NURSING 3006 - Nursing in Complex Settings II
North Terrace Campus - Semester 1 - 2015
General Course Information
Course Code NURSING 3006 Course Nursing in Complex Settings II Coordinating Unit School of Nursing Term Semester 1 Level Undergraduate Location/s North Terrace Campus Units 3 Contact Up to 6 hours per week Available for Study Abroad and Exchange N Course Description Nursing in Complex Settings II focuses on the science that underlies the care of paediatric and maternal patients. It is anticipated that students will develop an understanding of the specialist, evidenced based knowledge that has evolved and continues to evolve to ensure positive patient outcomes. Prominence is given to the typical pathological conditions encountered in paediatrics, as well as the subsequent nursing care. Supporting the pathology discussion are detailed descriptions of psychosocial and psychological development. Assessment of the clinical manifestations of paediatric illness and evaluation of the implemented care are included.
Course Coordinator: Suzanne Sharrad
School of Nursing
The University of Adelaide
Phone: +61 8 8313 3643
Fax: +61 8 8313 3594
The full timetable of all activities for this course can be accessed from Course Planner.
Week Lecture Tutorial Clinical Skills Session PBL Assessment 1 The theories of lifespan and development Paediatric Basic Life Support 2 Cognitive, social and personal development during infancy Paediatric Basic Life Support Paediatric Basic Life Support Assessment 3 Cognitive, social and personal development during preschool age The concept of family centered care Introductory Session for PBL
PBL Case 1 - Mental Health, Session 1
4 Cognitive, social and personal development during middle childhood Physiological changes from infancy to adolescence Vital Signs PBL Case 1 - Mental Health, Session 2 5 Cognitive, social and personal development during adolescence Health promotion and maintenance for the newborn, infants and children Vital Signs 6 Responding to fever and dehydration in infants and children My Virtual Child 7 Acute illness presentations in children Recognising and managing a seriously ill child part 1 - acute ilnness Care aspects of the child - feeding and nutrition/bathing and nappy changing PBL Case 2 - Trauma Child, Session 1 8 Chronic illness presentations in children Recognising and managing a seriously ill child part 2 - chronic illness Care aspects of the child - feeding and nutrition/bathing and nappy changing PBL Case 2 - Trauma Child, Session 2 9 Changes in the female body due to pregnancy 10 General Nursing care of the pregnant woman 11 Paediatric Medications - O, S/C, IM, IV, IO. Paediatric Medications - O, S/C, IM, IV, IO - practice calculation session Preparation and administration of paediatric medications PBL Case 3 - Postop Caesarian Section, Session 1 12 Maternal health mortality - eclampsia, abortion, haemorrhage Preparation and administration of paediatric medications PBL Case 3 - Postop Caesarian Section, Session 2 Participation and Attendance in PBL
Examination (Exam week)
Course Learning Outcomes1. Demonstrate scientific curiosity and the adoption of appropriate attitudes towards the human body and paediatric patients.
2. Examine the psychosocial and psychological development milestones of infancy to adolescence
3. Correlate specific structural features of cells, tissues, organs and systems of the human body from infancy to adolescence
4. Apply their knowledge of the human body in the interpretation of health-related scenarios encountered in day-to-day living and pertaining to paediatric patients.
5. Understand and relate anatomy and physiology, pathophysiology and pharmacology to care of women in the perinatal period and to paediatric patients.
6. Demonstrate skills to perform an assessment of a newborn, infant child and adolescent
7. Practice safe administration of medications for infants and children and maternity patients
8. Justify the choice of treatment modalities for critical illness, during pre/during/post surgical procedures and within maternity and paediatric environments.
9. Develop nursing skills compliant with the NMBA standards required to provide competent care to patient in maternal health scenarios and for paediatric patients.
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. ALL The ability to locate, analyse, evaluate and synthesise information from a wide variety of sources in a planned and timely manner. 4, 5, 6, 7, 8. An ability to apply effective, creative and innovative solutions, both independently and cooperatively, to current and future problems. 1, 9. Skills of a high order in interpersonal understanding, teamwork and communication. 8, 9. A proficiency in the appropriate use of contemporary technologies. 8. A commitment to continuous learning and the capacity to maintain intellectual curiosity throughout life. 1, 8, 9. A commitment to the highest standards of professional endeavour and the ability to take a leadership role in the community. 9. An awareness of ethical, social and cultural issues within a global context and their importance in the exercise of professional skills and responsibilities. 1, 7, 8, 9.
