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Unit outline_

NURS5060: Complexity of Critical Illness and Injury

Semester 2, 2023 [Block mode] - Camperdown/Darlington, Sydney

Patients who experience severe traumatic injury or episodes of critical illness require advanced assessment and management in the pre-hospital phase, during transport to and stabilisation in the emergency department, and ongoing care in the intensive care unit. The critical illness/injury trajectory is complex and interdependent and effective care at each stage requires an appreciation of the care which has been provided as well as an understanding of potential ongoing management of the patient. In this unit of study we will examine the critical illness/injury trajectory from physiological and psychosocial perspectives. An evidence-based approach to patient management will focus on collaborative decision-making and the ways in which synthesised evidence informs patient care. This unit of study allows students to consolidate theoretical underpinnings of their practice and demonstrate the requisite knowledge, skills and attributes required to care for critically ill or injured patients through the completion of clinical assessments.

Unit details and rules

Academic unit Nursing and Midwifery
Credit points 6
Prerequisites
? 
None
Corequisites
? 
None
Prohibitions
? 
None
Assumed knowledge
? 

None

Available to study abroad and exchange students

No

Teaching staff

Coordinator Agness Tembo, agness.tembo@sydney.edu.au
Type Description Weight Due Length
Assignment Assessment 1a - focussed clinical question
Mini-poster topic approval
0% Week 01
Due date: 02 Aug 2023 at 23:59
n/a
Outcomes assessed: LO1
Assignment Assessment 1b - 1 x A4 paper (Mini-poster) + 1 A4 (2 pages) paper
Poster, search strategy + annotations
45% Week 06
Due date: 06 Sep 2023 at 23:59
1 page - Mini-poster 2 pages - critique
Outcomes assessed: LO1
Assignment Assessment 1c - peer review of mini-poster
Peer review
10% Week 08
Due date: 20 Sep 2023 at 23:59
500 words
Outcomes assessed: LO1
Placement hurdle task Assessment 2 - clinical assessment tasks (CATS)
Skills based assessment
0% Week 11
Due date: 18 Oct 2023 at 23:59
4 CATS
Outcomes assessed: LO3
Assignment Assessment 3 - professional portfolio
Portfolio
45% Week 12
Due date: 25 Oct 2023 at 23:59
2500 words
Outcomes assessed: LO2 LO4
hurdle task = hurdle task ?

Assessment summary

  • Assessment 1a - focussed clinical question: You will need to submit, via canvas, a focussed clinical question for the topic you wish to explore in your mini-poster. You will then receive feedback on the suitability of this topic.
  • Assessment 1b - mini-poster: Following approval of your focussed clinical question you will need to explore the relevant literature available in this area, you will then prepare and submit a mini-poster 1 x  A4 paper  (Mini-poster) + 
  • Contents of the Poster must be on ONE page (first page - 1 x A4 paper Mini-poster)
  • You must include a major heading and subheadings
  • Second page must contain the following:
    • References (minimum 10 references)
    • Search strategy
    • Key words
    • Inclusion and exclusion criteria
  • Assessment 1c - peer review of mini-poster: As part of collaborative practice and sharing of information, mini-posters submitted electronically will be posted on the eLearning site for this unit of study so they can be viewed and accessed by your colleagues.  Following submission you will be required to select one mini-poster to review. For your chosen mini-poster, post considered comments about the historical, technological, political and/or socio-cultural factors that could either challenge or support the implementation of recommendations made by the author of the mini-poster in your workplace.
  • Assessment 2 - clinical assessment tasks (CATS): As part of this Unit of Study you are required to successfully complete four clinical assessments.
  • Assessment 3 - professional portfolio: The portfolio explores the relationship between the regulatory requirements of self-declaration and ability to achieve and maintain competency standards, while providing an avenue of reflection that is crucial to professional growth. Students will develop a clinical portfolio that will be modelled on an integration of two types of approach; a standards-based approach and a process-orientated approach.

Please note: Each student is required to submit/attend all assessment items in order to be eligible 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 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
Week 01 Study day 1 Lecture and tutorial (8 hr)  
Study day 2 Lecture and tutorial (8 hr)  
Week 07 Study day 3 Lecture and tutorial (8 hr)  
Study day 4 Lecture and tutorial (8 hr)  

Attendance and class requirements

Attendance: Students undertaking this unit of study are required to attend four on-campus study days which are supplemented with online and group activities.

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, tutorials and laboratories, being prepared for tutorials and laboratories, contributing to discussions in class and online, and providing and receiving feedback in a respectful and dignified manner.

Referencing style: 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.

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.

Required readings

All readings for this unit can be accessed on the Library eReserve link available on Canvas.

