CQUniversity Unit Profile
NURS20172 Nursing and Professional Practice 2
Nursing and Professional Practice 2
All details in this unit profile for NURS20172 have been officially approved by CQUniversity and represent a learning partnership between the University and you (our student).
The information will not be changed unless absolutely necessary and any change will be clearly indicated by an approved correction included in the profile.
General Information

Overview

This unit continues from Nursing and Professional Practice 1 and extends your nursing knowledge and skills to consolidate your professional nursing confidence and competence in managing complex patient problems. You will be able to validate your nursing judgements and clinical decisions through professional reflection and critical thinking. You will also be able to support others in the management of technologies in a variety of clinical contexts and advocate for the patient and their family in the interprofessional context. This unit will be undertaken in the hospital health service where you are employed.

Details

Career Level: Postgraduate
Unit Level: Level 8
Credit Points: 6
Student Contribution Band: 7
Fraction of Full-Time Student Load: 0.125

Pre-requisites or Co-requisites

Prerequisite: NURS20171 Nursing and Professional Practice 1

Important note: Students enrolled in a subsequent unit who failed their pre-requisite unit, should drop the subsequent unit before the census date or within 10 working days of Fail grade notification. Students who do not drop the unit in this timeframe cannot later drop the unit without academic and financial liability. See details in the Assessment Policy and Procedure (Higher Education Coursework).

Offerings For Term 1 - 2019

Online

Attendance Requirements

All on-campus students are expected to attend scheduled classes – in some units, these classes are identified as a mandatory (pass/fail) component and attendance is compulsory. International students, on a student visa, must maintain a full time study load and meet both attendance and academic progress requirements in each study period (satisfactory attendance for International students is defined as maintaining at least an 80% attendance record).

Class and Assessment Overview

Recommended Student Time Commitment

Each 6-credit Postgraduate unit at CQUniversity requires an overall time commitment of an average of 12.5 hours of study per week, making a total of 150 hours for the unit.

Class Timetable

Bundaberg, Cairns, Emerald, Gladstone, Mackay, Rockhampton, Townsville
Adelaide, Brisbane, Melbourne, Perth, Sydney

Assessment Overview

1. Practical Assessment
Weighting: Pass/Fail
2. Portfolio
Weighting: Pass/Fail

Assessment Grading

This is a pass/fail (non-graded) unit. To pass the unit, you must pass all of the individual assessment tasks shown in the table above.

Unit Learning Outcomes
On successful completion of this unit, you will be able to:
  1. Demonstrate advanced clinical skills within a health context
  2. Advocate for patients and families within the interprofessional context
  3. Initiate clinical evaluations and interventions in clinical settings
  4. Support others in the management of treatment technologies
  5. Use evidence based practices to improve patient outcomes
  6. Role model professional attributes
  7. Apply reflection-in-action to ensure person centered care and the necessity of self-care.

NA

Alignment of Learning Outcomes, Assessment and Graduate Attributes
N/A Level
Introductory Level
Intermediate Level
Graduate Level
Professional Level
Advanced Level

Alignment of Assessment Tasks to Learning Outcomes

Assessment Tasks Learning Outcomes
1 2 3 4 5 6 7
1 - Practical Assessment - 0%
2 - Portfolio - 0%

Alignment of Graduate Attributes to Learning Outcomes

Graduate Attributes Learning Outcomes
1 2 3 4 5 6 7
1 - Knowledge
2 - Communication
3 - Cognitive, technical and creative skills
4 - Research
5 - Self-management
6 - Ethical and Professional Responsibility
7 - Leadership

Alignment of Assessment Tasks to Graduate Attributes

Assessment Tasks Graduate Attributes
1 2 3 4 5 6 7
1 - Practical Assessment - 0%
2 - Portfolio - 0%
Textbooks and Resources

Textbooks

There are no required textbooks.

Additional Textbook Information


IT Resources

You will need access to the following IT resources:
  • CQUniversity Student Email
  • Internet
  • Unit Website (Moodle)
  • CQUniversity Library website
Referencing Style

All submissions for this unit must use the referencing style: American Psychological Association 6th Edition (APA 6th edition)

For further information, see the Assessment Tasks.