Required ResourcesBall, J. W. Bindler, J Cowen, K. J. 2014 Child Health Nursing Partnering with Children and Families. 3rd Edition. Boston, Pearson.
- Barnes, M. & Rowe, J. (2013) Child Youth and Family Health Strengthening Communities. 2nd Edition. Elsevier, Marrickville.
- My Virtual Child found at http://www.myvirtualchild.com/
Learning & Teaching Activities
Learning & Teaching Modes
- Face 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 School of Nursing supports the audio and video capture of lecture content as an aid to revision.
- Problem Based Learning Tutorial sessions – PBL session enable small group discussion and peer interaction around a particular content. The PBL facilitator manages a staged release of information regarding the case at hand of which students need to formulate hypotheses and suggest interventions. The student group drives the direction of the inquiry and prepares a range of learning and resources for the following week where more details of the case are distributed. The facilitator will encourage and develop students to apply critical thinking of the scenario. The School of Nursing has been successfully using PBL for a number of years and staff from both undergraduate and postgraduate teaching are experience PBL facilitators.
- Clinical Skills sessions - The Robin Warren Skills Laboratory within the Faculty of Health Sciences provides a state of the art clinical training venue with dedicated nursing lecturers with expertise in low fidelity simulation. Students will perform skills such as paediatric resuscitation, assessment and nursing care of infants. Establishing effective communication exchanges using ISBAR and principles of Team Stepps will be very relevant for student’s clinical placement. 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.
- Clinical placement (aka professional experience) - The Australian Nursing and Midwifery Accreditation Council mandates that programs leading to registration as a nurse must have a minimum number of hours of professional experience. This course provides skills and knowledge that enable students to participate at a level commensurate with their progression. Students work closely with university Lecturer A staff and clinicians to reinforce learning and ensure consistency of course objectives. The objective of the professional experience associated with this course is to extend students skills in the advanced assessment of paediatric and maternal populations. A sound understanding of psychosocial development and pathophysiology is expected of students placed within a paediatric setting. At this stage of the program students would, with supervision, be expected to assume responsibility (under supervision) for the care of 4 people according to the nature of the clinical placement.
The information below is provided as a guide to assist students in engaging appropriately with the course requirements.WORKLOAD
The workload for this course requires attendance at:
· 1 x 2 hour lecture / week
· 6 x 1 hour tutorials / semester
· 4 x 1 hour clinical skills sessions / semester
· 6 x 2 hour PBL tutorial / semester
Non contact hours for assessment and tutorial preparation will be 5 hours / week
Learning Activities Summary
The tables below indicate the lecture, tutorial, clinical skills sessions and PBL based tutorials for Nursing in Complex Settings 2.
Lecture /Tutorial series
1. Theories of lifespan development and care of the child
2. Cognitive, social and personal development during infancy
3. Cognitive, social and personal development of preschool age
4. Cognitive, social and personal development during middle childhood
5. Cognitive, social and personal development during adolescence
6. The Concept of Family Centered Care in the Paediatric Environment
7. Physiological changes from infancy to adolescence
8. Health promotion and maintenance for newborn and infants
9. Health promotion and maintenance for children
10. Responding to fever and dehydration in infants and children
11. Acute illness presentations in children
12. Recognising and managing a seriously ill child part - acute care
13. Chronic illness presentations in children
14. Recognising and managing a seriously ill child part - chronic illness
15. Paediatric medications – calculations and administration (O, S/C, IM, IV, intraosseous)
16. Changes in the female body due to pregnancy
17. General nursing care for the pregnant woman
18. Maternal health mortality – Eclampsia, Abortion, Haemorrhage
1. Mental health
2. Trauma (MVA) and the care of a child
3. Post operative care for caesarean section
Clinical skills sessions
1. Taking vital signs
2. Feeding and nutrition for children
3. Bathing infants and nappy changing
4. BLS – review of basic life support interventions for infants and children
5. Preparation and administration of paediatric medications
Specific Course RequirementsFor specific course requirements, please refer to the learning and teaching modes.
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 must maintain academic standards.
Assessment No Assessment Name Type of Assessment Weighting 1 Paediatric Basic Life Support Assessment Formative 0% 2 My Virtual Child Summative 30% 3 PBL Participation and Attendance Summative 10% 4 Clinical Record/NCAS/Summative Assessment Summative NGP 5 Examination Summative 60%
Assessment Related RequirementsCopies of the marking rubrics for each assessment item will be located in;
1. The Study Guide
Assessment DetailAssessment 1: Paediatric Basic Life Support Assessment
Basic life support – paediatric: while basic Life Support applies to all age ranges this assessment requires students to focus on the resuscitation of infants and children. Students will repeat the skill station until they are deemed proficient.
