Outline

Overview

Central to this unit of study is the concept of self-management of chronic conditions and the principles and practices that support such management. The overall framework of the unit of study is the patient as partner approach, although a range of other frameworks for improving care of people with chronic conditions will be also explored. The unit focuses on the role that nurses play in partnering with consumers who are living in the community with chronic conditions. The role of nurses in health promotion and early intervention within an interdisciplinary team will be explored. A lifespan approach will be used when discussing the occurrence of chronic conditions in the community and strategies that make self-management interventions sustainable for individuals from diverse social and cultural backgrounds will be examined. Students will learn about the most common chronic conditions and co-morbidities in the Australian population and the diverse range of factors and social determinants of health that increase the likelihood of people developing chronic conditions. The management of common chronic co-morbidities among Aboriginal and Torres Strait people will also be addressed. The unit also recognises that for effective management of chronic conditions there is a need for clinical governance, safety and quality systems. This includes the use of digital health technology to facilitate effective communication across multiple settings within the healthcare system.

Unit details and rules

Unit code	NURS2011
Academic unit	Nursing and Midwifery
Credit points	6
Prohibitions ?	NURS3010
Prerequisites ?	36 credit points of 1000 level units and NURS2006
Corequisites ?	None
Assumed knowledge ?	None
Available to study abroad and exchange students	No

Teaching staff

Coordinator	Tamara Power, tamara.power@sydney.edu.au

Type	Description	Weight	Due	Length
Final exam (Record+)	Assessment 2: Final Exam Online exam	50%	Formal exam period	2 hours
Outcomes assessed:
Creative assessment / demonstration	Assessment 4: Off-campus Clinical Placement Clinical assessment	0%	Formal exam period	80 hours
Outcomes assessed:
Assignment	Assessment 1: Chronic Care Management Plan Individual written report	50%	Week 06 Due date: 19 Sep 2021 at 23:59	2500 words
Outcomes assessed:
Skills-based evaluation	Assessment 3: On-campus Clinical Performance Appraisal Clinical assessment	0%	Week 13	30 minutes
Outcomes assessed:
= hurdle task ? = Type B final exam ?

Assessment summary

Assessment 1: Chronic care management plan: Choosing ONE of several supplied case studies, students will write a 2500 word essay that explores the persons chronic condition including risk factors, pathophysiology and social and cultural determinants of health and develop an individualised self-management plan.
Assessment 2: Online exam: This two-hour online exam will consist of a series of MCQ, short and longer answer questions based on short case studies.
Assessment 3: Clinical performance appraisal: Demonstrate safe nursing interventions associated with the unit of study under exam conditions
Assessment 4: Off-campus clinical placement: 80 hours

Please note: Each student is required to submit/attend 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.

Learning support

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.

Weekly schedule

WK	Topic	Learning activity
Week -01	Introduction	Lecture (2 hr)
Week -01	Sterile gloving; IDC insertion; care of a person with an IDC; IV bolus medication	Simulation laboratory (2 hr)
Week 01	Chronic care models; Social and cultural determinants of health	Lecture (2 hr)
Week 01	Chronic cardiac conditions; social and cultural determinants of health	Tutorial (2 hr)
Week 02	Complex wound care	Lecture (2 hr)
Week 02	Complex wound care; Diabetic foot assessment; insulin administration	Simulation laboratory (2 hr)
Week 03	Health literacy; Chronic disease self-management principles	Lecture (2 hr)
Week 03	Diabetes; Self management of chronic conditions; Digital health technologies	Tutorial (2 hr)
Week 04	Chronic conditions: children and adolescents	Lecture (2 hr)
Week 04	Advanced oxygen therapy; Intravenous medications	Simulation laboratory (2 hr)
Week 05	Introduction to teach-back techniques; Motivational interviewing	Lecture (2 hr)
Week 05	Chronic respiratory conditions; Teach-back and motivational interviewing	Tutorial (2 hr)
Week 06	End of life and palliative care	Lecture (2 hr)
Week 06	Stoma care; Sub-cut butterfly insertion; Pain management; SC infusion	Simulation laboratory (2 hr)
Week 07	Aboriginal and Torres Strait Islander peoples and chronic conditions; Chronic conditions and their impact on mental health	Lecture (2 hr)
Week 07	Cancer; Mental health in chronic conditions	Tutorial (2 hr)
Week 08	Fall risk assessment and management simulation	Simulation laboratory (2 hr)
Week 09	Principles and practice of rehabilitation; Sexuality and chronic conditions	Lecture (2 hr)
Week 09	Chronic neurological conditions; Sexual health in chronic conditions	Tutorial (2 hr)
Week 10	Chronic conditions and oral health	Lecture (2 hr)
Week 11	Blood borne chronic conditions; CPA Q&A session	Lecture (2 hr)
Week 11	Chronic gastro disorders; Stigma in chronic conditions	Tutorial (2 hr)
Week 12	Exam revision; Carers and family members and chronic conditions	Lecture (2 hr)
Week 12	CPA preparation (IDC insertion)	Simulation laboratory (2 hr)