  • Aitken, L., Marshall, A., & Chaboyer, W. (Eds.) (2019). ACCCN’s Critical Care Nursing. (4th Edn) Sydney, Australia: Elsevier. Available as eBook via Library  OR Curtis, K., Ramsden, C., Considine, J., Fry, M. & Shaban, R. Z. (Eds.) (2019), Emergency and Trauma Care for Nurses and Paramedics, (3rd Edn). Australia and New Zealand Edition, Sydney, Australia: Elsevier. Available as eBook via Library.
  • Hoffman, T. Bennett, S. & Del Mar, C. (2017) Evidence-based practice across the health professions, (3rd edn). Chatswood: Churchill Livingstone Elsevier. (if you already own a similar text on evidence-based practice, it is not necessary to purchase this specific publication) Available as eBook via Library OR Whitehead, D., Ferguson, C., LoBiondo-Wood, G. & Haber, J. (2020) Nursing & Midwifery Research: Methods and appraisal for evidence-based practice. (6th Edn) Sydney, Australia: Mosby-Elsevier (available as an eBook via University Library).

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 the use of independent corroboration of information to guide patient assessment and inform clinical decisions, including consideration of technological, political, and socio-cultural factors.
  • LO2. Demonstrate an ability to articulate your own practice in relation to critical care practice standards.
  • LO3. Demonstrate knowledge and mastery of key clinical nursing skills.
  • LO4. Critically analyse the importance of the patient and their family as informants to critical illness assessment and care, and physical and psychological recovery.

