NURSING 7019 - Advanced Clinical Practice

North Terrace Campus - Semester 2 - 2018

Advanced Clinical Practice provides registered nurses in the Master of Nursing Science program an opportunity to extend their clinical practice and skills. Suitable for nurses from a range of different clinical settings, the course provides theory and skill development for a number of diverse interventions. Supported by theory and integrating critical thinking the course places emphasis on simulation and skills laboratories to enable skill and practice development in a safe and secure environment. This course will be of particular interest to nurses from international or rural settings, those looking for skills to change careers and those who wish to revisit or refresh advanced clinical practices.

  • General Course Information
    Course Details
    Course Code NURSING 7019
    Course Advanced Clinical Practice
    Coordinating Unit School of Nursing
    Term Semester 2
    Level Postgraduate Coursework
    Location/s North Terrace Campus
    Units 6
    Contact 4 hours per week plus two weeks of full time practical placement
    Available for Study Abroad and Exchange N
    Restrictions Restricted to Masters of Nursing Science students only.
    Course Description Advanced Clinical Practice provides registered nurses in the Master of Nursing Science program an opportunity to extend their clinical practice and skills. Suitable for nurses from a range of different clinical settings, the course provides theory and skill development for a number of diverse interventions. Supported by theory and integrating critical thinking the course places emphasis on simulation and skills laboratories to enable skill and practice development in a safe and secure environment. This course will be of particular interest to nurses from international or rural settings, those looking for skills to change careers and those who wish to revisit or refresh advanced clinical practices.
    Course Staff

    Course Coordinator: Dr Frank Donnelly

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

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

  • Learning Outcomes
    Course Learning Outcomes

    1 Recognise and respond to a patient whose condition is deteriorating. Conduct a primary and secondary survey.
    2 Interpret life threatening arrhythmias and ECGs.
    3 Interpret and respond to abnormal arterial blood results
    4 Plan nursing interventions in response to shock (various causes).
    5 Manage and prepare for interventions for patients with difficult airways.
    6 Recognise and respond to patients with haemodynamic compromise.
    7 Manage minor injuries (including stabilising and plastering broken limbs and preparing and suturing minor wounds).
    8 Rationalise clinical decision making processes.
    9 Manage pleural drains and identify issues relating to chest tube insertion.
    10 Develop and deliver a clinical teaching skills sessions.
    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 - 4, 6 - 9
    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
    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, 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
    10
    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
    8, 10
  • Learning Resources
    Required Resources

    Content experts from across the school will be called on to deliver lectures. Students will have an opportunity for formal observation of clinical practice with a partner health care institution. Students will need to wear clothing appropriate (navy pants, white short sleeve shirt and closed non-slip soled shoes) to the clinical setting.

    Recommended Resources

    This course will be supported by reading lists, web-links, library resources, study guides, IT support and use of TURNITIN as an educational tool.

    Online Learning

    Online resources will be used to support student learning. External web links, video and lecture readings of the face to face presentations will be provided.


  • Learning & Teaching Activities
    Learning & Teaching Modes

    Each week of teaching will require 2 hours of face to face lecture followed by a 2 hour skills laboratory session. Each week will focus on a particular theme and activity. It will be important to establish a common and detailed understanding of the theoretical principles of advanced practice prior to the skills laboratory session. Students will also have access to a number of ANS staff with emergency and critical care backgrounds to ensure consistent and contemporary support. 

    Where possible the observational experiences in acute medical, surgical or high dependency areas will provide students with experiences of the theoretical content. Integrating theory with practice elements should assist with learning and retention.

    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 2 hour lectures / week (2 hour lectures may also be provided).
    • 1 x 2 hour practical / week

    Non contact hours for assessment and practical preparation may be up to 7 hours per week.
    Learning Activities Summary
    Theme 

    Clinical Skills Examples

    Week 1 Deteriorating patients  Advanced clinical assessment 
    Week 2  Airway Pt 1  Assist Intubation
    Week 3  Airway Pt 2  Manage tracheostomy 
    Week 4  Abnormal Blood Results  Analyse ABG
    Week 5  Cardiovascular Pt 1  Manage cardiovascular emergencies, UWSD, interpret ECG
    Week 6 Cardiovascular Pt 2  Advanced Life support and pacing 
    Week 7  Shock Pt 1  Titrate inotropes and fluid resuscitation
    Week 8  Shock Pt 2  Assess shock profiles 
    Week 9  Neurological Pt1  Perform GCS and neurological exams 
    Week 10 Neurological Pt 2  identify and respond to increase in ICP
    Week 11  Neurovascular  Suturing and plastering limbs 
    Week 12  Clinical Teaching  Teach other students a clinical skill
    Specific Course Requirements

    To attend the observational clinical placement students will need to acquire a criminal history check (CHC) from either their own country or if enrolled longer than six months in Australia, an Australian CHC. Standard expectations around immunisation and standards of behaviour will also apply.

    The students will be registered as students with AHPRA.

    Small Group Discovery Experience

    Each weekly skills lab session will provide an excellent format for an SGDE. Timing of certain skills sessions will be timetabled in the AHMS Sim centre.

  • 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 Task Type Weighting Learning Outcome
    Quiz Formative 0% 1, 2, 3
    Clinical journal Summative 30% 1 - 10
    OSCE Summative 40% 4 - 8
    Clinical Teaching Session Summative 30% 9, 10
    Assessment Related Requirements

    Quiz (0%) – provided early in the course the quiz (week 3) will provide an indication of student learning journal. The content will be related to weeks 1-2 of the course. The quiz will be contained within the learning management system, Canvas.

     Clinical Journal (30%) – following the observational experience, students will present a reflective paper – the clinical journal. This journal will enable students to reflect on their observations of contemporary Australian practice and to then explore their own practices or to comment on new practices they have seen. Using the 4Rs Framework for Reflective Practice (Ryan & Ryan 2012) students will have a structure on which to base their observations. Students will use contemporary nursing literature to demonstrate how evidence informs their clinical observations and reflections.

     OSCE (40%) – having a clinically oriented course, students will appreciate the opportunity to be assessed in their capacity to perform and explain the rationale for a range of clinical skills. Students will be able to apply skills, in a number of scenarios, using either manikins or actors to enhance the clinical nature of the assessment. Students will also be required to provide a rationale for particular nursing interventions, for example on analysis of an ECG students might be asked to explain what interventions may be most likely. Video capture of the assessment, to be held in the Simulation Centre, will be used to debrief and illustrate improvements to practice (30 minutes).

    Clinical teaching session (30%)  - students will identify a skill, prepare a teaching plan and then deliver a 10 minute teaching session. Students will be assessed for clarity, presentation style and content using a presentation rubric.

    Assessment Detail

    No information currently available.

    Submission

    All assignments will be submitted through Canvas.

    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.

    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.

    As this is a new course for 2018, no previous feedback is available.
  • 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.