Study Guide

Objectives (course unit)

The student
- meets the patient, family and colleagues appropriately and respectfully, is capable of creating and maintaining professional interaction with the patient, and uses good work community skills
- respects clients/patients and meets them as experts in their lives
- is able to use the essential knowledge and skills required for nursing in the long-term care and is able to carry out evidence based, ethical and high-quality nursing care
- is able, under supervision, to define own patient's nursing needs; to plan, implement and evaluate nursing care in a client-oriented and health-promoting manner, in co-operation with the patient, family and other health care and social services professionals
- is able to use nursing documentation process in patients’ nursing care plans
- gets experience in patient's holistic care path, including discharge and planning for continuing care
- is able to assist patients in daily activities by using safe nursing interventions; focusing on patient’s personal hygiene and skin care, elimination, nutrition, mobility and psychosocial well-being, using client-centred and rehabilitative approach
- gets practice in observation and evaluation of patient’s condition; circulation, breathing, pain management, skin integrity, nutrition and elimination, and related nursing care and decision-making
- is able to promote patient safety and prevent incidents at all stages of the nursing care process and practices ergonomic working
- masters the principles of infection control and works aseptically; masters aseptic hand hygiene, the appropriate use of protective equipment and works according to aseptic work order
- is able to carry out patient's medication and fluid therapy safely and correctly under supervision
- gets practice in patient guidance
- is able to meet and take care of patients in the end-stage of life and in the face of death
- is able to give oral and written nursing care report
- recognises own and other health care and social services professionals’ responsibilities and understands the meaning of division of duties when considering client’s holistic care: can describe nurse’s duties in the care environment
- adheres to ethical guidelines and principles of nursing, acts responsibly as a member of the work community, recognising own competence’s limits and follows the practice guidelines
- complies with confidentiality and data privacy protection
- is able to evaluate own competence and development as a student nurse realistically, and is able to give and receive feedback

Content (course unit)

- patient’s holistic nursing care in practice
- nursing care plan for own patient
- the context for learning is in long-term care units in basic health care.

Prerequisites (course unit)

The student has participated in the first semester studies, at least the courses Basics of clinical nursing, Infection control, Pharmacotherapy and medical calculations and Supervised clinical training 1.

Further information (course unit)

Supervised clinical trainings 2-7 in the Degree Programme in Nursing should be planned and placed in different areas of nursing. EU directive requires following professional competence areas for a nurse responsible for general care: medical nursing, surgical nursing, nursing of children, young people and families, maternity care, mental health and substance abuse nursing, gerontological nursing, home care nursing, acute care nursing, palliative nursing, end-of-life care and nursing for disabled people. Due to limited number of clinical training placements, all areas of nursing are not available for all students. The student should consider how to achieve the goals set for all clinical training areas, combining goals from missing areas to actual clinical training places’ goals, when making individual clinical training plans. Before each clinical training the student should have participated in nursing theory studies related to the clinical training area. Clinical Trainings are carried out with patients of different ages in both primary health care and specialised care, ensuring the development of diverse competence. The student will benefit from having done a middle-phase clinical training in the same area of nursing as advanced studies’ clinical training.

Assessment criteria, pass/fail (course unit)

Pass:
The student
- meets the patient, family and colleagues appropriately and respectfully, is capable of creating and maintaining professional interaction with the patient, and uses good work community skills
- respects clients/patients and meets them as experts in their lives
- is able to use the essential knowledge and skills required for nursing in the long-term care and is able to carry out evidence based, ethical and high-quality nursing care
- is able, under supervision, to define own patient's nursing needs; to plan, implement and evaluate nursing care in a client-oriented and health-promoting manner, in co-operation with the patient, family and other health care and social services professionals
- is able to use nursing documentation process in patients’ nursing care plans
- gets experience in patient's holistic care path, including discharge and planning for continuing care
- is able to assist patients in daily activities by using safe nursing interventions; focusing on patient’s personal hygiene and skin care, elimination, nutrition, mobility and psychosocial well-being, using client-centred and rehabilitative approach
- gets practice in observation and evaluation of patient’s condition; circulation, breathing, pain management, skin integrity, nutrition and elimination, and related nursing care and decision-making
- is able to promote patient safety and prevent incidents at all stages of the nursing care process and practices ergonomic working
- masters the principles of infection control and works aseptically; masters aseptic hand hygiene, the appropriate use of protective equipment and works according to aseptic work order
- is able to carry out patient's medication and fluid therapy safely and correctly under supervision
- gets practice in patient guidance
- is able to meet and take care of patients in the end-stage of life and in the face of death
- is able to give oral and written nursing care report
- recognises own and other health care and social services professionals’ responsibilities and understands the meaning of division of duties when considering client’s holistic care: can describe nurse’s duties in the care environment
- adheres to ethical guidelines and principles of nursing, acts responsibly as a member of the work community, recognising own competence’s limits and follows the practice guidelines
- complies with confidentiality and data privacy protection
- is able to evaluate own competence and development as a student nurse realistically, and is able to give and receive feedback
Fail:
The student
- lacks understanding of professional encounter: treats patients, family, or members of the work community inappropriately or disrespectfully and professional interaction and working life skills are insufficient
- has obvious gaps in learning; searching for and utilising knowledge is incomplete, and even after a tutorial discussions there are misunderstandings in the theoretical knowledge
- is not able to perform main clinical skills under supervision
- is not able to help the patient in the daily activities, is not able to observe patient's basic vital functions and general condition and decision-making skills are inadequate
- is not able to plan, implement and evaluate nursing care adequately
- is not able to present patient's whole situation in nursing care plan and summary
- is not able to help the patient in the daily activities and is not able to observe patient's basic vital functions and general condition
- does not master the principles of infection control and aseptic practice
- makes mistakes in patient's medication and fluid therapy despite guidance; has not updated medication passport
- violates confidentiality or patient’s data privacy protection
- does not recognize the boundaries of own competence, resulting in endangering patient safety
- fails to follow the agreed rules for supervised clinical training (e.g. takes no responsibility for own learning; the goals are missing; does not follow the working hours, does not report his/ her absences, and/or the total amount of required hours is not fulfilled)
- evaluates own competence unrealistically and is unable to receive feedback

