Overview
This unit will extend your knowledge of normal homeostatic mechanisms and the pathophysiological basis of health disorders and injuries relevant to your chosen clinical specialisation using a person centred approach. Your clinical decision making and problem solving skills in managing episodes of care will be enhanced through examining biological, physiological processes and psychosocial concepts.You will also explore the legal and ethical issues relevant to clinical practice within your specialisation area.
Details
Pre-requisites or Co-requisites
Students must be enrolled in CL22 Master of Clinical Nursing to undertake this unit.
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 - 2021
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).
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
Assessment Overview
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.
All University policies are available on the CQUniversity Policy site.
You may wish to view these policies:
- Grades and Results Policy
- Assessment Policy and Procedure (Higher Education Coursework)
- Review of Grade Procedure
- Student Academic Integrity Policy and Procedure
- Monitoring Academic Progress (MAP) Policy and Procedure – Domestic Students
- Monitoring Academic Progress (MAP) Policy and Procedure – International Students
- Student Refund and Credit Balance Policy and Procedure
- Student Feedback – Compliments and Complaints Policy and Procedure
- Information and Communications Technology Acceptable Use Policy and Procedure
This list is not an exhaustive list of all University policies. The full list of University policies are available on the CQUniversity Policy site.
- Analyse and apply contemporary national and international initiatives to patient management
- Analyse psychosocial and ethical and legal issues in clinical decision making
- Evaluate therapeutic and rehabilitative approaches that may be applied to individuals/groups within area of clinical specialisation
- Evaluate physiological and psychosocial interventions, and therapies that maintain and/or restore homoeostasis
- Reflect critically on practice to identify strengths and areas for improvement.
NA
Alignment of Assessment Tasks to Learning Outcomes
| Assessment Tasks | Learning Outcomes | ||||
|---|---|---|---|---|---|
| 1 | 2 | 3 | 4 | 5 | |
| 1 - Reflective Practice Assignment - 0% | |||||
| 2 - Portfolio - 0% | |||||
Alignment of Graduate Attributes to Learning Outcomes
| Graduate Attributes | Learning Outcomes | ||||
|---|---|---|---|---|---|
| 1 | 2 | 3 | 4 | 5 | |
| 1 - Knowledge | |||||
| 2 - Communication | |||||
| 3 - Cognitive, technical and creative skills | |||||
| 4 - Research | |||||
| 5 - Self-management | |||||
| 6 - Ethical and Professional Responsibility | |||||
| 7 - Leadership | |||||
| 8 - Aboriginal and Torres Strait Islander Cultures | |||||
Alignment of Assessment Tasks to Graduate Attributes
| Assessment Tasks | Graduate Attributes | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | |
| 1 - Reflective Practice Assignment - 0% | ||||||||
| 2 - Portfolio - 0% | ||||||||
Textbooks
Health Assessment and Physical Examination
Edition: 2nd (2016)
Authors: Estes, M. E. Z., Calleja, P., Theobald, K., & Harvey, T.
Cengage Learning
South Melbourne South Melbourne , Victoria , Australia
ISBN: 9780170354844
Binding: eBook
Pharmacology for Health Professionals
Edition: 5th (2018)
Authors: Bryant, B., & Knights, K., Rowland. A., & Darroch, S
Mosby Elsevier
Sydney, Sydney, , New South , Australia
ISBN: 9780729542753
Binding: Paperback
Additional Textbook Information
If you prefer studying with paper copies, they can be purchased at the CQUni Bookshop here: http://bookshop.cqu.edu.au (search on the Unit code)
The print version of Health Assessment and Physical Examination (2nd edition) is Out of Print. There is only a 3rd edition available.
IT Resources
- CQUniversity Student Email
- Internet
- Unit Website (Moodle)
- CQ U library search engines for research articles
- CQUniversity library literature search tools
- Online access to Austroads manuals and Australian Standards (through CQU Library)
- Endnote bibliographic software. This is recommended for formatting references.
All submissions for this unit must use the referencing style: American Psychological Association 7th Edition (APA 7th edition)
For further information, see the Assessment Tasks.
h.metcalfe@cqu.edu.au
j.m.shaw@cqu.edu.au
s.hunt@cqu.edu.au
Module/Topic
Introduction
Chapter
Feo, R., Kitson, A., & Conroy, T. (2018). How fundamental aspects of nursing care are defined in the literature: A scoping review. Journal of Clinical Nursing, 27(11-12), 2189-2229.