Assessment 2: My Virtual Child
My Virtual Child: My Virtual Child is an interactive web-based simulation that allows students to raise a child from birth to age 18 and monitor the effects of ‘parenting’ decisions over time. This engaging assessment directly applies the key concepts of psychosocial development across the infant to adult lifespan and has been used in the School of Nursing for some time with great success. Students will download access from the My Virtual Child website and will ‘raise’ the child on their own or with another student. All work submitted however will be on an individual basis. 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: After 3 years of age, after 12 years of age and after 18 years of age.
Assessment 3: Problem based learning (PBL) Participation and Attendance
Problem based learning (PBL) Participation and Attendance: students who are active participants in the problem based learning sessions each week will receive marks towards their contribution. Each PBL case will extend across 2 weeks with a range of psychosocial, pharmacological, pathophysiological and nursing assessments and interventions based on mental health, trauma and maternal health care.
ASSESSMENT 4: Clinical record / NCAS / Clinical Summative Assessment
The Clinical Record (Tollefson) identifies a range of competencies as required by the Nursing and Midwifery Board of Australia Competency Standards of the Registered Nurse 2006. Students will have a range of skills records to complete during their clinical placement. The Clinical Record provides evidence that the student has demonstrated the required level of competency standard. Consistent with competency type assessments a non – graded pass is awarded. Some remedial opportunities will be available to those students who fail or are not exposed to certain competencies in the clinical setting. The Clinical Record forms part of the broader portfolio developed across each year of the program and provides a consistent reference for students nursing skill development. Due to the allocation of clinical placements from an external body, CLINEDSA, some components of the Clinical Record may be completed across Health Assessment and Clinical Nursing 3 and 4 however students must make satisfactory progress towards completing the record wherever possible. The Clinical Record also provides the 4Rs reflective framework for clinical teaching staff and students.
In addition to the skills record each student is to obtain a completed NCAS (National Competency Assessment Schedule) at the end of each placement. There are a total of 8 competencies to be completed over the 3 year program. A written Summative Assessment must also be obtained at the end of each placement which will be completed by the supervising Registered Nurse and Clinical Lecturer.
Assessment 5: Examination: A 2 hour examination will cover the content of the course.
Assessment submission information This semester we are using Turnitin for assessment submission. Please refer to your study guide for assessment details and the information below about Turnitin. Turnitin is an electronic program that enables students to check that they are referencing correctly. It also enables more efficient feedback as assignments submitted via Turnitin are assessed using an online process.
Step-by-step instructions for submitting an assignment using Turnitin are on this webpage: http://www.adelaide.edu.au/myuni/student/tutorials/content/Turnitin-Submitting-a-Turnitin-Assignment-as-a-Student.html When you submit an assignment to this program, you will receive an "originality report" and an "originality score" - these will let you know if you have accidently used the words of other authors - any areas of your work that are too close to your cited or other resources will be highlighted. To see this report after you have submitted your assignment, go back into the program and click on "view" - this will show you your assignment with any similar text highlighted. Bear in mind that this program is very sensitive - don't worry too much if you seem to have a high originality score as the program includes quotes and references in the count. However, it is important that you check the text that is highlighted, if it is a correctly referenced quote or an item in your reference list that is highlighted then you can ignore it but if the highlighted text that isn't a quote or reference you will need to re-write those sections in your own words. After you have submitted your assignment you will receive an email confirming that your assignment has been submitted correctly. If you do not receive this email then go back and try again. Keep the email you receive, just in case there are any issues with your assignment submission as we may need to view it to confirm your submission date and time.
You can submit multiple times to this program - each new submission supersedes the previous, so we will only ever mark the latest version of your assignment! We encourage all students to practice with Turnitin before the final due date to make sure you know what you're doing.
A word of warning: although the program permits multiple submissions from a single student, Turnitin has a 24-hour lag between assignment submissions. For example, if you submit an assignment to the program at 10am on Sunday, you may not be able to submit again until 10am Monday! Be very careful to avoid a situation wherein you are unable to submit the final version of your assignment until after the final deadline. Falling into the 24hr lag window will not be grounds to avoid a lateness penalty, so if this happens you will need to use the online extension form.
If at any time you are having trouble submitting your assignment, please let us know ASAP so we can make alternate arrangements and please contact the Service Desk on 08 8313 3000 (open 24 hours).
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.
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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This section contains links to relevant assessment-related policies and guidelines - all university policies.
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