Attendance and class requirements

Referencing style: The Sydney Nursing School has adopted the American Psychological Association (APA) Referencing Style. This is an author-date style of referencing. You are permitted to use either the 6th or 7th Edition however it is important you remain consistent with the chosen edition.
Attendance: The Sydney Nursing School Resolutions specifically outline attendance requirements. Resolution 7.2 states that if students are absent without leave for more than 10% of classes in a particular unit of study in any one semester, the Dean may call upon them to show cause why they should not be deemed to have failed that unit of study. It is expected that all students participate and fully engage in the content of this unit of study by attending lectures and tutorials, being prepared for tutorials, contributing to discussions in class and online, completing online quizzes, and providing and receiving feedback in a respectful and dignified manner.
Assignment formatting guidelines: Unless the unit coordinator has indicated otherwise, please make sure your submitted assessments are formatted as follows:
- font: use Calibri or Times New Roman in 11 - 12 point
- double line spacing
- margins: 2.5cm each side
- use page numbers
- refer to assessment instructions for use of title and headings

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.

Learning outcomes

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 knowledge of common chronic conditions across the lifespan, including contributing social determinants and risk factors.
LO2. discuss the concept of patients as partners in self-management for people living with chronic conditions in the community.
LO3. apply evidence based knowledge to demonstrate an understanding of how people living with chronic condition can be supported with self-management in the community. This includes people from diverse social and cultural backgrounds and Aboriginal and Torres Strait Islander peoples.
LO4. critically evaluate the impact of the diverse range of factors that influence the ability of people across the lifespan to self-manage their chronic conditions and to achieve healthy ageing.
LO5. collaborate with people living with chronic conditions across the lifespan to set self-management goals and to plan relevant actions.
LO6. discuss the importance of effective communication when interacting with patients, families, and members of the interdisciplinary team.
LO7. demonstrate proficient performance of clinical nursing skills associated with the management of common chronic conditions in the simulated laboratory and clinical environment.
LO8. demonstrate satisfactory achievement in the professional experience placement as outlined in the NURS2XXX Clinical Record Logbook.

