2018/19 Undergraduate Module Catalogue

HECS2219 Theory Practice Module 3 (Apprenticeship)

40 creditsClass Size: 100

Module manager: Zanib Mohammed
Email: Z.BiMohammed@leeds.ac.uk

Taught: 1 Oct to 30 Apr (Adv pre 2223) View Timetable

Year running 2018/19

Pre-requisite qualifications

Normally completion of 120 credits of Level 1 modules within the BSc (Hons) Nursing (Adult), BSc (Hons) Nursing (Child) and BSc (Hons) Nursing Mental (Health) – Apprentice route.

Pre-requisites

HECS1123	Theory Practice Module 1 (Apprenticeship)
HECS1124	Theory Practice Module 2 (Apprenticeship)

This module is mutually exclusive with

HECS2183

Theory and Practice Module 3

This module is not approved as a discovery module

Module summary

This module continues to develop the apprentice's clinical competence through the completion of a summative placement and PAD/OAR documentation with specific focus on health promotion, health literacy and the third sector provision.

Objectives

This is the third theory and practice module within the programmes which will be shared by adult, child and mental health nurses.

It will develop the apprentice's knowledge and understanding of lay and professional concepts of health, the determinants of health, including psychosocial influences and related behaviours. Current global healthcare issues such as obesity, diabetes, adolescent smoking and hypertension will be considered.

Apprentices will gain a critical appreciation of current health and social policy and its impact on community /individual health and wellbeing. Apprentices will develop an understanding of the concept of health literacy, its application in a range of clinical settings and its impact on patient outcomes.

Apprentices will examine change and motivation theory in relation to addressing health behaviours and analysis of health promotion models, and will examine and apply the principles of primary, secondary and tertiary prevention in minimising ill health and maximising well being.

Research led teaching will be utilised to further develop apprentices knowledge and skills to meet the needs for service users and carers. This module will build upon concepts related to safeguarding with a more focused examination of the issues specific to the apprentices field of practice.

Content will enable apprentices to meet generic competencies and work towards the essential skills required at level 2.

Learning outcomes
On completion of this module the apprentices will:

Professional Values
- Demonstrate ability to practice in accordance with the recognised professional, ethical and legal frameworks that guide nursing practice, recognising own limitations.

Nursing Practice and Decision Making
- Demonstrate competence in a proportion (approximately 2/3rds) of the NMC competencies, elements and skills log required for year 2 pre-registration nursing second progression point outcomes. Work towards evidence of achievement of EU directives.
- Apply 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.
- Explore how social and behavioural factors and inequalities, concepts of health and health beliefs and attitudes influence health, wellbeing and health promoting and health damaging behaviours
- Demonstrate how to effectively use behaviour change theory and motivational techniques to inform approaches to health education and health promotion
- Explain the role of the nurse in the promotion of health and wellbeing within the wider community and explain how health literacy can be used to inform approaches to health promotion and education
- Demonstrate how to use models of health promotion, behaviour change and motivational techniques with a range of service users and carers to promote their health and wellbeing

Communication and Interpersonal Skills
- Describe models of shared decision making and how to communicate effectively to promote shared decision making during health care consultations.

Leadership, Management and Team Working
- Demonstrate the ability to work effectively as a member of the team within the hospital and community setting
- Consider the research processes and methods by which knowledge which underpins practice is produced.

Skills outcomes
Apprentices will have the opportunity to develop skills that relate to their field of nursing and also relate to health promotion; e.g. breastfeeding support, motivational techniques, counselling.

Syllabus

While apprentices will be exposed to some taught contact time and clinical skills practice within the classroom, learning for this module will also be achieved through clinical practice placements.

Generic
- Focus upon influences upon health and wellbeing e.g. smoking, breast feeding, coronary heart disease, exercise, diet, alcohol abuse, obesity, depression and anxiety
- Impact of social inequalities on health, healthcare provision, health promotion and health education
- Health literacy
- Changing / motivating individuals to choose healthy behaviours
- Models of shared decision making and how to communicate effectively to promote shared decision making and promote health behaviour change
- Client teaching and family education
- Health promotion models
- Health promotion in relation to infection control and role of infection control team,
- Health needs and risk assessment
- Multidisciplinary team working for healthcare delivery in the community setting
- Safeguarding issues including social context and values; recognising signs and symptoms; legislation; effective multi professional communication;
- Review practice requirements, assessment, documentation and the NMC Essential Care Needs for year 2 of the programme
- Apprentices will gain 300 hours of clinical practice in this module.

