PRAKHB6105 Clinical studies with focus on long term ill patients

Contents and structure

The course emphasises knowledge and clinical practice in relation to elderly and long-term ill patients in institutions. People with prolonged function failure constitutes a vital aspect of the course. Emphasis will be placed on reflection and knowledge of the quality of life of elderly and long-term ill patients in institutions. In this practical study the student learns about the significance of interaction, on levels pertaining to the individual, institutions and society as a whole, on the development of sound professional practice. 

 

Praktisk informasjon

• Studenten må være forberedt på å gjennomføre praksis i distriktet (praksisplasser HVL studiested Haugesund har avtaler med).
• Praksissted/student lager turnus på 240 timer, jevnt fordelt over 8 uker.
• I praksis skal studenten ha fokus på klinisk arbeid i direkte kontakt med pasienter og pårørende.
• Turnusen godkjennes av lærer og studentansvarlig-/kontaktsykepleier på praksissted i uke 1 eller 2.
• Studenten skal i størst mulig grad følge kontaktsykepleiers turnus.
• Studenten skal gå dag, kveld, helg og natt (der det er mulig).
• Veiledningsgruppe med lærer er obligatorisk og regnes som praksis.
• For at et praksisemne skal kunne vurderes til bestått, må studenten ha vært til stede minimum 90% av den planlagte tiden på praksisstedet.
• Fravær over 10 %, uansett årsak, gir ikke bestått praksis.
• Studenten oppfordres til kontinuerlig å jobbe inn eventuelt fravær på inntil 10% (fraværsdag 1-3), der det er mulig for praksisstedet.
• Dersom sykdom eller andre forhold studenten ikke rår over fører til fravær utover 10%, må legeattest (eller annen gyldig dokumentasjon) leveres studieadministrasjonen senest 3 virkedager utover 10 % fravær, for at praksisforsøket ikke skal bli regnet som et forsøk.
• Fravær på mellom 10% og 20% kan likevel, hvis mulig, arbeides inn i løpet av praksisperioden etter avtale med kontaktsykepleier og lærer fra høgskolen.
• I særtilfeller kan fravær jobbes inn i inntil én uke etter avsluttet praksisperiode. I slike tilfeller ligger beslutningsmyndighet hos studieleder.
• Skifte av vakt uten godkjenning fra sykepleier eller lærer regnes som fravær.
• Studenten har ansvar for å rapportere fravær til avdelingen.
• Det gjennomføres obligatoriske begynner-, midt- og sluttsamtaler i alle 8 ukers praksisperioder. Midt- og sluttsamtaler gjennomføres med utgangspunkt i AssCE-skjema. Studenten bør merke seg at det forventes forskjellig nivå på sykepleieutøvelsen i forhold til hvor langt studenten er kommet i studiet og hvor mange praksisperioder en har gjennomført.
• Studenten må få sine obligatoriske oppgaver godkjent av lærer for å få bestått praksisperiode. 
• Ved ikke bestått/ikke fullført praksis må studenten på ny gjennomføre praksis i sin helhet med tilhørende oppgaver. Dette gjelder uansett årsak for ikke bestått/ikke fullført praksis.

Learning Outcome

Knowledge:

The Student:

• Has knowledge of appropriate conduct and cooperation with patients and next of kin in nursing homes/institutions.
• Has knowledge of means to maintain basic needs of patients living in nursing homes/institutions.
• Has knowledge of different ways to facilitate a therapeutic milieu, including physical surroundings, factors pertaining to contentment and activities.
• Has knowledge of relevant means of communication, especially communication promoting client participation and interaction with patients and their next of kin.
• Has knowledge of information, guidance and teaching relevant for the patient and the next of kin.
• Has knowledge of the nursing process as a method in practising nursing to patients living in nursing homes/institutions.
• Has knowledge of relevant illnesses and disabilities, of treatment, rehabilitation and relevant nursing.
• Has knowledge of palliative nursing and alleviating treatment to seriously ill and dying patients and their next of kin.
• Has knowledge of relevant preparations, examinations, nursing procedures and use of technical utilities.
• Has knowledge of drugs, effects, side effects and management of drugs.
• Has knowledge of cooperation, work management and organisation of nursing homes/institutions, and cooperation between the different levels in the health system.
• Has knowledge of how various factors and interdisciplinary cooperation may contribute to improvement processes and a sound care pathway.
• Has knowledge of risk factors in relation to patients living in nursing homes/institutions.
• Has knowledge of current guidelines, regulations and legislation governing this part of the health service.
• Has knowledge of relevant resources in the local community/municipality - for instance visitation services, volunteer centres, and patient and user organisations.

Skills:

The Student:

• Uses purposeful communication verbally and non-verbally.
• Uses relevant principles for information, guidance and instruction with patients, next of kin and other collaborators.
• Identifies, assesses, prioritises, plans, implements, follows up, reports and documents the need for nursing to patients/users with various disorders. This is carried out in agreement with the patient, the next of kin and other co-workers.
• Identifies the patient¿s resources and motivates the patient to use as well as strengthen them.
• Cooperates with patients, next of kin and volunteers and uses their knowledge and resources as contributions in maintaining a meaningful everyday life.
• Carries out nursing procedures, administers drugs according to current guidelines, and assists in examinations and treatment in a professionally justifiable manner.
• Is capable of interacting with own occupational group, and is able to cooperate interdisciplinary and interdepartmentally.
• Prevents complications and attends to the safety of the patient in line with updated knowledge.
• Attends to the patient¿s autonomy and integrity in accordance with ethical and legal guidelines.
• Uses knowledge from syllabus, research and development work in the nursing practise.
• Reflects on own professional practise and modifies it during guidance.

General Competence:

The Student:

• Demonstrates insight into the significance of communication in promoting trust and establishing a sense of safety in patients and their next of kin.
• Demonstrates independence, accuracy and a professional justifiable manner of all kinds of nursing, for example through carrying out nursing procedures, management of drugs and through examinations and treatment.
• Complies with the duty of confidentiality and acts in accordance with professional, ethical and legal guidelines.
• Demonstrates respect, understanding and charity and takes each person¿s situation and perception seriously, regardless of culture, religion and perception of reality.
• Demonstrates responsibility for own learning, takes intitivative in learning situations and utilises instruction actively and constructively.
• Demonstrates an ability to reflect critically on own capability to practise nursing to patients/users in nursing homes/institutions.

Entry requirements

Prerequisites : The student must pass practice 5.

Recommended previous knowledge

All preceding courses.

Teaching methods

Integration of theory and practise, guidance and reflection, teamwork, supervised practical training/student follow-up, demonstrations, written obligatory assignments/work and digital assignments, oral presentation, project work, classmate response, skills training, reflection notes, self evaluation, seminars.

Compulsory learning activities

None.

Assessment

-Practice

Examination support material

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