NURSING 1007 - Health Assessment and Clinical Nursing I
North Terrace Campus - Semester 1 - 2019
General Course Information
Course Code NURSING 1007 Course Health Assessment and Clinical Nursing I Coordinating Unit Adelaide Nursing School Term Semester 1 Level Undergraduate Location/s North Terrace Campus Units 3 Contact Up to 5 hours per week Available for Study Abroad and Exchange N Restrictions Available to B.Nurs students only Course Description Health Assessment and Clinical Nursing I provides the core skills for basic nursing practice. Attention to the Fundamentals of Care enables students to proceed on their first placement experience able to support patients in the activities of daily living, providing basic hygiene, apply principles of basic nutrition, employ safe manual handling practices and begin to measure vital signs. Students learn how to conduct an interview as part of a larger health assessment. Basic life support will be practiced and assessed prior to placement. 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 Coordinator: Ms Jan AldermanJan Alderman
Course Coordinator, Lecturer | Adelaide Nursing School | Faculty of Health and Medical Sciences
Level 4, Adelaide Health & Medical Sciences Building
Cnr North Terrace & George Street
ADELAIDE SA 5005
T: +61 8 8313 1168 | E: firstname.lastname@example.org
Phone: +61 8 8313 3595
The full timetable of all activities for this course can be accessed from Course Planner.
Course Learning Outcomes
1 Will obtain the foundation knowledge of physical, social and behavioural sciences to provide nursing care based on theory, research and evidenced-based practice. 2 Develop the skills to select goals and develop plans of care for individuals based on analysis of available data using theoretical knowledge. 3 Plan patient/client care goals and priorities with involvement of other health professionals 4 Identify opportunities to enhance the care of patients/clients through the involvement of other health professionals 5 Demonstrate proficiency in the use of current technology in the provision of patient care. 6 Demonstrate continuing competence, growth and development in the nursing profession. 7 Assume responsibility and accountability for the quality improvement and delivery of safe and effective nursing care. 8 Provide holistic nursing care to clients while respecting the individual and cultural diversity. 9 Demonstrate and recognise the importance of policies on plagiarism and collusion whilst adhering to the principles of ethical & professional behaviour.
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 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, 3 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
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
6, 7 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
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
Required ResourcesPRESCRIBED TEXTS.
Crisp, J, Taylor, C. Douglas, C. Rebeiro, G. 2017 Fundamentals of Nursing. 5th Edition, Elsevier, Chatswood, NSW.
Tollefson, J., Hillman, E, 2019 Clinical psychomotor skills: assessment tools for nursing 7th ed. Cengage Learning Australia
Lewis, P & Foley, D 2013, Weber & Kelly's Health Assessment in Nursing, 2nd Edition Australian edn, Wolters
Kluwer Health | Lippincott Williams & Wilkins, Broadway.
Intelli+Learn, 2017. Medication Management for Health Professionals. Online resource, An interactive course to develop and assess skills in medication management. Australia.
Recommended ResourcesDaly, J. Speedy, S. Jackson, D. 2017 Contexts of Nursing, 4th edn, Sydney, Churchill Livingstone.
Stein-Parbury, J 2013, Patient and Person: Interpersonal Skills in Nursing, 5th edn, Elsevier, Sydney.
O'Toole Gjyn, 2016 Communication Core Interpersonal skills for Health Professionals, 3rd Edition, Elsevier, Sydney
Tiziani Adriana, 2017, Harvards Nurisng Guide to Drugs, 10th Edition, Elsevier, Sydney
Online LearningAll material will be presented online via MyUni in CANVAS.
Learning & Teaching Activities
Learning & Teaching ModesFace to face lectures – this course benefits from the real time delivery of content. Face to face lectures offer synchronous learning opportunities and enable students to quickly clarify complex descriptions and terminology. Much of the content for this course is supported by textbooks with web page and e-learning supports (e.g. flash cards for revision). The Adelaide Nursing School supports the audio and video capture of lecture content as an aid to revision.
Tutorial sessions – tutorial sessions enable small group discussion and peer interaction around the content. Each tutorial session will focus on the lecture content for the week. Lecturer A who provide the in hospital assessment and bedside teaching role contribute to and provide tutorial sessions both with university and in the various clinical placement settings. The Lecturer A is able to assess student’s progress in a consistent and supportive environment and identify clinical learning opportunities that reinforce the weekly content of the tutorials and other courses. In this way tutorial sessions integrate with clinical placement goals.
