SYKKPRA70B Prevention and Rehabilitation in Home-based Healthcare Service Course description

This joint course is developed for all the Bachelor programmes at the Faculty of Health Sciences which are part of RETHOS (National guidelines for the Health and Social Studies), and is considered as an introductory course, preferably taken during the first part of the study programme.

In this course, starting with relatable examples, students will learn about the rationale for evidence-based practice (EBP) and its Core Competencies: Ask, Acquire, Appraise and Interpret, Apply, and Evaluate. Areas of focus are critical thinking (e.g. asking critical questions about health claims and the sources of claims), and shared decision-making. The course provides a foundation for learning and applying more advanced and field-specific skills.

The student must have been admitted to the study programme.

On successful completion of the course, the student has acquired the following learning outcomes classified as knowledge, skills and competence:

Knowledge

The student

• can define what EBP is and recognizes the rationale for EBP and shared decision making
• knows the steps of EBP
• is familiar with the levels in the S-pyramid and acknowledges the difference between single studies and systematic reviews
• knows the characteristics of a scientific article, e.g. IMRAD
• can explain the purpose and characteristics of qualitative and quantitative studies and syntheses of studies, e.g. systematic reviews
• understands the principles for critical appraisal and knows how to use check lists for different study designs, clinical guidelines and professional procedures
• knows different types of categorical and continuous measures of association and effect, and key graphical presentations

Skills

The student

• can identify different types of professional/clinical questions, such as questions about treatment, diagnosis, prognosis, experiences and etiology
• can, for each type of clinical question, identify the preferred order of study designs
• can formulate searchable professional/clinical questions using e.g. PICO
• and variations of PICO
• can construct and carry out an appropriate and simple search strategy for professional/clinical questions from the top of the S-pyramid

General competencies

The student

• can critically assess health claims in the media

Practical training: over eight weeks in the municipal health service, home-based services. Includes self-study, lectures, simulation, flipped classroom, digital learning resources and seminars.

Digital learning resources are used for parts of INTER1300 ‘Interprofessional cooperation about and with children, adolescents and their families’, including digital resource lectures with lecturers from different study programmes, relevant cases and examples. 2 Days.

Practical training has requirements for attendance, self-presentation for the start of the practice and self-assessment for the mid- and final assessment, first aid (only year 2020), simulation palliation - in home-based services 2 days, innovation and service development - participation in workshops related to innovation and innovation processes 2 days, group assignment (3–5 students) – based on learning outcomes in the course, the group prepares a project description after the mid-term evaluation issue related to nursing in private homes or in care homes. Scope 1000 words (+/- 10 %). Based on the project description, the group creates a poster that is presented at a seminar before the final assessment.

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The following must have been approved in order for the student to take the exam:

• participate in at least 2 of 4 seminars

The students are recommended to participate at the seminar where they present the exam group projects.

Project examination, consisting of a group assignment with up to 5 students, based on a case with a health claim in the media. The assignment will include the levels of the EBP model. The assignment is submitted as a written paper of 1500 words (+/- 10 prosent) according to further specified criteria.

Each group decides whether their assignment is to be submitted in Norwegian, Swedish, Danish or English.

Resit exam: If the assignment is given the grade Fail, the group can submit a revised version once.

If this attempt fails, the group is entitled to a third and final attempt. In a third attempt, the group must choose a new health claim and submit a new examination paper.

In this course, students will learn about mental health work, relational skills and factors that promote and harm the mental health of individuals and groups. People's resources and opportunities, but also their vulnerabilities as individuals, are areas of focus. The significance of close relationships and society's influence are important for mental health and are emphasised in the course. This includes patient phenomena such as hope and hopelessness, pain and pain relief, exhaustion and energy.

Passed the courses:

• SYKP/SYKP1000 Theoretical Foundations of Nursing, 13 credits
• SYKK/SYKP1100 Anatomy, Physiology and Biochemistry, 12 credits
• SYKK/SYKP1200 Microbiology and Infection Control, 5 credits
• SYKK/SYKP1300 Pharmacology and Drug Administration, 5 credits
• SYKK/SYKP1400 Diseases and Health Deficits, 10 credits
• SYKK/SYKPPRA10 The Fundamentals of Nursing, 15 credits
• SYKK/SYKPPRA20 Nursing Patients with Acute, Critical and Chronic Diseases, 20 credits
• SYKK/SYKPPRA30K Decision-making in Nursing and Patient Safety, 10 credits

or equivalent

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

Knowledge

The student

• is capable of presenting mental health work in a historical perspective
• is capable of explaining different theoretical perspectives on mental health disorders and mental health work: the significance of relationships, professional ethics, aesthetics, dignity and integrity in dealings with patients and next-of-kin
• is capable of discussing how psychosis, personality disorders, anxiety, mood disorder and drug addiction can influence the patients’ fundamental needs and self-understanding
• is capable of describing mental health and psychosocial challenges among refugees and immigrants: trauma, loss, grief and identity
• is capable of describing how stigma, exclusion, discrimination and racism can influence mental health and psychosocial health
• is capable of assessing what inhibits and promotes communication and how poor health and unmet care needs influence professional relations
• is capable of describing strategies for mastery and concepts such as improvement processes, user participation, recovery and empowerment
• is capable of explaining different understandings of mental health, disease and treatment, and how nurses can interact with patients in a culturally sensitive manner
• is capable of understanding how health and social policy, including applicable official requirements and compulsory provisions, can be of significance to the practice of nursing in mental health work
• is capable of discussing social and health issues, including neglect, violence, assault, drug and socio-economic problems, and can identify and follow up people with such challenges and implement necessary measures and/or treatment, or refer the patient to an expert in the field

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Skills

The student

• is capable of applying key milieu therapeutic principles, and relevant mapping tools related to patients with mental health issues and/or drug addictions
• is capable of integrating knowledge from pathophysiology and pharmacology in the nursing of patients with mental health issues and/or drug addictions
• is capable of applying communication and interaction skills when encountering people with mental health issues and their next-of-kin
• is capable of establishing, maintaining and concluding relationships in academic and professional contexts
• is capable of using relevant documentation tools on the basis of a holistic understanding
• is capable of continuously assessing situations that entail a risk for patients and/or staff and preventing unwanted incidents
• is capable of demonstrating counselling skills, and is capable of receiving and making use of feedback on his/her own conduct

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Competence

The student is capable of

• reflecting on his/her own professional practice and power structures when encountering people with mental health issues and drug addictions
• reflecting on existing procedures and methods, and taking the initiative to engage in dialogue about the implementation of new knowledge and new work methods