment and practice throughout the program of studies
    • encouraged and valued in all aspects of learning
    1-2, 4-5
    Career and leadership readiness
    • technology savvy
    • professional and, where relevant, fully accredited
    • forward thinking and well informed
    • tested and validated by work based experiences
    2, 5
    Intercultural and ethical competency
    • adept at operating in other cultures
    • comfortable with different nationalities and social contexts
    • able to determine and contribute to desirable social outcomes
    • demonstrated by study abroad or with an understanding of indigenous knowledges
    4-5
    Self-awareness and emotional intelligence
    • a capacity for self-reflection and a willingness to engage in self-appraisal
    • open to objective and constructive feedback from supervisors and peers
    • able to negotiate difficult social situations, defuse conflict and engage positively in purposeful debate
    1-6
  • Learning Resources
    Required Resources

    Tollefson J & Hillman E, 2016 Clinical psychomotor skills: Assessment tools for nurses, 6th edn, Cengage Learning Australia

    Lewis, P & Foley, D, 2014 Health assessment in Nursing, 2nd Ed.Lippincott Williams & Wilkins Pty Ltd, North Ryde, NSW.

    Intelli+Learn, 2013. Medication Management for Health Professionals. CD, An interactive course to develop and assess skills in medication management. Australia.
    Recommended Resources

    Harris, P, Nagy, S & Vardaxis, N (eds) 2014, Mosby's Dictionary of Medicine, Nursing & Health Professions, 3rd edn, Mosby, Sydney.

    Online Learning
    https://www.bloodsafelearning.org.au/
  • Learning & Teaching Activities
    Learning & Teaching Modes
    This course uses practical workshops to identify situations that impact the daily environment of nursing practice. Students are encouraged to consider their ‘arrival’ at the career of nursing and to actively reflect on what they consider to be the professional skills and attributes.
    Workload

    The information below is provided as a guide to assist students in engaging appropriately with the course requirements.

    The workload for this course requires attendance at
    1 x 2 hour lecture/week
    1 x 3 hour practical / week
    • SCAs preclinical week

    It is expected that you will need to invest about 12 hours per week of study to successfully complete this course. This includes all study activities, practicals, readings and assessment. Thus some weeks it will be more and others less. It is recommended that you plan your time commitment to the course at the beginning of the semester.
    Learning Activities Summary
    The tables below indicate the teaching sessions for Clinical Nursing Practice II. Please refer to the timetable above for details on class and time. A summary of the clinical skills topics are as listed below. Other clinical skills sessions may be provided as required.

    Clinical Nursing Practice II
    Clinical Skills Laboratory Sessions
    Application and management of oxygen therapy

    Management of intravenous therapy (IVT)

    Care of the patient receiving a blood transfusion (students are to compete the online Bloodsafe e- learning package prior to this lab session)

    Nursing interventions for pain

    Drug calculations (a preplacement drug calculation test must be passed with 100% accuracy)

    Medication administration – Oral / PV/PR, sub lingual

    SCAs (OSCE) – pre-clinical assessment of skills
  • Assessment

    The University's policy on Assessment for Coursework Programs is based on the following four principles:

    1. Assessment must encourage and reinforce learning.
    2. Assessment must enable robust and fair judgements about student performance.
    3. Assessment practices must be fair and equitable to students and give them the opportunity to demonstrate what they have learned.
    4. Assessment must maintain academic standards.

    Assessment Summary
    Assessment Task Assessment Type Weighting Learning Outcome(s) being addressed
    Clinical practice/performance/assessment Formative (hurdle Requirement) NGP 1-6
    e-learning blood safe module Summative 10% 1-6
    Oral Structured Clinical Examination (OSCE) Summative (hurdle Requirement) 0% 1-6
    Clinically focussed Teaching activity Summative 50% 1-6
    Examination Summative 40%


    Compulsory NCAS Placement Documents
    For each clinical placement a written Summative Assessment must be obtained. This Summative Assessment must be completed and signed by the supervising Registered Nurse and the facilitating Clinical Lecturer. Employer Competencies (EC) must also be assessed during the placement blocks. For each placement please check the NCAS Employer Competency Schedule to see which are required as well as check with your course coordinator and Clinical lecturer on placement.

    The completed set of documents must then be submitted to MyUni one week post the individual students respective Placement
    Block – Successful completion of these assessments are required. This is a HURDLE assessment for this course.
     

    Oral Structured Clinical Examination (OSCE)
    A structured clinical examination will be held during Exam week. This examination will take place in the Skills Facility and each student will be assessed on a number of skills and theory relevant to the lectures held during semester. Each student will be required to attend for an examination in which they will demonstrate a range of nursing interventions especially in relation to skills taken from the course objectives. Along with skills demonstrations, students will need to be prepared to provide a rationale
    for the practical tasks within the exam.  The exam uses a structured approach to the assessment of clinical skills using the online B-line system.
    The OSCE is a HURDLE this means that all stations must be passed to enable you to progress into the next year/semester of this course. The
    timetable for this exam will be posted closer to the date.
    Assessment Detail
    ASSESSMENT 1: Clinical practice/performance/assessment – weekly assessment of clinical skills as per Fundamentals of Nursing Clinical Skills Workbook- NGP

    ASSESSMENT 2: elearning blood module The eLearning module is a formal online resource that gives the students an opportunity to review the knowledge they have re blood groups and different products that can be used in the clinical setting. Weighting 10%.

    ASSESSMENT 3: OSCE
    Due Date: exam week tba 
    Weighting: 0% (hurdle)
    Length: 30 minutes

    The  Structured Clinical Assessment (similar to an OSCE) is a formal conclusion to the semester to give students an opportunity to demonstrate the skills and knowledge they have acquired. The oral and practical exam is of 30 minutes duration.