Events and Submissions/Topic
ZOOM: Zoom Tuesday 1900 hrs
Welcome, introduction to unit and Moodle site: Introduce yourselves.
Self-directed activity 1: Referencing APA 7 style
Update and submit your Curriculum Vitae to your e-Portfolio. Due 5pm (AEST) Friday 12th March 2021 (Week 1).
Module/Topic
1, Part 2: Legal, Professional and Ethical guidelines for advanced practice
Chapter
Nursing and Midwifery Board of Australia. (2018). Code of conduct for nurses. https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/FAQ/Fact-sheet-Code-of-conduct-for-nurses-and-Code-of-conduct-for-midwives.aspx
Nursing and Midwifery Board of Australia (2018). Registered nurse standards for practice. https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards/registered-nurse-standards-for-practice.aspx
Events and Submissions/Topic
Complete Self Assessment and submit to your e-Portfolio. Due 5pm (AEST) Friday 19th March 2021 (Week 2).
Module/Topic
2, Part 1: Epidemiology
Chapter
Australian Institute of Health and Welfare (2020). Australia’s health 2020. https://www.aihw.gov.au/getmedia/be95235d-fd4d-4824-9ade-34b7491dd66f/aihw-aus-231.pdf.aspx?inline=true
Events and Submissions/Topic
ZOOM Tutorial: Tuesday 1900hrs
Submit short academic writing activity on Moodle. Due 5pm (AEST) on Friday 26th March 2021 (Week 3).
Module/Topic
Chapter
Australian Institute of Health and Welfare (2020). Australia’s health 2020. https://www.aihw.gov.au/getmedia/be95235d-fd4d-4824-9ade-34b7491dd66f/aihw-aus-231.pdf.aspx?inline=true
Events and Submissions/Topic
Readings related to the topic
ZOOM tutorial
Discussion Forum
Module/Topic
3, Part 1: Comprehensive patient assessment
Chapter
Chapter 3 in
Estes, M. E. Z., Calleja, P., Theobald, K., & Harvey, T. (2020). Health assessment & physical examination (3rd ed.). Cengage Learning Australia.Events and Submissions/Topic
ZOOM tutorial: Tuesday 1900hrs
Module/Topic
Nil
Chapter
Nil
Events and Submissions/Topic
Nil
Module/Topic
3, Part 2: Advanced clinical decision making related to maintaining patient safety
Chapter
Events and Submissions/Topic
Assessment 1: Reflective Practice
Due: 5pm (AEST) Friday 23rd April 2021
Reflective Practice Assignment Due: Week 6 Friday (23 Apr 2021) 5:00 pm AEST
Module/Topic
4, Part 1: Respiratory assessment, diagnostic and screening tests
Chapter
Chapter 13 in:
Estes, M. E. Z., Calleja, P., Theobald, K., & Harvey, T. (2020). Health assessment & physical examination (3rd ed.). Cengage Learning Australia
Sarkar, M., Madabhavi, I., Niranjan, N., & Dogra, M. (2015). Auscultation of the respiratory system. Annals of Thoracic Medicine, 10(3), 158–168. https://doi.org/10.4103/1817-1737.160831
Events and Submissions/Topic
Zoom: Tuesday 19.00
Module/Topic
4, Part 2: Advanced clinical reasoning related to respiratory status
Chapter
Rolfe, S., & Paul, F. (2018). Oxygen therapy in adult patients. Part 1: Understanding the relevant physiology and pathophysiology. British Journal of Nursing, 27(14), 798–804. https://doi.org/10.12968/bjon.2018.27.14.798
Rolfe, S., & Paul, F. (2018). Oxygen therapy in adult patients. Part 2: Promoting safe and effective practice in patients' care and management. British Journal of Nursing, 27(17), 988–995. https://doi.org/10.12968/bjon.2018.27.17.988
Events and Submissions/Topic
Safe use of emergency oxygen therapy in acutely ill patients (Nursing Times)
Module/Topic
5, Part 1: Assessing for nutritional deficiencies and fluid status
Chapter
Chapter 15 in
Estes, M. E. Z., Calleja, P., Theobald, K., & Harvey, T. (2020). Health assessment & physical examination (3rd ed.). Cengage Learning Australia
Events and Submissions/Topic
Zoom meeting Tuesday 19.00
Self Assessment Due:5pm (AEST) Friday 14th May 2021
Module/Topic
5, Part 2: Advanced clinical reasoning related to nutrition and fluid intake
Chapter
Events and Submissions/Topic
Module/Topic
The whole patient – bringing everything together
Chapter
Nil
Events and Submissions/Topic
Assessment 2 Portfolio
Submit Artefact 4 on Moodle: Due 5pm Friday 28th May 2021 (Week 11).
