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Unit of study_

NURS1002: Health Assessment

Semester 1, 2023 [Normal day] - Camperdown/Darlington, Sydney

Health assessment of individuals, families and groups is the foundation of accurate nursing judgements and is a process that occurs with each nurse-patient encounter. This represents the first two steps in the nursing assessment process of the Framework for Practice Thinking. In this unit of study, the student will be introduced to the theoretical and practical aspects of health assessment. Ways in which holistic assessment assists in making clinical judgements that form the basis for comprehensive care planning, implementing and evaluating nursing care will be addressed. Processes and mechanisms to collect physiological, psychosocial, developmental, sociocultural and spiritual data, in both objective and subjective forms, will be explored. Students’ skills in the use of health assessment tools will be introduced and developed.

Unit details and rules

Unit code NURS1002
Academic unit Nursing and Midwifery
Credit points 6
Prohibitions
? 
None
Prerequisites
? 
None
Corequisites
? 
NURS1004. Students unable to take NURS1002 and NURS1004 concurrently are advised to attempt NURS1004 before undertaking NURS1002
Assumed knowledge
? 

None

Available to study abroad and exchange students

No

Teaching staff

Coordinator Agness Tembo, agness.tembo@sydney.edu.au
Laboratory supervisor(s) Rhea Soria, rhea.soria@sydney.edu.au
Su Aung, su.aung@sydney.edu.au
Tutor(s) Kylie Lovato, kylie.lovato@sydney.edu.au
Type Description Weight Due Length
Supervised exam
? 
Assessment 4: Final exam
Written examination
45% Formal exam period 2 hours
Outcomes assessed: LO1 LO2 LO3 LO4
Tutorial quiz Assessment 1: Quiz
MCQ
15% Multiple weeks
Due date: 17 May 2023 at 23:59
15 minutes
Outcomes assessed: LO1 LO4 LO3 LO2
Placement hurdle task Clinical placement
Professional experience placement
0% Multiple weeks 80 hours
Outcomes assessed: LO1 LO5 LO4 LO3 LO2
Online task Skills for accurate blood pressure measurement module
MCQ
0% Week 04
Due date: 15 Mar 2023 at 23:59
n/a
Outcomes assessed: LO4 LO5
Assignment Assessment 2: Case Study Report
Case study
40% Week 09
Due date: 26 Apr 2023 at 23:59
2000 words
Outcomes assessed: LO1 LO2 LO3 LO4
Skills-based evaluation hurdle task Assessment 3: Clinical performance appraisal (CPA)
Clinical skills assessment
0% Week 11 45 minutes
Outcomes assessed: LO5
hurdle task = hurdle task ?

Assessment summary

  • Assessment 2: (Report) Students will submit a written report on a case study, as well as a reflection on their understanding of the University’s policy on Academic Honesty.
  • Assessment 4: (Final exam) The exam structure will be in the format of case scenarios with associated short/long answer questions with content. taken from lectures, tutorials, clinical simulation laboratories, and readings.
  • Skills for accurate blood pressure measurement module: Students are required to complete the compulsory blood pressure module on Canvas and three quizzes on the topics of methods and devices, clinical scenario and BP measurement practice. Please note students cannot progress to Assessment 3 - Clinical Performance Appraisal (CPA) until this module has been completed.
  • Assessment 1: (Tutorial Quizes) Students undertake a 12-minute quiz (2 minutes reading time and 10 minutes answering questions) at the begining of the tutorials in Weeks 3, 7 & 12.
  • Assessment 3: Clinical Performance Appraisal (CPA) The Clinical Performance Appraisal (CPA) is a simulated clinical exam used to evaluate student competence in performing core clinical skills.
  • Clinical placement: Students will undertake a clinical placement in a facility off-campus. Students will also complete a clinical logbook documenting the satisfactory performance of nursing skills.

Please note: Each student is required to submit all assessment items in order to pass this unit. Detailed information for each assessment can be found on Canvas.

