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

In this course, the student will learn about nursing for patients with chronic diseases, loss of function after injury or disease, intellectual disabilities and other complex diseases. The students will encounter patients in their own homes or in residential care homes. They will gain experience of communicating and interacting with patients and next-of-kin. Challenges related to key patient phenomena, functional impairment, mastery, dignity and user participation will be central aspects of the course. Different perspectives on nursing in a care and rehabilitation context are analysed with the home as the arena, at the intersection between paternalism and autonomy, as well as different cultural values. Interprofessional and intersectoral cooperation and service development and innovation are also included in the course.

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 discuss the nurse's role in health promotion work, everyday (re)habilitation activities for people living at home in different age groups
• can explain person-centered nursing of patients with lasting health challenges and their families
• can discuss health counselling at the individual, group, and social level

Skills

The student

• can apply the nursing process (mapping, planning, carrying out, evaluating and documenting nursing measures) with patients living at home, which contributes to health promotion, rehabilitation, well-being and quality of life
• can interact interprofessionally and across sectors through coordinated, comprehensive, and cohesive service offerings that ensure excellent person-centered health services
• can plan, implement, evaluate and document nursing measures that ensure the safe transfer of patients between units and levels of the municipal health service and which contribute to health promotion for patients living at home
• can provide nursing care for patients in the palliative phase and follow up next-of-kin and those left behind
• can administer and monitor medication treatments for individuals living at home in a responsible manner
• can manage and structure their own working day, in order to achieve independence in their role as a nurse

General competence

The student

• can critically reflect on how information, communication and welfare technology can strengthen the municipality’s services
• can use technology and digital solutions to support patients’ and next-of-kin's resources, mastering possibilities and participation
• can explore what a lack of activity and unmet psychosocial needs can lead to over time, and discussing how new measures can strengthen services provided
• can discuss his/her own professional role in an interprofessional context and initiating and contributing to interprofessional and intersectoral cooperation
• can communicate and share experiences related to central subject matter, nursing problems, and solutions, both in writing and orally
• can identify and reflect on ethical aspects and perspectives when nursing is carried out in private homes
• can critically reflect and engage in new thinking and innovation processes through project work and taking the initiative to quality improvement and implementation of new work methods
• can critically discuss cultural sensitivity and reflecting on the significance of cultural understanding in nursing practice, quality, and patient safety in the patients' homes

Lectures, teaching programs from the University Library, project-based practical training (five weeks) group work, first aid course, self-study, and participation with presentations at 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:

• Simulation palliation
• Innovation and service development, participation in workshops related to innovation and innovation processes
• Group assignment (3-5 students) - based on learning outcomes in the course, the group formulates an 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.

Part 1 Project assignment in group.

• 4-6 student in group.
• Scope of 5,000 words (+/- 10 %).

The assignment can be given in English or Scandinavian language. The individual group must deliver in the same language.

Part 1 must be passed before part 2 oral presentation of the project assignment can be carried out.

Resit exam: A student who fails the ordinary exam, may nevertheless submit a reworked version as a resit.

Part 2 Presentation of project assignment

• In seminar.

The presentation can be given in English or Scandinavian language. The individual group must deliver in the same language.

Part 1 and part 2 must have obtained a pass grade 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.

In situations where group cooperation does not work as it should, it may be necessary to adjust the group composition. This can be done, for example, by reorganising the groups or letting certain members work with other groups. If collaboration problems cannot be resolved, it may also be an alternative for the individual student to complete the exam alone.

All aids are permitted, as long as the rules for source referencing are complied with.

Part 1 Pass-fail.

Part 2 Pass-fail.

Part 1 and part 2:

All answers are assessed by two examiners.

An external examiner is used regularly, at a minimum of every third completion of the course. When selecting answers for external evaluation, a minimum of 10 percent of the answers shall be included, with no fewer than 5 answers. The external examiner’s assessment of the selected answers shall benefit all students

• 5 ECTS overlap with xx1050 Public Health and Health Management, 5 ECTS.
• 5 ECTS overlap with SYKK/SYKPPRA40 Promotion of Health and Prevention of Illness, 5

ECTS.

• 10 ECTS overlap with SYKK/PPRA45 Public Health, 10 ECTS.
• 20 ECTS overlap with med SYK2900 Public Health in a Global Perspective, 20 ECTS.
• SYKK2200x, SYKP2200x and SYKD2200 are fully overlapping.