Nursing Process and Documentation (2op)

Osaamistavoitteet (Opintojakso)

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.

Sisältö (Opintojakso)

- 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

Arviointikriteerit, tyydyttävä (1-2) (Opintojakso)

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.

Arviointikriteerit, hyvä (3-4) (Opintojakso)

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.

Arviointikriteerit, kiitettävä (5) (Opintojakso)

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.

Tenttien ja uusintatenttien ajankohdat

First exam 12.3.2021
Nursing care plan submission by 9.3.2021 via moodle.
retake exams in the exam environment.
1. weeks 13-15
2. weeks 17-20

Arviointimenetelmät ja arvioinnin perusteet

All the tasks are mandatory. All tasks must be completed by 25 February 2021.

Arviointiasteikko

0-5

Opiskelumuodot ja opetusmenetelmät

Lectures, small group work, independent work

Oppimateriaalit

Course material will be presented in the mandatory orientation.

Opiskelijan ajankäyttö ja kuormitus

54 hours of which
12 hours theory and 4 hours of practice in small group workshops.

Lisätietoja opiskelijoille

Orientation, Legislation class, workshop sessions are mandatory.