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Basics of Clinical Nursing (8 cr)

Code: 7Q00FK85-3004

General information


Enrolment period

10.06.2022 - 21.08.2022

Timing

01.08.2022 - 27.11.2022

Credits

8 op

Mode of delivery

Contact teaching

Unit

Nursing

Campus

TAMK Main Campus

Teaching languages

  • English

Degree programmes

  • Bachelor's Degree Programme in Nursing

Teachers

  • Tarja Friman
  • Jaana Vainionpää
  • Essi Ylistalo
  • Hanna Sahinoja
  • Milla Salama

Person in charge

Jaana Vainionpää

Small groups

  • Pienryhmä 1 (Size: 20. Open UAS: 0.)
  • Pienryhmä 2 (Size: 20. Open UAS: 0.)
  • Pienryhmä 3 (Size: 20. Open UAS: 0.)

Groups

  • 22NURSE

Small groups

  • Pienryhmä 1
  • Pienryhmä 2
  • Pienryhmä 3

Objectives (course unit)

Nursing 1

The student
- has a basic knowledge of the patient's needs for rest, nutrition, elimination, cleanliness, physical movement and interaction, as well as related nursing assistance techniques and is able to promote health in these areas
- understands the importance of taking into consideration the patient's sexuality in nursing and knows the methods of its intervention
- knows the principles of primary nursing and acting as the patient’s own nurse is able to help and guide people in daily activities in a customer-oriented way
- become trained in face to face patient guidance
- knows the essentials of health-promoting nutrition
- knows the principles of rehabilitative nursing
- knows the principles of ergonomic working in nursing and knows how to apply them in assisting the patient
- takes responsibility for his/her own learning and working in a small group and commits to a goal-oriented problem-solving process within a small group activity
- is able to work according to aseptic principles and works in accordance with general cleanliness and order during training classes

Nursing 2

The student
- knows how to monitor an adult’s body temperature, respiration and circulatory systems, knows the normal values, identify changes and is able to implement nursing care to resolve problems in these systems
- knows the ABCDE- and NEWS -method and how to assess patient’s vital signs based on the ABCDE- and NEWS -method
- knows how to assess a patient’s pain and is aware of various methods of pain management
- takes responsibility for his/her learning and actions during small-group learning activities and commits himself/herself to goal-oriented problem-solving process in small-group education
- become trained in the face to face patient guidance
- works in accordance with general cleanliness and order during training classes

Clinical laboratory investigations and ECG
The student
- knows the most common clinical laboratory investigations
- knows the principles and phases of clinical laboratory investigation process
- knows and understands the effects of preanalytical quality factors on laboratory results
- knows the basics of venepuncture and skin puncture blood sampling and electrocardiography
- practises performing venepuncture and skin puncture sampling and can record a 12-lead ECG under supervision considering quality factors, patient safety and occupational safety

Content (course unit)

Nursing 1, 4 cr
- aseptic work in a care setting
- basic human needs; rest, movement, nutrition, elimination, cleanliness, and nursing interventions in cleanliness, skin care, physical movement, nutrition and elimination, and health promotion in these areas
- consideration of sexuality in nursing and methods of its intervention
- Finnish nutritional recommendations
- primary nursing and the responsibility and principles of primary nursing
- ergonomic working methods in nursing and assisting a person to move and rest
- rehabilitative working method in patient counselling and assisting the patient

Nursing 2, 3 cr
- monitoring of the circulatory system, measurement and related nursing assistance methods
- monitoring of respiration, measurement and nursing methods of respiratory support
- monitoring of body temperature and nursing actions and methods related to imbalances of thermal regulation
- assessment of a patient’s vital signs based on the ABCDE –method and reporting of patient’s condition (ex ISBAR, NEWS)
- pain types and pain management using non-pharmacological nursing methods
- basics of gas calculations
- verbal guidance between patients and multiprofessional team
- guidance in everyday nursing to the guidance process

Clinical laboratory investigations and ECG, 1cr
- the most common clinical laboratory investigations
- clinical laboratory investigation process
- nomenclature of laboratory tests and the use of laboratory instruction manual
- preanalytical quality factors
- patient guidance in preparing for laboratory tests
- venepuncture and skin puncture sampling
- 12-lead ECG (electrocardiogram)

