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2018/19 Undergraduate Module Catalogue

HECS1124 Theory Practice Module 2 (Apprenticeship)

20 creditsClass Size: 100

Module manager: Sharon Wood
Email: s.l.wood@leeds.ac.uk

Taught: 1 Jan to 31 Jan (13mth), 1 July to 31 July (13mth) View Timetable

Year running 2018/19

Pre-requisite qualifications

Programme Entry Criteria

This module is mutually exclusive with

HECS1099Theory and Practice Module 2

This module is not approved as a discovery module

Module summary

The module explores the generic themes of communication, legal and ethical frameworks and generic skills development, In addition through simulated practice, field specific skills will be developed. Clinical skills and knowledge are assessed through an OSCE as well as a medicine administration package and unseen drug calculation exam.

Objectives

This is the second theory and practice module within the programme which will be shared by adult, child and mental health nurses. It will have generic and field specific content and continue to integrate theory for clinical practice. This module is intended to further develop the knowledge and skills introduced in Theory and Practice 1.

Research led teaching will build upon concepts related to values-based practice in relation to race, culture equality and social inclusion e.g. how alternate beliefs around family structures, sexuality, illness and coping, dying and death impact upon healthcare delivery. Communication skills will be further developed to consider barriers to effective communication e.g. English not first language, sensory and mental impairments, learning difficulties and changes related to age and stage of development.

Mental Health Apprentices will be introduced to schizophrenia and dementia and will address working with communication challenges in relation to perceptual difficulties, anxiety and mood disorders, and risk and patient safety. The adult and child Apprentices will be introduced to the principles of pre and post-operative care and basic assessment and management of pain and develop and demonstrate an awareness of the legislative and ethical frameworks in relation to informed consent, whilst the mental health Apprentices will explore meeting the physical needs, and develop and demonstrate an awareness of legislation and ethical frameworks, in relation to service users who have mental health conditions.

The final theme within the module will relate to medicines management and different modes of administration with a focus upon numeracy and drug calculations.

Content will enable Apprentices to meet NMC generic and field specific competencies and essential skills to meet the year 1 pre-registration nursing first progression point.

Learning outcomes
On completion of this module the Apprentices will:

Professional Values:
- Demonstrate an understanding of key legislative and ethical frameworks and how these apply to field specific client groups
- Describe how alternate beliefs around concepts of health, family structures, sexuality, illness and coping, dying and death may impact upon health care delivery
- Describe how different social and cultural backgrounds may influence the care given to service users and clients and though simulation begin to consider how they would apply this to their practice

Nursing Practice and Decision Making
- Through simulated practice achieve the NMC competencies, elements, skills log required for year 1 pre-registration nursing first progression point outcomes.
- Demonstrate awareness of the principles of systematic approaches to care, and explain how evidence can be used to inform decision making in clinical care to meet essential physical and mental health needs for service users and carers.
- Provide evidence towards the achievement of at least 75% of NMC Essential care needs portfolio which contribute to the alternative field experience and EU Directive
- Demonstrate competent approaches to patient safety through risk assessment and basic medicines management, drug administration and calculation relevant to their field of practice

Communication and Interpersonal Skills
- Through simulation employ appropriate methods to communicate effectively in situations where there are potential barriers to effective communication e.g. English not first language

Leadership, Management and Team Working
- Show increasing awareness of evidence based literature and its application to nursing practice through research led teaching
- Apprentices will be exposed to some taught contact time and simulated clinical skills practice within the classroom and skills suite to ensure they complete all the practice standards required for NMC progression point 1.

Skills outcomes
Apprentices will develop generic knowledge and skills in relation to communication, legislation and ethics and the apply these to their own field. In addition, through simulated practice Apprentices will develop clinical skills in relation to BLS, nutrition, elimination and medicine management.


Syllabus

Field Specific
Adult:
- Issues related to sexuality
- Intravenous fluid administration and fluid balance
- Urinary catheter care
- Introduction to the Essence of Care standards
- Look at literature and systematic reviews related to risk assessment and patient safety e.g. hand washing, falls, medicines management etc
- Records and record keeping
- Communication issues related to the older adult, those with learning difficulties and mental health issues
- Reflection on practice will be developed through regular guided sessions throughout the module. Learners will be encouraged to reflect upon nurses' attitudes towards service users and carers and consider personal feelings of care, compassion and dignity.

Simulated practice will include aspects of practice such as medicines administration including injection technique, catheter care, intravenous fluid administration, naso-gastric and gastrostomy feeding.

Child:
- Care of children with abnormal nutritional intake
- Monitoring of fluid balance
- Reflection on practice will be developed through regular guided sessions throughout the module.
Simulated practice will include aspects of practice such as medicines administration including injection technique, naso-gastric and gastrostomy feeding.

