NSB236 Integrated Nursing Practice 3 On Campus

Unit Outline: Semester 2 2024, Kelvin Grove, Internal

Overview

This unit consolidates cognitive skills in clinical reasoning by integrating prior knowledge and skills and further develop your understanding of decisions that informs nursing practice at a developing level. Peoples’ experiences of the continuum of care in different contexts of health care are emphasised to highlight chronic and acute dimensions of illness using unfolding clinical cases.

The critical thinking and analyses of nursing practice elements of the Nursing and Midwifery Board of Australia Registered Nurse Standards for Practice are particularly emphasised. This unit links to subsequent integrated nursing practice units.

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 support clinical reasoning that promotes safe, evidence-based, person-centred care
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 and agreed goals.

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 in clinical practice sessions and simulation activities and will explore a range of clinical situations. Learning experiences provide 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. Clinical practice sessions and online simulation use a range of health technologies, including digital health records, allowing you to continue to develop your digital literacy skills. The range of learning activities provides key experiential learning opportunities for you to apply knowledge and skills, and to evaluate and refine your practice in preparation for off-campus clinical placement. Use of the clinical reasoning framework will underpin 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
• Immediate feedback on online quizzes and written summative feedback on case study using CRA
• The unit coordinator and tutors will be available for consultation throughout the semester in on-campus and online contexts

Assessment

Overview

There are 3 assessments to be completed in this unit. Progressive quizzes to develop your conceptual understanding, an evidence based practice case study and a final exam integrating your knowledge and case scenario based problems.

Unit Grading Scheme

7- point scale

Assessment Tasks

Assessment: Quizzes

Quizzes will be conducted to test your knowledge, understanding and critical thinking relevant to unit content. 

Assessment: Case study and discussion

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 interventions in line with timeframes and agreed goals.

This is an assignment for the purposes of an extension.

Assessment: Short answer case study examination

A centrally timetabled written examination involving 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.

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

Recommended text(s)

Calleja, P., Theobald, K., & Harvey, T. (2020). Estes health assessment and physical examination (3rd ed.). Melbourne: Cengage Learning.

Craft, J., Gordon, C., Huether, S. E., McCance, K. L., & Brashers, V. L. (2018). Understanding pathophysiology (3rd ed.). Elsevier.

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

Risk Assessment Statement

If you are distressed by issues explored in the content of this unit you should approach staff or consult the university counselling service. You will be made aware of evacuation procedures and assembly areas in the first few lectures. In the event of a fire alarm sounding, or on a lecturer's instruction, you should leave the room and assemble in the designated area which will be indicated to you. You should be conscious of your health and safety at all times while on campus. You can obtain more information on health and safety from http://www.hse.qut.edu.au/.

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: Quizzes, Case study and discussion, Short answer case study examination
2. The RN develops practice through reflection on experiences, knowledge, actions, feelings and beliefs to identify how these shape practice
   Relates to: Quizzes, Case study and discussion, Short answer case study examination
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: Quizzes, Case study and discussion, Short answer case study examination
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: Quizzes, Case study and discussion, Short answer case study examination
5. The RN uses ethical frameworks when making decisions
   Relates to: Quizzes, Case study and discussion, Short answer case study examination
6. The RN maintains accurate, comprehensive and timely documentation of assessments, planning, decision-making, actions and evaluations
   Relates to: Quizzes, Case study and discussion, Short answer case study examination
7. The RN contributes to quality improvement and relevant research.
   Relates to: Quizzes, Case study and discussion, Short answer case study examination

