NURS12160 - Acute Alterations in Health

General Information

Unit Synopsis

Australians are living longer. Traditionally health care has been focused on acute illness. The number of people living with chronic disease is growing. This is an important intersection as many chronic illnesses begin as an acute alteration or can cause an acute alteration in health. Australia's National Health Priority Areas (NHPAs) are diseases and conditions given focused attention by government because they significantly contribute to the burden of illness and injury in the Australian community. In this unit, you will identify the NHPAs and explore their link to lifestyle factors such as obesity, insufficient physical activity, tobacco smoking, and alcohol use and their impact on acute health conditions. You will consider the nursing process required to support people with acute conditions or deterioration of people. You will examine factors to assist you in the early recognition of sepsis and determine the nursing role in each phase of the perioperative period. This unit provides the theoretical underpinning for NURS12161 Professional Experience Practice 2 and should be completed with or before NURS12161.


Level Undergraduate
Unit Level 2
Credit Points 6
Student Contribution Band SCA Band 1
Fraction of Full-Time Student Load 0.125
Pre-requisites or Co-requisites


NURS11170 Professional Experience Placement 1 or NURS11161 Clinical Nursing 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).

Class Timetable View Unit Timetable
Residential School No Residential School

Unit Availabilities from Term 1 - 2023

Term 1 - 2023 Profile
Term 1 - 2024 Profile

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).

Assessment Overview

Recommended Student Time Commitment

Each 6-credit Undergraduate 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.

Assessment Tasks

Assessment Task Weighting
1. Written Assessment 40%
2. Case Study 40%
3. Online Quiz(zes) 20%

This is a graded unit: your overall grade will be calculated from the marks or grades for each assessment task, based on the relative weightings shown in the table above. You must obtain an overall mark for the unit of at least 50%, or an overall grade of ‘pass’ in order to pass the unit. If any ‘pass/fail’ tasks are shown in the table above they must also be completed successfully (‘pass’ grade). You must also meet any minimum mark requirements specified for a particular assessment task, as detailed in the ‘assessment task’ section (note that in some instances, the minimum mark for a task may be greater than 50%).

Consult the University’s Grades and Results Policy for more details of interim results and final grades

Past Exams

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Previous Feedback

Term 1 - 2022 : The overall satisfaction for students in the last offering of this course was 65.35% (`Agree` and `Strongly Agree` responses), based on a 17.38% response rate.

Feedback, Recommendations and Responses

Every unit is reviewed for enhancement each year. At the most recent review, the following staff and student feedback items were identified and recommendations were made.

