SYKPPRA30MB Nursing Patients with Acute, Critical and Chronic Diseases 2 Course description

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.

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

The language is normally English.

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 asking critical questions about health claims and the sources of claims. This is followed up by focusing on the rationale for evidence-based practice (EBP) and its Core Competencies: Ask, Acquire, Appraise and Interpret, Apply, and Evaluate, 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
• can discuss the importance of user knowledge, clinical experience, and summarized research in clinical decision-making;

The teaching is mainly designed with "flipped classroom" and learning activities in class and smaller groups. Digital learning resources such as digital lectures, videos and films will be available to the students in advance. Students are recommended to use these resources and to be prepared before the lectures and the seminars. The students are specially recommended to participate at the presentation seminar since this seminar offers a unique opportunity for learning.

None.

Project examination, consisting of a group assignment with up to 7 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.;

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