XNB444 Clinical Practice in Nutrition and Dietetics - Medical Nutrition Therapy (Ambulatory)


To view more information for this unit, select Unit Outline from the list below. Please note the teaching period for which the Unit Outline is relevant.


Unit Outline: Semester 1 2024, Kelvin Grove, Internal

Unit code:XNB444
Credit points:12
Pre-requisite:completion of 288 credit points of XN45 units including XNH350, XNB346, XNB347, XNH348 and XNH356.
Assumed Knowledge:

Understanding of human anatomy and physiology, nutrition across the lifecycle and medical nutrition therapy is assumed knowledge

Coordinator:Rebecca Knight | r.downes@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

You will undertake a five week Clinical Practice in Medical Nutrition Therapy work integrated learning placement to critically apply the theory of Medical Nutrition Therapy within practical clinical settings. The placement is designed for your exposure to a range of cases in the ambulatory setting. The purpose of this work integrated learning unit is to demonstrate your competence and safety to practice as a dietitian in Australia.

This is a designated unit which is essential to your course progression. Designated units include professional experience units, units requiring the development of particular skills, and units requiring demonstration of certain personal qualities. If you fail to achieve a satisfactory level of performance in a designated unit, you may be excluded from enrolment or will be put on academic probation. If you fail a designated unit twice within your course, you may be excluded. Supplementary assessment is not available on designated units.

Learning Outcomes

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

  1. Exercise professional autonomous judgement and responsibility to plan, implement and evaluate individualised client-centred nutrition across a variety of contexts [XN45 CLO-1,2,3,4]
  2. Execute safe, ethical and professional conduct to nutrition and dietetic practice. [XN45 CLO-4]
  3. Reflect on the unpredictable complexities of practice and the role of quality management and organisational processes. [XN45 CLO-2,4]
  4. Interpret and communicate technical food and nutrition information and skills to specialist and non specialist audiences. [XN45 CLO-3]
  5. Exhibit a professional approach to team work, interdisciplinary collaboration and respect for culturally diverse practices. [XN45 CLO-4]

Content

Working in an ambulatory health service setting undertaking individual case management in dietetics you will demonstrate professional competencies in interviewing, data collection, dietary assessment, diagnosis, determination of goals and strategies, counselling, workload management and professionalism. Satisfactory demonstration of all competencies is required for professional entry. You may be required to attend placement outside the Brisbane metropolitan area
Prior to proceeding to placement you will be required to demonstrate evidence of active participation (including reflection) on specified cultural competency learning activities in earlier units of your course. These learning activities will specifically address working with Aboriginal and Torres Strait Islander clients and staff as well persons from culturally and linguistically diverse backgrounds.
Specific skill and graduate capabilities you will develop include:

  • knowledge and skills relevant to medical nutrition therapy;
  • critical, creative and analytical thinking, and effective problem-solving;
  • effective communication in a variety of contexts and modes;
  • the capacity for life-long learning;
  • the ability to work independently and collaboratively;
  • social and ethical responsibility and an understanding of indigenous and international perspectives;
  • characteristics of self-reliance and leadership.

Learning Approaches

The unit will be available in internal mode only. Either individually or in pairs, you will be placed with supervisors based in the clinical setting. You are expected to demonstrate initiative and problem-solving skills during your placement. You will receive support and direction from your supervisors during your placement. Tutorial assistance will be provided by QUT staff members.

Your placement sites are negotiated by Nutrition and Dietetic staff on your behalf and communicated to you at the end of your third year. These will be subject to change and you will need to be flexible in order to accommodate any alterations. You may be required to attend placement across a number of geographical locations that are within and outside the metropolitan area. Assistance will be provided in accessing scholarships to assist with travel and accommodation costs, however, students will be responsible for covering these costs.

Feedback on Learning and Assessment

You will receive formative feedback regularly throughout your placement from your site clinical educator and supervisor. You are required to reflect on your performance in relation to the National Competency Standards for Dietitians in Australia 2015 and discuss this reflection with your clinical educator or supervisor. You will use QUT assessment tools as a template for this reflection and feedback. This feedback will inform your weekly learning goals and will assist your progression toward competence. You will also receive formative feedback from your unit coordinator at various intervals throughout your placement, which will be based on your reflections and supervisor feedback on the QUT assessment forms.

