NURSING 7206 - Clinical Nursing Practice III

North Terrace Campus - Semester 1 - 2022

This course will provide opportunity to extend nursing practice in caring for patients in high acuity settings. 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 7206
    Course Clinical Nursing Practice III
    Coordinating Unit School of Nursing
    Term Semester 1
    Level Postgraduate Coursework
    Location/s North Terrace Campus
    Units 3
    Contact Intensive
    Available for Study Abroad and Exchange N
    Prerequisites NURSING 7204 and NURSING 7205
    Restrictions Available to M.Clin Nurs students only
    Course Description This course will provide opportunity to extend nursing practice in caring for patients in high acuity settings. 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.
    Course Staff

    Course Coordinator: Ms Krystle Halls


    Phone: +61 8 8313 0930
    Email: krystle.halls@adelaide.edu.auLocation: Level 4, AHMS, Adelaide Nursing School, University of Adelaide

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


    Successful completion of NURSING 7205 Clinical Nursing Practice 2 is a pre requisite for enrolment into this this course

    Course Timetable

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

    Please refer to timetable information at

    Course Planner https://access.adelaide.edu.au/courses/search.asp

  • 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 biological sciences and evidence based practice into complex health care
    3 Identify and describe pharmacokinetics for selected health problems
    4 Identify the different complexities and knowledge required from the nursing and biological sciences and evidence based practice across a variety of different settings
    5 Articulate the impact of complex health problems on patients and families across the lifespan
    6 Further develop clinical practice skills 
    7 Continue to develop nursing practice within an evidence based nursing framework
    8 Continue to develop nursing practice using guidance of the NMBA standards 
    9 Provide nursing care for a group of patients with acute and chronic health problems in varying contexts of practice
    10 Perform drug calculations accurately and administer medications competently and safely
    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)

    Attribute 1: Deep discipline knowledge and intellectual breadth

    Graduates have comprehensive knowledge and understanding of their subject area, the ability to engage with different traditions of thought, and the ability to apply their knowledge in practice including in multi-disciplinary or multi-professional contexts.

    1-10

    Attribute 2: Creative and critical thinking, and problem solving

    Graduates are effective problems-solvers, able to apply critical, creative and evidence-based thinking to conceive innovative responses to future challenges.

    1, 2, 4, 6, 9

    Attribute 3: Teamwork and communication skills

    Graduates convey ideas and information effectively to a range of audiences for a variety of purposes and contribute in a positive and collaborative manner to achieving common goals.

    1, 9

    Attribute 4: Professionalism and leadership readiness

    Graduates engage in professional behaviour and have the potential to be entrepreneurial and take leadership roles in their chosen occupations or careers and communities.

    1, 2, 3, 5, 6, 10

    Attribute 5: Intercultural and ethical competency

    Graduates are responsible and effective global citizens whose personal values and practices are consistent with their roles as responsible members of society.

    1, 4, 5, 7-9

    Attribute 6: Australian Aboriginal and Torres Strait Islander cultural competency

    Graduates have an understanding of, and respect for, Australian Aboriginal and Torres Strait Islander values, culture and knowledge.

    5, 9

    Attribute 7: Digital capabilities

    Graduates are well prepared for living, learning and working in a digital society.

    1, 10

    Attribute 8: Self-awareness and emotional intelligence

    Graduates are self-aware and reflective; they are flexible and resilient and have the capacity to accept and give constructive feedback; they act with integrity and take responsibility for their actions.

    1, 5, 9
  • Learning Resources
    Required Resources
    Lewis, P & Foley, D, 2014 Health assessment in Nursing, 2nd Ed.Lippincott Williams & Wilkins Pty Ltd, North Ryde, NSW.

    Tollefson, J. 2016, Clinical Psychomotor Skills: Assessment tools for nursing students, 6th edn, Cengage Learning, South Melbourne.

    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.

    Crisp, J Taylor, C, Douglas, C & Rebeiro, G, 2016, Potter and Perry’s Fundamentals of Nursing 5th edn, Mosby Elsevier, Australia.

    Nursing and Midwifery Council of Australia 2016 National Competency Standards for the Registered Nurse, Australian Nursing and Midwifery Council, Canberra.