Ensure that artefacts 1, 2, 3 are all uploaded into Portfolium by 5pm (AEST) Friday 28th May 2021.
Module/Topic
The whole patient – bringing everything together
Chapter
Nil
Events and Submissions/Topic
Module/Topic
Nil
Chapter
Nil
Events and Submissions/Topic
Module/Topic
Nil
Chapter
Nil
Events and Submissions/Topic
Upload artefact 4 to your e-Portfolio as soon as corrections are made.
You will be using an ePortfolio in this unit, please access Portfolium on the unit Moodle site and speak to your if you experience any difficulties.
1 Reflective Practice Assignment
Type: Written assessment
Due date: 5 pm (AEST) 23rd April, 2021 (Week 6)
Weighting: Pass/Fail
Length: 2500 words +/- 10%
Unit Coordinator: Dr Helene Metcalfe
Learning Outcomes Assessed
-
2. Analyse psychosocial and ethical and legal issues in clinical decision making
-
5. Reflect critically on practice to identify strengths and areas for improvement
Aim
The aim of this assessment is to provide you with an opportunity to explore a situation or an incident you experienced during your clinical practice, to assess your cognitive reasoning, decision-making skills, and demonstrate learning.
Instructions
For this assessment you are asked to use the Gibbs’ Reflective Model (1988) to reflect on a nursing situation or incident that you have experienced working in your specialty. Your reflection needs to highlight the ethical and legal implications of the situation/incident and your role in this incident.
Gibbs’ steps to reflective practice are:
- Description – what happened (situation/experience)?
- Feelings – What are you thinking or feeling about this?
- Evaluation – What was good and what was bad about the experience?
- Analysis - What can you learn from this experience?
- Conclusion – What could you have done differently?
- Action – If you faced this situation again, how would you act differently (Gibbs, 1988)
Before you begin writing, follow these guidelines to help you prepare the reflection:
- Review the situation/incident thoroughly
- Take notes, highlight relevant facts, and review relevant literature.
- Focus your analysis
- Identify two to three key nursing issues
- Why did they exist?
- How did they impact the patient’s care?
- Who was responsible for the different aspects of care provision?
- Did the care provided meet the standards of best practice?
- What were the legal and ethical considerations related to care?
- What was your role in the case?
- Uncover possible solutions
- Review unit readings, discussions, outside research, your experience.
- Select the best solution
- Consider strong supporting evidence, pros, and cons: was this care provided at a gold stand level?
Literature and references
In this assessment use at least 15 contemporary references (<5 years) to support your discussion. You may also use seminal scholarly literature where relevant. Suitable references include peer-reviewed journal articles as well as textbooks and credible websites. When sourcing information, consider the 5 elements of a quality reference: currency, authority, relevance, objectivity, and coverage. Grey literature sourced from the internet must be from reputable websites such as from government, university, or peak national bodies: for example, the Australian College of Nursing.
Requirements
-
Use a conventional and legible size 12 font, such as Calibri or Times New Roman, with 1.5 line spacing and 2.54cm page margins (standard pre-set margin in Microsoft Word).
-
Include page numbers on each page in a footer
-
Include a title page, table of contents, with appropriate headings used throughout the essay including introduction and conclusion
-
Write predominantly in the third-person perspective and use first person where appropriate.
-
Use formal academic language.
-
Use the seventh edition American Psychological Association (APA) referencing style. The CQUniversity Academic Learning Centre has an online APA Referencing Style Guide.
-
References must be used to support the reflection on the ethical and legal implications as well as the identified decisions and actions taken.
-
The word count is considered from the first word of the introduction to the last word of the conclusion. The word count excludes the reference list but includes in-text references and direct quotations.
Resources
-
Decision-making framework (DMF) (NMBA, 2020)
-
Nursing and Midwifery Board of Australia (NMBA) registered nurse standards for practice (2016).
-
National Safety and Quality Health Service (NSQHS) Standards (2017)
-
Patient Safety Competency Framework for Nursing Students (PSCF) (Levett-Jones et al., 2017)
-
You can use unit provided materials and other credible sources (e.g. journal articles, books) to reference your argument. The quality and credibility of your sources are important.