Simulated Learning Environments (SLE) – the simulated learning environment provides students an opportunity to practice a range of communication and psychomotor skills prior to attending clinical placement. Importantly the SLE also enables clearly constructed, well considered clinical scenarios which nurture and challenge student development. The new Adelaide medical and health school SIMM suite provides a state of the art clinical training venue with dedicated nursing lecturers with expertise in low and high fidelity simulation. Students will learn to take vital signs on each other and provide a range of activities of daily living. The lab setting enables assessment of basic life support and manual handling. Further enhancement of the lab facility will enable high fidelity simulation to ensure the skills development of students occurs across the three years of the program. The SLE is especially complimentary to the PBL style of content delivery used in the 3rd year of the program.
IPL Interprofessional Learning - EAch semester students will engage with Medical Students in an interprofessional environment to participate in simmunlation activities. These activities aim to foster leadership and teamwork.
Semester 1 objectives:
- Gain awareness of teams that exist in our health service
- Explore the qualities of an effective leader
- Introduce and discuss leadership styles and methods
- Understand why leadership is important
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 1 hour lecture / week
- 1 x 2 hour lecture / week
- 1 x 3 hour SLE / fortnightly
Learning Activities Summary
The tables below indicate the lecture, tutorial and simulared workshops for Health Assessment and Clinical Nursing 1. Please refer to the timetable above for details on class and time. Other tutorials may be provided as required.
Health Assessment and Clinical Nursing 1 Lecture Series 1. Fundamentals of care (activities of daily living)
2. ADL Care Showering, mouth/ear/hair care,
3. ADL Care Bed making and Nutrition
4. ADL care – Nutrition and Elimination
5. Vital Signs 1 – assessing temperature and respiration
6. Vital Signs 2 – assessing pulse and blood pressure
7. Pressure injury prevention
8. Feeding, Toileting, U/A, Other specimen testing
9. Manual Handling/ OHS&W
10. Basic Life Support
11. Manual Handling test - written
12. Basic Life Support Test – written
14. Basic psychosocial interviewing
15. Basic Psychosocial Assessment
16. Skills of Inspection, Palpation, Percussion & Auscultation
17. Nursing Role in Health Assessment
18. Cultural Diversity and health assessment
19. Lifespan and health assessment
20. Gender Differences and health assessment
Simulated Learning Environment 1. Infection Control
2. Aquium and Hand washing
3. Gowns, gloves, masks, sharps safety
4. ADL Care
5. Showering, mouth/ear/hair care, Bed making
6. ADL care - Nutrition and Elimination
7. Feeding, Toileting, Urinalysis, Other specimen testing
8. Basic Life Support practice
9. Manual Handling Testing - Practice
10. Interviewing skills
11. Vital Signs – TPR and BP - Practice
12. Documentation – FBC and Vital Signs
Specific Course RequirementsHealth Assessment and Clinical Nursing 1 requires that you attend all lectures and tutorials. A time table for these lectures will be available in the Study Guide and on MyUni in CANVAS.
PLEASE NOTE: Some placement will continue for the duration of the Mid Semester Break
There are a number of Mandatory Checks that need to be completed prior to commencing placement.
These will be made clear at ORIENTATION.
PLEASE NOTE: Any student who has not completed all these requirements prior to placement will not be able to attend and will place their course completion at risk.
Small Group Discovery ExperienceThe Small Group Discovery (SGDE) is a compulsory component of the Undergraduate Bachelor of Nursing Program. SGDE will be a component of this course. Further details will be provided on commencement.
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 Task Assessment Type Weighting Learning Outcome(s) being addressed Drug calculations disgnostic Formative (diagnostic) N/A 5, 6, 9 Pre-placement assessment Summative NGP 5, 6, 9 Clinical records / NCAS/ Clinical Summative Assessment Summative NGP 1-9 SGDE Summative 10% 1-9 Psychosocial health assessment Summative 40% 1-9 SCA Summative 50% 1, 5, 9
Assessment Related RequirementsDetails of assessment items will be found in the Study Guide and will be further discussed in class.
