2018/19 Undergraduate Module Catalogue

HECS2220 Theory Practice Module 4 (Apprenticeship)

20 creditsClass Size: 100

Module manager: Fiona Knights
Email: f.l.knights@leeds.ac.uk

Taught: 1 Jan to 30 Sep (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

HECS2184

Theory and Practice Module 4

This module is not approved as a discovery module

Module summary

This module focuses on the service user and carer perspective of healthcare provision. The apprentice will gain an understanding of what it means to be in receipt of care and how this impacts on daily life, and future expectation and aspirations. Apprentices will continue to develop their clinical competency to meet the NMC second progression point through an assessed placement, simulated practice and completion of the NMC Essential Care needs.

Objectives

This is the fourth theory and practice module within the programme which will be shared by mental health, adult and child nurses. This module will build upon the key issues developed in Theory and Practice 1, 2 and 3 with an increased emphasis upon knowledge and skills that are specific to their field of practice.

This module will consider partnership working with service users and carers. It will enable apprentices to gain greater understanding of service users' & carers' perspectives by promoting apprentices' awareness of resources & support mechanisms available. The module will develop apprentices understanding of the service users & carer's perspective of their health, drawing upon their experiences of treatment and healthcare using policies and published material to develop their understanding.

Examples of research literature will be used to support case scenario analysis and increase the apprentice's awareness of the various research methods that might be employed. They will develop and apply more in-depth knowledge and skills of the specific, individualised acute and long term care needs of service users from childhood, to adolescence, through young and older adulthood, for those with mental health or learning disabilities, in hospital and the community with respect for diversity and difference. Apprentices will have the opportunity to practice new clinical skills and further develop their confidence of those gained throughout the programme. Case scenario analysis will be used to further develop their communication and clinical decision-making skills. There will also be further emphasis on patient safety, risk assessment and upon medicines management, administration and consideration of more complex field specific numeracy skills and drug calculations.
Research led teaching will be utilised to further develop apprentices' knowledge and skills to meet the needs for service users and carers. Content will enable apprentices to complete the generic competencies and essential skills required at level 2. Apprentices will have completed the remaining 25% of the NMC essential Care Needs portfolio which meets the NMC alternative field requirement and contributes to the EU Directive.

Learning outcomes
On completion of this module the apprentices will:

Further establish professional values

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

Explore concepts of nursing practice and how these link to decision making.

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.

Demonstrate knowledge and understanding of patient safety, risk assessment and root cause analysis including skills in medicines management specific to their field of practice.

Demonstrate how to recognise vulnerable service users and carers and the role of the nurse in safeguarding, examining issues specific to their field of practice.

Demonstrate how to form effective working partnerships with service users and carers, utilising safe, effective non-discriminatory communication skills.

Develop non-technical skills such as leadership, management and effective team working. Apply models and tools e.g. SBARR for communication to improve handovers, team communication and Interpersonal Skills.

Explore case scenarios to develop a greater understanding of the research processes and methods by which knowledge which underpins practice is produced.

Complete the NMC competencies, elements, skills log required for year 2 pre-registration nursing second progression point outcomes.

Provide evidence to demonstrate completion of the NMC Essential Care Needs Portfolio.

Skills outcomes
Completion of generic and field specific practice standards and skills to meet the NMC second progression point.

Development of medicine management and maths/drug calculation proficiency to the level required for NMC second progression point.

Syllabus

While apprentices will be exposed to some taught contact time and clinical skills simulation practice within the classroom much of the content and learning for this module will be achieved through clinical practice placements.
Generic- Adult and Child
- Service users & carer's involvement in health care
- Patient centred approaches to care.
- Sources of support available to service users & carers such as voluntary sector organisations
- Current policy drivers and initiatives
- Insight into aspects of the patient journey reflecting acute through to long term conditions and ensuring an individualised approach is embedded throughout.
- Storage and use of controlled drugs
- Skills development to include deteriorating patient scenarios for adult apprentices. Neurological assessment, acute pain assessment and monitoring, blood transfusion, medicines management and administration
- Review practice requirements, assessment, documentation and the EU directives for year 2 of the programme

Field Specific (Adult):
- Case scenarios which focus upon risk assessment and safety issues related to specific aspects of practice such as infection control, drug administration and dealing with adverse events.
- Medicines management; including pharmacology, alternative modes of drug administration e.g. nebuliser therapy.
- Simulated practice; deteriorating patient scenarios building on previous knowledge gained from the acutely unwell adult module.
- Learners will reflect upon the specific care needs of older adults and individuals with learning difficulties or mental health problems they have encountered in the acute and long term care settings.
- Case scenarios will be developed that contribute to evidence for NMC Essential Care Needs Portfolio

