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  1. 1. 12144 (2004) Nursing: A Comprehensive Perspective Course information Tal Ellis
  2. 2. CONTENTS Introduction Accessing University services Course overview Learning resources Assessment Semester/Term schedule INTRODUCTION WELCOME Welcome to the third year course Nursing: A Comprehensive Perspective. During your study of this course it is expected that you will build on the knowledge and understanding that you have previously gained, particularly from the courses of Nursing Knowledge: People with Complex Health Problems, Clinical Sciences 1 & 2; and from the core and strands in Nursing Options. You will have the opportunity to focus your new knowledge development and understanding of the holistic nature of nursing for people with chronic or degenerative health conditions, both in the acute and long-term care settings. Clinical reasoning, decision-making skills and patient education are integral components of this course. This course aims to prepare you to effectively manage the care of patients in a variety of settings. Awareness of your role as an advocate for your patient in their health care will be developed together with recognition of the nurse as a member of an inter/multidisciplinary team. You will have the opportunity to gain an insight into the leadership and management skills inherent in the role of the registered nurse. It is expected that you will, either at the same time or at a later date, be undertaking the course Nursing Care: Extending Practice, which focuses on the integration of knowledge with the practice of nursing in either acute or long-term settings. It is important to construct links between your knowledge from Nursing: A Comprehensive Perspective and the practical skills you develop from Nursing Care: Extending Practice. Making these links will help you to develop confidence in your ability to care effectively and safely for patients whilst undertaking clinical experience and, as a consequence, your patients will be able to have confidence in you. Developing your knowledge and understanding of nursing from a comprehensive perspective calls for more than the ability to read information from the textbooks and readings. This course aims to challenge you to prepare for your future role as a
  3. 3. Registered Nurse by exploring the needs of patients with complex conditions from a ‘living with a disease’ viewpoint. The holistic nature of caring needs to encompass the life of the person and their family, which involves extending the vision of caring beyond the walls of a hospital or health care agency. The responsibilities inherent in the role of the registered nurse demand a thorough understanding of the knowledge required to make appropriate assessments, to implement nursing actions, to have confidence in your decision-making skills and to be able to prioritise patients' needs. This course will facilitate your ability to achieve your goal at the end of your program. Course Coordinator(s) Tal Ellis (City East and Underdale) Fran White (Whyalla) Location: IBNU and UBNU WBNU University of South Australia University of South Australia School of Nursing and Midwifery School of Nursing and Midwifery City East campus Whyalla campus North Terrace Nicolson Avenue Adelaide SA 5000 Whyalla Norrie SA 5068 Telephone: (08) 8302 2471 Telephone: (08) 8647 6076 Fax: (08) 8302 2579 Fax: (08) 8647 6014 or (08) 6080 Email: tal.ellis@unisa.edu.au Email: fran.white@unisa.edu.au STAFF Tal Ellis C5-46 08 8302 2673 Tom Laws C5-29 08 8302 2490 Fran White JB1–130 08 8302 6198
  4. 4. ACCESSING UNIVERSITY SERVICES THE UNIVERSITY’S ONLINE ENVIRONMENT You can access the University’s online environment wherever you can access the Internet. If you do not have access to the Internet at home, other options include University computing pools and public libraries. To log on to your University password-protected online resources 1. In the Username box, type uninet followed by your student Mail-ID. Your Mail-ID is printed on your enrolment form, for example uninetdoedy005. 2. Press the TAB key on the keyboard. 3. In the Password box type your password. Note that the password is case sensitive. Your initial password is the first four letters of your surname followed by your day and month of birth. If your surname is less than four letters, it is supplemented with Xs. For example, if David Doe’s birthday is 21 July, then his password would be doex2107. (Note that the Mail-ID uses a Y as a filler, while the password uses an X.) 4. Click the OK button on the screen to log on. EMAIL Staff may need to provide information by email about your studies during the semester or term. To obtain this information, log on to your University of South Australia email account. To maintain effective email communication, you should log on to this account once per week. If you are unable to access your email, please