NURSING 7210 - Applied Nursing Practice I

North Terrace Campus - Semester 1 - 2014

This course will further develop and refine nursing practice applying scientific concepts in complexity of health care.

  • General Course Information
    Course Details
    Course Code NURSING 7210
    Course Applied Nursing Practice I
    Coordinating Unit School of Nursing
    Term Semester 1
    Level Postgraduate Coursework
    Location/s North Terrace Campus
    Units 6
    Contact Up to 13 hours per week
    Restrictions Available to M.Clin Nurs students only
    Course Description This course will further develop and refine nursing practice applying scientific concepts in complexity of health care.
    Course Staff

    Course Coordinator: Dr Tammy Page

    Course Coordinator: Tamara Page
    Phone: +61 8 8313 1225
    Email: tamara.page@adelaide.edu.au
    Location: Room 3-64, School of Nursing, 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 biological sciences and evidence based practice into complex health care
    3 Identify the different complexities and knowledge required from the nursing and biological sciences and evidence based practice across a variety of different settings
    4 Articulate the impact of complex health problems on patients and families across the lifespan
    5 To raise a virtual child and compare their child’s development with expected human development
    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)
    Knowledge and understanding of the content and techniques of a chosen discipline at advanced levels that are internationally recognised. 1-5
    The ability to locate, analyse, evaluate and synthesise information from a wide variety of sources in a planned and timely manner. 2-5
    An ability to apply effective, creative and innovative solutions, both independently and cooperatively, to current and future problems. 1-5
    Skills of a high order in interpersonal understanding, teamwork and communication. 1-3
    A proficiency in the appropriate use of contemporary technologies. 2-3
    A commitment to continuous learning and the capacity to maintain intellectual curiosity throughout life. 2-5
    A commitment to the highest standards of professional endeavour and the ability to take a leadership role in the community. 1-3, 5
    An awareness of ethical, social and cultural issues within a global context and their importance in the exercise of professional skills and responsibilities. 1-5
  • Learning Resources
    Required Resources
    Crisp, J Taylor, C, Douglas, C & Rebeiro, G, 2013, Potter and Perry’s Fundamentals of Nursing 4th edn, Mosby Elsevier, Australia.

    Lewis, P & Foley, D, 2011 Weber & Kelley’s Health assessment in Nursing 4/e, Lippincott Williams & Wilkins, Australia.
    Recommended Resources
    Bryant, B & Knights, K, 2011, Pharmacology for Health Professionals, 3rd edn, Mosby Elsevier, Sydney.

    Lee, G & Bishop, P 2012, Microbiology and Infection Control for Health Professionals, 5th edn, Pearson Prentice Hall, Frenchs Forest.

    Harris, P, Nagy, S & Vardaxis, N (eds) 2009, Mosby's Dictionary of Medicine, Nursing & Health Professions, 2nd edn, Mosby, Sydney.

    McMurray, A & Clendon, J, 2010, Community Health and Wellness, 4th Edition: Primary health care in practice, Mosby Australia.
  • Learning & Teaching Activities
    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:
    • 2 x 1 hour lecture / week
    • 2 x 1 hour tutorial / week
    • 1 x 3 hour problem based learning workshop / week

    It is expected that you will need to invest about 24 hours per week of study to successfully complete this course. This includes all study activities, lectures, tutorials, PBL sessions, 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 lecture, tutorial and I based workshop outlines for Fundamentals of Nursing Practice 1. A body systems approach is taken. Simple health problems based on of the top illnesses experienced in Australian society are as studied as a series of case presentations. Pease refer to the timetable above for details on class and time. Other tutorials may be provided as required.

    Applied Nursing Practice I
    Lecture Series
    1. Week 1 Acute injuries across the lifespan

    2. Week 1 Introduction to critical care

    3. Week 2 Communication in acute and emergency situations

    4. Week 2 Triage – primary and secondary survey

    5. Week 3 Acid base disturbances and their management

    6. Week 3 Respiratory failure and pneumonia

    7. Week 4 Principles of ventilation

    8. Week 4 Peri-operative nursing issues

    9. Week 5 Maternal and child health

    10. Week 5 Principles of antenatal care

    11. Week 6 Principles of post natal care

    12. Week 6 Immunization across the lifespan

    13. Week 6 Infectious diseases in children
    Tutorial Series
    1. Week 3 Acid base profiles

    2. Week 4 Care of UWSD/CPAP/Tracheostomy – intubation and airway management

    3. Medications IM/IV/SC

    4. Drug calculations

    5. Week 5 Care of the pregnant women

    6. Week 6 Physical assessment of the newborn

    7. Week 1 Physical assessment - paediatric

    Week 2 Management of fever, nausea and diarrhoea in children
    Inquiry Based Learning
    1. Week 2 Multi-trauma – internal injuries

    2. DKA / HHNKS

    3. Week 3 Community acquired pneumonia – admission to ICU

    4. Week 4 Communication failure in the perioperative setting

    5. Week 5 Care of the pregnant woman

    6. Week 6 Childhood anaemia’s

    7. Week 1 Respiratory illness in children
  • 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
    Problem Based Learning participation Formative NGP 1-4
    My virtual child assessments Summative 45% 1-5
    Critical incident and analysis) – 3500 words Summative 45% 1-4
    Assessment Detail
    ASSESSMENT 1: PBL participation

    This is both a formative and summative assessment. Problem based learning is an active process involving significant communication between tutors and students.
    During this course students will work to apply their knowledge of pathophysiology, pharmacology, fundamentals of nursing, patient education, primary health care to the series of health problems presented.


