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2020/21 Undergraduate Module Catalogue

HECS2184 Theory and Practice Module 4

20 creditsClass Size: 280

Module manager: Jo James
Email: j.james1@leeds.ac.uk

Taught: 1 Apr to 30 Sep View Timetable

Year running 2020/21

Pre-requisites

HECS1099Theory and Practice Module 2

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 student 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. Students 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 students to gain greater understanding of service users' & carers' perspectives by promoting students' awareness of resources & support mechanisms available. The module will develop students 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 student'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. Students 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 students' knowledge and skills to meet the needs for service users and carers. Content will enable students to complete the generic competencies and essential skills required at level 2. Students 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 students 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 students 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 students. 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
There are 15 hours of simulated practice within the module that is field specific.

Students will gain 408 hours of clinical practice in this module and will usually be on placement for 2 or 5 days per week.

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 will include aspects of practice such as 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.


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 will include aspects of practice such as client teaching, complex wound care, pain assessment and management scenarios.

Mental Health:
- The module will focus on 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 will include aspects of 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 HECS2183.

Teaching methods

Due to COVID-19, teaching and assessment activities are being kept under review - see module enrolment pages for information

Delivery typeNumberLength hoursStudent hours
Clinical Practice4081.00408.00
Lecture31.003.00
Practical22.004.00
Simulated Practice151.0015.00
Tutorial112.0022.00
Independent online learning hours5.00
Private study hours45.00
Total Contact hours452.00
Total hours (100hr per 10 credits)502.00

Private study

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

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

In small groups the students 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

On line drug calculation resources will provide feedback on correct and incorrect answers.
Feedback on reflection sessions facilitating students to make theory/practice links
Feedback following simulated practice sessions on student performance.
Students 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.


Monitoring of Progress:
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 students can utilise these through their first placement of year 2 (Module HECS 2183) and second placement (HECS 2194) .
Students 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.
Students can access the online practice drug/maths calculation via SafeMediiate as well as being directed to the skills@library sessions on maths skills.

Methods of assessment

Due to COVID-19, teaching and assessment activities are being kept under review - see module enrolment pages for information


Coursework
Assessment typeNotes% of formal assessment
PortfolioNMC Essential Care Needs Portfolio (Pass/Fail)0.00
In-course AssessmentFORMATIVE: Formative exam (1 hour)0.00
Placement AssessmentPractice Assessment Document and OAR Skills Log (Pass/Fail)0.00
Essay1500 Words75.00
Written WorkSkills Log (Pass/Fail)0.00
Total percentage (Assessment Coursework)75.00

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


Exams
Exam typeExam duration% of formal assessment
Online Time-Limited assessment0 hr 90 mins25.00
Total percentage (Assessment Exams)25.00

The unseen exam involves assessment of safe drug/maths calculation needed for safe medicine administration The length of the exam has increased form year 1 to enable the student to accurately calculate more complex medication administration as the aim is accuracy rather than speed. The assessment of this module incorporate theoretical assessment and assessment of practice to comply with the NMC requirements. The student must have completed all stage two NMC competencies, elements and skills to meet the criteria for the second progression point. The assessment of this module incorporate 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: 21/08/2020 13:11:10

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