Assessment criteria

The University awards common result grades, set out in the Coursework Policy 2014 (Schedule 1).

As a general guide, a high distinction indicates work of an exceptional standard, a distinction a very high standard, a credit a good standard, and a pass an acceptable standard.

Result name

Mark range

Description

High distinction

85 - 100

 

Distinction

75 - 84

 

Credit

65 - 74

 

Pass

50 - 64

 

Fail

0 - 49

When you don’t meet the learning outcomes of the unit to a satisfactory standard.

For more information see sydney.edu.au/students/guide-to-grades.

For more information see guide to grades.

Late submission

In accordance with University policy, these penalties apply when written work is submitted after 11:59pm on the due date:

  • Deduction of 5% of the maximum mark for each calendar day after the due date.
  • After ten calendar days late, a mark of zero will be awarded.

This unit has an exception to the standard University policy or supplementary information has been provided by the unit coordinator. This information is displayed below:

*Where an assignment is submitted late without an approved extension, a late penalty will apply. For every calendar day up to and including ten calendar days after the due date a penalty of 5% of the maximum awardable marks will be applied to late work. For work submitted more than ten calendar days after the due date a mark of zero marks will be awarded.

Academic integrity

The Current Student website  provides information on academic integrity and the resources available to all students. The University expects students and staff to act ethically and honestly and will treat all allegations of academic integrity breaches seriously.  

We use similarity detection software to detect potential instances of plagiarism or other forms of academic integrity breach. If such matches indicate evidence of plagiarism or other forms of academic integrity breaches, your teacher is required to report your work for further investigation.

You may only use artificial intelligence and writing assistance tools in assessment tasks if you are permitted to by your unit coordinator, and if you do use them, you must also acknowledge this in your work, either in a footnote or an acknowledgement section.

Studiosity is permitted for postgraduate units unless otherwise indicated by the unit coordinator. The use of this service must be acknowledged in your submission.

Simple extensions

If you encounter a problem submitting your work on time, you may be able to apply for an extension of five calendar days through a simple extension.  The application process will be different depending on the type of assessment and extensions cannot be granted for some assessment types like exams.

Special consideration

If exceptional circumstances mean you can’t complete an assessment, you need consideration for a longer period of time, or if you have essential commitments which impact your performance in an assessment, you may be eligible for special consideration or special arrangements.

Special consideration applications will not be affected by a simple extension application.

Using AI responsibly

Co-created with students, AI in Education includes lots of helpful examples of how students use generative AI tools to support their learning. It explains how generative AI works, the different tools available and how to use them responsibly and productively.

