FYB1000 Funksjon – undersøkelse og kartlegging Emneplan

I fagutøvelsen møter fysioterapeuter mennesker med ulike skader og sykdommer på alle stadier i livsløpet. En persons funksjonsevne må forstås som et samspill mellom individ, oppgave og miljø. I undersøkelse og kartlegging av funksjon må fysioterapeuten kunne ivareta og samhandle med mennesker som opplever utfordringer i gjennomføring av aktiviteter og oppgaver både hjemme, i barnehage, på skole, på arbeid og i fritiden. Læringsutbyttene i emnet representerer grunnleggende kompetanse som er nødvendig for å undersøke, kartlegge, og identifisere faktorer som fremmer og hemmer en persons funksjon og helse. Samarbeid med andre profesjoner og yrkesgrupper forutsetter felles begrepsforståelse, og i dette emnet introduseres Verdens helseorganisasjons (WHO) internasjonale klassifikasjon av funksjon, funksjonshemming og helse (ICF) som et felles begrepsrammeverk.

Studenten må være tatt opp på studiet

Etter gjennomført emne har studenten følgende læringsutbytte definert i kunnskap, ferdigheter og generell kompetanse (Læringsutbytte merket med stjerne (*) vurderes i arbeidskrav):

Kunnskap

Studenten kan

• beskrive fysioterapiprofesjonens historie og utvikling i Norge og redegjøre for profesjonsbegrepet og profesjonens samfunnsoppdrag
• redegjøre for ulike perspektiv på helse, sykdom og funksjon*
• redegjøre for Verdens helseorganisasjons (WHO) internasjonale klassifikasjon av funksjon, funksjonshemming og helse (ICF) som begrepsapparat og kodeverk
• redegjøre for sentrale biomekaniske begreper og prinsipper og beskrive indre og ytre krefters virkning på kroppen og kroppens reaksjoner på kreftene
• redegjøre for det vitenskapelige grunnlaget for standardiserte tester i fysioterapi og ha kjennskap til testers hensikt og målenivå, testprosedyre, validitet og reliabilitet

Ferdigheter

Studenten kan

• analysere kommunikasjonsferdigheter i en samtale mellom pasient og behandler, og drøfte samhandlingen mellom dem
• anvende anatomisk og biomekanisk teori i analyse av stillinger, bevegelser og muskelbruk
• planlegge og begrunne undersøkelse av funksjon og demonstrere praktisk gjennomføring på medstudent
• palpere og identifisere overflatestrukturer i muskel- og skjelettsystemet
• anvende kunnskap om relasjon og kommunikasjon i undersøkelse av medstudent

Generell kompetanse

Studenten kan

• reflektere over etiske problemstillinger relatert til avkledning, berøring og nærhet, og ivareta medstudent i samhandlingen
• reflektere over egne læringsstrategier
• redegjøre for profesjonens yrkesetiske retningslinjer

Arbeids- og undervisningsformene i emnet omfatter selvstudier, gruppearbeid, seminar, forelesninger, praktisk ferdighetstrening og erfaringspraksis. Erfaringspraksis er lagt til ulike praksisarenaer.

For å fremstille seg til eksamen må følgende være godkjent:

• gjennomført erfaringspraksis, 4 dager
• fagnotat i gruppe på 4-6 studenter. 1400 ord (+/- 10 %). Fagnotatet er gjenstand for faglig vurdering
• minimum 80 % tilstedeværelse i undervisning som er angitt som «obligatorisk tilstedeværelse» i timeplanen

The Advanced Programme in Theatre Nursing is based on the national curriculum for further education in theatre nursing and the regulations relating to the national curriculum for further education in theatre nursing adopted by the Ministry of Education and Research on 1 December 2005 and meets the requirements stipulated in these documents. The programme has a scope of 90 credits, and is taken as a full-time course of study over one and a half years. After completing the programme, the students will have action competence in the field of theatre nursing; see the requirements set out in the national curriculum for further education in theatre nursing with pertaining regulations.

About theatre nursingTheatre nursing is special expertise in nursing acutely and/or critically ill patients undergoing surgical examination and/or treatment. The theatre nurse plays an important role in the work of organising and coordinating surgical activities, attending to the patient¿s nursing needs and taking part in surgical examinations and/or treatment. The goal of theatre nursing is to fulfil the patient's basic needs through preventive, therapeutic, pain and stress relief and habilitation/rehabilitation measures.

Theatre nursing consists of providing healthcare for acutely and/or critically ill patients of all ages undergoing surgical examination and/or treatment. This will be patients who:

• are admitted for planned surgical examination and/or treatment
• have suffered an injury/accident
• suffer acute onset of illness
• experience an acute exacerbation of a long-term illness
• have chronic conditions/diseases, and where surgical examination and/or treatment will temporarily put them in an acute and/or critical condition

The target group for theatre nursing includes patient's next of kin.

Relevance to working lifeThe Advanced Programme in Theatre Nursing is intended to help to cover society¿s increasing need for specialist nursing skills, primarily in the specialist health service, but also in the municipal health service.

Theatre nurses are in high demand, as they are key personnel in the specialist health service when it comes to providing professionally sound healthcare to acutely and critically ill patients. The specialist health service seeks theatre nurses who practise their profession in a sound manner and on a scientific basis. Today, we can treat many diseases and injuries that could not be treated in the past. Also, the patients admitted to somatic hospitals are sicker than they used to be. This development makes new and stricter requirements of theatre nurses. Society requires theatre nurses to work in an evidence-based manner where their nursing practice is based on knowledge gained from research and experience, in addition to patient knowledge. Theatre nurses shall be capable of analysing and taking a critical approach to existing theories and methods in advanced medical treatment and theatre nursing. Moreover, they shall be able to contribute to new ideas and innovation processes in their own practice, and make independent use of relevant methods for quality-related work (professional development, quality assurance or quality control work) in the field of theatre nursing. Theatre nurses are qualified to take greater responsibility for evidence-based theatre nursing of acutely and/or critically ill patients in and outside a hospital setting.

