SYKPPRA20MB 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 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 and competent drug administration 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

• explaining care pathways in the event of relevant diseases and treatments
• under supervision, contributing to equal nursing services independent of patients’ gender, ethnicity, religion and view of life, functional impairment, sexual orientation, gender identity, gender expression and age
• explaining the significance of nutrition in the event of disease and challenges linked to obesity, malnutrition and disease-related undernourishment
• assessing factors related to an increased risk of patient injuries or unwanted incidents and contributing to work processes to promote quality improvement and patient safety
• identifying ethical dilemmas in practice and reflecting on different choices of action
• explaining the significance of next-of-kin for the patients’ health and quality of life both when it comes to majority and minority cultures
• 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

• interpreting the patients’ experiences and reactions such as insecurity, fear, discomfort and exhaustion
• applying mapping, assessment, documentation and communication tools in nursing practice
• carrying out and explaining nursing to patients with the most common symptoms, diseases, care pathways and treatment in the nursing practice
• identifying signs of change/deterioration at an early stage, and implementing necessary measures
• implementing national knowledge-based professional procedures and national guidelines
• applying different approaches and methods in health guidance adapted to the individual's needs
• communicating across language barriers with the help of a professional interpreter
• applying professional knowledge and scientific methods to elucidate a delimited issue relevant to the practical training establishment
• using technology and digital solutions to support patients’ and next-of-kin's resources, mastering possibilities and participation
• is capable of applying educational principles when imparting information, teaching and counselling patients and next-of-kin

Competence

The student

• is capable of reflecting on how unwanted incidents can occur and discussing this in relation to professional responsibility in the practice of nursing
• is familiar with quality indicators and standard terminology in the documentation of nursing
• is capable of identifying different ethical issues and dilemmas, making ethical considerations, safeguarding the patient’s dignity and integrity and promoting the patient and next-of-kin’s right of co-determination and autonomy
• is familiar with innovative thinking in e-health, welfare and care technology
• is capable of reflecting on the practical training establishment’s procedures and methods and taking the initiative to engage in dialogue about the implementation of new knowledge and new work methods
• is capable of reflecting on the connection between care pathways, patient safety and equal health services

• 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
• SYKK/SYKPPRA10 Fundamentals of Nursing, 15 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 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 describing measures to preserve life and health in the event of major accidents and in crisis and disaster situations

Skills

The student

• is capable of performing nursing work through systematic mapping and assessing the patient's resources, problems and needs as well as implementing measures, and evaluating and documenting the effect using the nursing process
• 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 masters general first aid according to the ABC principle
• 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

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, mainly in hospitals (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 (90 %), self-presentation for the start of the practice and self-assessment for the mid- and final assessment, courses in first aid and courses in blood test.;

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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 and seminars, 4 eeks. Compulsory attendance of 90 %.;

If a student exceeds the maximum limit for absence at the SF unit and seminar, a replacement assignment can only be submitted once before the ordinary examination.

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.

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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 - None.;;

The course builds and expands on the course SYKK/SYKPPRA20. In this course, the students will practice independence in planning, carrying out and assessing nursing in acute and chronically ill patients. The prevention of complications and early detection of deterioration in the patients’ condition are key elements. Quality development, patient safety and ethics and health gudiance are also part of the course.

Passed the courses:

• SYKK/SYKPPRA10 The Fundamentals of Nursing, 15 credits
• SYKK/SYPP1400 Diseases and Health Deficits, 10 credits
• SYKK/SYKP1300 Pharmacology and Administration of Medicine, 5 credits (only from year group 2022 in the academic year 2023-2024)
• Part 1 of SYKK/SYKPPRA20 Nursing Patients with Acute, Critical and Chronic Diseases

or equivalent.

Practical training: in the specialist health service (medicine/surgery) (7 weeks), includes SF unit and seminars.