WK Topic Learning activity Learning outcomes
Week 01 Unit of study introduction; Concepts of measurement: validity and reliability of clinical data Lecture (2 hr) LO1 LO3
Navigating Canvas; Understanding Academic Honesty Tutorial (2 hr) LO1
Introduction and orientation to the clinical simulation labs; Undertaking a nursing health history Simulation laboratory (2 hr) LO1 LO4 LO5
Week 02 Health assessment and the physical examination Lecture (2 hr) LO1 LO3 LO4
General survey; physical examination techniques; using A-G tool (overview) Simulation laboratory (2 hr) LO1 LO2 LO3 LO4 LO5
Week 03 Critical thinking and decision making; DETECT and Between the Flags Lecture (2 hr) LO2 LO3 LO4
Understanding the A-G assessment framework Tutorial (2 hr) LO1 LO3 LO4
Introduction to assessment of vital signs - temperature, pulse and respiration; Clinical communication - ISBAR Simulation laboratory (2 hr) LO3 LO4 LO5
Week 04 Assessment of the thorax, respiratory system and ventilation Lecture (2 hr) LO4 LO5
Respiratory assessment - rate, rhythm, auscultation of breath sounds and percussion of the thorax. Monitoring SaO2 and peak flows Simulation laboratory (2 hr) LO1 LO4 LO5
Week 05 Assessment of oxygenation and oxygen transport Lecture (2 hr) LO1 LO2 LO4 LO5
Respiratory assessment case studies Tutorial (2 hr) LO1 LO3 LO4 LO5
Assessment of blood pressure and auscultation of heart sounds; Introduction to electronic medical record (eMR) Simulation laboratory (2 hr) LO1 LO4 LO5
Week 06 Assessment of cardiac system and control Lecture (2 hr) LO1 LO2 LO3 LO4 LO5
Undertaking a 12-lead ECG; Assessment of pulse and introduction to peripheral vascular assessment Simulation laboratory (2 hr) LO1 LO2 LO3 LO4 LO5
Week 07 Assessment of hemodynamic state Lecture (2 hr) LO1 LO3 LO5
Cardiac assessment case studies Tutorial (2 hr) LO1 LO2 LO3 LO4
Assessment of falls risk and pressure injury risk; Assessment of pain and temperature; Vital signs taking & recording data Simulation laboratory (2 hr) LO1 LO2 LO3 LO4 LO5
Week 08 Assessment of temperature Lecture (2 hr) LO1 LO3 LO5
Week 09 Neurological and neurovascular assessment (Asynchronous pre-recorded lecture) Independent study (2 hr) LO1 LO2 LO3 LO4 LO5
Neurological and neurovascular assessment case studies Tutorial (2 hr) LO1 LO2 LO3 LO4 LO5
Introduction to Glasgow coma scale assessment, neurovascular assessment Simulation laboratory (2 hr) LO1 LO2 LO4 LO5
Week 10 Assessment of fluid and electrolytes Lecture (2 hr) LO1 LO4 LO5
Abdominal assessment; nutritional assessment (Online - Self-directed learning) Independent study (2 hr) LO1 LO3 LO4
Assessment of fluid balance, urine analysis, and blood glucose assessment; Revision of clinical skills Simulation laboratory (2 hr) LO1 LO4 LO5
Week 12 Mental status assessment Lecture (2 hr) LO1 LO4 LO5
Unit review,exam and clinical placement preparation Tutorial (2 hr) LO1 LO2 LO3 LO4 LO5
Basic life support Simulation laboratory (2 hr) LO3 LO4 LO5
Week 13 Clinical placements Clinical practice (40 hr) LO1 LO4 LO5
Week 14 (STUVAC) Clinical placements Clinical practice (40 hr) LO1 LO4 LO5

Attendance and class requirements

  • Attendance: In undertaking this unit of study you are required to attend 90% of all lectures and tutorials, and 100% of all clinical simulation laboratories and off-campus clinical, which are supplemented with online and reading activities. These clinical hours must be reported to the Nurses and Midwives Board of Australia as a requirement on completion of the nursing program.
  • Referencing: The Sydney Nursing School has adopted the American Psychological Association (APA) Referencing style, 7th Edition, 2020 as its official referencing style. This is an author-date style of referencing. 

Study commitment

Typically, there is a minimum expectation of 1.5-2 hours of student effort per week per credit point for units of study offered over a full semester. For a 6 credit point unit, this equates to roughly 120-150 hours of student effort in total.

Required readings

See “Reading List” on NURS1002 Canvas site for 2021 readings.

Learning outcomes are what students know, understand and are able to do on completion of a unit of study. They are aligned with the University's graduate qualities and are assessed as part of the curriculum.

At the completion of this unit, you should be able to:

  • LO1. demonstrate a beginning understanding of the content and purpose of comprehensive health assessment of individuals across the life span.
  • LO2. develop an understanding and the skills to apply the first two steps in the nursing assessment process of the Framework for Practice Thinking.
  • LO3. discuss the purpose of observation, interview and physical assessment skills, and differentiate between objective and subjective health assessment data.
  • LO4. at a beginning level, apply normal and abnormal assessment data to human anatomy and physiology.
  • LO5. during the professional experience placement, perform, at a beginning level, a range of observation, assessment, communication and documentation skills in partnership with patients and consumers in a culturally safe manner (within scope of practice and under the direct supervision of a Registered Nurse).

