NSB336 Integrated Nursing Practice Capstone

Unit Outline: Semester 1 2024, Kelvin Grove, Internal

Overview

This unit is at the consolidating stage of the course, builds on preceding units and prepares you for the transition to independent practice as a registered nurse. You are expected to draw on knowledge and skills gained in previous units to enhance capabilities for practice. A thorough understanding of the NMBA Registered Nurse Standards for Practice, National Health Priority Areas, and National Safety and Quality Health Service Standards is essential to nursing practice and underpin this unit. This unit focuses on National Safety and Quality Health Standards (5) Comprehensive care and (8) Recognising and responding to acute deterioration. Understanding of these standards and related nursing care enables early identification of patient deterioration, can improve outcomes, and reduce required interventions. This on-campus unit fosters further development of knowledge and skills that you will critically analyse and reflect on throughout your remaining off-campus experiences.

Learning Outcomes

On successful completion of this unit you will be able to:

1. Consolidate knowledge of key NMBA Registered Nurse Standards for Practice, National Safety and Quality Health Service Standards, and National Health Priority Areas to enable effective clinical reasoning in a range of complex clinical situations across the lifespan, including a focus on the deteriorating patient
2. Critically apply knowledge of anatomy, physiology, and pathophysiology to support evidence-based clinical reasoning to provide safe person-centred care in a range of settings, across the life span
3. Demonstrate effective clinical reasoning to review a range of health situations, synthesise a range of evidence to determine priorities, and formulate plans and interventions consistent with timeframes and goals
4. Recommend effective inter and intra-professional communication to maintain safe, person-centred care
5. Critically apply knowledge and skills to communicate and collaborate effectively with consumers and families.

Content

Learning Approaches

This unit will use a blend of face-to-face and online activities to develop key knowledge and skills. You will participate and collaborate with peers in tutorials to explore a range of clinical situations and the related nurse role. Learning experiences provide opportunities to develop and practice your multimodal communication skills. In particular, you will develop skills for collaborative practice and communication by working in teams in clinical practice groups, simulations, and other small group activities in tutorials.

Tutorials will provide opportunities for you to work with case studies and scenarios from across the lifespan to develop your skills for critical inquiry. These activities provide key experiential learning opportunities to enable you to apply knowledge and skills, and to evaluate and refine your thinking in preparation for off-campus clinical placement. You will use a structured framework to undertake critical reflection on your experiential learning. Use of the clinical reasoning cycle framework and key components: Assessment, Planning, Implementation, and Evaluation (APIE) will underpin your critical inquiry across the range of learning activities.

Feedback on Learning and Assessment

You will be provided with feedback and guidance to assist your learning throughout the semester through:

• Formative feedback online or in class interactions throughout semester, individually and/or as a group
• Written summative feedback on case study using CRA prior to the final multiple case scenario exam
• The unit coordinator and tutors will be available for consultation throughout the semester in on-campus and online contexts

Assessment

Overview

There are 2 summative assessments to be completed in this unit. A critique of an evolving case study synthesising experiential learning experiences in integrated nursing practice, including interprofessional collaborative key points and a final case scenario-based exam.

Unit Grading Scheme

7- point scale

Assessment Tasks

Assessment: Critique of an evolving case study (coordinating care / IPE element)

This assessment uses an evolving case study where you synthesise experiential learning experiences in integrated nursing practice, including interprofessional collaborative key points to determine practice priorities.

This is an assignment for the purposes of an extension.

Assessment: Short answer case study exam

A centrally timetabled, written examination involving analysis of case studies and short-answer questions.

Academic Integrity

Students are expected to engage in learning and assessment at QUT with honesty, transparency and fairness. Maintaining academic integrity means upholding these principles and demonstrating valuable professional capabilities based on ethical foundations.

Failure to maintain academic integrity can take many forms. It includes cheating in examinations, plagiarism, self-plagiarism, collusion, and submitting an assessment item completed by another person (e.g. contract cheating). It can also include providing your assessment to another entity, such as to a person or website.

You are encouraged to make use of QUT’s learning support services, resources and tools to assure the academic integrity of your assessment. This includes the use of text matching software that may be available to assist with self-assessing your academic integrity as part of the assessment submission process.

Further details of QUT’s approach to academic integrity are outlined in the Academic integrity policy and the Student Code of Conduct. Breaching QUT’s Academic integrity policy is regarded as student misconduct and can lead to the imposition of penalties ranging from a grade reduction to exclusion from QUT.

Resources

Resource Materials

Prescribed text(s)

Brown, D., Edwards, H., Buckley, T. Aiken, R. (Eds.). (2019). Lewis's medical-surgical nursing: Assessment and management of clinical problems (5th ed.). Elsevier.

Recommended text(s)

Calleja, P., Theobald, K., & Harvey, T. (2019). Health assessment and physical examination. (3rd ed.) Cengage Learning Australia.

Fraser, J., Brown, D., Forster, E., & Brown, N. (2017). Paediatric nursing in Australia: Principles for practice (2nd ed.). Cambridge University Press.