Mental Health:
- Informed consent
- Revisit issues of governance, patient safety and local/national policies and procedures
- Introduction to the Essence of Care standards
- Recognising the significance of vital signs monitoring
- Introduction to pain assessment and management
- Role of the nurse in medicines management including dealing with adverse reactions and side effects.
- Injection technique
- Enhancing communication and managing barriers e.g. use of interpreters
- Introduction to issues related to dying, death, grief and loss
- Issues related to sexuality
- Fluid balance
- Look at literature and systematic reviews related to risk assessment and patient safety e.g. hand washing, falls, medicines management etc.
- Records and record keeping
- Communication issues related to the older adult, those with learning difficulties and mental health issues.
- Introduction to recovery approaches that underpin mental health practice with the emphasis on race, equality, cultural capability and social inclusion (10 ESC,DH 2004)
- Utilise the lived experience of service users and media depictions to identify the common mental health problems and possible causation.
- Introduction to psychological perspectives
- Overview of mental health legislation e.g., Sections (what they mean and statutory definitions), Mental Capacity Act
- Biopsychosocial dimensions of mental health care

Reflection on practice will be developed through regular guided sessions throughout the module. Learners will be encouraged to reflect upon nurses' attitudes towards service users and carers and consider personal feelings of care, compassion and dignity.

Simulated practice which will include aspects of practice such as medicines administration including injection technique, vital signs, hygiene needs, person-centred approaches and interpersonal skills development.

Teaching methods

Delivery typeNumberLength hoursStudent hours
On-line Learning11.000.00
Visit511.0051.00
Coursework851.0085.00
Lecture31.003.00
Practical22.004.00
Simulated Practice551.0055.00
Tutorial92.0018.00
Independent online learning hours5.00
Private study hours30.00
Total Contact hours216.00
Total hours (100hr per 10 credits)251.00

Private study

The Apprentices will be provided with learning resources to support taught sessions. All resources and reading lists will be accessed via the VLE.

Apprentices will be directed to guided study, the philosophy will be to create an environment of blended learning.

Clinical skills acquisition will be supported with materials and examples from the learning zone, along with simulated practice sessions e.g. injections

Apprentices have a practice numeracy/drug calculation exam to familiarise them with the format and aid maths calculation development.

Opportunities for Formative Feedback

Apprentices will be monitored through performance in simulated practice and OSCE practice sessions and the formative maths/drug calculation exam.

Reflection on practice tutorial groups will enable scope for feedback on clinical placement issues and making links between the theoretical learning and application to practice.

Apprentices will also be guided to the skills@library maths sessions in the student's first semester.
Apprentices will have access to opportunities to undertake mock MCQ exams in preparation for the summative exam.

Drop in practice sessions will be available prior to the OSCE.

Feedback will be given during the simulated practice and OSCE practice sessions and following the formative maths/drug calculation exam. Apprentices can also access the on-line numeracy and drug calculation progamme to further develop maths calculation skills, they receive feedback on performance through any of the practice papers the programme offers.

Methods of assessment


Coursework
Assessment typeNotes% of formal assessment
AssignmentMedicine Management Package50.00
PortfolioFORMATIVE: NMC Essential Care Portfolio (minimum 75% achieved)0.00
In-course AssessmentFORMATIVE: OSCE Practice. Formative drop in practice sessions are organised prior to the OSCE0.00
Online AssessmentFORMATIVE: 1 hour (Numeracy mock exams)0.00
Total percentage (Assessment Coursework)50.00

The OSCE and medicine management package will have submission dates to allow Apprentices a second attempt within the academic year. Apprentices to submit 75% of the NMC Essential Care Portfolio which will be marked formatively with feedback to facilitate development for this NMC requirement and to aid completion by end of year 2.


Exams
Exam typeExam duration% of formal assessment
Unseen exam 1 hr 00 mins50.00
OSCE (Objective Structured Clinical Exam)0 hr 30 mins0.00
Total percentage (Assessment Exams)50.00

No compensation is allowed between elements of assessment The calculation exam will examine fundamental maths calculation in the context of medicine dosages, volumes and conversions which along with knowledge of medicine storage, administration ethical and legislative frameworks assessed within the medicine management package, enables the Apprentice to begin to develop competency around safe medicine management required by the NMC at point of registration. The OSCE examines some of the core clinical skills the Apprentices have begun to develop in their non-assessed and assessed placements and with the simulated practice provided in this module. This module contributes to the NMC and university requirement for unseen examination. OSCE practice sessions will be made available prior to the exam.

Reading list

The reading list is available from the Library website

Last updated: 22/06/2018

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