SYKPPRA60B 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. You will complete 8 weeks of practical training in this 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 explain age-related diseases and treatments
• can discuss how person-centered nursing can contribute to well-being, health promotion and maintenance of physical and cognitive function in the individual
• can explain the grounds for how health and social care policy can set the guidelines for quality development in the municipal health service and discuss how patient safety measures are expressed

Skills

The student

• can apply the nursing process by 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
• can administer, observe and assess the effects of medicines, current side effects and prevent polypharmacy
• can apply person-centered nursing, communication skills and communication principles when dealing with people with dementia to prevent and manage challenging behavior
• carrying out prioritised patient safety measures and discussing how this is exhibited and laid as a basis for professional improvement work in the nursing and care services
• taking responsibility for professional management by delegating and following up work
• tasks towards a group of patients and staff and reflect on how this can have an impact on the quality of the nursing service
• can apply educational principles in teaching, guidance and information to patients, next-of-kin, students, and relevant personnel
• can reflect on own and others' attitudes and values ​​in interaction with patients and next-of-kin, and in interprofessional collaboration

General competence

The student

• can assess patients' existential needs, and central phenomena such as meaning, hope, faith and reconciliation to contribute to quality of life
• can reflect on what can prevent and resolve conflicts in the working environment
• can identify and reflect 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 institutionscan
• can reflect on the importance of the patient's social relationships and the role of relatives of patients who are on short- or long-term stays in institutions
• can reflect 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
• takes responsibility for own learning by identifying own learning needs and acquiring new knowledge, showing initiative, accuracy and reliability

Practical training: in the municipal health service (8 weeks), including self-studies, lectures, digital learning resources and theme-based seminars with presentations.

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. Other compulsory activities included in the assessment of practical training are:

• 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).

Combined assessment.

Part 1 Assessment of practical training.

The assessment takes its point of departure in given criteria based on learning outcomes for the course, criteria for failing the practical training, criteria for 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 1 and part 2 appear on the diploma.

Part 2 Individual home examination.

• Three days.
• Scope: 2,500 words (+/- 10 %).

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 1 and part 2 appear on the diploma.

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

Emnet er todelt; prakisutplassering hvor studenten gjennom veiledet praksis skal øve seg som familieterapeut, og workshops som består av undervisning og ferdighetstrening knyttet til de ulike familieterapeutiske tilnærmingene og klinisk kompleksitet. Oppstart av emnet er i andre semester og avsluttes med eksamen i sjette semester. Praksisperioden er på totalt 300 timer, og gjennomføres i fjerde og femte semester, hver på 150 timer.

Presentasjon av de ulike familieterapeutiske tilnærminger og øvelser i praktiseringen av disse står sentralt. I praksisutplassering skal studenten trene på utøvelsen av familieterapeutiske tilnærminger i endringsarbeid med familier under veiledning av erfarne familieterapeuter. Studenten arbeider gjennom hele emnet med å integrere personlig profesjonell utvikling (PPU) gjennom kombinasjonen av teori, familieterapeutiske tilnærminger, forskningsbasert kunnskap og erfaringer fra praksisfeltet.

Undervisningsspråk er norsk.

Politiattest

Det må fremlegges politiattest ved opptak til studiet. Politiattesten leveres ved studiestart. Det vises for øvrig til Forskrift om opptak til høyere utdanning, § 6-1 og § 6-2.

Emnene SFB4100 Systemisk grunnlagsforståelse og SFB5110 Psykiske tilstandsbilder hos barn og unge må være bestått før studenten kan utplasseres i praksis.

Studenten skal etter å ha fullført emnet ha følgende totale læringsutbytte definert i kunnskap, ferdigheter og generell kompetanse:

Kunnskap

Studenten har

• avansert kunnskap om familieterapifeltet og sentrale familieterapeutiske tilnærminger
• inngående forståelse om hva som virker i familieterapi - herunder evidensbasert praksis
• inngående kunnskap om hvordan det personlige og profesjonelle gjensidig påvirker hverandre, og konsekvenser av slik kunnskap for forståelse av seg selv i relasjon til andre i sin profesjonelle praksis

Ferdigheter

Studenten kan

• anvende presenterte perspektiver, familieterapeutiske tilnærminger og praktiske ferdigheter i endringsarbeid
• delta i familiearbeid - herunder i ulike terapeutiske posisjoner, både som som hovedterapeut, co-terapeut og reflektør
• arbeide med kompleks problematikk i familier
• samarbeide tverrfaglig og ivareta brukermedvirkning og klientperspektiv i familiearbeidet

Generell kompetanse

Studenten kan

• arbeide endringsorientert gjennom å anvende ulike sentrale familieterapeutiske tilnærminger i møte med familier, enkeltindivider, samt i konsultasjon, veiledning og undervisning
• reflektere over etiske spørsmål og handle etter etiske prinsipper i arbeidet med familier
• reflektere over eget terapeutisk ståsted og ha bevissthet om betydningen av det personlige aspektet i relasjonelle møter med andre i en profesjonell sammenheng