Assessment methods and criteria

The Supervised clinical training will be accepted by both placement mentors and supervising teacher.

Pass/ fail according to criteria
Written assignment during practice
Medication passport

Assessment scale

Pass/Fail

Teaching methods

Orientation session - Mandatory Participation

4 weeks in clinical practice in health care unit placement including discussion on objectives, mid-term and final evaluation discussions

Reflection Session - Mandatory Participation

Learning materials

Materials used in theoretical studies

Materials found in clinical placement

Student workload

Hours according to study credits are 4 weeks = 6 study credits = 162 hrs total includes

Mandatory orientation, reflection and written tasks/ assignment

Working hours in clinical environment in 4 weeks =153 hrs = 38 hrs 15 minutes per week approx

If the following holidays occur during Monday- Friday while in practise, working hours for that week are 7 and half hours less. Good Friday, Easter Friday, 1st of May, Ascension day, Midsummer day, December 6th- Independece day in Finland, Christmas day, Boxing day, New year day

Further information

Holistic care 4 weeks

Setting goals for clinical training:
-Write general placement objectives and evaluation criteria
-Write individual learning objectives for all 13 competence areas. Individual objectives should be related to your current practice area.

-Share objectives and time sheet with mentor and supervising teacher within the first five days of clinical training.

Book time for evaluation meetings per instructions

Assessment criteria - pass/fail (Not in use, Look at the Assessment criteria above)

Pass
The student
- knows the basic knowledge of nursing, recognizes the lack of knowledge in him/herself and actively seeks for information
- knows the patient's care path
- possesses the essential clinical skills of nursing
- masters the principles of infection control and working aseptically
- is able to safely implement the patient's drug and fluid therapy
- is able to observe the patient's basic vital functions and is trained in the related decision-making
- meets the patient, family, and the members of work group in an appropriate and respectful manner and is able to interact with the patient and the work community members
- is able to plan, implement and evaluate client-oriented care of his/ her own patient
- makes an approved nursing care plan and a nursing summary for his/her own patient
- aims to take into account the aspects of health promotion in patient care
- participates in patient guidance
- promotes patient safety at all stages of the care process
- works responsibly, recognizing the limits of his/ her expertise
- follows the confidentiality and data protection guidelines
- follows in his / her actions the agreed rules of
the supervised practical training
- reflects and evaluates his/her own activities realistically and is able to give and receive feedback

Fail
There are obvious shortcomings in basic knowledge about nursing; searching for and utilising knowledge is incomplete, and even after a tutorial discussion there are misunderstandings in the theoretical knowledge
The student
- does not know the patient's care path
- does not demonstrate under supervision the essential clinical skills of patient care
- does not master the principles of infection control and aseptic procedures
- makes mistakes in the patient's medicine and fluid therapy despite being supervised; has not completed a medical treatment passport
- is not able to observe the patient's basic vital function and condition
- displays inadequate planning, implementation and evaluation of treatment
- the patient's nursing care plan and summary don’t show the patient's whole situation
- displays a lack of understanding of professional interface: treats patients, family, or members of the work group inappropriately or disrespectfully and is not able to interact with them
- does not show interest in patient guidance and withdraws from it
- violates confidentiality or patient privacy
- does not recognize the boundaries of his/her expertise, endangering patient safety
- fails to follow the agreed rules for supervised practice (e.g., takes no responsibility for his/her own learning; the goals are missing; does not
follow the working hours, does not report his/ her absences, and/or the total amount of required hours is not fulfilled)
- evaluates her/his own competence unrealistically and is unable to receive feedback