-
We recommend that you access your discipline specific Nursing Resource Guide
-
You may like to manage your citations and reference list. Information on how to use academic referencing software (EndNote) is available at the CQUniversity Library website should you wish to learn how to use it.
-
For information on academic writing and referencing please go to the Academic Learning Centre Moodle site. The Academic Communication section has many helpful resources including information for students with English as a second language.
-
Submit a draft before the due date to review your Turnitin Similarity Score before making a final submission. Instructions are available here.
Submission
Submit your assessment via the unit Moodle site in Microsoft Word format only.
Marking Criteria
Refer to the marking rubric below for more detail on how marks will be assigned.
Week 6 Friday (23 Apr 2021) 5:00 pm AEST
Submit via TURNITIN on Unit Moodle site
Week 8 Friday (7 May 2021)
Online
Students may have a second attempt if unsuccessful in the first attempt.
| Name of Student: | |
| Date of completion: | |
| Grade: | Pass: Fail: |
| Marker’s Name and Comments: | |
| Assessment criteria | Pass | Fail |
| Reflection Maximum 2500 words |
|
|
| Writing provides a clear, coherent and independent exposition of knowledge and ideas |
Writing reflects the writer’s own voice All ideas are
|
Writing does not reflect the writer’s own voice All ideas are not
|
| Knowledge of content area and development of ideas are demonstrated |
|
|
| Critical thinking |
|
|
| Engagement with the literature |
|
|
- Analyse psychosocial and ethical and legal issues in clinical decision making
- Reflect critically on practice to identify strengths and areas for improvement.
- Knowledge
- Self-management
- Ethical and Professional Responsibility
2 Portfolio
Type: Written assessment
Due date: 5 pm (AEST) 28th May 2021 (Week 11)
Weighting: Pass/Fail
Length: 2500 words +/- 10%
Unit Coordinator: Dr Helene Metcalfe
Learning Outcomes Assessed
-
1. Analyse and apply contemporary national and international initiatives to patient management
-
3. Evaluate therapeutic and rehabilitative approaches that may be applied to individuals/groups within area of clinical specialisation
-
4. Evaluate physiological and psychosocial interventions, and therapies that maintain and/or restore homoeostasis
Aim
The aim of this assessment is to add artefacts to your professional portfolio to demonstrate your knowledge, experience, skills, abilities and professional development in your specialty.
Artefact one - Curriculum Vitae (CV) – the CV provides a summary of your career covering your qualifications and experience. The CV provides insight into your current professional associations and capabilities.
Artefact two – Workplace Self- Assessment Guide completed at Week 2 and again at Week 9 – these two self-assessment guides demonstrate reflection on your professional capacity - where you need to improve; what you have done to further develop your knowledge and skills; how you have developed professionally; and what you plan to do next.
Artefact three – Academic writing activity Week 3 – the short academic writing activity demonstrates your knowledge of current practice/s in your specialty and your academic writing skills.
Artefact four – NMBA Standards document – the standards document once completed, demonstrates your professionalism as a registered nurse.
Instructions
You will complete the following artefacts and add them to your portfolio.
Step 1: Access the NMBA Registered Nurse Standards of Practice and e-Portfolio (on the AHPRA site or on Moodle) by the end of Week 1.
Step 2: Update and submit your Curriculum Vitae to your e-Portfolio by Friday 12th March 2021 (Week1)
Step 3: Complete Artefact 2 Workplace Self- Assessment and submit by Friday 19th March 2021 (Week 2).
Step 4: Review Artefact 2 the completed Workplace Self-Assessment along with your current practice and progress since Week 2 with your Nurse Educator or mentor. Then, complete Artefact 3 a new Workplace Self-Assessment and submit by Friday 14th May 2021 (Week 9).
Step 5: Using Artefact 4 NMBA Standards document, discuss how you have met the standards of practice including examples and supporting evidence such as artefacts one to three along with current literature. Submit by Friday 28th May 2021 (Week 11).
Step 6: Once marking has been completed and any corrections made, add the document to your Portfolio before commencement of NURS20176 Advanced Practice for Registered Nurses 2.
Literature and references
In this assessment use at least 15 contemporary references (<10 years) to support your discussion. You may also use seminal scholarly literature where relevant. Suitable references include peer-reviewed journal articles as well as textbooks and credible websites. When sourcing information, consider the 5 elements of a quality reference: currency, authority, relevance, objectivity, and coverage. Grey literature sourced from the internet must be from reputable websites such as from government, university, or peak national bodies: for example, the Australian College of Nursing.