Graduate qualities

The graduate qualities are the qualities and skills that all University of Sydney graduates must demonstrate on successful completion of an award course. As a future Sydney graduate, the set of qualities have been designed to equip you for the contemporary world.

GQ1 Depth of disciplinary expertise

Deep disciplinary expertise is the ability to integrate and rigorously apply knowledge, understanding and skills of a recognised discipline defined by scholarly activity, as well as familiarity with evolving practice of the discipline.

GQ2 Critical thinking and problem solving

Critical thinking and problem solving are the questioning of ideas, evidence and assumptions in order to propose and evaluate hypotheses or alternative arguments before formulating a conclusion or a solution to an identified problem.

GQ3 Oral and written communication

Effective communication, in both oral and written form, is the clear exchange of meaning in a manner that is appropriate to audience and context.

GQ4 Information and digital literacy

Information and digital literacy is the ability to locate, interpret, evaluate, manage, adapt, integrate, create and convey information using appropriate resources, tools and strategies.

GQ5 Inventiveness

Generating novel ideas and solutions.

GQ6 Cultural competence

Cultural Competence is the ability to actively, ethically, respectfully, and successfully engage across and between cultures. In the Australian context, this includes and celebrates Aboriginal and Torres Strait Islander cultures, knowledge systems, and a mature understanding of contemporary issues.

GQ7 Interdisciplinary effectiveness

Interdisciplinary effectiveness is the integration and synthesis of multiple viewpoints and practices, working effectively across disciplinary boundaries.

GQ8 Integrated professional, ethical, and personal identity

An integrated professional, ethical and personal identity is understanding the interaction between one’s personal and professional selves in an ethical context.

GQ9 Influence

Engaging others in a process, idea or vision.

Outcome map

Learning outcomes Graduate qualities
GQ1 GQ2 GQ3 GQ4 GQ5 GQ6 GQ7 GQ8 GQ9
LO1         
LO2         
LO3         
LO4         
LO5         