Assessment DetailASSESSMENT 1: Drug calculations test
Drug calculations: Students will complete a test in Semester one. This will be a graded test and will help to identify students who need assistance with maths early within the course of their program.
ASSESSMENT 2: Pre-placement assessment
Basic life support practical: students will be assessed in Basic Life support theory and practical. The assessment of BLS will take place during the Structured Clinical Examination prior to placement. The assessing staff members have completed a Basic Life Instructor courses through the ACCCN. Practical sessions will be conducted using CPR torsos. Students who fail the practical aspects of BLS will repeat the skills station until they are deemed competent prior to clinical placement. Basic life support test: students will be assessed in Basic Life support theory. This test will be available online at the completion of the BLS lecture. Students who fail the written aspects of BLS will repeat the test until they are deemed competent prior to clinical placement.
ASSESSMENT 3: NCAS/Clinical Summative Assessment.
In the first semester there is a requirement for all students to complete the mandatory competencies such as Basic Life Support and Manual Handling. A certificate will be provided at completion of the training and assessment. In addition to this compulsory attendance is required for all Practical Skills sessions (SLE) as these will provide students with the skills required for clinical practice. A skills text is prescribed for this course and students are encouraged to purchase this as the OSCE (Oral Exam) at the end of each semester will be based on the theoretical and practical components in this text. This text is also useful to refer to when attempting a skill on clinical placement as it identifies a range of competencies as required by the National competency standards for the registered nurse 2018.
At the completion of each clinical placement students are to obtain a completed NCAS (National Competency Assessment Schedule).
This document will contain a written reflection of the students clinical experience and a performance assessment written by the supervising Registered Nurse. This is to be signed by the University Clinical Lecturer and submitted to Turnitin in this course. Failure to complete this assessment will result in failure of this course.
ASSESSMENT 4: Psychosocial Health Assessment
Psychosocial Health assessment: using a pre-supplied pro-forma student will conduct a psychosocial health assessment of an adult within their clinical placement environment. Students will also need to gain permission from the patient or resident using the individual confidential release document from each venue. The health assessment will require students' to interview using a range of interview skills and in consideration of gender and culture. Students re asked to reflect on their interview and document with rationale which aspects were positive and which were negative.
ASSESSMENT 5: Case Study Review & Handover using ISBAR
To complete this assignment, you will review a patient case study. Then utilising the ISBAR format you will develop a handover report. Preparation for this assessment will be offered in class.
ASSESSMENT 6: Oral Structured Clinical Examination (OSCE)
OSCE: students will attend a 30 min OSCE in which they will demonstrate a range of nursing interventions especially in relation to fundamentals of care. Students will be assessed by Lecturer A staff in the skill laboratory under controlled conditions.
Unless otherwise indicated all assignments are to be submitted through MyUni. TurnItin will be used to check student assignments. TurnItin will be used to check student assignments. Students MUST keep an electronic copy of all assignments submitted.
To apply for an Assessment Extension, a student must submit an application for extension form prior to the assessment deadline.
See the Modified Arrangements for Coursework Assessment Policy http://www.adelaide.edu.au/policies/3303/
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.
Final results for this course will be made available through Access Adelaide.UNIVERSITY OF ADELAIDE, EXAMINATIONS POLICY
The examinations policy for this course is guided by the University of Adelaide, Examinations.
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.In response to student feedback, the Objective Structured Clinical Examination will now be a HURDLE and a Pass /Fail will be recorded. Students will be given an opportunity to repeat this exam if they fail. Failure to complete this assessment will result in failure of this course.
2017 SELT feedback - More clinical skill time allocated to students with smaller groups. This has now been changed so that all students attend clinical skills sessions for 3 hours per fortnight. Students are organised into groups of five students to one lecturer. This has met with a favourable response from students in 2018.
2017 SELT - asked for more tutorials to discuss content no understood in the Lecture. This was introduced in 2018 and run every fortnight. the response was overwhelming so that this year (2019) the tutorials will be run weekly, 3 lecturers will be available for these sessions.
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Policies & Guidelines
This section contains links to relevant assessment-related policies and guidelines - all university policies.
- Academic Credit Arrangements Policy
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- Student Experience of Learning and Teaching Policy
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