Requirements
-
Use a conventional and legible size 12 font, such as Times New Roman or Arial, with 1.5 line spacing and 2.54cm page margins (standard pre-set margin in Microsoft Word).
-
Include page numbers on each page in a footer
-
Write predominantly in the third-person perspective and use first person where appropriate.
-
Use formal academic language.
-
Use the seventh edition American Psychological Association (APA) referencing style. The CQUniversity Academic Learning Centre has an online APA Referencing Style Guide.
-
The word count is considered from the first word of the introduction to the last word of the conclusion. The word count excludes the reference list but includes in-text references and direct quotations.
Resources
-
Nursing and Midwifery Board of Australia (NMBA) registered nurse standards for practice (2016).
-
You can use unit provided materials and other credible sources (e.g. journal articles, books) to reference your argument. The quality and credibility of your sources are important.
-
We recommend that you access your discipline specific Nursing Resource Guide
-
You may like to manage your citations and reference list. Information on how to use academic referencing software (EndNote) is available at the CQUniversity Library website should you wish to learn how to use it.
-
For information on academic writing and referencing please go to the Academic Learning Centre Moodle site. The Academic Communication section has many helpful resources including information for students with English as a second language.
-
Submit a draft before the due date to review your Turnitin Similarity Score before making a final submission. Instructions are available here.
Submission
Submit your assessment via the unit Moodle site in Microsoft Word format only.
Marking Criteria
Refer to the marking rubric below for more detail on how marks will be assigned.
Standard Exemplar of one NMBA (2016) Registered Nurse standard – (218 words)
References
Häggman‐Laitila, A., Mattila, L. R., & Melender, H. L. (2016). A systematic review of journal clubs for nurses. Worldviews on Evidence‐Based Nursing, 13(2), 163-171.
Soroush, F., Zargham-Boroujeni, A., & Namnabati, M. (2016). The relationship between nurses’ clinical competence and burnout in neonatal intensive care units. Iranian Journal of Nursing and Midwifery Research, 21(4), 424.
Submit via TURNITIN on the course Unit Site
Online
To achieve a pass in this assessment students must be successful in 4 of the 8 major criteria.
To be successful in each of the major criteria students must be successful in half of minor criteria e.g. 2/4; 3/6.
| PASS | FAIL |
| Artefact 1: Professional Portfolio (Portfolium) contains a current Curriculum Vitae | Artefact 1: Professional Portfolio (Portfolium) does not contain a current Curriculum Vitae. |
Artefact 2 - Workplace Assessment Guide - Week 2
|
Artefact 2: Workplace Assessment Guide Week 2
|
Artefact 3: Self- assessment activity - Week 3
|
Artefact 3: Self- assessment activity – Week 3
|
Artefact 2: Workplace Assessment Guide - Week 9
|
Artefact 2: Workplace Assessment Guide - Week 9
|
Artefact 4: Specialty Standards artefact - Week 11
|
Artefact 4: Specialty Standards artefact - Week 11
|
Standard 1: Thinks critically and analyses nursing practice
|
Standard 1: Thinks critically and analyses nursing practice
|
Standard 2: Engages in therapeutic and professional relationships
|
Standard 2: Engages in therapeutic and professional relationships
|
Standard 3: maintains the capability for practice
|
Standard 3: maintains the capability for practice
|
Standard 4: Comprehensively conducts assessments
|
Standard 4: Comprehensively conducts assessments
|
Standard 5: Develops a plan for nursing practice
|
Standard 5: Develops a plan for nursing practice
|
Standard 6: Provides safe, appropriate and responsive quality nursing practice
|
Standard 6: Provides safe, appropriate and responsive quality nursing practice
|
Standard 7: Evaluates outcomes to inform nursing practice
|
Standard 7: Evaluates outcomes to inform nursing practice
|
Presentation & Structure
|
Presentation & Structure
|
- Analyse and apply contemporary national and international initiatives to patient management
- Evaluate therapeutic and rehabilitative approaches that may be applied to individuals/groups within area of clinical specialisation
- Evaluate physiological and psychosocial interventions, and therapies that maintain and/or restore homoeostasis
- Communication
- Cognitive, technical and creative skills
- Research
- Ethical and Professional Responsibility
- Leadership
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?