    Assessment will be based on the student’s performance in relation to:
    • PBL Process Skills
    • Knowledge Base Development
    • Reasoning
    • Personal, Professional and Collegial Behaviour
    • Verbal Interactions


    ASSESSMENT 2: My Virtual Child Assessments

    The publisher estimates that it takes 8 hours to raise your child. If each assessment takes an additional 3 hours to complete, then the whole assessment could be completed in 2 to 3 days.

    My virtual child is an online learning tool in which students raise a child from birth to 18 years. You will raise a child on your own and during the process students will be asked to compare their child with expected human
    development as described in the textbook and via the links out of My Virtual Child.

    During this process there will be 3 assessments that will occur after particular stages of development:

    1. After 30 months of age due 18th March
    2. After 12 years of age due 15th April
    3. After 18 years of age due 29th April


    ASSESSMENT 3: Critical incident and analysis paper

    Select a coroner’s case from the folder on MyUni;
    Using the case as the basis for your paper identify the key aspects of the nursing involvement and provide a evidence based critique of the nursing care. For example the case may describe a lack of communication, duty of care or failure of equipment (or any combination of these), which led to the patient’s death.
    This paper is not to be a summary of the case or the coroner’s findings.
    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 Discipline 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 10% 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.

    Students are to ensure they are familiar with the contents of the 2014 Master of Clinical Practice Handbook. A PDF of this document is available through MyUni.

    The following marking guides will be used for the assignments:

    Marking Guide - PBL Student Evaluation
    Student performance will rated as competent, partially demonstrated or not demonstrated in relation to the following:
    PBL Process Skills
    • Identify relevant information in the case presentation
    • Develop Hypotheses
    • Discuss hypotheses in terms of mechanisms
    • Use evidence to support reasoning
    • Develop specific/concise learning issues
    • Links learning issues to aspects of case
    • Identify and uses appropriate resources
    Knowledge Base Development
    • Identify relevant knowledge required for the problem
    • Apply anatomical knowledge to the problem
    • Apply and integrate lecture material into discussion
    • Synthesise new information and present in discussion without notes
    • Apply existing and new knowledge to the problem and is able to discuss/test hypotheses with appropriate information from learning issues
    • Comment on student’s knowledge base
    Reasoning
    • Presents ideas in a logical stepwise manner
    • Re-evaluates hypotheses in response to new information or discussion
    • Asks questions which help to clarify the problem
    • Links ideas to contribute to drawing pu a concept map as a summary
    Personal, Professional and Collegial Behaviour
    • The student has demonstrated an ability to work effectively in a group and contribute to discussions with peers
    • Actively participating in group discussions
    • Using professional language at all times
    • Displaying respect for colleagues, patients who are the basis of cases, staff and tutors
    • Respecting and valuing other group members contributions
    • Dealing with difference of opinion without conflict or confrontation
    • Providing constructive feedback to tutor and other group members
    • Having strategies for involving other group members in the discussion
    • Prepares well for sessions
    • Self-evaluates own learning needs for further development
    • Demonstrates good interpersonal and communication skills
    • Self-evaluates own personal abilities, the task and group issues
    • Demonstrates a professional behaviour and attitude appropriate to the context of the case
    Verbal Interactions
    • Pronunciation (clarity of speech and volume of speech)
    • Style of interaction (contributes and responds freely, asks questions)
    • Vocabulary and grammatical correctness


    Marking Guide - Critical Incident
    Structure and Writing Style 25%
    Structure (15%)
    • introduces the patient structure of the study
    • clearly describes the way in which the analysis of the critical incident will proceed (follows the suggested outline within the Study Guide)
    • the critical incident is structured according to the suggested outline with headings used to indicate the sections
    • the critical incident summaries the case details and recommendations are made for enhancement of care.

    Writing style (10%)
    • the critical incident is written with clear sentence structure, clarity of argument, precision of expression and the spelling and grammar are correct.
    Content and Critical Analysis 60%
    Content (30%)
    • the critical incident has been presented logically
    • the critical incident content has clear links to contemporary nursing practice
    • the student’s paper demonstrates a depth of understanding of the topic and related nursing issues.

    Critical analysis (30%)
    • the critical incident analysis demonstrates a high degree of critical thought and insight into the patient's condition and nursing care provided by:
    • providing a justification/rationale for the argument/discussion (or analysis) pertaining to nursing care
    • demonstrating they have reflected on the complex issues surrounding the nursing care
    • discussing the nursing care from differing perspectives, thereby providing a balanced argument/discussion.
    Referencing 15%
    • the referencing style used throughout the paper is congruent with the Discipline’s Student Handbook and Style 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 Discipline’s Student Handbook and Style 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 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.

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