Supervised Clinical Training 8 (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
- applies 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
- knows patient's holistic care path, including discharge and planning for continuing care, and the basics of service management
- 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
- recognises patients’ health risk factors and considers them in patients’ health promotion and can plan, implement and evaluate patient’s self-care and adherence to care
- practices in prioritizing tasks according to the situation and is able to work cost-effectively, in accordance with the principles of the environment and sustainable development
- practices nursing quality assessment in order to develop patient’s care and own work
- recognises own and other health care and social services professionals’ responsibilities and understands controlled and flexible division of duties when considering patient’s holistic care
- is able to work as an expert in nursing and can guide students and colleagues
- 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 and quality of nursing care

Prerequisites (course unit)

The student has completed Supervised clinical trainings 1-5.

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
- applies 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
- knows patient's holistic care path, including discharge and planning for continuing care, and the basics of service management
- 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
- recognises patients’ health risk factors and considers them in patients’ health promotion and can plan, implement and evaluate patient’s self-care and adherence to care
- practices in prioritizing tasks according to the situation and is able to work cost-effectively, in accordance with the principles of the environment and sustainable development
- practices nursing quality assessment in order to develop patient’s care and own work
- recognises own and other health care and social services professionals’ responsibilities and understands controlled and flexible division of duties when considering patient’s holistic care
- is able to work as an expert in nursing and can guide students and colleagues
- 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

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 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
- is not able to recognise patient’s needs, planning, implementation and evaluation of care is inadequate and patient’s care path is unclear
- does not recognize the boundaries of own competence, resulting in endangering patient safety
- is not able to assess nursing quality in order to develop patient’s care
- is not able to promote patient safety and prevent incidents at all stages of the nursing care process
- 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 and withdraws from it
- violates confidentiality or patient’s data privacy protection
- fails to follow the agreed rules for supervised clinical training (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 his/her own competence unrealistically and is unable to receive feedback

Location and time

Opinnollistaminen tarkoittaa opintojen suorittamista työsuhteessa opiskeluaikana. Tutkinnossa edellytettävää osaamista hankitaan tekemällä työtä ja kytkemällä työelämässä hankittua kokemusta osaksi opintoja.

Assessment methods and criteria

Opiskelija:
- tekee Workseediin henkilökohtaiset oppimistavoitteet ennen opinnollistettavaa jaksoa.
- suorittaa itsenäisesti jakson puolivälissä väliarvioinnin Workseediin.
- kirjaa suunnitellut ja toteutuneet työvuorot Workseediin. Työtuntien tulee jakson päätyttyä vastata opintopistemäärää.
- suorittaa Workseedistä löytyvän kirjallisen tehtävän, johon voi käyttää maksimissaan 8h (työajan ulkopuolella).
- täyttää jakson aikana lääkehoidon passia.
- suorittaa itsenäisesti Workseedissä loppuarvioinnin jakson päätyttyä, reflektoiden omiin oppimistavoitteisiin pääsyä.
- liittää työtodistuksen Workseediin jakson päätyttyä.
- merkitsee jakson päätyttyä harjoittelun Workseedissä valmiiksi/päättyneeksi.

- Opiskelija voi tehdä OH 8 ja 9 samaan Workseed-pohjaan, jos molemmat harjoittelut opinnollistetaan samassa työpaikassa. Yhdet henkilökohtaiset oppimistavoitteet riittävät tällöin.

Assessment scale

Pass/Fail

Teaching methods

Tämä harjoittelu voidaan suorittaa ohjattuna tai opinnollistettuna. Jos suoritat harjoittelun ohjattuna, toimitaan yleisten ohjattujen harjoitteluiden ohjeiden mukaan (Moodlessa). Jos suoritat harjoittelun opinnollistaen, seuraa näitä ohjeita:

• Opiskelija voi opinnollistaa ohjatut harjoittelut 8 (6 op) ja 9 (5 op), kun hänellä on 140 opintopisteen opinnot suoritettuna oman tutkinto-ohjelman opinnoista (VALVIRA, asetus 1.6.2008) ja hän toimii sairaanhoitajan (tai kätilön) tehtävässä opinnollistettavassa harjoittelussa.
• Sairaanhoitajan sijaisuudessa voi opinnollistaa keskivaiheen ohjattua harjoittelua enintään 19 op.
• Sairaanhoitajan työsuhteessa saatua työkokemusta voidaan opinnollistaa opetussuunnitelman mukaisiin harjoitteluihin ja täydentävään osaamiseen.
• Samassa yksikössä voi opinnollistaa harjoittelua enintään 19 op.
• Opinnollistettava kokonaisuus tulee olla opinnollistettavan opintojakson laajuinen, ennakkoon suunniteltu ja toteutua samassa yksikössä/osastolla koko- tai osa-aikaisessa työsuhteessa. Esimerkiksi:
• 6 op ohjatun harjoittelun voi opinnollistaa neljän viikon kokoaikaisella sairaanhoitajan sijaisuudella.
• 9 op ohjatun harjoittelun voi opinnollistaa kuuden viikon kokoaikaisella sairaanhoitajan sijaisuudella.
• Ohjatun harjoittelun voi muuttaa kesken harjoittelun opinnollistetuksi harjoitteluksi, sopimalla siitä ennen opinnollistettavan jakson alkua ohjaavan opettajan kanssa. Osaopinnollistaminen on mahdollista vähintään viikon mittaisena jaksona.
• Ohjattu harjoittelu 8 sisältää kirjallisen tehtävän, johon voi käyttää maksimissaan 8h (työajan ulkopuolella). Kirjallinen tehtävä on Workseedissä.

Further information

Opinnollistamiseen liittyvät opiskelijan, opettajan ja työnantajan tehtävät sekä opinnollistamisen prosessi löytyvät erillisestä ohjeesta Hoitotyön ohjattujen harjoitteluiden Moodlesta: ”Toimintaohje ohjatun harjoittelun opinnollistamiseen”.