Assessment criteria, satisfactory (1-2) (course unit)

Nursing 1

The Student
- can define concepts of rehabilitative nursing and ergonomic way of working.
- knows the basics of patient’s needs in the areas of rest, nutrition, excretion, hygiene, moving about and transferring, relationships and sexuality and can name the nursing methods meeting the needs.
- knows the normal variation in the observed parameters.
- knows the national nutrition recommendation’s fundamental principles and concepts.
- recognizes the nutritional guidance needs of an adult patient.
- knows how to recognize the risk of malnutrition.
- can list the principles of hospice care
- participates in the small group's work and goal-oriented problem-solving process with the small group
- know how to work according to aseptic principles

Nursing 2

The student
- knows the basic requirements of human blood circulation, breathing, and heat regulation, and can identify nursing interventions in these areas
- knows the normal values of the different monitoring areas
- knows the types of pain and can identify nursing interventions to help in pain management
- knows the basic principles of face-to-face control situations
- knows how to work according to aseptic principles

Assessment criteria, good (3-4) (course unit)

Nursing 1

The Student
- knows the basics of patient’s needs in the areas of rest, nutrition, excretion, hygiene, moving about and transferring, relationships and sexuality and can name with rationales the nursing methods meeting the needs and can promote health within the domain.
- can define concepts of rehabilitative nursing and ergonomic way of working and can implement those while assisting a patient.
- knows the national nutrition recommendation’s fundamental principles and concepts.
- recognises the nutritional guidance needs of an adult patient.
- can implement nursing care of a patient with special nutritional needs (malnutrition).
- can list the principles of hospice care
- take responsibility for their own learning and working in a small group and commit to a goal-oriented problem-solving process with the small group
- is able to work according to aseptic principles

Nursing 2

The student
- knows how to monitor adult activity regarding the thermoregulatory, respiratory and circulatory systems, knows their normal functions and knows in detail how to perform nursing interventions for problems in the mentioned areas
- knows how to monitor pain and is aware of different methods of pain management
- trains in face-to-face control situations
- is able to work according to aseptic principles

Assessment criteria, excellent (5) (course unit)

Nursing 1

The Student
- can combine theory base with nursing
- can analyse, ponder and implement in professional context
- is able to work using basic clinical nursing skills
- is able to take into account and follow the basic principles of individually responsible nursing
- takes active responsibility for their own learning and working in a small group and commits to a goal-oriented problem-solving process with the small group

Nursing 2

The student
- analyses, explains in detail and combines knowledge regarding the thermoregulatory, respiratory and circulatory systems, knows their normal functions and knows in detail how to perform nursing interventions for problems in the mentioned areas, in various professional contexts
- is able to work using basic clinical nursing skills
- is able to take into account and follow the basic principles of individually responsible nursing
- takes active responsibility for their own learning and working in a small group and commits to a goal-oriented problem-solving process with the small group

Assessment criteria, pass/fail (course unit)

Clinical laboratory investigations and ECG

Evaluation criteria (pass)

The student
- knows the principles of the most common clinical laboratory investigations and preanalytical quality factors
- knows how to look up information using laboratory instruction manuals
- can guide patients to laboratory tests
- takes into account patient safety and occupational safety
- practises performing venepuncture and skin puncture blood sampling under supervision
- can record a 12-lead ECG under supervision and analyze the quality of the registration

Exam schedules

Nursing 1 exam in Exam weeks 39-41
Retake I week 45
Retake II week 49

Nursing 2 exam in Exam weeks 46-47
Retake I week 1 /2023
Retake II week 5/2023

Clinical laboratory investigations and ECG: 21.11.2022
Retake I week 50
Retake II January 2023

Retakes in Exam.




Clinical laboratory investigations and ECG exam or learning assignment details will be announced at the orientation class.
Implementation increase test: January 2023. The increase test will be held in connection with the last renewal of the Nursing 2 test, unless otherwise stated in the implementation plan. Notify the teacher by e-mail no later than week 50 (at least three weeks before the increase week) that you want to do the increase test. After this, raising is not possible.

