SYKPPRA60 Nursing for Patients with Complex Health Challenges Course description

In this course, nursing of patients in the context of care and rehabilitation is a key area. The course covers the nursing of patients with complex health challenges on short-term or long-term stays in different institutions. Students will gain experience of communicating and interacting with patients and next-of-kin related to long-term health challenges. Mapping of loss of function, challenges related to key patient phenomena and cognitive deficits will be part of the course. Emphasis is also placed on attention to the patients’ background as a basis for nursing. Management, organisational competence, ethics and work on the nurse's pedagogical function are also included.

Passed course:

• SYKP/SYKP1000 Theoretical Foundations of Nursing/Fundamentals of Nursing 1, 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/2, 15 credits
• SYKK/SYKPPRA20 Nursing Patients with Acute, Critical and Chronic Diseases/1, 20 credits
• SYKK/SYKPPRA30K Decision-making in Nursing and Patient Safety/Nursing Patients with Acute, Critical and Chronic Diseases 2, 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

• explaining age-related diseases and treatments
• assessing the patient’s existential needs, and central phenomena such as, meaning, hope, faith, and reconciliation
• explaining what promotes and impedes well-being and a sense of belonging in the event of long-term health deficits
• stating the grounds for how health and social care policy can set the guidelines for quality development in the municipal health service

Skills

The student is capable of

• observing, assessing, and making clinical decisions in complex nursing and treatment processes, and documenting the patient’s situation and needs for nursing in the patient records
• observing and assess drug treatment to prevent problems with polypharmacy
• using knowledge of dementia when encountering challenging behaviours
• carrying out prioritised patient safety measures and discussing how this is exhibited in the nursing and care services
• taking responsibility for professional management by delegating and following up work tasks, and guiding colleagues in a team
• using knowledge about learning, mastering and change processes in counselling and teaching of the patient’s, next-of-kin, students, and relevant personnel
• reflecting on patient-centred nursing in complex and complicated conditions, and planning and carrying out targeted cooperation processes with patients, next-of-kin and other practitioners

Competence

The student is capable of

• reflecting on different ways of organising and leading the nursing services and how these impacts on the quality of the services
• reflecting on what can prevent and resolve conflicts
• identifying and reflecting on relevant ethical issues and dilemmas at the individual, group, and society level reflecting on the significance of social relations and the role the patient’s next-of-kin of patients who are on short- or long-term stays in institutions
• reflecting on the meaning of good care pathways for elderly people and chronically ill patients and how these can contribute to ensuring a coordinated, holistic, and cohesive service

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.

Part 1 Assessment of practical training

Practical training has requirements for attendance 90 %. The student fills in a self-presentation for the start of the practice and self-assessment for the mid- and final assessment.

Part 2 Individual home exam

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

• Completed e-learning module. The workload for the students is estimated at approx. 30 hours. To be completed in June, before the autumn semester of the 3rd year of study.
• Planning and carrying out supervision for a group of first year students in cooperation with the practical training supervisor and contact lecturer (inspiration practical training).

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/interacthttps://uni.oslomet.no/interact/

Practical training has requirements for attendance (90 %), self-presentation for the start of the practice and self-assessment for the mid- and final assessment, SF unit (wound) and digital seminar (nutrition).

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

• can present mental health work in a historical perspective
• can s discuss how psychosis, personality disorders, anxiety, mood disorder and drug addiction can influence the patients’ fundamental needs and self-understanding
• can describe mental health and psychosocial challenges among refugees and immigrants and how stigma, exclusion, discrimination, and racism can influence mental health and psychosocial health
• can describe strategies for mastery and concepts such as improvement processes, user participation, recovery, and empowerment
• can explain how framework factors such as current legislation and compulsory regulations can be of significance to the practice of nursing in mental health work
• can discuss the special needs of children and young people related to trauma, neglect, violence, abuse and drug and socio-economic problems
• 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

• can apply key milieu therapeutic principles related to patients with mental disorders
• can apply knowledge about the main groups of psychotropic drugs and integrate knowledge from disease theory in assessing the effects and side effects of drugs
• can apply communication and interaction skills when encountering people with mental health issues and their next-of-kin and can establish, maintain, and terminate relationships
• can map symptoms of various mental and drug-related disorders and conditions and use relevant mapping tools in the practice of nursing
• is capable of continuously assessing situations that entail a risk for patients and/or staff and preventing unwanted incidents
• can assess what inhibits and promotes communication and how poor health and unmet care needs influence professional relations
• 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 and and receive guidance and feedback
• 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*

Practical training has requirements for attendance 90 %. The student fills in a self-presentation for the start of the practice and self-assessment for the mid- and final assessment. Other compulsory activities are:

• 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.  

The contact lecturer approves the grade after recommendation from the practical training supervisor. The final decision on whether to award a pass or fail grade is made by the university.