SYKPPRA20K Nursing Patients with Acute, Critical and Chronic Diseases 1 Course description

This course teaches students about patients and next-of-kin in an acute and critical context, and what the nurse’s areas of responsibility entail. Students will learn to communicate and cooperate with patients and next-of-kin in situations of stress and crisis. They will also become familiar with key phenomena in nursing, such as hope, insecurity, fear, fatigue, pain and nausea. Systematic observation and assessment, nursing of somatic diseases, pre and postoperative nursing, competent drug administration and health guidance are also part of the course.

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
• can explain different interprofessional methods of collaboration in the field of practice*
• can explain the challenges and possibilities of interprofessional cooperation processes* 

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
• can on the basis of examples from their own practical training, analyse and assess interprofessional cooperation processes on and with children and young people with challenges*
• can establish interprofessional cooperation about and with children, young people and their parents/guardians*

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
• understanding of the basis for and necessity of interprofessional cooperation about and with children, young people and their parents/guardians, and of their own professional contribution to the cooperation*

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

Passed course:

• SYKP/SYKP1000 Theoretical Foundations of Nursing, 13 credits
• SYKK/SYKP1100 Anatomy, Physiology and Biochemistry, 12 credits
• SYKK/SYKP1200 Microbiology and Infection Control, 5 credits
• Passed part 1 Practical training from course SYKK/SYKPPRA10 Fundamentals of Nursing (year group 2020)
• SYKK/SYKPPRA10 Fundamentals of Nursing, 15 credits (year group 2021)

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 describing the patients’ subjective experiences of disease and suffering and the importance of hope amidst serious illness
• is capable of explaining the most common reactions to crises in the event of illness and loss
• is capable of describing patient-centred nursing of children and adults
• is capable of describing pre and postoperative nursing of children and adults
• is capable of describing the phenomena pain, treatment of pain and pain relief
• is capable of explaining key concepts in the nurse’s pedagogical responsibilities: guidance, counselling, health guidance and shared decision-making
• is capable of explaining how the patient’s health competence is significant for life style changes and shared decision-making

Skills

The student

• is capable of performing nursing work through systematic observation, assessment and documentation of the patient’s resources, problems and needs
• is capable of applying mapping tools such as ABCDE (airway, breathing, circulation, disability, expose) and NEWS (National Early Warning Score) and the communication tool ISBAR (Identify, Situation, Background, Assessment, Recommendation)
• is familiar with the classification system (ICNP® - International Classification for Nursing Practice)
• is capable of carrying out and assessing relevant nursing procedures
• is capable of applying relevant medical technology in the practical performance of nursing
• is capable of recognising stress and crisis situations in the event of loss and disease and adapting communication based on this
• is capable of communicating with children, adolescents and parents/guardians adapted to the level of development/cognitive function and the condition
• is capable of applying educational principles when imparting information, teaching and counselling patients and next-of-kin
• is capable of implementing measures in the event of sub-acute and acute incidents
• is capable of identifying ethical dilemmas in practice and reflect on different choices of action
• is capable of carrying out and explaining nursing to patients with the most common symptoms, diseases, care pathways and treatment in the nursing practice

Competence

The student is capable of

• integrating knowledge from pathophysiology and pharmacology in the performance of nursing
• reflecting on responsible drug administration at an individual and systematic level
• demonstrating responsibility, engagement, independence and can follow professional ethical guidelines when encountering patients, next-of-kin and colleagues
• reflecting on his/her own professional practice and progression
• reflecting on how culture and a cultural understanding can be significant in assessments, planning, performance and evaluation of nursing

Practical training: in the specialist health service (medicine/surgery) (8 weeks), supervised by the practical training supervisor and contact lecturer and simulations and skills treining (4 weeks). Includes digital learning resources, case studies, simulation and skills training and seminars.

Part 1 Assessment of practical training

Practical training has requirements for attendance, self-presentation for the start of the practice and self-assessment for the mid- and final assessment.

Part 2 Supervised individual written exam

The following must have been approved in order for the student to take part 2 of the exam:

• participation in the SF-unit, compulsory attendance of 90 %, includes the following topics:

  • patients’ experiences, reactions and needs in connection with acute and critical illness
  • health guidance in the event of disease and health deficits
  • systematic mapping and assessment in acute and critical situations
  • nursing children in hospital

Combined assessment and exam

Part 1 Assessment of practical training.

The assessment takes its point of departure in given criteria based on learning outcomes for the course, assessment criteria, the continuous assessment, the suitability assessment and compulsory activities carried throughout the practical training. Students’ practical training can only be assessed if their attendance is sufficiently high (90%). 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 2 Supervised individual written exam

• 4 hours

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 2 One (1) A4 sheet of paper with the student’s own notes on both sides. The notes can be written by hand or on a computer, but must not include copies/photos from books/literature.

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.

In addition, the students taking this course in the spring semester will participate in the interdisciplinary teaching activity INTER1300 ‘Interprofessional collaboration on and with children, young people and their families’, with a scope corresponding to 1.5 credits carried out in the beginning of January. The theme will be how different professions can cooperate on and with children and adolescents. This includes a theoretical understanding of and research-based knowledge about interprofessional cooperation about and with children, adolescents and their families. Examples of the students’ practical training periods in particular, and from interprofessional cooperation in different practical fields of practice in general, will be part of the work. The learning outcomes expected after completion of INTER1300 are marked with *. See INTERACT’s website for a more detailed description of the content of INTER1300

https://www.oslomet.no/forskning/forskningsprosjekter/interact

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

Practical training has requirements for attendance (90 %), self-presentation for the start of the practice and self-assessment for the mid- and final assessment, participation in seminars, simulation, relational skills and cooperation, reflection assignment, individual assignment on ethics, power and legislation related to the student's own experience from practical training. Scope of 1000 words (+/- 10%).

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

• INTER1300, Submitted individual log. Scope: 500 words (+/- 10%). In order to write the log, the student must first attend a seminar over two days.