Field Specific:

Adult
- Reflection on practice will be developed through regular guided sessions throughout the module.
- Apprentices will achieve learning to meet NMC Essential Care Needs through simulated practice and clinical visits e.g. Maternity care may be encountered during community care and visits to voluntary and charitable sector services such as the Alzheimer’s Society will expose apprentices to service users and carers with mental health and psychiatric illness and home care needs.

Child
- Promotion of breast-feeding
- Safeguarding DH reports e.g. Lambing, Cleveland
- Domestic abuse and violence
- Reflection on practice will be developed through regular guided sessions throughout the module.
- There will be no more than 35 hours of simulated practice which will include aspects of practice particularly relevant to community care.
- Apprentices will achieve learning to meet NMC Essential Care Needs through simulated practice and clinical visits e.g. mental health, learning disability and older adult care may be encountered during community care and visits to services such as the specialist inclusive learning centres, Alzheimer’s Society and other charitable/voluntary sector organisations..

Mental Health
- Attention will be paid to working with service users and families, providing service user centred care and identifying people's needs and strengths (DH 2004). Simulated practice sessions focusing on the development of core conditions and person-centred counselling
- Psychological approaches to people with common mental health problems
- Responding to distress
- Early intervention
- Psycho-education
- Person-centred approaches in dementia care
- Reminiscence
- Validation
- Legal frameworks : Mental Capacity Act, Advanced directives and safeguarding vulnerable groups
- Skills of reflection will be built on and apprentices will be introduced to, and gain experience of clinical supervision
- There will be no more than 35 hours of simulated practice which will include aspects of practice particularly relevant to non-urgent pathways, placements will be in community, older adult and continuing treatment and recovery.
- Apprentices will achieve learning to meet NMC Essential Care Needs through simulated practice and clinical visits e.g. Maternity care may be encountered during community care and visits to voluntary and charitable sector services such as the antenatal clinics.

Teaching methods

Delivery type	Number	Length hours	Student hours
Clinical Practice	113	1.00	112.50
Clinical Practice	188	1.00	187.50
Lecture	10	1.00	10.00
Practical	4	2.00	8.00
Simulated Practice	35	1.00	35.00
Tutorial	14	1.50	21.00
Independent online learning hours			50.00
Private study hours			101.00
Total Contact hours			374.00
Total hours (100hr per 10 credits)			525.00

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.

Opportunities for Formative Feedback

Apprentices will be monitored by mentors in practice through their practice assessment documents. They will normally be expected to achieve approximately 2/3rds of the stage 2 NMC competencies, elements and skills log by the end of placement 2.

Assessment will occur at the end of each placement. Apprentices will receive guidance on which elements they must achieve in each placement. If a apprentice is unable to achieve an element within a placement due to lack of opportunity, an action plan will be developed to ensure that it is achieved on the next placement. Apprentices who fail to achieve the relevant practice standards or to complete their documents as per the checklist for each placement will incur a fail.

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.

1. Throughout the module apprentices learn about healthy behaviours and health promotion by using a 'virtual family'. The families are introduced in week 2 and knowledge gained from lectures, guided study and private reading is applied during tutorials. At this point lecturers have the opportunity to give apprentice formative feedback about their ideas related to the assessment of family’s needs, social determinants of health and healthy or non-healthy behaviours. This information not only helps apprentices build a plan for their assignment but will also support apprentice’s clinical practice in the assessment of factors affecting a patient’s health and the impact of their environment and behaviour. Over the course of the module it is hoped that feedback during classroom activities will help apprentice’s see opportunities for health promotion in clinical practice.

2. There will be a timetabled group supervision session where apprentices can bring essay plans to discuss with peers and receive formative feedback from their tutorial lead

Apprentices will have 1 further opportunity to access academic supervision and formative feedback regarding their essay during group seminar sessions from their tutorial lead, either face to face or via email in accordance with School of Healthcare guidelines.

Methods of assessment

Coursework

Assessment type	Notes	% of formal assessment
Essay	2500 Words	100.00
Placement Assessment	Practice Assessment Documentation/ Ongoing Achievement Record (Pass/Fail)	0.00
Tutorial Performance	FORMATIVE: Group work and presentations with feedback from the facilitator and peers	0.00
Total percentage (Assessment Coursework)		100.00

Besides the essay, the apprentices are also required to undertake and successfully pass clinical placements and complete practice documentation. There is no compensation between the elements.

Reading list

The reading list is available from the Library website

Last updated: 22/06/2018

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