inform your Course Coordinator at the beginning of the semester/term and alternative arrangements will be made. Assistance for accessing your email can be obtained at: http://www.unisa.edu.au/search/howtoemail.asp If you are still experiencing difficulties, call the HelpDesk on (08) 8302 5000. LEARNING SUPPORT Learning Connection provides resources, sessions and appointments that can help you with your studies, and can be found at: http://www.unisanet.unisa.edu.au/learningconnection/students/default.asp THE LIBRARY You may use the Library on any campus. Each collection reflects the academic programs offered at that campus. The library web site links you, 24 hours a day, 7 days a week, to the following electronic resources: databases, ejournals,
  5. 5. eReserve, information literacy tutorials and the catalogue. See: http://www.library.unisa.edu.au/ STUDENTS WITH DISABILITIES OR MEDICAL CONDITIONS Services for students with disabilities or medical conditions are available through the Learning Connection Disability Service on each campus. Services are provided on an individual basis according to access requirements. Further information about disability services is available at: http://www.unisanet.unisa.edu.au/learningconnection/students/disblty/default.asp Phone: (08) 8302 4423 or 1300 657 144 (cost of a local call from anywhere in Australia) Email: disability@unisa.edu.au
  6. 6. COURSE OVERVIEW COURSE STATEMENT Nursing: A Comprehensive Perspective is a course within the Theoretical Foundations of Nursing Practice strand of the curriculum. The focus of this strand is upon the nursing, scientific, psychosocial and cultural foundations of nursing practice and health care. You will develop an understanding of the relationship between social and biological aspects of illness, nursing interventions and therapies. This will provide the foundation for you to nurse in a culturally sensitive, holistic and person-centred manner. In this course emphasis is placed on the relationship between theory and practice and using a reflective ‘practice-based’ approach whereby theoretical concepts are explored in the context of actual practice situations. UNIT VALUE OF COURSE 4.5 UNITS LEARNING OBJECTIVES To develop the student's knowledge of registered nurse roles in the management and provision of holistic, comprehensive nursing and health care. On completion of this subject students should be able to: 1. demonstrate an understanding of the factors involved in multidisciplinary collaboration in the health care system; 2. develop an understanding of the concepts of leadership and management in health care teams 3. identify the factors affecting and implications of the advocacy role in health care 4. identify strategies to develop advanced clinical reasoning and decision making skills 5. demonstrate the nursing knowledge required to care for people with complex, long term health dysfunctions requiring lifestyle adaptations 6. identify principles of effective discharge planning including identification of relevant community resources GRADUATE QUALITIES PROFILE The table below indicates the weighting—as a proportion of the total unit value of this course—given to developing one or more of the qualities of a University of South Australia graduate.(over page)
  7. 7. 1 2 3 4 5 6 7 Graduate Body of Lifelong Effective Work Ethical Commun Internat’l quality knowledg Learnin problem alone & action -icate perspecti e g solvers in Teams effectivel ve y Indicative Point 1.5 0.25 1.0 0.5 0.25 1.0 Weighting LEARNING RESOURCES You are encouraged to make use of the following resources in your studies. For resources other than texts, enquire at the University library. TEXT(S) You will need continual access to the following text(s) in order to complete this course: • Black, JM, Hokanson, J, Keene, AM (2001) Medical-surgical nursing: clinical management for positive outcomes. 6th edition. Philadelphia: Saunders Co. Texts may be purchased from Unibooks, which has shops on all University of South Australia campuses. Website: http://www.unibooks.com.au/ Email: unisa@unibooks.com.au Phone: 1800 182 003 (cost of a local call from anywhere in Australia) or (08) 8223 4366 Electronic resources Electronic resources may be found on the course home page at: http://www.unisanet.unisa.edu.au/subjectinfo/subject.asp?SUBJECT=12144&x=30&y=23 Major references: books, journals and periodicals (print and electronic) Carville K 2001 Wound care manual. 4th ed, Silver Chain Foundation, WA Gray, C and Pratt, R, editors (1995). Issues in Australian nursing 5, the nurse as clinician. Melbourne: Churchill Livingstone. Porth, C M (1998). Pathophysiology-concepts of altered health states. 5th edition. Philadelphia: Lippincott. Schull, P (1999). Australasian nursing drug handbook. Pennsylvania: Springhouse Corporation. Smith, M (1999). Rehabilitation in adult nursing practice. Edinburgh: Churchill Livingstone.