Assessment methods and criteria

- Participation in the implementation orientation is mandatory.
-100% attendance during training classes (absence is compensated as agreed), active participation in classes.
-Preparing and doing assignments before practice lessons by getting to know things in theory. Approved performance of tasks within the given schedule.
-Approved performance in ensuring competence.

EVALUATION:

Nursing 1. Course-exam. Numeral valuation. 4 cr. Evaluation 0-5.
Nursing 2. Course-exam. Numeral valuation. 3 cr. Evaluation 0-5.
Orientoiva harjoittelu 100% active attendance to all the skills stations in small groups. All prep tasks/assignments done before skills stations.
Orientoiva harjoittelu, ergonomia 100% active attendance to all the skills stations in small groups. All prep tasks/assignments done before skills stations.
Clinical laboratory investigations and ECG. Course exam or learning assignment 1 cr, evaluation pass/fail.
ECG 100% attendance during small groups, evaluation pass/fail
VENEPUNCTURE AND SKIN PUNCTURE SAMPLING, 100% attendance during small groups, evaluation pass/fail

Assessment scale

0-5

Teaching methods

Small group work, contact classes, distance teaching, training classes, flipped-learning, case-based collaborative learning, Moodle-courses, Moodle-working, simulation, group tasks, e-courses and e-tests.

Learning materials

Nursing 1:

Janice L. Hinkle, Kerry H. Cheever. Brunner & Suddarth's textbook of medical-surgical nursing.2018. 14th edition: Basic concepts in Nursing: Chapters Roles of the Nurse and Models of Nursing Care Delivery.;Critical Thinking,Ethical Decision making, and the Nursing Process: Chapter The Nursing Process;Health Education and Health Promotion: Chapters The Nursing Process in Patient Teaching and Health Promotion; From Chapter : Individual and Family considerations: Sub chapters: Loss and Grief, Death and Dying, and Chapter: Principles and practices of rehabilitation completely.

All the material provided by the teacher

Fundamentals of Medical-Surgical Nursing : A Systems Approach 2014.Brady, McCabe,& McCann.2014.Publisher John Wiley & Sons, Incorporated.e-book.Part 1: Common Principles Underlying Medical and Surgical Nursing Practice
Chapters:1,4, 7,

Yoost& Crawford (2015) Clinical Companion for Fundamentals of Nursing : Active Learning for Collaborative Practice. Chapters 24, 29, 35, 36, 37

Nutrition: Nordic Nutrition Recommendations 2012. pages: https://www.ruokavirasto.fi/globalassets/teemat/terveytta-edistava-ruokavalio/ravitsemus--ja-ruokasuositukset/nordic-nutrition-recommendations-2012.pdf pages 1-41.

Nursing 2:

Janice L. Hinkle, Kerry H. Cheever. Brunner & Suddarth's textbook of medical-surgical nursing. 2018. 14th edition: Concepts and Challenges in Patient Management: Pain management. Gas Exchange and Respiratory Function: Assessment of Respiratory Function, Respiratory Care Modalities: Noninvasive Respiratory Therapies. Cardiovascular and Circulatory Function: Assessment of Cardiovascular Function.

NICE guideline: Hypertension in Adults Diagnosis and Management(August 2019) Parts 1.1-1.3 and only Lifestyle interventions from 1.4

Anne-Marie Brady, Catherine McCabe, and Margaret McCann. 2013 "Fundamentals of Medical-Surgical Nursing : A Systems Approach" eBook by John Wiley & Sons, Incorporated
Chapter 1: Principles of Nursing Assessment.pp:35-45.

All the material provided by the teachers.



Clinical laboratory investigations and ECG:

Simundic, A-M et al. 2018. Joint EFLM-COLABIOCLI Recommendation for venous blood sampling. Clin Chem Lab Med 2018; 56(12): 2015–2038.

Basten, G. 2013. Blood Results in Clinical Practice: Chapter 1: Understanding blood tests

All the material provided by the teacher

Student workload

Total 8 cr x 27 h = 216 hours of study

Nursing 1 and 2: 12 h theory, 8 x 4 h small group work and contact hours. 145 h independent study.

Clinical laboratory investigations and ECG: 8 h contact hours, 2 x 4 h small group work, other assignments. 11 h independent study.