Teaching Contacts
Julie Shaw Unit Coordinator
j.m.shaw@cqu.edu.au
Schedule
Week 1 - Module 1 Begin Date: 11 Mar 2019

Module/Topic

 Demonstrating advanced clinical skills within a health context

Chapter

The Australian Nursing and Midwifery Board 

Issues of definition around Scope of Nursing Practice

Events and Submissions/Topic

Advanced Clinical Skills, Advanced Practice Regulation and Scope of Practice

Week 2 - Module 1 Begin Date: 18 Mar 2019

Module/Topic

Demonstrating advanced clinical skills within a health context

Chapter

Learning  based on research about the basic and advanced clinical skills of new graduate RNs. 

Events and Submissions/Topic

Self-rating and self-development of skills and communication related to advanced clinical skills. 

Week 3 - Module 2 Begin Date: 25 Mar 2019

Module/Topic

Advocate for patients and families within the inter-professional context

Chapter

Inter-professional team roles and responsibilities     

Events and Submissions/Topic

Undertake learning activity related to patient advocacy 

Week 4 - Module 3 Begin Date: 01 Apr 2019

Module/Topic

Initiate clinical evaluation and interventions in clinical settings

Chapter

Deliberate practice and upskilling    

Events and Submissions/Topic

Group practice using identified area of skill development 

Week 5 - Module 3 Begin Date: 08 Apr 2019

Module/Topic

Initiate clinical evaluation and interventions in clinical settings

Chapter

Current issues in clinical interventions and evaluations

Events and Submissions/Topic

Identifying commonly missed care in clinical practice   

Vacation Week Begin Date: 15 Apr 2019

Module/Topic

Chapter

Events and Submissions/Topic

Week 6 - Module 4 Begin Date: 22 Apr 2019

Module/Topic

Support others in the management of treatment technologies

Chapter

The future of technology    

Events and Submissions/Topic

Week 7 - Module 4 Begin Date: 29 Apr 2019

Module/Topic

Support others in the management of treatment technologies

Chapter

Clinical teaching and learning strategies    

Events and Submissions/Topic

Group discussion: feedback and student on new staff performance

Week 8 - Module 5 Begin Date: 06 May 2019

Module/Topic

Using evidence-based practices to support improved patient outcomes

Chapter

Using evidence to develop your skill to improve patient outcomes    

Events and Submissions/Topic

Developing a professional portfolio

Week 9 - Module 5 Begin Date: 13 May 2019

Module/Topic

Using evidence-based practices to support improved patient outcomes

Chapter

Background to Evidence-Based Practice    

Events and Submissions/Topic

Team approach to implementation

Week 10 - Module 6 Begin Date: 20 May 2019

Module/Topic

Role model professional attributes

Chapter

Exploring professional attributes of nursing

Events and Submissions/Topic

Personal attributes for role modelling

Week 11 - Module 7 Begin Date: 27 May 2019

Module/Topic

Apply reflection-in-action to ensure person centred care and the necessity for self-care

Chapter

Differentiation and discussion of reflection-in-action and reflection-on-action

Events and Submissions/Topic

Interdisciplinary reflection

Week 12 - Module 7 Begin Date: 03 Jun 2019

Module/Topic

Apply reflection-in-action to ensure person centred care and the necessity for self-care

Chapter

Self-care during transitions in nursing.

Events and Submissions/Topic

Transition shock – theory and practice


Review/Exam Week Begin Date: 10 Jun 2019

Module/Topic

Chapter

Events and Submissions/Topic

Assessments 1 & 2 are practical assessments that are undertaken at the students place of employment. They must be completed by Friday 14th June 2019.

Exam Week Begin Date: 17 Jun 2019

Module/Topic

Chapter

Events and Submissions/Topic

Assessment Tasks

1 Practical Assessment

Assessment Title
Practical Assessment

Task Description

Pass/Fail Unit

This assessment addresses the following Unit Learning Outcomes:
        1. Demonstrate advanced clinical skills within a health context
         2. Advocate for patients and families within the inter-professional context
         3. Role model professional attributes

Task description
This practical assessment is based on your clinical skill development throughout the term. The assessment provides an indication of your practice performance against the set criteria. You will be assessed by a nurse educator or clinical nurse in your clinical area using the criteria in the Assessment 1 rubric. This assessment is to be undertaken at your local health service.

