Hoitotyön prosessi ja sen dokumentointi (2 cr)
Code: 7K00DX24-3003
General information
- Enrolment period
- 07.06.2019 - 21.10.2019
- Registration for the implementation has ended.
- Timing
- 01.11.2019 - 11.12.2019
- Implementation has ended.
- Credits
- 2 cr
- Mode of delivery
- Contact learning
- Unit
- Nursing
- Campus
- TAMK Main Campus
- Teaching languages
- Finnish
- Degree programmes
- Degree Programme in Nursing and Health Care, Nursing
Objectives (course unit)
The student
- knows the main principles of documentation
- knows the phases of the nursing process and understands the differences therein
- can make a nursing care plan and summary of the plan
- knows the structured nursing care plan and knows how to use it as part of the patient care
- knows the structure of a health and care plan
- uses evidence-based knowledge as part of the decision-making
- knows and is able to apply the legislation concerning documentation
- understands the nurse's responsibility in documentation and information management
- becomes interested in the development of digital social and health care.
Content (course unit)
- development of the documentation in nursing; utilisation of cumulative patient information and digital health care services;
- digital healthcare services and the potential of electronic applications
- the client data archive
- the nursing process
- making a nursing care plan, evaluation in the hospital and out-patient clinic
- health- and nursing-care plans
- legislations and instructions
- structured nursing documentation
- eHealth strategy of the Finnish Nurses Association
Assessment criteria, satisfactory (1-2) (course unit)
The student
- identifies digital health services and can guide citizens to use them
- understands the principles of nursing documentation
- knows the steps of nursing documentation and is able to make a nursing care plan
- knows the laws governing documentation
- recognises the use of evidence-based practice as supporting the decision-making process of a citizen and a nursing professional
- knows the role of a professional in nursing decision-making and documentation
- demonstrates interest in the development of digital social and health services.
Assessment criteria, good (3-4) (course unit)
The student
- is aware of national digital health services and can guide citizens to use them
- knows the basic principles of nursing documentation
- can describe the steps of nursing documentation and is able to make an individual nursing care plan
- is able to explain the effects of legislation concerning the documentation governing professional activities
- recognises the use of evidence-based practice as supporting the decision-making process of a citizen and a nursing professional
- is able to reflect on the role of a professional in nursing decision making and documentation
- is able to act responsibly in documentation and information management
- demonstrates familiarity with digital social and health care development.
Assessment criteria, excellent (5) (course unit)
The student
- recognises national digital health services and can guide citizens to use them, now and in the future
- can apply the principles of nursing documentation
-is able to apply with full understanding the steps of nursing documentation and can make an individual, comprehensive and logical nursing care plan
- is able to apply the legislation as part of a professional discussion of documentation
- can apply evience-based knowledge to support nursing decision making
- is able to reflect on the role of a professional in nursing decision making and documentation
- knows how to guide others in documentation and information management.
Exam schedules
Exam koe, tenttiperiodi: 3.12.-11.12.2019. Kokeen kesto 90 min. Ilmoittautumisosoite: https://exam.tamk.fi/enroll/exam/60483?code=7K00DX24-3003
1. uusinta Exam kokeena, 27.1.- 1.2.2019: https://exam.tamk.fi/enroll/exam/65246?code=7K00DX24-3003
2. uusinta Exam kokeena, 17.2.-22.2.2019:
https://exam.tamk.fi/enroll/exam/66952?code=7K00DX24-3003
Assessment methods and criteria
Numeerinen arviointi (0-5)
• Osallistuminen opetukseen, orientaatiotunnilla, lainsäädäntöä käsittelevällä teoriatunnilla ja pienryhmätyöskentelyssä läsnäolovelvollisuus
• Verkkotentti, numeerinen arviointi. Tentin monivalintaosuudessa läpäisyvaatimuksena 75% oikein.
• Annettujen tehtävien suorittaminen hyväksytysti.
Assessment scale
0-5
Teaching methods
Luennot, pienryhmätyöskentely, verkkokurssit, itsenäinen opiskelu. Kurssin ensimmäisellä tunnilla eli orientaatiossa, lainsäädäntöä käsittelevällä teoriatunnilla ja pienryhmätyöskentelyssä läsnäolovelvollisuus.
Learning materials
Kirjallisuus:
• Kanta-palveluiden verkkokoulu https://verkkokoulut.thl.fi/web/kanta
• Kurssimateriaali tabulapohjalla
• Potilastiedon rakenteisen kirjaamisen opas. Osa1. 2018. https://thl.fi/documents/920442/2902744/Kirjaamisopas+osa+1++final+2018__.pdf/5395585e-324f-4ac5-86d6-106e27979e77
• Potilasasiakirjojen laatiminen ja käsittely. Opas terveydenhuollolle. STM.2012. http://urn.fi/URN:ISBN:978-952-00-3337-8
• Luennot
• Muu opettajan osoittama materiaali
Student workload
Opintojakson työmäärä opiskelijalle 54h, johon sisältyy kontaktiopetus, orientoiva harjoittelu ja itsenäinen työskentely eri tavoin.
Content scheduling
Sisällön jaksotus (osat)
• teoria (2 op)
• tehtävät (0 op)
• pienryhmätyöskentely (0 op)
Completion alternatives
-
Practical training and working life cooperation
-
International connections
-
Further information
Opintojakson tarkennettu sisältö
• kanta palvelut
• kansalaisen, ammattilaisen ja teknologian keinoin tuotettu potilastieto ja tiedon hyödyntäminen
• hoitotyön prosessi
• hoitotyön suunnitelmien laatiminen ja arviointi sairaalassa ja avohoidossa, hoitotyön yhteenveto
• terveys- ja hoitosuunnitelma
• lainsäädäntö, ohjeistus ja dokumentoinnin etiikka
• rakenteet hoitotyön dokumentoinnissa
• hoitotyön dokumentoinnin kehittyminen
• sairaanhoitajaliiton sähköisten terveyspalveluiden strategia