SYKKPRA21K Nursing Patients with Acute, Critical and Chronic Diseases 1 Course description

This course teaches students about patients and next-of-kin in an acute, critical and chronic context, and what the nurse’s areas of responsibility entail. Students will learn to communicate with patients and next-of-kin in situations of stress and crisis. Systematic mapping and assessment, nursing of somatic diseases, pre and postoperative nursing and competent drug administration are also part of the course.

Part 1 Assessment of practical training

For practical training, there is a requirement for 80% attendance in theory, activities and practical training that is marked compulsory in the timetable, as well as 90% attendance during the practical training period itself. The student fills in the self-assessment for the start of the practical training, the rotating schedule during the first week of practical training and the self-assessment form no later than two working days before the agreed mid- and final assessment. Other compulsory assignments included in the overall assessment of the course are:

• Planning, preparing and delivering a plan and carrying out supervision for a group of first year students in cooperation with the practical training supervisor and contact lecturer (inspiration practical training).

To start this course, you must have passed:

• SYKP/SYKP1010 Foundations of Nursing 1, 15 credits.
• SYKK/SYKP1110 Anatomy, Physiology and Biochemistry, 15 credits.
• SYKK/SYKPPRA10 Foundations of Nursing 2, 15 credits.

or equivalent.*

* For year group 2023 at OsloMet, the equivalent is:

• Approved work requirements from SYKK/SYKP1300 Pharmacology and Drug Administration, 5 credits.

Passed course:

• SYKP/SYKP1000 Theoretical Foundations of Nursing/Foundations of Nursing 1, 13 credits.
• SYKK/SYKP1100 Anatomy, Physiology and Biochemistry, 12 credits.
• SYKK/SYKP1200 Microbiology and Infection Control, 5 credits.
• SYKK/SYKPPRA10 Fundamentals of Nursing/Foundations of Nursing 2, 15 credits.

After completing the course, the student is expected to have achieved the following learning outcomes defined in terms of knowledge, skills, and general competence:

Knowledge

The student

• can describe the patients’ subjective experiences of disease and suffering and the importance of hope amidst serious illness
• can describe an account of nursing care for medical or surgical treatment
• can describe the phenomena pain, treatment of pain and pain relief

Skills

The student

• can systematically map and assess the patient's resources and problems, formulate goals, implement measures, and evaluate (the nursing process)
• can explain and perform person-centered nursing related to the current patient situation
• can use current clinical mapping and communication tools and be able to justify measures in the practice of nursing
• can document in clinical documentation systems using standardised terminology
• can carry out and assessing relevant nursing procedures
• can apply relevant medical technology in the practical performance of nursing
• can recognise stress and crisis situations in the event of loss and disease and adapting communication based on this
• can communicate with patients and next-of-kin adapted to the level of development/cognitive function and the condition
• can implement measures in the event of sub-acute and acute incidents as well as performing cardiopulmonary resuscitation with a defibrillator (CPR)
• can identify and reflect on ethically charged and challenging situations in clinical practice

General competence

The student

• can integrate knowledge from pathophysiology and pharmacology in the performance of nursing
• can reflect on responsible drug administration at an individual and systematic level
• can demonstrate responsibility, engagement, independence and can follow professional ethical guidelines
• can reflect on his/her own professional practice and progression
• can reflect on how culture and a cultural understanding can be important in the practice of nursing

Practical training consists of both practical training, activities along the way and supervised practical training that takes place during the practical training period. The practical training period (8 weeks), in the specialist health service (medicine/surgery) is supervised by the practical training supervisor and contact lecturer. Other practical training and activities (2 weeks) can be, simulation and skills training, digital learning resources, case studies, simulation and skills training and seminars.

For practical training, there is a requirement for 80% attendance in theory, activities and practical training that is marked compulsory in the timetable, as well as 90% attendance during the practical training period itself. The student fills in the self-assessment for the start of the practical training, the rotating schedule during the first week of practical training and the self-assessment form no later than two working days before the agreed mid- and final assessment. Other compulsory assignments included in the overall assessment of the course are:

• Courses in blood test.
• Individual assignment, scope of 1,500 words (+/- 10 %).