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
Learning outcomes

Alignment with Competency standards

Outcomes	Competency standards
	Registered Nurses Standards for Practice - 1.1. Accesses, analyses, and uses the best available evidence, that includes research findings for safe quality practice 4.1. Conducts assessments that are holistic as well as culturally appropriate 5.1. Uses assessment data and best available evidence to develop a plan 5.2. Collaboratively constructs nursing practice plans until contingencies, options priorities, goals, actions, outcomes and timeframes are agreed with the relevant persons
	Registered Nurses Standards for Practice - 1.1. Accesses, analyses, and uses the best available evidence, that includes research findings for safe quality practice 3.2. Provides the information and education required to enhance people’s control over health 4.1. Conducts assessments that are holistic as well as culturally appropriate
	Registered Nurses Standards for Practice - 1.1. Accesses, analyses, and uses the best available evidence, that includes research findings for safe quality practice 2.4. Provides support and directs people to resources to optimise health related decisions 2.5. Advocates on behalf of people in a manner that respects the person’s autonomy and legal capacity
	Registered Nurses Standards for Practice - 1.2. Develops practice through reflection on experiences, knowledge, actions, feelings and beliefs to identify how these shape practice 2.3. Recognises that people are the experts in the experience of their life
	Registered Nurses Standards for Practice - 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 2.4. Provides support and directs people to resources to optimise health related decisions 2.5. Advocates on behalf of people in a manner that respects the person’s autonomy and legal capacity 2.7. Actively fosters a culture of safety and learning that includes engaging with health professionals and others, to share knowledge and practice that supports person- centered care
	Registered Nurses Standards for 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 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 2.4. Provides support and directs people to resources to optimise health related decisions 2.7. Actively fosters a culture of safety and learning that includes engaging with health professionals and others, to share knowledge and practice that supports person- centered care 3.2. Provides the information and education required to enhance people’s control over health
	Registered Nurses Standards for Practice - 1.2. Develops practice through reflection on experiences, knowledge, actions, feelings and beliefs to identify how these shape practice 2.2. Communicates effectively, and is respectful of a person’s dignity, culture, values, beliefs and rights 2.7. Actively fosters a culture of safety and learning that includes engaging with health professionals and others, to share knowledge and practice that supports person- centered care 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 3.2. Provides the information and education required to enhance people’s control over health 3.5. Seeks and responds to practice review and feedback 4.1. Conducts assessments that are holistic as well as culturally appropriate 6.1. Provides comprehensive safe, quality practice to achieve agreed goals and outcomes that are responsive to the nursing needs of people 6.2. Practises within their scope of practice 6.5. Practises in accordance with relevant nursing and health guidelines, standards, regulations and legislation 7.1. Evaluates and monitors progress towards the expected goals and outcomes 7.2. Revises the plan based on the evaluation 7.3. Determines, documents and communicates further priorities, goals and outcomes with the relevant persons
	Registered Nurses Standards for Practice - 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 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 3.3. Uses a lifelong learning approach for continuing professional development of self and others 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 3.5. Seeks and responds to practice review and feedback 4.1. Conducts assessments that are holistic as well as culturally appropriate 4.2. Uses a range of assessment techniques to systematically collect relevant and accurate information and data to inform practice 5.1. Uses assessment data and best available evidence to develop a plan 5.2. Collaboratively constructs nursing practice plans until contingencies, options priorities, goals, actions, outcomes and timeframes are agreed with the relevant persons 6.1. Provides comprehensive safe, quality practice to achieve agreed goals and outcomes that are responsive to the nursing needs of people 6.2. Practises within their scope of practice 6.5. Practises in accordance with relevant nursing and health guidelines, standards, regulations and legislation 7.1. Evaluates and monitors progress towards the expected goals and outcomes

Responding to student feedback

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

This is the first time this subject has been offered in the new curriculum. It has been redesigned to ensure the diversity of our patient population is represented in assessment and classroom activities. The coordinator welcomes all constructive suggestions for how this unit can be improved for future cohorts.

Additional information

This unit of study may require you to attend a teaching activity timetabled in teaching venues installed with the University’s Clinical Recording and Observation System (CROS) in the Susan Wakil Health Building. Students should be aware of the privacy and information management implications of this system. For more information, please refer to the University’s Privacy Statement.

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.

Current students

Overview

Overview

Unit details and rules

Teaching staff

Assessment

Assessment

Assessment summary

Assessment criteria

Late submission

Academic integrity

Learning support

Learning support

Simple extensions

Special consideration

Using AI responsibly

Weekly schedule

Weekly schedule

Attendance and class requirements

Study commitment

Learning outcomes

Learning outcomes

Graduate qualities

Outcome map

Alignment with Competency standards

Responding to student feedback

Responding to student feedback

Additional information

Additional information

Disclaimer

On this page

Useful links

Media

Student links

About us

Connect

Current students

NURS2011: Managing Chronic Conditions

Semester 2, 2021 [Normal day] - Camperdown/Darlington, Sydney

Overview

Overview

Unit details and rules

Teaching staff

Assessment

Assessment

Assessment summary

Assessment criteria

Late submission

Academic integrity

Learning support

Learning support

Simple extensions

Special consideration

Using AI responsibly

Weekly schedule

Weekly schedule

Attendance and class requirements

Study commitment

Learning outcomes

Learning outcomes

Graduate qualities

Outcome map

Alignment with Competency standards

Responding to student feedback

Responding to student feedback

Additional information

Additional information

Disclaimer

On this page

Useful links

Media

Student links

About us

Connect