SYKPPRA20KB 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.

• Completed course SYKK/SYKP1400 Diseases and Health Deficits, 10 credits
• Passed course SYKK/SYKP1300 Pharmacology and Drug Administration, 5 credits

• 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.;;

Part 1 Pass/fail. Part 2 Grade scale A-F.

Grade scale stated on diploma.

Part 1 Contact lecturer approves the examination after recommendation from practical training supervisor. The final decision on whether to award a pass or fail grade is made by the university. Part 2 Two examiners assess the examinations. At least 10% of the examination papers will be assessed by an external examiner. The external examiner’s assessment shall benefit all students.

The programme has a comprehensive profile where academic content, pedagogical activities and practical studies are interconnected. The connection between the learning outcome descriptions, learning activities and forms of assessment are particularly emphasised. Work and teaching methods and the fields of study covered in the programme are organised in a way that promotes both theoretical understanding and practical action competence. The courses build on each other to ensure progress with increasing requirements for knowledge and understanding of the profession. Through critical reflection, ethical competence and professional judgement are gradually developed.

For all nursing programmes, four recurring topics are defined: ethics, patient safety, communication and cooperation and management. The topics are integrated into different courses and described with separate learning outcomes to ensure coherency, connection and progression between courses and academic years. Diversity and big-city health are also emphasised as key perspectives in all three years of the programme.

Each academic year comprises 60 credits, and the expected workload is normally 40 hours per week. This applies both for theoretical courses and during practical training. All the courses conclude with a final assessment.

Learning in groups is particularly emphasised in the study programme. The most important elements to ensure good group processes are safety, well-being and a sense of belonging. We therefore want all students to feel a sense of belonging to their class throughout the programme. This class will be divided into smaller groups that comprise study groups.

First year of the programme

During the first year, students will receive a basic introduction to nursing as a discipline, profession and science. Natural science courses make up an important part of the first year of study. This will provide a good basis for studying nursing observation and assessment.

Diversity and the lifetime perspective are also recurring topics. The students will receive in-depth knowledge of the human being’s fundamental needs and resources.

The academic year starts with an introductory period where the students get to know their rights and duties. Study groups are established as a work method and expectations of the students' own and other people’s efforts are clarified. Through practical training in the spring semester, the students gain experience of how needs and resources change as a result of ageing and disease. The year concludes with a theoretical introduction to different diseases, which provides a good basis for the second academic year.

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Second year of the programme

The second year of the programme focuses particularly on nursing of people with acute and critical diseases of different ages. Students will also meet patients with progressive and chronic diseases. In addition to theory, students take two long practical training periods where they study nursing of patients and next-of-kin in real-life patient situations. In the spring semester, students will also gain insight into health and social perspectives, management and organisation, in addition to health promoting and preventive health work. Several courses are compulsory for students from different study programmes in the spring semester. These are known as common courses.

The spring semester is specially adapted for internationalisation at home, as some of the;courses are taught in English. In this semester, we also welcome inbound exchange students.

Elective courses are carried out in the fourth semester. The elective courses are intended to help the students to acquire special expertise through in-depth study of a specific topic. Students choose one elective course. Some elective courses have a limited number of places. More information about elective courses is provided in the third semester.

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Overview of elective courses,;

• SYK2800 (A and;B) Parent-child Relationships and Adolescent Health
• SYK2810 (A and;B) Prevention and Treatment of Malnutrition
• SYK2820 (A and B) Simulation Methods
• SYK2830 (A and B) Research in Nursing;
• SYK2840 (A and B) Supervision in Nursing

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At the end of the academic year, students carry out a digital coursework requirement about complex health challenges. This provides the theoretical basis for the third year.

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Third year of the programme

In the third year of the programme, the students will study nursing of people with complex health challenges. A significant part of the programme takes place in the practical training field, mainly in different arenas of the municipal health service. The practical training field consists of patients and next-of-kin with different ethnic and cultural backgrounds. The courses look at mental health issues and complex health conditions. Management, professional development and interdisciplinary and intersectoral cooperation are key aspects. The bachelor’s thesis is an academic in-depth assignment to be written in the last semester.

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Courses and teaching activities taught jointly with other programmes at;OsloMet;

The Bachelor’s Programme in Nursing includes the following courses and teaching activities that also form part of other programmes at the university:

• SYKK/SYKP1050 Public Health and Health Management, 5 credits
• SYKK/SYKP1060 Introduction to Evidence-Based Practice (EBP) in Health Care, 5 credits
• SYKP1070 Technology and Society, 5 credits
• INTERACT (Interprofessional Interaction with Children and Youth)

In the courses SYKK/SYKP1050 Public Health and Health Management; (5 credits) and SYKK/SYKP1060 Evidence-Based Practice (EBP) in Health Care (5 credits), different academic environments at the Faculty of Health Sciences join forces to provide the students with a common competence platform in line with national guidelines. In SYKK/SYKP1050, focus is on the health services’ organisation, health legislation and administration, and preventive and health promoting work. In SYKK/SYKP1060, students learn about the rationale for evidence-based practice, with focus on critical thinking and shared decision-making. For more details, see the individual course descriptions.;;

The course SYKP1070 Technology and Society is a part of most degrees at OsloMet. The course provides a fundamental understanding of the digital world and how technology affects people’s lives and the way in which they work, and will help the students to enter working life with a fundamental understanding of technology. The Department of Computer Science at OsloMet has the responsibility for the practical aspects of the course provision. For a more detailed description, see the course description.

INTERACT (Interprofessional Interaction with Children and Youths) is an interdisciplinary teaching activity at OsloMet, where students from both the health and social care subjects and the teacher/kindergarten teacher education programmes meet in interdisciplinary groups. The aim is to ensure that the students acquire the skills needed to meet society’s demands for a better coordination of services that affect children and young people. The teaching activity builds on pedagogical principles of interactivity and spiral learning, with extensive use of digital learning and assessment tools to improve the learning outcomes.

The teaching (INTER1100, INTER1200 and INTER1300) is carried out in the first teaching week each spring semester for students in the first, second and third study year, respectively, and is integrated as a compulsory coursework requirement in the existing courses in the programme description. In the Bachelor’s Programme in Nursing, INTERACT is included in the following courses:

• SYKK/SYKPPRA10 Fundamentals of Nursing,
• SYKK/SYKPPRA30 Decision-making in Nursing and Patient Safety
• SYKK/SYKPPRA50 Nursing Persons with Mental Health Problems or SYKK/SYKPPRA70 Prevention and Rehabilitation in Home-based Healthcare Service

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See https://www.oslomet.no/forskning/forskningsprosjekter/interactfor a more detailed description of INTERACT.