Standards/Competencies

This unit is designed to support your development of the following standards\competencies.

Registered Nurse Standards for Practice

1: Thinks critically and analyses nursing practice.

1. The RN accesses, analyses, and uses the best available evidence, that includes research findings, for safe, quality practice
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam
2. The RN develops practice through reflection on experiences, knowledge, actions, feelings and beliefs to identify how these shape practice
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam
3. The RN respects all cultures and experiences, which includes responding to the role of family and community that underpin the health of Aboriginal and Torres Strait Islander peoples and people of other cultures
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam
4. The RN complies with legislation, regulations, policies, guidelines and other standards or requirements relevant to the context of practice when making decisions
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam
5. The RN uses ethical frameworks when making decisions
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam
6. The RN maintains accurate, comprehensive and timely documentation of assessments, planning, decision-making, actions and evaluations
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam
7. The RN contributes to quality improvement and relevant research.
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam

2: Engages in therapeutic and professional relationships.

1. The RN establishes, sustains and concludes relationships in a way that differentiates the boundaries between professional and personal relationships
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam
2. The RN communicates effectively, and is respectful of a person’s dignity, culture, values, beliefs and rights
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam
3. The RN recognises that people are the experts in the experience of their life
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam
4. The RN provides support and directs people to resources to optimise health-related decisions
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam
5. The RN advocates on behalf of people in a manner that respects the person’s autonomy and legal capacity
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam
6. The RN uses delegation, supervision, coordination, consultation and referrals in professional relationships to achieve improved health outcomes
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam
7. The RN actively fosters a culture of safety and learning that includes engaging with health professionals and others, to share knowledge and practice that supports person-centred care
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam
8. The RN participates in and/or leads collaborative practice
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam
9. The RN reports notifiable conduct of health professionals, health workers and others.
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam

3: Maintains the capability for practice.

1. The RN considers and responds in a timely manner to the health and wellbeing of self and others in relation to the capability for practice
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam
2. The RN provides the information and education required to enhance people's control over health
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam
3. The RN uses a lifelong learning approach for continuing professional development of self and others
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam
4. The RN accepts accountability for decisions, actions, behaviours and responsibilities inherent in their role, and for the actions of others to whom they have delegated responsibilities
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam
5. The RN seeks and responds to practice review and feedback
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam
6. The RN actively engages with the profession
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam
7. The RN identifies and promotes the integral role of nursing practice and the profession in influencing better health outcomes for people.
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam

4: Comprehensively conducts assessments.

1. The RN conducts assessments that are holistic as well as culturally appropriate
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam
2. The RN uses a range of assessment techniques to systematically collect relevant and accurate information and data to inform practice
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam
3. The RN works in partnership to determine factors that affect, or potentially affect, the health and wellbeing of people and populations to determine priorities for action and/ or for referral
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam
4. The RN assesses the resources available to inform planning.
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam

5: Develops a plan for nursing practice.

1. The RN uses assessment data and best available evidence to develop a plan
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam
2. The RN collaboratively constructs nursing practice plans until contingencies, options priorities, goals, actions, outcomes and timeframes are agreed with the relevant persons
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam
3. The RN documents, evaluates and modifies plans accordingly to facilitate the agreed outcomes
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam
4. The RN plans and negotiates how practice will be evaluated and the time frame of engagement
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam
5. The RN coordinates resources effectively and efficiently for planned actions.
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam

6: Provides safe, appropriate and responsive quality nursing practice.

1. The RN provides comprehensive safe, quality practice to achieve agreed goals and outcomes that are responsive to the nursing needs of people
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam
2. The RN practises within their scope of practice
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam
3. The RN appropriately delegates aspects of practice to enrolled nurses and others, according to enrolled nurse’s scope of practice or others’ clinical or non-clinical roles
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam
4. The RN provides effective timely direction and supervision to ensure that delegated practice is safe and correct
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam
5. The RN practises in accordance with relevant policies, guidelines, standards, regulations and legislation
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam
6. The RN uses the appropriate processes to identify and report potential and actual risk related system issues and where practice may be below the expected standards.
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam

7: Evaluates outcomes to inform nursing practice.

1. The RN evaluates and monitors progress towards the expected goals and outcomes
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam
2. The RN revises the plan based on the evaluation
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam
3. The RN determines, documents and communicates further priorities, goals and outcomes with the relevant persons.
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam

Course Learning Outcomes

NS42 Bachelor of Nursing

1. Apply scientific knowledge and skills from nursing and related disciplines to the provision of safe, person-centred, evidence-based nursing care across the lifespan
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam
2. Apply critical thinking, clinical reasoning, and digital literacy skills to make evidence- based decisions and evaluate outcomes
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam
3. Enact and sustain effective communication skills, therapeutic relationships, and professional capabilities to practice independently and in inter and intra professional teams, to ensure safe, person-centred care
   Relates to: Critique of an evolving case study (coordinating care / IPE element), Short answer case study exam