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Unit of study_

NURS5006: Illness, Experience and Nursing Care

Semester 2 Early, 2020 [Normal day] - Westmead, Sydney

The ways in which individual people subjectively experience illness and care, particularly nursing care, is the focus of this unit of study. The unit encourages students to think critically about their own attitudes, beliefs, and ideas about health, illness, and care, and to examine how these might have a bearing on the experiences of those in their care. Theories that inform understanding of what it is to be human are examined. Attention is drawn to such factors as embodiment, illness and the body, emotions arising in illness, issues of self-identity and social attitudes to illness and disability. The unit also introduces students to qualitative research methodologies that are used to explore illness experiences. A variety of illness experiences are then examined. With this knowledge, the nurse-patient relationship is then critically examined. From within a communication-based framework, students focus on ideas about therapeutic listening and use of self as well as the concept of knowledge transfer as it is relevant to nurse-patient interactions. Students also engage with contemporary debates about the nature of nurse-patient interactions and relationships today and explore the ways in which these might vary in different health care settings, and with people from different cultural backgrounds, including Aboriginal and Torres Strait Islander peoples.

Unit details and rules

Unit code NURS5006
Academic unit Nursing and Midwifery
Credit points 6
Prohibitions
? 
None
Prerequisites
? 
NURS5081 and NURS5042 or NURS5083
Corequisites
? 
None
Assumed knowledge
? 

None

Available to study abroad and exchange students

No

Teaching staff

Coordinator Janice Gullick, janice.gullick@sydney.edu.au
Type Description Weight Due Length
Placement hurdle task Off-campus clinical experience
Clinical placement
0% Multiple weeks 80 hours
Outcomes assessed: LO1 LO4 LO3 LO2
Assignment Assessment 1
Essay
45% Week 06
Due date: 13 Sep 2020 at 23:59
1500 words
Outcomes assessed: LO1 LO2 LO5
Assignment hurdle task group assignment Assessment 2
Interprofessional communication activity, online quiz, group task
0% Week 06 2 hours
Outcomes assessed: LO3
Skills-based evaluation hurdle task Assessment 3
Communication skills assessment, written response
10% Week 09 1-hour
Outcomes assessed: LO3 LO4
Assignment Assessment 4
Annotated bibliography
45% Week 11
Due date: 25 Oct 2020 at 23:59
2000 words
Outcomes assessed: LO1 LO2 LO3 LO5
hurdle task = hurdle task ?
group assignment = group assignment ?

Assessment summary

  • Assessment 1- Essay: You will choose a creative work and submit a piece of written work that explains how your chosen creative work captures elements of one of the following theories (abjection, the disciplined body and/or biographical disruption).
  • Assessment 2 – Interprofessional communication activity: In weeks 6 and 8 you will participate in two online interprofessional communication workshop (1.5 hours each). You will be allocated your team via Canvas prior to these workshops. Prior to the workshop you will be required to listen to two podcasts - one focusing on ‘patient safety culture’, and the second on ‘when teams work well together’.  Week 6 Workshop: There will be a short individual online quiz related to the content in the podcasts.  You will then be given time to develop a transition in care plan from a nursing perspective for your patient Paul Chandler (each discipline will prepare a transition in care plan from their disciplinary perspective). Week 8 Workshop: You will watch videos that explore disciplinary perspectives (nursing, pharmacy, medicine) about your patient Paul Chandler and working in your interdisciplinary teams, you will collaboratively develop a transition in care plan from an interprofessional perspective. This plan of care will be peer reviewed during the workshop.
  • Assessment 3 – Nurse-patient interaction/relationship skills: You must first successfully engage in the two on-campus clinical sessions where you will demonstrate safe, efficient, and effective nurse-patient communication micro-skills. You will then participate in an online assessment during lecture time.
  • Assessment 4 – Annotated Bibliography: You will choose one of 5 clinical/social patient scenaros provided. Drawing on published qualitative reserach studies you will A) provide an annotation for each article with each entry less than or equal to 250 words. B) In 500 words, summarise some common issues and experiences from the literature for patients and families with your chosen condition. C) Given your patient’s age, condition and what you know of their social situation, thoughtfully craft five questions that a nurse might ask that are specifically aimed to help assess their situation; better understand the experience of the illness in the context of their lives, relationships and responsibilities; and plan for inpatient nursing care and discharge.
  • Off-campus clinical assessment: Students who complete this assessment successfully will demonstrate safe, efficient, and effective performance of nursing practice and communication activities associated with patients who present at a primary health care setting. The off-campus clinical experience also forms part of the clinical component in the curriculum as approved by the Nurses’ Registration Board of NSW. Students are therefore required to attend and participate in all (100%) of the 80 hours in  the clinical weeks.
Each student is required to submit all assessments and achieve a cumulative minimum mark of 50% in theoretical and clinical assessments 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.