  8. 8. Other resources (for example, software, video and audio) You are also encouraged to access the following learning resources: The Index system in the library CD-ROM data bases: CINAHL and Medline Relevant Australian and international websites Nursing journals in the library Nursing texts in the library Libraries within the hospitals or other health care agencies ASSESSMENT- ASSESSMENT SUMMARY Form of assessment Weighting Due date week Relevant course starting material to be examined Tutorial time 3 Multichoice (MCQ’s) Total 60% or 100% 30 min exam exams held during tutorials Week starting in designated weeks Students are able Q1 29th March, to choose relative 2003 Mark = total of all 3 exams weighting Demonstrate an ability to (25 MCQ’s) according to their problem solve through (week 5) Exam 1 = 25 MCQ’s total exam score. the integration of 1 hour exam knowledge on objectives Exam 2 = 50 MCQ’s 1-6 Week starting Exam 3 = 25 MCQ’s Q2 24th May, 2003 (50 MCQ’s) Total = 100 questions to (week 11) give mark out of 100 30 min exam Please see semester Week starting schedule to determine 7th June, 2003 topics to be studied. Q3 (25 MCQ’s) (week 13) Essay 2000 words Total 40 % Wednesday 23rd Demonstrate an ability to June, 2004 - 3.30pm critically analyse the (for those students research materials based undertaking this option) EXTENSIONS on the objectives 1- 6 PLEASE SEE NEXT PAGE
  9. 9. ASSESSMENT DETAILS Assessment 1: 3 x Multichoice (i.e. MCQ’s) examination Total for all 3 exams = 100% (or 60% if you also wish to submit the essay to try and improve grade) Conditions • Each exam will be managed under the guideline of the University of South Australia policy on examinations. In particular this will relate to examination time lines and the non-return of examination papers. All exams will be undertaken within tutorials. • All students will be required to undertake all 3 exams. Students will be given 1 opportunity to “make-up” 1 exam in week 14 if required (time and venue to be announced). Any student who misses 2 or more semester based exams will be required to undertake the 2 hour exam with external students during the normal University exam period (venue and dates to be announced) • Students who are required to undertake the examination with external students will also be required to undertake the essay for 40% Examination • Examination scenarios will be used for study purposes within tutorials. All are available via the course home page from the commencement of semester. • Students will be given the questions at the time of the examination. • All question and answer papers will be collected. The onus is on the students who have undertaken the examination not to reveal the questions to students who are yet to undertake the examination • All exam questions will be answered within the tutorial time Results of examination • Results of each exam will be posted via email at 4pm on the Monday following the examination • Students will be notified via e-mail of the final/total results of their examination on the 11th June 2003 at 3pm • Marks will be posted via e-mail only • Students MUST CONTACT THEIR LECTURER BY E-MAIL by Wednesday, 16th June 2004 to indicate their intention to undertake the essay for an accumulated grade. No contact indicates you wish exam results to = 100%.
  10. 10. Assignment 2: essay 40% - 2,000 words Students who wish to undertake an essay to gain an accumulated score with the examination are to choose one of the following essay topics: 1. Discharge planning Research has identified that effective discharge planning reduces patient readmission to hospital. Critically analyse the practice of discharge planning. Choose 3 key factors (identified from your critical analysis) that contribute to successful discharge from an acute hospital and present research-based evidence to support your assertion of their effectiveness. 2. Patient compliance / adherence Adherence to long-term therapy is a major problem for people with chronic disease. Critically analyse factors that may contribute to the chronically ill person maintaining or not maintaining adherence to prescribed treatment. Using an evidence-based approach, discuss 3 nursing interventions that would assist the chronically ill person to adhere to treatment. Conditions • All students are encouraged to undertake the research for their essay and determine if they will undertake a final draft on receiving their examination results. • Students must submit essays on time. Essays not submitted on or by the due date will lose 10% of marks per-day for 3 days up to Monday 28th June (to 3pm). No essays will be received after this date and the student’s grade will be established on their examination mark alone. • Students requesting an extension will be required to provide permanent or temporary disability (ENTEXT card or other documentary evidence must be presented to the lecturer) For extenuating circumstances independent proof of the circumstances must be supplied. Extensions will only be granted for 7- day period including weekend days. • No resubmission of essays will be granted • Language use The University has a policy on using inclusive language. The policy is available at: http://www.unisa.edu.au/adminfo/policies/corp/c01.htm Submission of essays: City East students: staff pigeon-hole (level 4 Centenary building) no later that 3pm, Wednesday 23rd June 2004 Underdale students: Wednesday 23rd June, 2004 when a staff member will be on campus to collect assignments between 2pm and 3.30 pm in the Nursing Skills laboratory, Level 1, S Building.
