NURSING 7207 - Clinical Nursing Practice IV

North Terrace Campus - Semester 2 - 2017

This course will provide opportunity to consolidate nursing practice in caring for patients in all health care 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.

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Course Details

Course Code	NURSING 7207
Course	Clinical Nursing Practice IV
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	Clinical skills assessment, portfolio, structured clinical assessment

Course Staff

Course Coordinator: Professor Frank Donnelly

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

School Office
Phone: +61 8 8313 3639
Email: nursing.studentliason@adelaide.edu.au

Course Timetable

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

Course Learning Outcomes

1	Perform simple and complex interventions necessary in all health care settings
2	Critically think and analyse using evidence based practice to inform decision making
3	Identify and describe pharmacokinetics for selected health problems
4	Perform according to NMBA competency standards of the RN – all statements
5	Further develop practice using exemplars of clinical practice
6	Perform drug calculations accurately and administer medications competently
7	provide nursing carte competently to an allocated group of patients
8	Make a smooth transition to the role of a Registered Nurse

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)	1-8
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	2, 4-5, 8
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, 4, 7
Career and leadership readiness technology savvy professional and, where relevant, fully accredited forward thinking and well informed tested and validated by work based experiences	4-5, 8
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	1, 4, 7-8
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	4-5, 7-8

Learning Resources

Required Resources

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

Tollefson, Joanne 2016 Clinical psychomotor skills: assessment tools for nursing 6th ed. Cengage Learning Australia

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, 2013, Potter and Perry’s Fundamentals of Nursing 4th edn, Mosby Elsevier, Australia.

Australian Nursing and Midwifery Council (ANMC) 2006, National Competency Standards for the Registered Nurse, Australian Nursing and Midwifery Council, Canberra.

Learning & Teaching Modes

This course uses a blend of lectures, tutorials and 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. Role plays and self -directed learning opportunities help to facilitate the reflective nature of this course.

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 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 IV. 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 IV

Clinical Skills Laboratory Sessions

Consolidation of Nursing Skills

1. Urinary catheterisation
2. Dialysis – visit CAPD / Renal Unit
3. Alcohol withdrawal and restraint
4. Perioperative
5. Cytotoxic
6. Last offices
7. Physical assessment complex – adult
8. SCAs – pre-clinical assessment of skills

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

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

Assessment Summary

Assessment Task	Assessment Type	Weighting	Learning Outcome(s) being addressed
Clinical practice/performance/assessment	Formative	NGP	1-8
Structured Clinical Assessment (SCA)	Summative	30% (hurdle)	1-8
Portfolio with exemplars of clinical practice	Summative	70%	1-8

Assessment Detail

ASSESSMENT 1: OBJECTIVE STRUCTURED CLINICAL ASSESSMENT
Due Date: Semester 1: Week 1-6
Weighting: NGP
Length: Ongoing throughout course

The Clinical Skills Assessment is conducted in the weeks immediately prior to clinical placement. This assessment is formative in nature and provides an opportunity for students to perform essential nursing tasks while under a degree of supportive scrutiny. Successful completion of this assessment is required before students can undertake clinical placement.

ASSESSMENT 2: PORTFOLIO
Due Date: Semester 1:
Weighting: 70%
Length: 3000 words

The Portfolio is an opportunity for students to integrate, compare and synthesise the evidence base for, and clinical practice of, 4 examples of fundamental nursing care they observe and participate in during clinical placement. Students should choose 4 examples that correspond to the skills from their Skills Booklet. Monitoring and responding to a client/patient’s condition must be included as one of the skills in the portfolio; with the Nursing competency assessment s:
• The initial and ongoing nursing assessment of a client or patient;
• Managing the care of a group of clients/patients;
• Monitoring and responding to changes in a client-patient’s condition
To be submitted post placement 2).
A summary of the evidence base for each of the skills in the portfolio is required and a comparison of this and a critique the observed practice should be made. The marking guide below will be used to assess the submission

ASSESSMENT 3: STRUCTURED CLINICAL ASSESSMENT
Due Date: Semester 1:
Weighting: 30% (hurdle)
Length: 30 min
Length: 30 minutes

The Structured Clinical Assessment 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 and uses a structured approach to the assessment of clinical skills using the online B-line system. The OSCE is a hurdle which means that it is required to be passed to pass the course overall.

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.

Consistency. All lecturers are now receive the content beforehand to ensure consistent feedback is being provided.

Placement. Placement is provided when there is availability and lectures are provided around this.

Cancellations. Occasionally this is unavoidable due to illness.
Student Support
Policies & Guidelines
This section contains links to relevant assessment-related policies and guidelines - all university policies.
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.

Authorised by:	Deputy Vice-Chancellor and Vice-President (Academic)
Maintained by:	Course Outlines Administrator