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
Multiple weeks Clinical placement Clinical practice (80 hr)  
Week -01 1. Introduction and unit overview; 2. Information on clinical placements Lecture (2 hr)  
Week 01 1. Bodies and boundaries; 2. Illness and the body Lecture (2 hr) LO1 LO2
Week 02 Health, illness and surveillance Lecture (2 hr) LO1 LO2
Week 03 Researching illness experiences: qualitative methodologies Lecture (2 hr) LO5
Reading forum 1 Tutorial (2 hr) LO1 LO2
Week 04 Guest speakers: illness stories Multiple Sclerosis / Breast cancer Lecture (2 hr) LO1 LO2
Week 05 Guest speakers: illness stories - Type 1 Diabetes / Prostate cancer Lecture (2 hr)  
Week 06 1. Emotional labour; 2. Therapeutic communications Lecture (2 hr) LO3 LO4
Reading forum 2 Tutorial (2 hr) LO1 LO2 LO5
Week 07 The nurse-patient/family relationship in acute hospital settings Lecture (2 hr) LO2 LO3
Hospitalisation and Aboriginal and Torres Strait Islander people Online class (1 hr) LO1 LO2 LO3
Communication micro skills Science laboratory (2 hr) LO4
Week 08 1. Nurse-patient communication on sensitive and difficult topics; 2. Managing stress and distress in nursing practice Lecture (2 hr) LO3
Communication microskills with actor Science laboratory (2 hr) LO2 LO3 LO4
Interdisciplinary communication skills (interprofessional activity) Science laboratory (2 hr) LO3
Week 10 1. The nurse-patient relationship in adolescent nursing; 2. Revision and discussion about Assessment 4 Lecture (2 hr) LO3 LO4

Attendance and class requirements

  • Attendance:  In accordance with Sydney Nursing School’s Resolutions, students must meet the minimum attendance requirements for each unit of study. Coursework policy 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.
  • Referencing guide: The Sydney Nursing School has adopted the American Psychological Association (APA) Referencing style, 6th Edition, 2010 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

Reading forum 1

  • Alavi, C. (2005)Breaking-in bodies: Teaching, nursing, initiations or What's love got to do with it?, Contemporary Nurse, 18:3, 292-299
  • Jacob, J., Gagnon, M., Holmes, D. (2009) Nursing so-called monsters: On the importance of abjection and fear in forensic psychiatric nursing. Journal of Forensic Nursing, 5; 153-161
  • Roberts, M. (2005) The production of the psychiatric subject: power, knowledge and Michele Foucault. Nursing Philosophy, 6; 33-42
  • Lupton, D. (2015) Chapter 36: Haraway: The digital cyborg assemblage and the new digital health technologies. (In F. Collyer (ed.), The Palgrave Handbook of Social Theory in Health, Illness and Medicine. London: Palgrave Macmillan)
  • Paley, J., (2014) Cognition and the compassion deficit: the social psychology of helping behaviour in nursing. Nursing Philosophy (2014), 15(4), pp. 274–287

 

 

Reading Forum 2

  • Morden, A., Jinks, C., & Ong, BN. (2017). Temporally divergent significant meanings, biographical disruption and self-management for chronic joint pain. Health, 21(4): 357-374.
  • Prodgers, L., Gough, B. (2016) The invisible paradox of inflammatory bowel disease: An analysis of men’s blogs. Journal of Health Psychology, [published online ahead of print, 2019 Oct 24] 1359105319884595. doi:10.1177/1359105319884595
  • Gullick J, Stainton, MC. (2012) The ties that bind us: how existing relationships, health and gender shape family care in chronic obstructive pulmonary disease, Nursing Reports 2:e6
  • Hefler, M. Carter, S.M., (2017) Smoking to fit a stigmatised identity? A qualitative study of marginalised young people in Australia Health (London). 2017 Nov 1:1363459317745690. doi: 10.1177/1363459317745690.
  • Balfe, M.(2009). The Body Projects of University Students with Type 1 Diabetes. Qualitative Health Research, 19(1), 128-139.

 

Reading Forum 3

  • Delgado, C., Upton, D., Ranse, K., Furness, T., Foster, K. (2017) Nurses’ resilience and the emotional labour of nursing work: An integrative review of empirical literature. International Journal of Nursing Studies, 70(2017); 71-88.
  • Fegran, L., Hall, E., Uhrenfeldt, L., Aagaard, H. & Ludvisgen, M. (2014) Adolescents’ and young adults’ transition experiences when transferring from paediatric to adult care: A qualitative metasynthesis. International Journal of Nursing Studies, 51, 123‐135.
  • O’Brien, L., & Jackson, D. (2007). It’s a long way from the office to the creek bed: Remote area Mental Health Nursing in Australia. Journal of Transcultural Nursing, 18(2), 135–141.

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 an understanding of the nature of human experience, reality construction, subjectivity and meaning making, particularly in relation to experiences of illness
  • LO2. explore and appreciate the range of human emotions and behaviours that can occur in response to illness across a range of contexts
  • LO3. demonstrate development in the ability to communicate within interpersonal relationships in health care and the ability to think critically about (i) how these might have a bearing on patient comfort and health outcomes, and (ii) how they may vary in different health care settings
  • LO4. demonstrate development in beginning skills in therapeutic listening to foster engagement and promote empathy with patients
  • LO5. identify and evaluate published qualitative research articles.

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

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

There is a stronger link between the theoretical content and its application to communication labs The weighting of assessment 2 is consistent across nursing, pharmacy and medicine, with more preparatory content embedded in the workshop time frame. The examination has been replaced with a submitted assessment.

Off-campus clinical experience: For this unit, students are required to undertake 80 hours of clinical experience in a primary health care setting. This clinical placement will take place in general practice or primary health care facility and depending on the facility, will allow you to explore communications and patient assessment skills, observing human growth and development, observing pre and post hospital presentations, and the presentation and treatment of chronic diseases.

More information can be found on Canvas.

Work, health and safety

Due to COVID-19

  • Social distancing will be observed during face-to-face communications microskills labs, with smaller class sizes
  • Lectures and tutorials will be held in real-time online format.

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.