Field Specific (Child):
- Case scenarios which focus upon risk assessment and safety issues related to specific aspects of practice such as infection control, drug administration and dealing with adverse events.
- Medicines management; including pharmacology, alternative modes of drug administration e.g. nebuliser, intravenous fluids and medications
- Simulated practice; client teaching, complex wound care, pain assessment and management scenarios.
- Case scenarios will be developed that contribute to evidence for NMC Essential Care Needs Portfolio

Field Specific (Mental Health):
- respecting diversity, practicing ethically, promoting recovery and service users and carers involvement in health care (10 ESC, DH 2004)
- Ongoing clinical supervision
- Recovery focused approaches
- Psychosocial interventions
- Communication strategies with diverse needs, i.e., learning disabilities
- Cognitive Behavioural Therapy, assessment and formulation
- Behavioural interventions - distraction, thought blocking, gradual exposure
- Relapse signatures and prevention
- Problem solving
- Psycho-education
- Practical living skills,
- Sources of support available to service users & carers such as voluntary sector organisations
- Current policy drivers and initiatives e.g. Expert Patient programme
- Insight into aspects of the patient journey reflecting acute through to long term conditions and ensuring an individualised approach is embedded throughout
- Storage and use of controlled drugs
- Skills development to include Medication administration and management, build knowledge base on commonly encountered drug groups in mental health settings and issues of covert administrations
- Simulated practice; Mental Health practice such as patient scenarios around gender and mental health, enduring mental health problems and dual diagnosis building on previous knowledge gained from the introduction to core conditions and person-centred counselling in HECS 2219.
- Review practice requirements, assessment, documentation and the EU directives for year 2 of the programme
- Case scenarios will be developed that contribute to evidence for NMC Essential Care Needs Portfolio

Teaching methods

Delivery type	Number	Length hours	Student hours
Clinical Practice	188	1.00	187.50
Clinical Practice	263	1.00	262.50
Lecture	3	1.00	3.00
Practical	2	2.00	4.00
Simulated Practice	15	1.00	15.00
Tutorial	11	2.00	22.00
Independent online learning hours			36.00
Private study hours			70.00
Total Contact hours			494.00
Total hours (100hr per 10 credits)			600.00

Private study

The apprentices will be provided with learning resources including ELearning packages 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

In small groups the apprentices will be asked to appraise the on-line and eLearning resources they complete, their evaluation will then be then presented back to the larger group.

Opportunities for Formative Feedback

Medicine management and maths/drug calculation proficiency are a key component of the NMC competencies and therefore resources to aid development of these skills will be made available in semesters 1 and 2a, so that apprentices can utilise these through their first placement of stage 2 (Module HECS 2219) and second placement (HECS 2220).

Apprentices will be monitored and supported by an NMC qualified mentor and written feedback given via the practice assessment documents.

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 can access the online practice drug/maths calculation via SN@P as well as being directed to the skills@library sessions on maths skills.

On-line drug calculation resources will provide feedback on correct and incorrect answers.

Feedback on reflection sessions facilitating apprentices to make theory/practice links.

Feedback following simulated practice sessions on apprentice performance.

Apprentices will receive on-going feedback from their NMC qualified mentor as well as other clinical staff during their placement. This will be formalised through the PAD document interview schedule (initial, intermediate and final interview).

Academic support will be in accordance with the School of Healthcare recommendations.

Methods of assessment

Coursework

Assessment type	Notes	% of formal assessment
Placement Assessment	Practice Assessment Documentation/ Ongoing Achievement Record (Pass/Fail)	0.00
Essay	1500 words	75.00
In-course Assessment	FORMATIVE: 1 hour mock	0.00
Portfolio	NMC Essential Care Needs Portfolio (Pass/Fail)	0.00
Total percentage (Assessment Coursework)		75.00

The apprentices are also required to undertake and successfully pass clinical placements and complete practice documentation. Apprentices will submit their completed NMC Essential Care Needs Portfolio. The unseen online numeracy exam will have submission dates to allow apprentices re sit opportunities within the module length. There is no compensation between elements.

Exams

Exam type	Exam duration	% of formal assessment
Standard exam (closed essays, MCQs etc) (S1)	1 hr 30 mins	25.00
Total percentage (Assessment Exams)		25.00

The assessment of this module incorporates theoretical assessment and assessment of practice and included the requirement for 100% accuracy in numeracy exam in relation to drug calculations to comply with the NMC requirements for entry to the register.

Reading list

The reading list is available from the Library website

Last updated: 22/06/2018

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