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
- 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
- is able to prioritize tasks according to the situation and is able to work cost-effectively, in accordance with the principles of the environment and sustainable development
- is able to plan, implement and evaluate guidance which supports patient’s self-care by utilising multiprofessional team
- 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
- understands own and other health care and social services professionals’ responsibilities and controlled and flexible division of duties when considering patient’s holistic care
- 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
- -evaluates the quality of nursing in order to develop patient care and own work and participates in the development of evidence-based practices at work
- is able to work as an expert in nursing and can guide students and colleagues
- 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, quality of nursing care

Prerequisites (course unit)

The student has completed Supervised clinical trainings 1-6.

Further information (course unit)

It is possible to plan the clinical training to be done as a paid training, working as substitute nurse, after the student has achieved 140 credits.
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.

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
- is able to prioritize tasks according to the situation and is able to work cost-effectively, in accordance with the principles of the environment and sustainable development
- is able to plan, implement and evaluate guidance which supports patient’s self-care by utilising multiprofessional team
- 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
- understands own and other health care and social services professionals’ responsibilities and controlled and flexible division of duties when considering patient’s holistic care
- -evaluates the quality of nursing in order to develop patient care and own work and participates in the development of evidence-based practices at work
- is able to work as an expert in nursing and can guide students and colleagues
- 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
- 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 data privacy
- 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

4 consecutive weeks in a suitable middle stage ( keskivaiheen) studies placement.

Exam schedules

Part 1: Supervised clinical training, 6 scts
Mandatory Orientation, writing the goals and planning the shifts with mentors' shifts by the first Friday morning 8:00 of the first week. Active participation in the reflection. Written approved mid-evaluation, written approved final evaluation. Assessment: pass-fail

Part 2: Task, 1 cr

Assessment scale

0-5

Teaching methods

Supervised clinical training according to the instructions concerning clinical trainings. Reflection discussions. Written assignment about patient guidance according to instructions. Filling the Medication Passport.

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).

22NURSE clinical training moodle:https://moodle.tuni.fi/course/view.php?id=48113#section-8

Student workload

4 weeks, 158 hrs in suitable clinical environment.

Completion alternatives

Ohjattu harjoittelu voidaan tehdä suunnitellusti palkallisena harjoitteluna sairaanhoitajan työsuhteessa 140 op jälkeen (ahotoiden tai opinnollistaen).

Practical training and working life cooperation

Ohjatut harjoittelut 9 opiskelija voi tehdä ohjattuna harjoitteluna, ahotoiden tai opinnollistaen. Ahotoiminen ja opinnollistaminen ovat mahdollisia tehdä suunnitellusti palkallisena harjoitteluna sairaanhoitajan työsuhteessa kun opiskelija on saavuttanut 140 opintopistettä.

Ennen kunkin harjoittelujakson alkua tulee opiskelijan olla osallistunut ko. harjoitteluympäristössä toteutettavan hoitotyön teoriaopintoihin. Jos harjoittelu suoritetaan ohjattuna harjoitteluna, paikka varataan Hoitotyön ohjattujen harjoittelujen Moodlen ohjeiden mukaisesti Jobiilista tai Jobiilin ulkopuolelta. Harjoittelupaikka tulee olla vahvistettu ennen harjoittelun alkamista. Opiskelija on yhteydessä harjoittelupaikkaan Jobiilissa olevien harjoittelupaikan ohjeiden mukaisesti ennen harjoittelun alkamista.

Ahotoitavan ja opinnollistettavan harjoittelun suorittamiseen liittyvät tarkemmat ohjeet löytyvät Hoitotyön ohjattujen harjoittelujen Moodlesta. Opiskelijan tulee sopia ahotoitavasta tai opinnollistettavasta harjoittelusta tuutoropettajan kanssa hyvissä ajoin.