Most theatre nurses work in surgical hospital departments, day surgery units/surgical outpatient clinics, accident and emergency departments, municipal emergency medical services, emergency response teams, central sterile services departments, offshore and in war and disaster areas.

The municipal health service is also experiencing a growing need for specialist nursing skills. The Act relating to Municipal Health and Care Services, etc. (the Health and Care Services Act) has given the municipalities a greater role in the treatment of acute-onset illness, exacerbation of chronic illness and in follow-up care for patients whose hospital treatment is finished. Therefore, theatre nurses will also be in demand in the municipal health service.

The target group for the programme is authorised general nurses who would like to work as theatre nurses' primarily in the specialist health service, but also in the municipal health service.

Admission to the programme is in accordance with the Regulations relating to Admission to Studies at OsloMet, in force from 1 January 2016, and the national curriculum regulations for theatre nursing adopted by the Ministry of Education and Research on 1 December 2005.

The academic basis for admission to the programme is a three-year bachelor's degree in nursing or equivalent. Applicants must also hold a Norwegian authorisation as a general nurse and have at least two years' somatic nursing experience from the specialist health service.

Additional points (maximum 1,5 points) are awarded for all education beyond the minimum requirement.

Additional points (maximum 2,5 points) are awarded for all relevant work experience beyond the minimum requirement. By relevant work experience is meant professional nursing experience.

ATwenty-five per cent of places on the programme are reserved for students who compete for admission on the basis of their grade point average alone.

Applicants who are admitted to the programme must submit a transcript of police records, cf. the Regulations for admission to higher education Chapter 6.

The use of clothing that covers the face is incompatible with taking the programme.

After completing the Advanced Programme in Theatre Nursing, the student is expected to have achieved the following overall learning outcomes defined in terms of knowledge, skills and competence:

Knowledge

The candidate

• has advanced knowledge within a theatre nurse¿s functions and areas of responsibility
• has in-depth knowledge about surgical examination and/or treatment of acutely and/or critically ill patients
• has advanced knowledge of infection medicine
• has knowledge of scientific theory and research methods
• has in-depth knowledge of the experiences, reactions and needs of patients and next of kin in connection with acute and/or critical illness in an age-related and multicultural perspective
• is capable of analysing problems relating to theatre nursing on the basis of the discipline¿s history, traditions, distinctive nature and place in society

Skills

The candidate

• is capable of analysing and taking a critical approach to different sources of information and using them to structure and formulate theatre nursing argumentation
• is capable of analysing and taking a critical approach to existing theories and methods in advanced medical treatment and theatre nursing
• is capable of preventing complications in connection with acute and/or critical illness, advanced medical treatment and theatre nursing
• is capable of carrying out infection prevention work relating to patients, the environment, equipment and personal hygiene
• is capable of checking and using medical equipment in a correct and sound manner
• is capable of reducing stress, pain and discomfort in connection with surgical treatment and/or examinations and theatre nursing
• is capable of applying pedagogical and subject didactics principles when informing, teaching and providing guidance to patients and caregivers from different cultures, as well as to colleagues and other members of the healthcare team
• is capable of independent work on practical and theoretical problem-solving relating to the theatre nurse¿s functions and areas of responsibility
• is capable of practising theatre nursing in accordance with ethical principles and healthcare legislation

Competence

The candidate

• has action competence in the field of theatre nursing
• is capable of carrying out wholly or partly compensatory theatre nursing in the event of serious self-care deficits in relation to a patient's fundamental needs
• is capable of analysing relevant ethical issues in theatre nursing based on relevant discipline knowledge, research, experience and patient knowledge
• is capable of applying his/her knowledge and skills to new fields to carry out advanced tasks and projects in theatre nursing
• is capable of communicating extensive independent work and masters the forms of expression used in theatre nursing
• is capable of communicating about issues, analyses and conclusions in theatre nursing, both with specialists and the general public
• is capable of multidisciplinary and interdisciplinary cooperation in patient treatment
• is capable of contributing to new ideas and innovation processes in his/her own professional practice

The programme comprises 8 compulsory courses, which make up a total of 90 credits. Theoretical studies make up 45 credits, while clinical training accounts for 45 credits. The programme is taken over a period of one and a half years.

National curriculum for further education in theatre nursing

In order to ensure that students who complete the Advanced Programme in Theatre Nursing are qualified to work as theatre nurses, the programme meets the requirements set out in the national curriculum for further education in theatre nursing with pertaining regulations adopted by the Ministry of Education and Research on 1 December 2005, both in terms of content and the breakdown of credits.

Progress requirements

• All coursework requirements in a course must be met before a student can take the exam.
• Students must have passed ABIO6000 Natural Science related to Nursing in order to take the exam in OPERA6000 Surgical Examinations, Treatment and Infection Medicine
• Students must have passed OPERAPRA10 Clinical Studies in Theatre Nursing, Level 1 in order to start OPERAPRA20 Clinical Studies in Theatre Nursing, Level 2.
• Students must have passed OPERAPRA20 Clinical Studies in Theatre Nursing, Level 2 in order to start OPERAPRA3 Clinical Studies in Theatre Nursing, Level 3.