Task Instructions

Step 1. Download the Assessment 1 rubric (Practical Assessment).

Step 2. Negotiate with your Nurse Educator/ Clinical Nurse to assess your clinical skill development.

Step 3. Demonstrate evidence of planning for clinical skills assessment by regular documentation in your workbook of planning, consultation with colleagues, and reference to the literature on planning for the assessment.

Step 4. Demonstrate evidence of reflection on clinical skills development by regular documentation in your workbook of reflection on skill development including reflection with colleagues.

Step 5. Demonstrates professional skills in communication, hygiene, asepsis, health education and documentation during skill performance assessment.







Assessment Due Date

The date of assessment will be negotiated by you in your work setting


Return Date to Students

Return information will be given at your local health service.


Weighting
Pass/Fail

Assessment Criteria

Students must pass each area of assessment to be successful in Assessment 1

Area of assessment Marking Criteria Allocation of mark Marking Criteria Pass or Fail
Planning for skills assessment Evidence of preparation for skills assessment Workbook shows planning skill (5) Pass = Workbook has regular entries over time. Workbook writing discusses consultation with colleagues Evidence of discussion with colleagues is provided Fail = Workbook is sparsely documented. Weekly topics are not addressed. No evidence of discussion with colleagues /10
Workbook evidence of collegial collaboration in planning (5)
Reflection and collegial consultation Evidence of reflection on skills assessment Workbook evidence of skills reflection (5) Pass = Evidence of reflection is workbook and follows an evidence-based practice. Evidence of collegial discussions and role model supplied Fail = Writing in workbook is descriptive of tasks only. No reflection evident. No reflective framework identified No evidence supplied indicating collegial discussions took place No evidence of how /10
Workbook evidence of collegial consultation regarding skill development (5)
Skill performance Demonstrates professional skill in communication, hygiene, asepsis, health education and documentation during skill performance Communication (4) Pass = Competence is shown in each area of skill development. Discussion of skill development evident. Fail = Not yet competent in any one area. No or little discussion of one’s own skill development /20
Hygiene (4)
Asepsis (4)
Health education (4)
Documentation (4)


Referencing Style

Submission
Offline

Submission Instructions
This assessment is to be undertaken at your local health service.

Learning Outcomes Assessed
  • Demonstrate advanced clinical skills within a health context
  • Advocate for patients and families within the interprofessional context
  • Initiate clinical evaluations and interventions in clinical settings
  • Support others in the management of treatment technologies
  • Use evidence based practices to improve patient outcomes
  • Role model professional attributes
  • Apply reflection-in-action to ensure person centered care and the necessity of self-care.


Graduate Attributes
  • Knowledge
  • Communication
  • Cognitive, technical and creative skills
  • Ethical and Professional Responsibility

2 Portfolio

Assessment Title
Portfolio learning contract

Task Description

Pass/ Fail Unit


This assessment addresses the following Unit Learning Outcomes:

        1. Demonstrate advanced clinical skills within a health context

        2. Provide education to patients to promote health maintenance

        3. Discuss clinical evaluation and interventions in clinical settings

        4. Manage technologies used to treat acute and sub-acute health conditions

        5. Use evidence based practices to improve patient outcomes

        6. Analyse professional issues relevant to current and future nursing practice

        7. Provide confident role modelling in nursing practice

        8. Reflect on practice to ensure person centred care and the necessity of self-care


Task Description


This Portfolio Learning Contract is a record of the development and mastery of clinical nursing skills throughout your first term of study. This assessment is to be undertaken at your local health service.


Task Instructions


Step 1. Download the portfolio learning contract rubric. The objectives specifically identified in the contract are derived from a range of clinical resources in order to advance your expertise in clinical skill development.


Step 2. Negotiate with your Graduate Nurse Educator/Health Service Educator to practice the clinical skill. As your proficiency increases, your confidence and expertise at performing a particular skill develops.


