Supervised Clinical Training 4 (6 cr)

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 apply the essential nursing knowledge and skills required in the specified care environment and is able to carry out evidence based, ethical and high-quality nursing care
- is able, under supervision, to define 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, and is able to use structured documentation system
- gets experience in patient's holistic care path, including discharge and planning for continuing care
- is able to observe and evaluate patient’s basic life functions and vital signs and learns to make related decisions in different situations
- is able to promote patient safety and prevent incidents at all stages of the nursing care process
- masters the principles of infection control and works aseptically
- is able to carry out patient's medication and fluid therapy safely and correctly under supervision
- is able to guide the patient in self-care using evidence-based knowledge and masters data search from most common health sciences’ databases
- is able to evaluate patient’s needs, resources and own responsibility when planning selfcare and guidance, and is able to use patient-centred teaching and guidance methods, evaluating the results of the guidance
- adheres to ethical guidelines and principles of nursing, acts responsibly as a member of the work community 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 practice

Prerequisites (course unit)

The student has completed Supervised clinical trainings 1 and 2 and participated in Supervised clinical training 3. Participated in nursing theory studies related to the clinical training area.

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 apply the essential nursing knowledge and skills required in the specified care environment and is able to carry out evidence based, ethical and high-quality nursing care
- is able, under supervision, to define 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, and is able to use structured documentation system
- gets experience in patient's holistic care path, including discharge and planning for continuing care
- is able to observe and evaluate patient’s basic life functions and vital signs and learns to make related decisions in different situations
- is able to promote patient safety and prevent incidents at all stages of the nursing care process
- masters the principles of infection control and works aseptically
- is able to carry out patient's medication and fluid therapy safely and correctly under supervision
- is able to guide the patient in self-care using evidence-based knowledge and masters data search from most common health sciences’ databases
- is able to evaluate patient’s needs, resources and own responsibility when planning selfcare and guidance, and is able to use patient-centred teaching and guidance methods, evaluating the results of the guidance
- adheres to ethical guidelines and principles of nursing, acts responsibly as a member of the work community 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
- plans and carries out a guidance situation with a patient, which shows utilisation of evidence-based knowledge
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 nursing knowledge and skills required in the specified care environment; 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 recognise patient’s needs, planning, implementation and evaluation of care is inadequate and patient’s care path is unclear
- is not able to present patient's whole situation in nursing care plan and summary
- does not recognize the boundaries of own competence, resulting in endangering patient safety
- does not master the principles of infection control and aseptic practice
- makes mistakes in the patient's medication and fluid therapy despite guidance; has not updated medication passport
- does not show interest in patient and family guidance, fails to plan and carry out a guidance situation with a patient, and/or it does not show utilisation of evidence-based knowledge
- violates confidentiality or patient’s data privacy protection
- 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

Osa 1 Harjoittelu,
Orientaatiotunnille osallistuminen, tavoitteiden ja työvuorojen tekeminen ajallaan, harjoittelutuntien suorittaminen, reflektioon osallistuminen, arviointikeskustelut, harjoittelun dokumenttien palauttaminen ajallaan
Arviointi: hyväksytty/hylätty
Osa 2 Harjoittelun tehtävä,
Tehtävän palauttaminen ajallaan ja vaaditulla tasolle laadittuna.
Arviointi: hyväksytty/hylätty

Assessment scale

Pass/Fail

Teaching methods

Ohjattu harjoittelu, osallistuminen ohjattuun harjoitteluun määrätyn tuntimäärän mukaisesti. Reflektiokeskustelut. Kirjallinen tehtävä. Lääkehoitopassin täyttäminen.

Learning materials

Harjoittelun substanssiin liittyvien opintojaksojen materiaali, opettajan osoittama materiaali, harjoittelupaikkojen perehtymismateriaali, Hoitotyön ohjattujen harjoittelujen Moodle (https://moodle.tuni.fi/course/view.php?id=8976).

Student workload

6 op Ohjattu harjoittelu (4 viikkoa). Harjoittelun kokonaistuntimäärä on 162 h ja se sisältää tehtävän tekemiseen varattua aikaa ja orientaation sekä loppureflektion. Harjoittelupaikassa tehtävä tuntimäärä neljän viikon harjoittelussa on 153 h.

Content scheduling

Osa 1 Harjoittelu
Osa 2 Harjoittelun tehtävä

Completion alternatives

Ei ole.

Practical training and working life cooperation

Ennen kunkin harjoittelujakson alkua tulee opiskelijan olla osallistunut ko. harjoitteluympäristössä toteutettavan hoitotyön teoriaopintoihin. Opiskelija on varannut harjoittelupaikan Hoitotyön ohjattujen harjoittelujen Moodlen ohjeiden mukaisesti Jobiilista tai Jobiilin ulkopuolelta. Moodlessa lisätietoa ohjattu harjoittelu 4:een sopivista paikoista. Harjoittelupaikka tulee olla vahvistettu ennen harjoittelun alkamista.

Opiskelija on yhteydessä harjoittelupaikkaan Jobiilissa olevien harjoittelupaikan ohjeiden mukaisesti ennen harjoittelun alkamista.

International connections

Ei ole.

Further information

Ennen ohjattua harjoittelua opiskelijan tulee osallistua ohjatussa harjoittelussa toteutettavan hoitotyön alueen toriaopintojaksoon. Varmista, että harjoitteluun osallistumisen esitietovaatimukset täyttyvät.

Ohjattu harjoittelu 4 on kliinisen hoitotyön harjoittelu ja harjoittelupaikat löytyvät pääosin Jobiilista valitsemalla luokitteluksi käymiesi hoitotyön opintojaksojen substanssi. Harjoittelupaikkoja on erikoissairaanhoidossa vuodeosastoilla ja poliklinikoilla. Myös perusterveydenhuollossa esim. terveyskeskusten akuutit vuodeosastot ovat hyviä harjoittelupaikkoja. Huomioitavaa on se, että perusterveydenhuollon sairaanhoitajan vastaanottotoiminta vaatii Hoitotyö sosiaali- ja terveyskeskuksessa opinnot. Katso lisää tietoja harjoitteluista Hoitotyön ohjattujen harjoittelujen Moodlesta. Varatessasi harjoittelupaikkaa lue myös tarkasti Jobiilin ilmoitukset! Jos Jobiili-ilmoituksessa kerrotaan, että paikassa harjoittelu toteutetaan moduuliharjoitteluna ja soveltuu keskivaiheen viimeisimpiin harjoitteluihin, silloin paikkaan voi hakea harjoittelusta 5 eteenpäin.