Independent work during skills training is possible at school in self-practice class. The self-practice class can be booked through the Pakki space reservation. Instructions for the self-training class can be found in the self-training class.

Content scheduling

Nursing 1
Nursing 2
Nutrition
Orientation to the clinical training, nursing
Orientation to the clinical training, ergonomics
Clinical laboratory investigations and ECG
ECG
VENEPUNCTURE AND SKIN PUNCTURE SAMPLING

Completion alternatives

None.

Practical training and working life cooperation

None.

International connections

None.

Further information

Training classes should include workwear and work shoes, as well as proper hygiene and appearance. Avoiding the use of strong fragrances.

The implementation plan can be updated before the orientation of the course.

Assessment criteria - satisfactory (1-2) (Not in use, Look at the Assessment criteria above)

Nursing 1
The Student
-Can define concepts of rehabilitative nursing and ergonomic way of working.
-Knows the basics of patient’s needs in the areas of rest, nutrition, excretion, hygiene, moving about and transferring, relationships and sexuality and can name the nursing methods meeting the needs.
-Knows the normal variation in the observed parameters.
-Knows the national nutrition recommendation’s fundamental principles and concepts.
-Recognizes the nutritional guidance needs of an adult patient.
-Knows how to recognize the risk of malnutrition.
-Can list the principles of hospice care
-Participates in the small group's work and goal-oriented problem-solving process with the small group
-Know how to work according to aseptic principles


Nursing 2

The student
- Knows the basic requirements of human blood circulation, breathing, and heat regulation, and can identify nursing interventions in these areas
- Knows the normal values of the different monitoring areas
- Knows the types of pain and can identify nursing interventions to help in pain management
- Know the basic principles of face-to-face control situations
- Know how to work according to aseptic principles

Assessment criteria - good (3-4) (Not in use, Look at the Assessment criteria above)

Nursing 1
The Student
-Knows the basics of patient’s needs in the areas of rest, nutrition, excretion, hygiene, moving about and transferring, relationships and sexuality and can name with rationales the nursing methods meeting the needs and can promote health within the domain.
-Can define concepts of rehabilitative nursing and ergonomic way of working and can implement those while assisting a patient.
-Knows the national nutrition recommendation’s fundamental principles and concepts.
-Recognises the nutritional guidance needs of an adult patient.
-Can implement nursing care of a patient with special nutritional needs (malnutrition).
-Can list the principles of hospice care
-Take responsibility for their own learning and working in a small group and commit to a goal-oriented problem-solving process with the small group
-Is able to work according to aseptic principles

Nursing 2

The student
- Knows how to monitor adult activity regarding the thermoregulatory, respiratory and circulatory systems, knows their normal functions and knows in detail how to perform nursing interventions for problems in the mentioned areas
- Knows how to monitor pain and is aware of different methods of pain management
- Trains in face-to-face control situations
- Is able to work according to aseptic principles

Assessment criteria - excellent (5) (Not in use, Look at the Assessment criteria above)

Nursing 1
The Student
- Can combine theory base with nursing
- Can analyse, ponder and implement in professional context
- Is able to work using basic clinical nursing skills
- Is able to take into account and follow the basic principles of individually responsible nursing
-Takes active responsibility for their own learning and working in a small group and commits to a goal-oriented problem-solving process with the small group


Nursing 2
The student
- Analyses, explains in detail and combines knowledge regarding the thermoregulatory, respiratory and circulatory systems, knows their normal functions and knows in detail how to perform nursing interventions for problems in the mentioned areas, in various professional contexts
- Is able to work using basic clinical nursing skills
- Is able to take into account and follow the basic principles of individually responsible nursing
-Takes active responsibility for their own learning and working in a small group and commits to a goal-oriented problem-solving process with the small group

Clinical laboratory investigations and ECG

Evaluation criteria (pass)

The student
- knows the principles of the most common clinical laboratory investigations and preanalytical quality factors
- knows how to look up information using laboratory instruction manuals
- can guide patients to laboratory tests
- takes into account patient safety and occupational safety
- practises performing venepuncture and skin puncture blood sampling under supervision
- can record a 12-lead ECG under supervision and analyze the quality of the registration