NSN913 Nursing Therapeutics 4: Complex Care


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Unit Outline: Semester 1 2024, Kelvin Grove, Internal

Unit code:NSN913
Credit points:12
Pre-requisite:NSN910 and NSN911
Coordinator:Paul Jarrett | p2.jarrett@qut.edu.au
Disclaimer - Offer of some units is subject to viability, and information in these Unit Outlines is subject to change prior to commencement of the teaching period.

Overview

This unit further develops your cognitive skills in clinical reasoning by integrating prior knowledge and skills that inform nursing practice in a range of complex and challenging clinical contexts such as perioperative care contexts. A particular focus is developing critical thinking and clinical reasoning skills to identify and manage the deteriorating patient. Capability in applying your understanding of Quality Use of Medicines is further developed. This and previous units continue to build your professional capabilities by providing key experiential learning opportunities to apply knowledge and skills, and to evaluate and refine your preparedness for nursing practice in the off-campus clinical placement.

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 decision making, planning and action in a range of complex clinical situations across the lifespan, including a focus on the deteriorating patient
  2. Apply knowledge of anatomy, physiology, and pathophysiology to consolidate clinical reasoning and evaluate care to determine safety, evidence-basis and person-centred care provision
  3. Demonstrate structured clinical reasoning to review a range of health situations, synthesise evidence and data, determine priorities, and formulate plans and interventions in line with timeframes, scientific evidence and agreed goals.
  4. Critically apply knowledge and skills to prepare a case study report recommending care provision including aspects of effective communication with consumers and families, and collaboration with others in the health care team.

Content

  • Course themes: Evidence-based foundations of safe practice; person-centred care and therapeutic communication; digital literacy
  • NMBA Registered Nurse Standards for Practice: 1, 2, 4, 5, 6, 7
  • National Safety and Quality Health Service Standards: 3) Preventing and controlling healthcare-associated infection; 5) Comprehensive care 6) Communicating for safety; 8) Recognising and responding to acute deterioration
  • Global/national/regional health priorities: Cancer (acute/chronic care context), injury prevention
  • ePortfolio: Case studies

Learning in this unit develops your understanding of nursing roles and peoples’ continuum of care experiences, across the lifespan within complex acute care contexts.  Focus is given to nursing care for selected national health priority areas. 

  1. Cancer care (acute/chronic care context)
  • Primary care
  • Chronic disease management
  • Acute exacerbation of chronic disease
  • Health promotion prioritie
  •  
  • 2. Perioperative care
  • Preventing and controlling healthcare-associated infection
  • Correct identification and procedure matching
  • Elective joint replacement
  • Traumatic injury
  •  
  • 3.Infectious disease containment and treatment.

  • 4.Complex care
  • Multimorbidity and complex care
  • Fragile populations as risk of acute sudden deterioration
  • Delirium/substance abuse within presentations in acute care.
  •  
  • 5. Recognising acute deterioration:
  •  
  • Physiological deterioration, deterioration in mental state
  • Escalating care: protocols, response systems, communicating for safety
  • Responding to acute deterioration
  • Appropriate care
  • Timely response

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 in small group classes and will explore a range of clinical situations and the nursing role. Case based scenarios provide learning opportunities to develop and practice your multimodal communication skills. Tutorials will provide opportunities for you to work with case studies and scenarios from across the lifespan to develop your skills for critical inquiry. Use of the clinical reasoning framework will underpin critical inquiry across the range of learning activities.

Feedback on Learning and Assessment

  • Ongoing formative feedback via online quizzes, peer feedback and through individual or whole of class feedback in online discussions or comments in online communities
  • Formal written or recorded feedback on both formative and summative assessment tasks Via Turnitin or the Canvas Assignment tool, in addition to the grade on the Criterion Reference Assessment sheet.
  • Feedback on your Assessment Task 2 will be received prior to the Examination.
  • Industry informed expert feedback may be provided through clinical assessment examples and interventions at timely intervals to guide learning and assessment.

Assessment

Overview

There are 3 summative assessments to be completed in this unit.

Unit Grading Scheme

7- point scale

Assessment Tasks

Assessment: A series of Quizzes

Online assessment

Weight: 10
Individual/Group: Individual
Due (indicative): Week 5
Related Unit learning outcomes: 2, 3

Assessment: Case Study

You will focus on the provision of care for consumers in particular health situations and with a range of health conditions across the lifespan. Drawing on evidence-based knowledge and practice, you will review the situation, synthesise evidence and data, determine priorities, and formulate appropriate nursing interventions in line with timeframes and agreed goals.

This is an assignment for the purposes of an extension.

Weight: 40
Length: 2000 words
Individual/Group: Individual
Due (indicative): Week 8
Related Unit learning outcomes: 1, 2, 3, 4

Assessment: Written Examination

A centrally timetabled written examination involving several case studies and short answer questions will assess your knowledge of nursing care and application of clinical reasoning.

Weight: 50
Individual/Group: Individual
Due (indicative): Central Examination Period
Related Unit learning outcomes: 1, 2, 3, 4

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. (2020). 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.

Med+Safe application (https://www.medsafe.com.au/)

Risk Assessment Statement

There are no out of the ordinary risks associated with this unit. Substantial computer-based work will be required, please make sure you adjust your workstation and take regular rest breaks.

Course Learning Outcomes

This unit is designed to support your development of the following course/study area learning outcomes.

NS89 Master of Nursing - Entry to Practice

  1. Analyse and apply scientific knowledge and skills in context of nursing and related disciplines to the provision of holistic, person-centred, evidence-based nursing across the life span
    Relates to: A series of Quizzes, Case Study , Written Examination
  2. Evaluate practice outcomes drawing upon critical thinking and clinical reasoning skills to examine person-centred nursing care and make evidence-based decisions
    Relates to: A series of Quizzes, Case Study , Written Examination
  3. Practice as an ethical, socially inclusive and culturally safe practitioner, reflective of your professional nursing identity across a range of health service settings
    Relates to: Written Examination
  4. Demonstrate developing socially informed leadership capabilities of self and others to achieve positive individual and community outcomes in dynamic health care contexts
    Relates to: Case Study
  5. Demonstrate research skills and use of contemporary evidence to justify clinical decisions and inform nursing practice
    Relates to: Case Study