    Online Learning
    Any online resources or links such as Intellilearn will be provided through Canvas. 
  • 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
    •  online lecture/week
    •  1 x 3 hour practical / week

    Non contact hours for assessment and tutorial preparation will be 6-9 hours per week.
    Learning Activities Summary
    The tables below indicate the teaching sessions for Clinical Nursing Practice III. 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 III
    Clinical Skills Laboratory Sessions
    1. Pregnancy and Maternal assessment
    2. Paediatric assessment and medications
    3. Cardiac complications, assessment and ECG
    4. Disability (Physical, Intellectual & Sensory Loss)
    5. Wound Assessment & Management
    6. Airway & Respiratory Assessment & Management
    7. Introduction to Complex Respiratory Assessment & Management
    8. Skills Revision
    Specific Course Requirements
    Please note: The Structured Clinical Assessment is a Hurdle assessment in this course.
  • 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 (hurdle requirement) Formative NGP 1-10
    Oral Structured Clinical Examination (OSCE) Hurdle Rerquirement Summative NGP 1-10
    Clinically focussed Teaching Summative 60% 1-10
    Examination Summative 40% 1-10

    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 program. The timetable for this exam will be posted closer to the date.
    Assessment Related Requirements
    Students must successfully complete all Clinical Nursing Practice courses to satisfy the program requirements.
    Assessment Detail

    No information currently available.

    Submission
    Unless otherwise indicated all submission of assignments is to be through the assignments portal of MyUni. TurnItin will be used to check student assignments. Students MUST keep an electronic copy of all assignments submitted. 

    Extensions are generally awarded for no more than 10 working days unless there are exceptional circumstances.

    To apply for an Assessment Extension, a student must submit an application for extension form prior to the assessment deadline. You will find this on the School of Nursing Website or use the link provided here.

    See the Modified Arrangements for Coursework Assessment Policy http://www.adelaide.edu.au/policies/3303/.
    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:

    Assessment 1: Clinically focussed teaching
    3000 words maximum

    This Assessment aims to develop your ability to communicate your knowledge of evidence-based nursing practice. As a registered nurse it will be important for you to base your practice on the most up to date research and best practice guidelines. You will also need to be able to communicate your rationale and promote when working to ensure safety for your patients.

    Whilst on your clinical placement, choose 3 clinical skills which you participated in and evaluate how they were completed.

    Instructions:

    Introduce the 3 clinical skills and identify the importance of evaluating in terms of your practice as a current student registered nurse who will soon be a registered nurse.

    For each clinical skill:
    Review the current evidence/literature and discuss current best practice guidelines.
    Outline and compare the best practice guidelines to how the skill was performed in practice.
    Identify any gaps between the observed skill and your review of the evidence/literature.
    Conclude with a summary of the recommendations for clinical practice.

    Finish with a conclusion, summarising your discussions and key points for the reader to take away.

    Marking Guide
    Introduction (10%)

    Provide a concise and relevant introduction of the chosen clinical skills for discussion.
    Background provided to give context to the relevance of the discussions in the assessment.


    Content: Clinical Skills Discussion (60%)

    Demonstrates a depth of understanding of the clinical skills and relevant evidence/literature
    Demonstrates application of theory to clinical practice through comparison of clinical practice and best practice guidelines.
    Demonstrates critical thought and insight by providing justification and rationale
    Summary with recommendations for clinical practice provided for each clinical skill
    Conclusion (10%)

    Provide a concise summary of your discussions in the assessment (no new information to be introduced)
    Presentation and Referencing (20%)

    Presentation complies with the School Academic Manual
    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 Academic Manual
    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 paper that the student has searched widely for information related to the topic/issue
    The student has acknowledged all sources of information


    Clinical Practice Assessment
    By the end of semester one student will be able to:

    • Demonstrate an understanding of the ANMC National Nursing Competency Standards for Registered Nurses and begin to recognise cues and exemplars identifying these in practice.

    • Be able to adhere to standard precautions in providing care.

    • Begin to recognise the attributes of a safe and therapeutic patient environment.

    • Provide the basic nursing care necessary for a patient who requires assistance with the activities of daily living. (e.g. showering, sponging, mouth care, hair care, shaving, teeth care, ambulating, exercise, bedpans, urinals, catheter care, making a bed).

    • Provide the basic nursing care necessary for patients who require assistance with maintaining their fluid and nutritional status.

    • Safely participate in manual handling procedures.

    • Demonstrate competency in providing basic life support.

    • Conduct a basic health assessment

    • Demonstrate competency in monitoring a patient’s vital signs

    • Begin to demonstrate competency in monitoring blood glucose levels

    • Begin to recognise commonly used medical equipment and devices.

    • Begin to understand the structure of the hospital, be able locate resources, equipment and services.

    • Begin to describe the procedures employed and to appreciate the experiences of patients in admission to and discharge from an acute hospital.

    • Begin to understand the legal requirements regarding documentation in the patient’s medical record.

    • Begin to document nursing care in accordance with legal and institutional guidelines.

    • Understand the principles of responding to danger in the clinical situation, e.g. basic fire training.

    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.

    • OSCE should be after the final placement, to facilitate our practicing those skills. This sometimes dependant on when placement is available. Placement timings for 2020 will be considered the timing  of all assessments. 
    • More support in the skills sessions. This has been addressed and casual lecturers have been employed. Changes to clinical skills training days should improve access to staff. 
  • 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.