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

Exam schedules

Implementation Part 1 Supervised Clinical Training, 6 credits

Attending the orientation class, making goals, language agreements, and working shifts on time = during the first week of training and sharing and getting them approved by the mentor and the instructing teacher.

Completing training hours, participating in reflection, and evaluation discussions, and returning training documents on time (agreed with instructing teacher)

· Evaluation: pass/fail

Implementation Part 2 Assignments and medication passport 0 credits

· Returning the assignment and initiating filling out the medical passport during training/ by the time of reflection

· Evaluation: pass/fail

Assessment scale

Pass/Fail

Teaching methods

Supervised training: Participation in supervised clinical training according to the required specified number of hours (153h) - Mandatory
Participation in the Orientation -Mandatory
Reflection discussion after the SCT - Mandatory.
Assignments completed before the reflection- Mandatory
Filling in the medication passport during training with a mentor - Mandatory

Student workload

4 weeks in the supervised clinical training = 6 Credits. The total number of hours of the training is 162 h and this includes 5h of which is reserved for doing assignments and 4 h of orientation + final reflection. The number of hours during training is 153 h.

Completion alternatives

(AHOT)
Identification and recognition of prior learning - Practical Nurse graduates

Further information

For completing the course student will:

Fill and return the learning objectives, worksheet, language agreement, medication passport, and self-evaluation timely.
- Complete the required practical training hours and adequately accomplish the learning objectives.
- Complete the required task (S2 + Medication Passport)
- The Supervised clinical training will be accepted by mentors and supervising teachers.