In this course, nursing of patients in the context of care and rehabilitation is a key area. The course covers the nursing of patients with complex health challenges on short-term or long-term stays in different institutions. Students will gain experience of communicating and interacting with patients and next-of-kin related to long-term health challenges. Mapping of loss of function, challenges related to key patient phenomena and cognitive deficits will be part of the course. Emphasis is also placed on attention to the patients’ background as a basis for nursing. Management, organisational competence, ethics and work on the nurse's pedagogical function are also included.

To start this course you must have passed:

• Passed the first year of study.
• SYKP/SYKP2100 Person Centered Care, 15 credits.
• SYKK/SYKPPRA21 Nursing Patients with Acute, Critical and Chronic Diseases 1, 15 credits.
• SYKK/SYKPPRA30 Nursing Patients with Acute, Critical and Chronic Diseases 2, 10 credits.

or equivalent.*

* For year group 2022 at OsloMet, the equivalent is:

• Passed the first year of study.
• SYKK/SYKPPRA20 Nursing Patients with Acute, Critical and Chronic Diseases 1, 20 credits.
• SYKP/SYKP1060 Evidence-Based Practice (EBP) in Health Care, 5 credits.
• SYKP/SYKK2000 Theory of Science and Research Methods, 5 credits.
• SYKK/SYKPPRA30 Nursing Patients with Acute, Critical and Chronic Diseases 2, 10 credits.

After completing the course, the student is expected to have achieved the following learning outcomes defined in terms of knowledge, skills, and general competence:

Knowledge

The student

• can explain age-related diseases and treatments
• can discuss how person-centered nursing can contribute to well-being, health promotion and maintenance of physical and cognitive function in the individual
• can explain the grounds for how health and social care policy can set the guidelines for quality development in the municipal health service
• can explain current prioritisation criteria in the Norwegian health service

Skills

The student

• can apply the nursing process by observing, assessing, and making clinical decisions in complex nursing and treatment processes, and documenting the patient’s situation and needs for nursing in the patient records
• can administer, observe and assess the effects of medicines, current side effects and prevent polypharmacy
• can apply person-centered nursing, communication skills and communication principles when dealing with people with dementia to prevent and manage challenging behavior
• carrying out prioritised patient safety measures and discussing how this is exhibited and laid as a basis for professional improvement work in the nursing and care services
• taking responsibility for professional management by delegating and following up work
• tasks towards a group of patients and staff and reflect on how this can have an impact on the quality of the nursing service
• can apply educational principles in teaching, guidance and information to patients, next-of-kin, students, and relevant personnel
• can reflect on own and others' attitudes and values ​​in interaction with patients and next-of-kin, and in interprofessional collaboration

General competence

The student

• can assess patients' existential needs, and central phenomena such as meaning, hope, faith and reconciliation to contribute to quality of life
• can reflect on what can prevent and resolve conflicts in the working environment
• can identify and reflect on relevant ethical issues and dilemmas at the individual, group, and society level reflecting on the significance of social relations and the role the patient’s next-of-kin of patients who are on short- or long-term stays in institutionscan
• can reflect on the importance of the patient's social relationships and the role of relatives of patients who are on short- or long-term stays in institutions
• can reflect on the meaning of good care pathways for elderly people and chronically ill patients and how these can contribute to ensuring a coordinated, holistic, and cohesive service
• takes responsibility for own learning by identifying own learning needs and acquiring new knowledge, showing initiative, accuracy and reliability

Practical training consists of both practical training, activities along the way and supervised practical training that takes place during the practical training period. The practical training period (8 weeks) take part in municipal health service. Other practical training and activities (2 weeks in semester-start in the autumn for all students) can be lectures, digital learning resources and theme-based seminars with presentations. These 2 weeks are carried out jointly for the entire cohort at the start of the semester in August.

Combined assessment.

Part 1 Assessment of practical training.

The assessment takes its point of departure in given criteria based on learning outcomes for the course, criteria for failing the practical training, criteria for suitability assessment and compulsory activities carried throughout the entire course. During the practical training period, a minimum of 90 percent attendance is required to pass the practical training. For more information, see the general part of the programme description about the assessment of practical training.

If the student has failed the practical training, the whole practical training course must be retaken. This includes associated requirements. Part 1 and part 2 appear on the diploma.

Part 2 Individual home examination.

• Three days.
• Scope: 2,500 words (+/- 10 %).

Part 1 and part 2 can be taken independently of each other. The student must have obtained a pass on both parts in order to pass the course as a whole and earn the credits. . Part 1 and part 2 appear on the diploma.