  11. 11. ASSESSMENT POLICY Policies on assessment, including gradings, are available at: http://www.unisa.edu.au/adminfo/policies/manual Students with disabilities Students with disabilities may be entitled to a variation or modification to standard assessment arrangements. Policy for students with disabilities is available at: http://www.unisa.edu.au/adminfo/policies/corp/c07.htm Academic misconduct Deliberate academic misconduct such as plagiarism is subject to penalties. You should familiarise yourself with the University’s policies on these important issues by going now to: http://www.unisa.edu.au/adminfo/policies/manual/misconduct.htm TEACHING AND LEARNING ARRANGEMENTS Semester schedule—Semester 1, 2003 Wk Week Lecture 1 Lecture 2 Tutorial topic 1 1 March Living with a Chronic Multi-system disease Course information Disorder process Nature of multisystem Discharge Planning and Nursing management: disease; discharge community resources planning; community Person with chronic resources, Living with liver failure a Chronic disorder; nursing a person with Chronic liver failure 2 8 March Nursing management: Nursing management: Tut: Caring for a person with Chronic person with chronic Person with chronic Cardiac failure / renal failure or renal failure disease chronic Cardiac failure 3 15 March Nursing management: Nursing management: Tut: Caring for a person with Chronic person with Chronic respiratory disease - Person with chronic GI Respiratory or GI COPD disease/GI stomas disease/stomas 4 22 March Nursing management Nursing management Directed study – of people with Chronic of people with Chronic guide on web Vascular disorders wounds Chronic systemic vascular disorders, Chronic wound More information over management, page… reporting of infectious diseases
  12. 12. 5 29 March Nursing management Nursing management Exam question 1: of person with cancer of a person with Renal, liver, cardiac, HIV/AIDS discharge planning Palliative care act Tut: Terminal Illness Guest lecturer Cancer & HIV/AIDS, Guest lecturer pain management, palliative care act; reporting of infectious diseases 6 5 April Field placement 7 12 April Field placement 8 19 April Field placement 9 26 April Field placement Semester break: 3rd MAY – 14th May inclusive 10 17 May No lectures City East No lectures City East Tut: Clinical debrief; or Underdale or Underdale review of previous topics that will be examined in week 11 11 24 May Nursing management: Nursing management: Exam question 2: nursing management Person with Person with mental – COPD, HIV/AIDS, degenerative health problems cancer, palliative neurological disorders care, chronic GI, Guest lecturer chronic vascular disorders/wounds. Tut: Nursing management of a person with degenerative neurological disorders/mental health 12 31 May Nursing management: Nursing management: Tut: managing a person with chronic Person with chronic Person with chronic endocrine or arthritic arthritic conditions endocrine disorders disorders thyroid/ pituitary/ adrenal More information over page…
  13. 13. 13 7 June No lectures this week Exam question 3: Nursing management of person with degenerative neurological disorders, chronic endocrine, arthritic disorders Course evaluation – computer room Friday 11th June 2004 final exam marks posted by email at 3pm Wednesday 16th June 2004 e-mail lecturer re essay confirming intention to submit Wednesday 23rd June 2004 by 3pm: Submission of essay (no extensions will be granted without evidence) Underdale students – if needed a lecturer will be available in Nursing Laboratories (S building) from 2pm -3.30pm to collect essays on campus (Wednesday 23rd June, 2004) EVALUATION STUDENT FEEDBACK http://www.unisanet.unisa.edu.au/subjectinfo/subject.asp?SUBJECT=12144&x=30&y=23 Use both the CEI and Student Evaluation of teaching to provide feedback. Time will be allocated within tutorials, week 13, for you to complete these instruments. Please note: if you have any issues that you wish to discuss please feel free to do so by phoning or emailing to make an appointment with your lecturer. We value your input and want to see you achieving as much as possible within this semester. Good luck! Tal.