Step 3. Negotiate with your Graduate Nurse Educator/ Health Service Educator to assess your ability to complete the clinical skill. The objectives of this contract need to be achieved at either your place of employment or at a designated clinical study day. Study days will be convened at your local health service. If you are unable to successfully complete the requirements of this contract at your place of employment YOU MUST discuss this early with your local contact or the Course Coordinator to arrange alternative clinical assessment.


Step 4. Ensure that your portfolio is updated at the completion of the assessment and you are verified by your assessor as being competent in this clinical skill.




Assessment 2
Contract Objectives Log Previously competent / now advanced / yes or no Marking Criteria P/F Sign/ Date
1. Demonstrates ability to obtain accurate measurements of a range of patient signs and symptoms using a range of different devices and accurately interpret findings. Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
2. Is able to identify the pattern of concern for escalation in the vital signs of patients in a range of clinical contexts. Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
3. Demonstrates ability to auscultate: lung fields, apical pulse, bowel sounds and interpret findings. Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
4. Demonstrates ability to perform an ECG and identify life-threatening cardiac arrhythmias Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
5. Is able to identify and meet patient needs for hygiene across the entire body (general areas, body folds, genital areas, hair, eyes, teeth, mouth, ears, nose, feet and hands). Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
6. Is able to routinely perform the 5 moments of hand hygiene and encourages others to do so. Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
7. Is able to identify a patient at risk for skin breakdown and implement preventative strategies. Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
8. Is able to identify evidence-based wound care interventions for simple and complex wounds. Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
9. Demonstrates a sound understanding of the complexity of medication monitoring and administration and accesses suitable resources to support accuracy. Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
10. Is able to assess and interpret mobility needs for individual patients who are bed-ridden or mobile. Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
11. Demonstrates a sound ability to meet nutritional needs for each patient, including assistance with eating and drinking as indicated. Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
12. Can identify bowel patterns in individual patients and facilitate regularity as appropriate to condition. Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
13. Demonstrates the ability to identify bowel related dysfunction [constipation/ diarrhoea/bleeding] and escalates or manages as appropriate. Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
14. Can insert and/or manage tubes used to drain fluid from or insert fluid into the body. Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
15. Is able to manage single and multiple Intravenous Lines with or without medications added. Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
16. Demonstrates the ability to identify urinary retention or low urine output and escalates appropriately. Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
17. Demonstrates the ability to manage a person requiring oxygen or other breathing assistance devices. Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
18. Demonstrates an understanding of the requirements of pain management and accesses specialised assistance as required. Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
19. Is able to identify a patient with hypertension and escalates and/or implements appropriate health teaching Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
20. Is able to identify a patient with very low or very high blood sugar and take appropriate action. Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
21. Demonstrates the ability to perform procedures related to altered vascular status, such as Doppler and peripheral pulses, and interprets findings Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
22. Demonstrates ability to calculate and assess BMI and describe significance of the result Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
23. Demonstrates a sound understanding of mental health issues relevant to the acute care setting. Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
24. Implements appropriate interventions related to mental health symptoms. Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.




Assessment Due Date

This assessment is to be undertaken at your local health service.


Return Date to Students

Return information will be given at your local health service.


Weighting
Pass/Fail

Assessment Criteria

This contract is to be used for students enrolled in NURS20172 Nursing Professional Practice 2. All objectives of this contract need to be achieved at either your place of employment as a Registered Nurse or on a designated clinical study day.