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         

Alignment with Competency standards

Outcomes Competency standards
LO1
Practice Standards for Specialist Critical Care Nurses - ACCN
1. Standard 1: Functions within professional and legal parameters of critical care nursing practice.
1.1. Element 1: Applies a knowledge of relevant legislation, professional standards, policies and procedures to critical care nursing practice.
10.1. Element 1: Formulates and implements an integrated plan of care incorporating specialised knowledge to achieve desired patient outcomes.
7.2. Element 2: Negotiates and delegates care to optimise matching between nurses' scope of practice and the complexity of individual patients' care needs.
Practice Standards for the Emergency Nursing Specialist - CENA
9.1. Performance Standard: Demonstrates support for quality improvement within the emergency care environment.
9.2. Performance Standard: Utilises and supports the development of research within the emergency care environment.
Nurse practitioner standards for practice - NMBA
3.3. Statement 3.3: Practices in accordance with federal, state and territorial legislation and professional regulation governing nurse practitioner practice
LO2
Practice Standards for Specialist Critical Care Nurses - ACCN
1. Standard 1: Functions within professional and legal parameters of critical care nursing practice.
1.1. Element 1: Applies a knowledge of relevant legislation, professional standards, policies and procedures to critical care nursing practice.
11.3. Element 3: Anticipates, evaluates and responds effectively to physiological deterioration and emergency situations.
12.2. Element 2: Promotes and participates in quality activities to improve critical care patient outcomes.
13.1. Element 1: Establishes and maintains collaborative and constructive relationships with colleagues in critical care and in the broader health care team.
14.3. Element 3: Actively participates in promoting the profession of critical care.
4.1. Element 1: Demonstrates an accurate knowledge of contemporary ethical issues underpinning critical care nursing practice, and complies with the profession's code of ethics and code of conduct.
4.2. Element 2: Contributes to multidisciplinary ethical discussion and decision-making processes or frameworks within the critical care setting.
8.2. Element 2: Applies specialised knowledge in the use of critical care technologies.
Practice Standards for the Emergency Nursing Specialist - CENA
5.3. Performance Standard: Promotes the specialty of emergency nursing.
6.2. Performance Standard: Advocates for and provides consultancy in emergency nursing.
LO3
Practice Standards for Specialist Critical Care Nurses - ACCN
1.1. Element 1: Applies a knowledge of relevant legislation, professional standards, policies and procedures to critical care nursing practice.
1.2. Element 2: Remains observant of the legal implications of actions taken within the critical care team and fulfils the duty of care in clinical practice.
1.4. Element 4: Applies the required legal and ethical framework for recording information in the critical care setting.
2.1. Element 1: Applies knowledge of, and advocates for, the rights of patients and their families in critical care settings.
4.1. Element 1: Demonstrates an accurate knowledge of contemporary ethical issues underpinning critical care nursing practice, and complies with the profession's code of ethics and code of conduct.
4.2. Element 2: Contributes to multidisciplinary ethical discussion and decision-making processes or frameworks within the critical care setting.
5. Standard 5: Provides patient and family-centred critical care
8.2. Element 2: Applies specialised knowledge in the use of critical care technologies.
Practice Standards for the Emergency Nursing Specialist - CENA
5.3. Performance Standard: Promotes the specialty of emergency nursing.
6.2. Performance Standard: Advocates for and provides consultancy in emergency nursing.
LO4
Practice Standards for Specialist Critical Care Nurses - ACCN
1.1. Element 1: Applies a knowledge of relevant legislation, professional standards, policies and procedures to critical care nursing practice.
1.2. Element 2: Remains observant of the legal implications of actions taken within the critical care team and fulfils the duty of care in clinical practice.
1.4. Element 4: Applies the required legal and ethical framework for recording information in the critical care setting.
12.2. Element 2: Promotes and participates in quality activities to improve critical care patient outcomes.
13. Standard 13: Collaborates with the critical care team and other health professionals to achieve desired outcomes.
5. Standard 5: Provides patient and family-centred critical care
Practice Standards for the Emergency Nursing Specialist - CENA
5.3. Performance Standard: Promotes the specialty of emergency nursing.
6.2. Performance Standard: Advocates for and provides consultancy in emergency nursing.
Practice Standards for Specialist Critical Care Nurses -
Competency code Taught, Practiced or Assessed Competency standard
1.1 A Element 1: Applies a knowledge of relevant legislation, professional standards, policies and procedures to critical care nursing practice.
1.3 A Element 3: Recognises and responds to unsafe or unprofessional practices by reporting appropriately.
1.4 A Element 4: Applies the required legal and ethical framework for recording information in the critical care setting.
1.5 A Element 5: Contributes to the formation of policies and protocols to ensure safe patient outcomes.
10.1 A Element 1: Formulates and implements an integrated plan of care incorporating specialised knowledge to achieve desired patient outcomes.
10.2 A Element 2: Assesses effectiveness of nursing care to achieve desired outcomes and reviews plan accordingly.
10.3 A Element 3: Enables continuity of care in collaboration with other members of the health care team.
11.1 A Element 1: Initiates pre-emptive interventions in order to avoid complications.
11.2 A Element 2: Analyses alterations in physiological parameters and intervenes appropriately.
11.3 A Element 3: Anticipates, evaluates and responds effectively to physiological deterioration and emergency situations.
12.1 A Element 1: Maintains an informed position in relation to current research studies and incorporates evidence-informed practice into the critical care setting.
12.2 A Element 2: Promotes and participates in quality activities to improve critical care patient outcomes.
14.1 A Element 1: Assesses own abilities and engages in activities to enhance personal and professional development.
2.1 A Element 1: Applies knowledge of, and advocates for, the rights of patients and their families in critical care settings.
3.1 A Element 1: Accepts responsibility for own actions.
4.1 A Element 1: Demonstrates an accurate knowledge of contemporary ethical issues underpinning critical care nursing practice, and complies with the profession's code of ethics and code of conduct.
4.2 A Element 2: Contributes to multidisciplinary ethical discussion and decision-making processes or frameworks within the critical care setting.
5.1 A Element 1: Involves the patient and family as active participants in the process of care.
5.2 A Element 2: Practices with cultural sensitivity and awareness of social factors to enhance patient and family patient and family wellbeing.
5.3 A Element 3: Personalises the patient care environment.
5.4 A Element 4: Meets the comfort needs of patients and their families.
5.5 A Element 5: Establishes, maintains and concludes therapeutic interpersonal relationships with patients and their families.
6.1 A Element 1: Ensures a safe environment for patients, families and staff by identifying, minimising or eliminating risks.
7.3 A Element 3: Optimises delivery of care through the effective use of human and physical resource management.
8.1 A Element 1: Acts on assessment findings to appropriately initiate, monitor and manage therapeutic interventions.
8.2 A Element 2: Applies specialised knowledge in the use of critical care technologies.
9.1 A Element 1: Gathers, analyses and integrates data from a variety of sources, and acts on the significance of findings to formulate an individualised plan of care.
Practice Standards for the Emergency Nursing Specialist -
Competency code Taught, Practiced or Assessed Competency standard
1.1 A Performance Standard: Provides a concise and timely assessment of the undiagnosed patient.
1.3 A Performance Standard: Evaluates patient progress against predicted outcomes.
1.5 A Performance Standard: Demonstrates the ability to provide patient and family-centred care.
2.2 A Performance Standard: Communicates effectively with patient, family and support people.
4.1 A Performance Standard: Practices to promote and maintain patient and staff safety.
4.3 A Performance Standard: Utilises and manages material resources effectively and responsibly to promote optimal patient care
5.1 A Performance Standard: Maintains own professional development.
7.1 A Performance Standard: Complies with prevailing legislation and standards of best practice.
8.1 A Performance Standard: Functions within an ethical framework.
9.1 A Performance Standard: Demonstrates support for quality improvement within the emergency care environment.
9.2 A Performance Standard: Utilises and supports the development of research within the emergency care environment.

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

No changes

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.

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, discrimination, assault, suicide, illness, death and dying or culturally sensitive issues. These topics are relevant to your learning 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.