NSB236 Integrated Nursing Practice 3 On Campus

Unit Outline: Semester 2 2026, 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 complex 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 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 in complex care situations
3. Demonstrate structured clinical reasoning to review a range of complex 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 tutorials which will provide opportunities for you to work with case studies and scenarios from across the lifespan to develop your skills for critical inquiry. The range of learning activities provides key experiential learning opportunities for you to apply knowledge and skills. 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
• You will receive individual feedback on your oral interview.
• The Unit Coordinator and tutors will be available for consultation throughout the semester in on-campus and online contexts

Assessment

Overview

There are 2 assessments to be completed in this unit, an evidence based practice case study assessed via oral interview and a final exam integrating your knowledge and case scenario based problems.

Unit Grading Scheme

7- point scale

Assessment Tasks

Assessment: Case study and oral interview

You will focus on the provision of care for consumers 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.

You will undertake a face to face oral interview to hand over a patient case study including knowledge of pathophysiology and effective communication with family.

Assessment: Exam

A centrally timetabled written examination involving case studies and short answer questions.

Academic Integrity

Academic integrity is a commitment to undertaking academic work and assessment in a manner that is ethical, fair, honest, respectful and accountable.

The Academic Integrity Policy sets out the range of conduct that can be a failure to maintain the standards of academic integrity. This includes, cheating in exams, plagiarism, self-plagiarism, collusion and contract cheating. It also includes providing fraudulent or altered documentation in support of an academic concession application, for example an assignment extension or a deferred exam.

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.

Breaching QUT’s Academic Integrity Policy or engaging in conduct that may defeat or compromise the purpose of assessment can lead to a finding of student misconduct (Code of Conduct – Student) and result in the imposition of penalties under the Management of Student Misconduct Policy, ranging from a grade reduction to exclusion from QUT.

Resources

Resource Materials

Prescribed text(s)

Brown, D, Thomas C. T. Buckley, Robyn L. Aitken, and Helen Edwards, eds. Lewis’s Medical-Surgical Nursing : Assessment and Management of Clinical Problems. 6e. Australia and New Zealand edition. Chatswood, NSW: Elsevier Australia, 2024.

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.

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: Case study and oral interview, Exam
2. The RN develops practice through reflection on experiences, knowledge, actions, feelings and beliefs to identify how these shape practice
   Relates to: Case study and oral interview, 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: Case study and oral interview, 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: Case study and oral interview, Exam
5. The RN uses ethical frameworks when making decisions
   Relates to: Case study and oral interview, Exam
6. The RN maintains accurate, comprehensive and timely documentation of assessments, planning, decision-making, actions and evaluations
   Relates to: Case study and oral interview, Exam
7. The RN contributes to quality improvement and relevant research.
   Relates to: Case study and oral interview, 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: Case study and oral interview, Exam
2. The RN communicates effectively, and is respectful of a person’s dignity, culture, values, beliefs and rights
   Relates to: Case study and oral interview, Exam
3. The RN recognises that people are the experts in the experience of their life
   Relates to: Case study and oral interview, Exam
4. The RN provides support and directs people to resources to optimise health-related decisions
   Relates to: Case study and oral interview, Exam
5. The RN advocates on behalf of people in a manner that respects the person’s autonomy and legal capacity
   Relates to: Case study and oral interview, Exam
6. The RN uses delegation, supervision, coordination, consultation and referrals in professional relationships to achieve improved health outcomes
   Relates to: Case study and oral interview, 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: Case study and oral interview, Exam
8. The RN participates in and/or leads collaborative practice
   Relates to: Case study and oral interview, Exam
9. The RN reports notifiable conduct of health professionals, health workers and others.
   Relates to: Case study and oral interview, 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: Case study and oral interview, Exam
2. The RN provides the information and education required to enhance people's control over health
   Relates to: Case study and oral interview, Exam
3. The RN uses a lifelong learning approach for continuing professional development of self and others
   Relates to: Case study and oral interview, 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: Case study and oral interview, Exam
5. The RN seeks and responds to practice review and feedback
   Relates to: Case study and oral interview, Exam
6. The RN actively engages with the profession
   Relates to: Case study and oral interview, 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: Case study and oral interview, Exam

4: Comprehensively conducts assessments.

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

5: Develops a plan for nursing practice.

1. The RN uses assessment data and best available evidence to develop a plan
   Relates to: Case study and oral interview, 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: Case study and oral interview, Exam
3. The RN documents, evaluates and modifies plans accordingly to facilitate the agreed outcomes
   Relates to: Case study and oral interview, Exam
4. The RN plans and negotiates how practice will be evaluated and the time frame of engagement
   Relates to: Case study and oral interview, Exam
5. The RN coordinates resources effectively and efficiently for planned actions.
   Relates to: Case study and oral interview, 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: Case study and oral interview, Exam
2. The RN practises within their scope of practice
   Relates to: Case study and oral interview, 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: Case study and oral interview, Exam
4. The RN provides effective timely direction and supervision to ensure that delegated practice is safe and correct
   Relates to: Case study and oral interview, Exam
5. The RN practises in accordance with relevant policies, guidelines, standards, regulations and legislation
   Relates to: Case study and oral interview, 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: Case study and oral interview, Exam

7: Evaluates outcomes to inform nursing practice.

1. The RN evaluates and monitors progress towards the expected goals and outcomes
   Relates to: Case study and oral interview, Exam
2. The RN revises the plan based on the evaluation
   Relates to: Case study and oral interview, Exam
3. The RN determines, documents and communicates further priorities, goals and outcomes with the relevant persons.
   Relates to: Case study and oral interview, 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: Case study and oral interview, Exam
2. Apply critical thinking, clinical reasoning, and digital literacy skills to make evidence- based decisions and evaluate outcomes
   Relates to: Case study and oral interview, 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: Case study and oral interview