    This assessment is a hurdle requirement- meaning that a pass for this assessment is necessary to successfully complete and pass the course. Failure to pass this assessment may reduce your ability to proceed to the next year/semester courses


    ASSESSMENT 4: Clinically Focussed Teaching
    Due Date: refer Canvas 
    Weighting: 50%
    Length: 3000 words (equivalent)

    Combination of clinical placement documentation and requirements


    ASSESSMENT 5: Examination
    Date: refer to Canvas
    Weighting: 40%
    Exam will cover content throughout semester and will be a combination of multiple choice and short answer questions.
    Submission
    Unless otherwise indicated all submission of assignments is to be through the assignments portal of MyUni. Students MUST keep an electronic copy of all assignments submitted. Cover sheets are required for all assignments and can be accessed from the School of Nursing website. Extension of time for submission of assignments is subject to negotiation with the course coordinator. Requests must be made before the due date of the assignment. In principle, all assignments should be submitted by the due date. However, an extension may be granted if the request is made before the due date and the usual administration procedures are followed. Late submission without an approved extension will be penalised at the rate of 5% of available marks for each working day after the due date. Work submitted more than ten days after the due date may be returned unmarked. This action will be taken to prevent students who do get their work in on time being disadvantaged.

    Whenever possible staff will turn around marked assignments within 4 weeks or earlier.
    Course Grading

    Grades for your performance in this course will be awarded in accordance with the following scheme:

    M10 (Coursework Mark Scheme)
    Grade Mark Description
    FNS   Fail No Submission
    F 1-49 Fail
    P 50-64 Pass
    C 65-74 Credit
    D 75-84 Distinction
    HD 85-100 High Distinction
    CN   Continuing
    NFE   No Formal Examination
    RP   Result Pending

    Further details of the grades/results can be obtained from Examinations.

    Grade Descriptors are available which provide a general guide to the standard of work that is expected at each grade level. More information at Assessment for Coursework Programs.

    The following marking guides will be used for assignments:

    Marking Guide - Portfolio
    Structure and Presentation 25%
    Structure (15%)
    • Each section of the portfolio is structured in a logical sequence so that the content flows (headings may be used to develop the structure of the portfolio).

    • Where appropriate introduces/outlines/situates the activity/discussion.

    • Where appropriate each section of the portfolio ends with a cogent, defendable conclusion that summarises the discussion within the body of the paper.

    Writing Style (10%)
    • The portfolio is written with clear sentence structure and the spelling and grammar are correct.
    Content 60%
    • Demonstrates an understanding of the activities/discussions chosen by identifying the main components/issues/focus of the topic area.

    • Provides evidence of support from contemporary literature to support argument/points of view.

    • Where appropriate for the activity demonstrates critical thought.

    • Has completed all activities/discussion points.
    Referencing 15%
    • The referencing style used throughout the summary paper is congruent with the School Manual and School Style and Referencing Guide.

    • The reference list is accurate (i.e. no missing page numbers, volumes, correct title etc), complete (i.e. no references in the body of the paper are missing from the reference list) and consistent with the School Manual and School Style and Referencing Guide.

    • The references cited are contemporary (i.e. less than 10 years old unless seminal papers).

    • Primary references are used predominantly (i.e. the original reference has been cited rather than a secondary source).

    • There is evidence in the summary paper that the student has searched widely for information related to the topic/issue.

    • The student has acknowledged all sources of information.

    • Direct quotations are only used to make crucial points or to support the discussion/argument.

    Final results for this course will be made available through Access Adelaide.

  • Student Feedback

    The University places a high priority on approaches to learning and teaching that enhance the student experience. Feedback is sought from students in a variety of ways including on-going engagement with staff, the use of online discussion boards and the use of Student Experience of Learning and Teaching (SELT) surveys as well as GOS surveys and Program reviews.

    SELTs are an important source of information to inform individual teaching practice, decisions about teaching duties, and course and program curriculum design. They enable the University to assess how effectively its learning environments and teaching practices facilitate student engagement and learning outcomes. Under the current SELT Policy (http://www.adelaide.edu.au/policies/101/) course SELTs are mandated and must be conducted at the conclusion of each term/semester/trimester for every course offering. Feedback on issues raised through course SELT surveys is made available to enrolled students through various resources (e.g. MyUni). In addition aggregated course SELT data is available.

    Better understanding of what is expected on placement. The Scope of practice is gone through in great detail prior to placement. The forms are available online and at each of the placement venues.

    Peer teaching has been stated as being an addiitonal important learning tool in conjunction with clinical lecturer assistance. lecturer to student ratio was approx 1:8.

    Placement. There was a change in staff and a new system has been put in place. It would appear that this is being utilised more effectively now. Students are always informed of the placement dates at the beginning of the year and that the requirement is for full time, with no allowance available for part-time personal work in between. Placement is provided when there is availability.
  • Student Support
  • Policies & Guidelines
  • Fraud Awareness

    Students are reminded that in order to maintain the academic integrity of all programs and courses, the university has a zero-tolerance approach to students offering money or significant value goods or services to any staff member who is involved in their teaching or assessment. Students offering lecturers or tutors or professional staff anything more than a small token of appreciation is totally unacceptable, in any circumstances. Staff members are obliged to report all such incidents to their supervisor/manager, who will refer them for action under the university's student’s disciplinary procedures.

The University of Adelaide is committed to regular reviews of the courses and programs it offers to students. The University of Adelaide therefore reserves the right to discontinue or vary programs and courses without notice. Please read the important information contained in the disclaimer.