Source: Student experience data
The teaching style offered combined with the structure of the unit did not work well me.
This unit uses the flipped classroom approach. This will remain however content specific material will be delivered, in small lessons, with guided and self-directed learning material, to prepare students for online learning sessions. Prerecorded power point presentations are a new addition. The Moodle layout and presentation of learning materials is simplified using more headings to categorise learning material. The e-reading list has been reduced. A one-page quick look guide summarises the weekly learning content to meet the learning objectives. Students can use this as a checklist each week to review and revise their learning.
Action Taken
As per the recommendations from the previous offering listed here in 2022 the unit was re-written to include; Pre-recorded short 5-15 minute lectures Recorded expert guest lectures 5-15minutes a new Moodle layout with much signposting between learning content and learning activities a check box for students to mark completed activities a reduced e-reading list invited guest lecturers presented live at the virtual classes, which were recorded lecturers used power point presentations and these were shared with students a new weekly virtual session titled Content Catchup was offered weekly for students to work through learning activities with the unit coordinators.
Source: Student experience data
This unit would benefit from a better layout on Moodle and having recorded lectures - not only online sessions but mini lectures as well.
The Moodle tiles format will remain. The learning content is reorganised into lessons and interactive content. Checklists are provided for students to mark off learning content when completed. Prerecorded presentations have been included.
Action Taken
In addressing student feedback and implementing recommendations; mini lectures (5-15 minutes in duration) were included moodle content was presented differently powerpoints when used were shared with students.
Source: Student experience data
I gained a lot from the assessment focus zooms where we set out small achievable goals
The drop in sessions for the written assessment will remain however more of them will be offered each week.
Action Taken
To address student feedback; assessment sessions were offered weekly a facilitated session where students could come together to actively work on assessment 1 and 2 were introduced students email queries about assessments were collated and answered in the assessment sessions which were recorded.
Source: SUTE data
Ensure the marking rubric and the task sheet for assessment pieces are accurate and reflect the same information. The quiz did have some errors making some questions unclear
All assessments undergo review. We will write the 2023 assessments with more clarity. We will provide more support from the ALC and the unit coordinators for students to understand the assessment task and the marking criteria. There were three quiz questions that were incorrectly written - these have been rectified. One of the three incorrect quiz questions - a mix and match - was reviewed by Moodle support and it was decided there was no clear reason for the errors. This question has been removed from the bank.
Action Taken
Source: SUTE data
hi supervised writing time is not useful for the students who watch the recordings i like normal lectures and tutorials - flipped classroom is not as good. the material was too fragmanted. great lecturers
We will make it clearer for 2023 that the focussed assessment writing time, if offered, is not compulsory to attend. This unit adopts a flipped classroom model. There is introduction to flipped classroom approaches in Week 1 because it was thought that this would help students to understand what teaching model we were using. Upon reflection we think this content should be removed. A new introductory video in which past students share their unit learning experiences has been produced for the next offering. Regarding fragmented material, Moodle will be reviewed to ensure learning content and activities are linked and content is relatable to the weekly learning objectives.
Action Taken
Source: SUTE data
I understand flipped classrooms are the new thing but for an online student who works full time, I really really miss the traditional lecture on content that I could watch back and take notes to study from. I did all the unit content but I do love a lecture to tie it all together. I did love the assessment tasks and I think the moodle layout was great"¦. Thank you!!!!!!!
Students commonly request didactic lectures. In keeping with CQU Renew the content was written to actively engage students in weekly content. Some virtual sessions will be restructured to extend lecture content up to 30 minutes, particularly for difficult to grasp concepts. Students will be reminded all virtual sessions are recorded for students to download and watch in their own time for revision.
Action Taken
Unit learning Outcomes

On successful completion of this unit, you will be able to:

  1. Identify the National Health Priority Areas (NHPA) and discuss their impact on a person’s acute health status
  2. Discuss socio-cultural and lifestyle issues that may predispose a person to an acute alteration in health
  3. Identify factors associated with the early recognition of deteriorating patients in the acute care environment
  4. Identify factors associated with the early recognition of sepsis in the acute care environment
  5. Determine the nursing role in each phase of the perioperative period.

Content in this unit incorporates a number of professional nursing requirements

Nursing and Midwifery Board of Australia Registered Nurse Standards for Practice

Thinks critically and analyses nursing practice

Maintains the capability for practice

Develops a plan for nursing practice

Evaluates outcomes to inform nursing practice

Nursing and Midwifery Board of Australia Nursing Code of Conduct

Legal compliance

Person-centred practice

Cultural practice and respectful relationships

Professional behaviour

Research in health

Health and wellbeing

International Council of Nursing Code of Ethics for Nursing

Nurses and People

Nurses and Practice

Nurses and the Profession

Nurses and co-workers

National Safety and Quality Health Service Standards

Clinical governance

Partnering with consumers

Preventing and Controlling healthcare-associated infection

Medication safety

Comprehensive care

Communicating for safety

Recognising and responding to acute deterioration

Patient Safety Competency Framework

Person-centred care

Therapeutic communication

Cultural competence

Teamwork and collaborative practice

Clinical reasoning

Evidence-based practice

Preventing, minimising and responding to adverse events

Infection prevention and control

Medication safety

Aged Care Quality Standards

Consumer dignity and choice

Ongoing assessment and planning with consumers

Personal care and clinical care

Services and supports for daily living

Organisation’s service environment

Alignment of Assessment Tasks to Learning Outcomes
Assessment Tasks Learning Outcomes
1 2 3 4 5
1 - Written Assessment
2 - Case Study
3 - Online Quiz(zes)
Alignment of Graduate Attributes to Learning Outcomes
Introductory Level
Intermediate Level
Graduate Level
Graduate Attributes Learning Outcomes
1 2 3 4 5
3 - Critical Thinking
5 - Team Work
6 - Information Technology Competence
Alignment of Assessment Tasks to Graduate Attributes
Introductory Level
Intermediate Level
Graduate Level
Assessment Tasks Graduate Attributes
1 2 3 4 5 6 7 8 9 10