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: Quizzes, Case study and discussion, Short answer case study examination
2. The RN communicates effectively, and is respectful of a person’s dignity, culture, values, beliefs and rights
   Relates to: Quizzes, Case study and discussion, Short answer case study examination
3. The RN recognises that people are the experts in the experience of their life
   Relates to: Quizzes, Case study and discussion, Short answer case study examination
4. The RN provides support and directs people to resources to optimise health-related decisions
   Relates to: Quizzes, Case study and discussion, Short answer case study examination
5. The RN advocates on behalf of people in a manner that respects the person’s autonomy and legal capacity
   Relates to: Quizzes, Case study and discussion, Short answer case study examination
6. The RN uses delegation, supervision, coordination, consultation and referrals in professional relationships to achieve improved health outcomes
   Relates to: Quizzes, Case study and discussion, Short answer case study examination
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: Quizzes, Case study and discussion, Short answer case study examination
8. The RN participates in and/or leads collaborative practice
   Relates to: Quizzes, Case study and discussion, Short answer case study examination
9. The RN reports notifiable conduct of health professionals, health workers and others.
   Relates to: Quizzes, Case study and discussion, Short answer case study examination

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: Quizzes, Case study and discussion, Short answer case study examination
2. The RN provides the information and education required to enhance people's control over health
   Relates to: Quizzes, Case study and discussion, Short answer case study examination
3. The RN uses a lifelong learning approach for continuing professional development of self and others
   Relates to: Quizzes, Case study and discussion, Short answer case study examination
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: Quizzes, Case study and discussion, Short answer case study examination
5. The RN seeks and responds to practice review and feedback
   Relates to: Quizzes, Case study and discussion, Short answer case study examination
6. The RN actively engages with the profession
   Relates to: Quizzes, Case study and discussion, Short answer case study examination
7. The RN identifies and promotes the integral role of nursing practice and the profession in influencing better health outcomes for people.
   Relates to: Quizzes, Case study and discussion, Short answer case study examination

4: Comprehensively conducts assessments.

1. The RN conducts assessments that are holistic as well as culturally appropriate
   Relates to: Quizzes, Case study and discussion, Short answer case study examination
2. The RN uses a range of assessment techniques to systematically collect relevant and accurate information and data to inform practice
   Relates to: Quizzes, Case study and discussion, Short answer case study examination
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: Quizzes, Case study and discussion, Short answer case study examination
4. The RN assesses the resources available to inform planning.
   Relates to: Quizzes, Case study and discussion, Short answer case study examination

5: Develops a plan for nursing practice.

1. The RN uses assessment data and best available evidence to develop a plan
   Relates to: Quizzes, Case study and discussion, Short answer case study examination
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: Quizzes, Case study and discussion, Short answer case study examination
3. The RN documents, evaluates and modifies plans accordingly to facilitate the agreed outcomes
   Relates to: Quizzes, Case study and discussion, Short answer case study examination
4. The RN plans and negotiates how practice will be evaluated and the time frame of engagement
   Relates to: Quizzes, Case study and discussion, Short answer case study examination
5. The RN coordinates resources effectively and efficiently for planned actions.
   Relates to: Quizzes, Case study and discussion, Short answer case study examination

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: Quizzes, Case study and discussion, Short answer case study examination
2. The RN practises within their scope of practice
   Relates to: Quizzes, Case study and discussion, Short answer case study examination
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: Quizzes, Case study and discussion, Short answer case study examination
4. The RN provides effective timely direction and supervision to ensure that delegated practice is safe and correct
   Relates to: Quizzes, Case study and discussion, Short answer case study examination
5. The RN practises in accordance with relevant policies, guidelines, standards, regulations and legislation
   Relates to: Quizzes, Case study and discussion, Short answer case study examination
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: Quizzes, Case study and discussion, Short answer case study examination

7: Evaluates outcomes to inform nursing practice.

1. The RN evaluates and monitors progress towards the expected goals and outcomes
   Relates to: Quizzes, Case study and discussion, Short answer case study examination
2. The RN revises the plan based on the evaluation
   Relates to: Quizzes, Case study and discussion, Short answer case study examination
3. The RN determines, documents and communicates further priorities, goals and outcomes with the relevant persons.
   Relates to: Quizzes, Case study and discussion, Short answer case study examination

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: Quizzes, Case study and discussion, Short answer case study examination
2. Apply critical thinking, clinical reasoning, and digital literacy skills to make evidence- based decisions and evaluate outcomes
   Relates to: Quizzes, Case study and discussion, Short answer case study examination
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: Case study and discussion