Assessment

Overview

Assessment information included on Canvas provides details of tasks for completion and the criteria to ensure all aspects are completed. You are encouraged to contact the unit co-ordinator with any questions or concerns about the assessment items.

For each context you are required to engage in reflexive practice, and submit artefacts as part of your overarching portfolio that provide evidence of your competence. These artefacts have been developed so that they are authentic to the context. Different contexts will showcase different competencies and you will be moving through novice, advanced beginner and competent within these contexts. Being competent in one context does not necessarily imply you are competent in all contexts.

Assessment will be spaced throughout your placement to provide the opportunity for feedback on your learning at key points. You will be assessed formatively by your onsite clinical educator and supervisor using QUT assessment tools. Your unit coordinator will be responsible for summative assessment at the end of your placement, with assessment being graded as satisfactory or unsatisfactory.

Unit Grading Scheme

S (Satisfactory) / U (Unsatisfactory)

Assessment Tasks

Assessment: Case Study Presentation

You will be required to present a clinical case study to your peers, QUT staff members and placement supervisors, based on one case experienced during you time on placement. You will use this case study to demonstrate your clinical reasoning and will be required to provide clarification to questions asked by audience members.

Weight: 0
Individual/Group: Individual
Due (indicative): Week 5
Related Unit learning outcomes: 1, 2, 3, 4, 5

Assessment: Portfolio

You will be required to submit a portfolio outlining your activities and attendance whilst on placement, along with QUT Competency Assessment tools completed with input from your clinical supervisor. This will extend the portfolio you have started in Year 3 of your degree and will provide you with a resource to be used as an entry level dietitian.

This is an assignment for the purposes of an extension.

Weight: 0
Individual/Group: Individual
Due (indicative): End of placement
Related Unit learning outcomes: 1, 2, 3, 4, 5

Assessment: Placement Performance

You must complete the required time at the placement site and achieve satisfactory competence to meet the Dietitians Association of Australia accreditation requirements, including demonstrating appropriate professional conduct as described in the DAA Code of Professional Conduct. QUT Competency Assessment Tools must be completed by you and confirmed by your supervisor/clinical educator. You will submit this as part of your placement portfolio which must include a record of your activities and attendance. Placement performance will be assessed by your placement supervisor/clinical educator and unit coordinator.

This is an assignment for the purposes of an extension.

Weight: 0
Individual/Group: Individual
Due (indicative): End of placement
Related Unit learning outcomes: 1, 2, 3, 4, 5

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.

Requirements to Study

Requirements

This a Work Integrated Learning and you will be responsible for your own travel arrangements, including accommodation. You will also be expected to wear professional clothing for your placement, with some sites also requiring a uniform.

Blue Card

A blue card is required to complete this unit. A blue card confirms that you have passed a screening of your criminal history (the Working with Children Check) and have been approved to work with children and young people. For more information on the blue card and how to apply please visit the QUT website.

Resources

Resource Materials

Prescribed text(s)

Escott-Stump, S. (2015). Nutrition and diagnosis-related care (8th edition). Philadelphia: Wolters Kluwer.

Mahan, L.K., and Raymond, J.L. (Editors). (2017). Krause's food and the nutrition care process (14th edition). St Louis, MO Elsevier/Saunders.

Stewart, R. (Editor). (2015). Handbook of clinical nutrition and dietetics. (5th edition). Newstead, Brisbane, Australian Dietitian.

Other

Lecture materials from other units are also expected to contribute to the theoretical background to this unit. Students are also expected to use key literature including published guidelines

Risk Assessment Statement

Assessment for this unit will involve a workplace-based assignment. You should be aware of and abide by the health and safety requirements of the workplace. You are expected to undergo any induction or other training provided in the workplace for employees or visitors to the workplace as appropriate. You will be required to meet mandatory requirements including those for vaccination and suitability for working with special groups, please see the Workplace Integrated Learning website for further details.