Assessment 2
Contract Objectives Log Previously competent / now advanced / yes or no Marking Criteria P/F Sign/ Date
1. Demonstrates ability to obtain accurate measurements of a range of patient signs and symptoms using a range of different devices and accurately interpret findings. Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
2. Is able to identify the pattern of concern for escalation in the vital signs of patients in a range of clinical contexts. Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
3. Demonstrates ability to auscultate: lung fields, apical pulse, bowel sounds and interpret findings. Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
4. Demonstrates ability to perform an ECG and identify life-threatening cardiac arrhythmias Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
5. Is able to identify and meet patient needs for hygiene across the entire body (general areas, body folds, genital areas, hair, eyes, teeth, mouth, ears, nose, feet and hands). Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
6. Is able to routinely perform the 5 moments of hand hygiene and encourages others to do so. Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
7. Is able to identify a patient at risk for skin breakdown and implement preventative strategies. Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
8. Is able to identify evidence-based wound care interventions for simple and complex wounds. Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
9. Demonstrates a sound understanding of the complexity of medication monitoring and administration and accesses suitable resources to support accuracy. Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
10. Is able to assess and interpret mobility needs for individual patients who are bed-ridden or mobile. Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
11. Demonstrates a sound ability to meet nutritional needs for each patient, including assistance with eating and drinking as indicated. Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
12. Can identify bowel patterns in individual patients and facilitate regularity as appropriate to condition. Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
13. Demonstrates the ability to identify bowel related dysfunction [constipation/ diarrhoea/bleeding] and escalates or manages as appropriate. Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
14. Can insert and/or manage tubes used to drain fluid from or insert fluid into the body. Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
15. Is able to manage single and multiple Intravenous Lines with or without medications added. Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
16. Demonstrates the ability to identify urinary retention or low urine output and escalates appropriately. Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
17. Demonstrates the ability to manage a person requiring oxygen or other breathing assistance devices. Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
18. Demonstrates an understanding of the requirements of pain management and accesses specialised assistance as required. Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
19. Is able to identify a patient with hypertension and escalates and/or implements appropriate health teaching Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
20. Is able to identify a patient with very low or very high blood sugar and take appropriate action. Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
21. Demonstrates the ability to perform procedures related to altered vascular status, such as Doppler and peripheral pulses, and interprets findings Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
22. Demonstrates ability to calculate and assess BMI and describe significance of the result Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
23. Demonstrates a sound understanding of mental health issues relevant to the acute care setting. Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.
24. Implements appropriate interventions related to mental health symptoms. Pass – advanced skill acquired. Judgement evident. Fail – skill not acquired. Judgement not evident.


Referencing Style

Submission
Offline

Submission Instructions
To be negotiated at your local health service

Learning Outcomes Assessed
  • Demonstrate advanced clinical skills within a health context
  • Advocate for patients and families within the interprofessional context
  • Initiate clinical evaluations and interventions in clinical settings
  • Support others in the management of treatment technologies
  • Use evidence based practices to improve patient outcomes
  • Role model professional attributes
  • Apply reflection-in-action to ensure person centered care and the necessity of self-care.


Graduate Attributes
  • Knowledge
  • Cognitive, technical and creative skills
  • Research
  • Leadership

Academic Integrity Statement

As a CQUniversity student you are expected to act honestly in all aspects of your academic work.

Any assessable work undertaken or submitted for review or assessment must be your own work. Assessable work is any type of work you do to meet the assessment requirements in the unit, including draft work submitted for review and feedback and final work to be assessed.

When you use the ideas, words or data of others in your assessment, you must thoroughly and clearly acknowledge the source of this information by using the correct referencing style for your unit. Using others’ work without proper acknowledgement may be considered a form of intellectual dishonesty.

Participating honestly, respectfully, responsibly, and fairly in your university study ensures the CQUniversity qualification you earn will be valued as a true indication of your individual academic achievement and will continue to receive the respect and recognition it deserves.

As a student, you are responsible for reading and following CQUniversity’s policies, including the Student Academic Integrity Policy and Procedure. This policy sets out CQUniversity’s expectations of you to act with integrity, examples of academic integrity breaches to avoid, the processes used to address alleged breaches of academic integrity, and potential penalties.

What is a breach of academic integrity?

A breach of academic integrity includes but is not limited to plagiarism, self-plagiarism, collusion, cheating, contract cheating, and academic misconduct. The Student Academic Integrity Policy and Procedure defines what these terms mean and gives examples.

Why is academic integrity important?

A breach of academic integrity may result in one or more penalties, including suspension or even expulsion from the University. It can also have negative implications for student visas and future enrolment at CQUniversity or elsewhere. Students who engage in contract cheating also risk being blackmailed by contract cheating services.

Where can I get assistance?

For academic advice and guidance, the Academic Learning Centre (ALC) can support you in becoming confident in completing assessments with integrity and of high standard.

What can you do to act with integrity?