Alignment with Competency standards

Outcomes Competency standards
LO1
Registered Nurses Standards for Practice - NMBA
1.1. Accesses, analyses, and uses the best available evidence, that includes research findings for safe quality practice
1.2. Develops practice through reflection on experiences, knowledge, actions, feelings and beliefs to identify how these shape practice
1.3. Respects all cultures and experiences, which includes responding to the role of family and community that underpin the health of Aboriginal and Torres Strait Islander peoples and people of other cultures
1.4. Complies with legislation, common law, policies, guidelines and other standards or requirements relevant to the context of practice when making decisions
1.5. Uses ethical frameworks when making decisions
1.6. Maintains accurate, comprehensive and timely documentation of assessments, planning, decision- making, actions and evaluations
2.2. Communicates effectively, and is respectful of a person’s dignity, culture, values, beliefs and rights
2.3. Recognises that people are the experts in the experience of their life
2.9. Reports notifiable conduct of health professionals, health workers and others
3.5. Seeks and responds to practice review and feedback
LO2
Registered Nurses Standards for Practice - NMBA
1.1. Accesses, analyses, and uses the best available evidence, that includes research findings for safe quality practice
1.2. Develops practice through reflection on experiences, knowledge, actions, feelings and beliefs to identify how these shape practice
1.3. Respects all cultures and experiences, which includes responding to the role of family and community that underpin the health of Aboriginal and Torres Strait Islander peoples and people of other cultures
1.4. Complies with legislation, common law, policies, guidelines and other standards or requirements relevant to the context of practice when making decisions
1.5. Uses ethical frameworks when making decisions
1.6. Maintains accurate, comprehensive and timely documentation of assessments, planning, decision- making, actions and evaluations
2.1. Establishes, sustains and concludes relationships in a way that differentiates the boundaries between professional and personal relationships
2.2. Communicates effectively, and is respectful of a person’s dignity, culture, values, beliefs and rights
2.3. Recognises that people are the experts in the experience of their life
3.5. Seeks and responds to practice review and feedback
4.2. Uses a range of assessment techniques to systematically collect relevant and accurate information and data to inform practice
6.2. Practises within their scope of practice
6.5. Practises in accordance with relevant nursing and health guidelines, standards, regulations and legislation
LO3
Registered Nurses Standards for Practice - NMBA
1.1. Accesses, analyses, and uses the best available evidence, that includes research findings for safe quality practice
1.3. Respects all cultures and experiences, which includes responding to the role of family and community that underpin the health of Aboriginal and Torres Strait Islander peoples and people of other cultures
1.4. Complies with legislation, common law, policies, guidelines and other standards or requirements relevant to the context of practice when making decisions
1.5. Uses ethical frameworks when making decisions
1.6. Maintains accurate, comprehensive and timely documentation of assessments, planning, decision- making, actions and evaluations
2.3. Recognises that people are the experts in the experience of their life
3.4. Accepts accountability for decisions, actions, behaviours and responsibilities inherent in their role, and for the actions of others to whom they have delegated responsibilities
6.2. Practises within their scope of practice
6.5. Practises in accordance with relevant nursing and health guidelines, standards, regulations and legislation
LO4
Registered Nurses Standards for Practice - NMBA
1.3. Respects all cultures and experiences, which includes responding to the role of family and community that underpin the health of Aboriginal and Torres Strait Islander peoples and people of other cultures
1.4. Complies with legislation, common law, policies, guidelines and other standards or requirements relevant to the context of practice when making decisions
1.5. Uses ethical frameworks when making decisions
1.6. Maintains accurate, comprehensive and timely documentation of assessments, planning, decision- making, actions and evaluations
2.2. Communicates effectively, and is respectful of a person’s dignity, culture, values, beliefs and rights
2.3. Recognises that people are the experts in the experience of their life
3.4. Accepts accountability for decisions, actions, behaviours and responsibilities inherent in their role, and for the actions of others to whom they have delegated responsibilities
LO5
Registered Nurses Standards for Practice - NMBA
1.1. Accesses, analyses, and uses the best available evidence, that includes research findings for safe quality practice
1.2. Develops practice through reflection on experiences, knowledge, actions, feelings and beliefs to identify how these shape practice
1.4. Complies with legislation, common law, policies, guidelines and other standards or requirements relevant to the context of practice when making decisions
1.5. Uses ethical frameworks when making decisions
1.6. Maintains accurate, comprehensive and timely documentation of assessments, planning, decision- making, actions and evaluations
2.1. Establishes, sustains and concludes relationships in a way that differentiates the boundaries between professional and personal relationships
2.2. Communicates effectively, and is respectful of a person’s dignity, culture, values, beliefs and rights
2.3. Recognises that people are the experts in the experience of their life
3.1. Considers and responds in a timely manner to the health and well being of self and others in relation to the capability for practice
3.5. Seeks and responds to practice review and feedback

This section outlines changes made to this unit following staff and student reviews.

The unit structure and content have been integrated with NURS1001. The tutorial design has been improved, and the case study report format has been updated.

Sensitive materials in teaching: Please note that in this Unit of Study sensitive and potentially distressing or disturbing content might be presented and/or discussed from time to time. This may include reference to for example, of people’s experiences of health and illness and/or culturally sensitive issues. These topics are relevant to your learning in this unit of study and your knowledge and skill development for nursing practice. You will be advised before the information/topic is presented. If you are participating in the teaching session/activity online, you are advised to use headphones and ensure that anyone not participating in the session cannot see images that you may be watching on your device. If the nature of the content makes you feel uncomfortable or distressed, it is important that you contact the unit coordinator or another member of the academic team to discuss this with them.

Disclaimer

The University reserves the right to amend units of study or no longer offer certain units, including where there are low enrolment numbers.

To help you understand common terms that we use at the University, we offer an online glossary.