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Unit of study_

NURS5073: Preventing Adverse Clinical Outcomes

Semester 2, 2021 [Block mode] - Remote

Patients admitted to hospital often have a change in their condition and can deteriorate, sometimes rapidly. This requires that registered nurses have the knowledge and skills to effectively assess and intervene in order to detect and prevent further deterioration. Such early detection and timely interventions may prevent the development of serious adverse events such as prolonged hospitalisation, an unexpected admission to a critical care unit, and even cardiac arrest and death. In this unit of study students will explore the role of organisational and patient emergency response systems designed to promote early detection of the deteriorating patient and consider how these systems impact on their nursing practice. Students will have the opportunity to further integrate knowledge with technical and non­technical skills for assessing and managing the rapidly deteriorating patient. Specific consideration will be given to incorporating evidence­based principles when making judgements about patient care. The distinctiveness of each student's clinical practice is recognised and students will be expected to explore, in depth, an area of clinical practice relevant to their current work. Further to this, it is identified that registered nurses can be impacted by functioning in a carer role and this unit of study will review strategies for self-care in order to prevent adverse outcomes that may impact nurses’ ability to care effectively for their patients.

Unit details and rules

Unit code NURS5073
Academic unit Nursing and Midwifery
Credit points 6
Prohibitions
? 
None
Prerequisites
? 
None
Corequisites
? 
None
Assumed knowledge
? 

None

Available to study abroad and exchange students

Yes

Teaching staff

Coordinator Taneal Wiseman, taneal.wiseman@sydney.edu.au
Type Description Weight Due Length
Assignment hurdle task Assessment 1: written essay
Written assessment
50% Week 04
Due date: 05 Sep 2021 at 23:59
2500 words
Outcomes assessed: LO3
Assignment hurdle task Assessment 2: case study
Case study
50% Week 11
Due date: 31 Oct 2021 at 23:59
2500 words
Outcomes assessed: LO1 LO2 LO4
hurdle task = hurdle task ?

Assessment summary

  • Assessment 1 - written essay: In this assignment, students are required to identify and review one system that has been implemented in NSW health in association with a deteriorating patient. The system must focus on the identification of a deteriorating patient, the escalation of a deteriorating patient, the possible treatment of a deteriorating patient, or all of these.
  • Assessment 2 - Case study evaluation and reflection: Students must identify a patient in their clinical environment (past or present) who required nursing intervention and escalation for an unexpected acute episode.  Students will be required to outline the meanagement strategies that were implemented for the patient to prevent further deterioration. The management should discuss all team members and overall care. Students should evaluate the management strategies for their chosen patient in relation to current evidence for best practice.
  • 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.

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 02 Study day 1 Lecture and tutorial (7.5 hr) LO2 LO3 LO4
Study day 2 Lecture and tutorial (7.5 hr) LO2 LO3 LO4
Week 08 Study day 3 Lecture and tutorial (7.5 hr) LO1 LO2 LO3 LO4
Study day 4 Lecture and tutorial (7.5 hr) LO1 LO2 LO3 LO4

Attendance and class requirements

  • Attendance: Students undertaking this unit of study are required to attend all intensive study days which are supplemented with online and group activities.
  • 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.
  • 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.

  • In McCance, K. L., & In Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children.

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 importance of technical and non-technical skills and their contributions to adverse patient outcomes
  • LO2. (critically) appraise current guidelines related to immediate and ongoing care of the patient with deteriorating conditions
  • LO3. demonstrate the ability to articulate and justify decisions that arise from assessment of the unstable or deteriorating patient, including consideration of risk management and ethical/legal considerations
  • LO4. (critically) reflect on and situate personal knowledge and learning needs in the context of early assessment and early interventions of the deteriorating patient.

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
Registered Nurses Standards for Practice - NMBA
2.2. Communicates effectively, and is respectful of a person’s dignity, culture, values, beliefs and rights
3.7. Identifies and promotes the integral role of nursing practice and the profession in influencing better health outcomes for people
5.2. Collaboratively constructs nursing practice plans until contingencies, options priorities, goals, actions, outcomes and timeframes are agreed with the relevant persons
6.5. Practises in accordance with relevant nursing and health guidelines, standards, regulations and legislation
7.3. Determines, documents and communicates further priorities, goals and outcomes with the relevant persons
LO2
Nurse practitioner standards for practice - NMBA
4.1. Statement 4.1: Evaluates the outcomes of own practice
Registered Nurses Standards for Practice - NMBA
6.1. Provides comprehensive safe, quality practice to achieve agreed goals and outcomes that are responsive to the nursing needs of people
6.5. Practises in accordance with relevant nursing and health guidelines, standards, regulations and legislation
LO3
National Practice Standards for Nurses in General Practice - ANMF
1.2.RN7. Practise is consistent with evidence-based guidelines and policies within the RN scope of practice.
Registered Nurses Standards for Practice - NMBA
1.5. Uses ethical frameworks when making decisions
2.5. Advocates on behalf of people in a manner that respects the person’s autonomy and legal capacity
LO4
Nurse practitioner standards for practice - NMBA
1.1. Statement 1.1: Conducts comprehensive, relevant and holistic health assessment
Registered Nurses Standards for Practice - NMBA
1.2. Develops practice through reflection on experiences, knowledge, actions, feelings and beliefs to identify how these shape practice
Registered Nurses Standards for Practice -
Competency code Taught, Practiced or Assessed Competency standard
1.1 P T A Accesses, analyses, and uses the best available evidence, that includes research findings for safe quality practice
1.2 T A Develops practice through reflection on experiences, knowledge, actions, feelings and beliefs to identify how these shape practice
1.4 P Complies with legislation, common law, policies, guidelines and other standards or requirements relevant to the context of practice when making decisions
1.5 A Uses ethical frameworks when making decisions
1.6 P Maintains accurate, comprehensive and timely documentation of assessments, planning, decision- making, actions and evaluations
1.7 A Contributes to quality improvement and relevant research
2.2 T Communicates effectively, and is respectful of a person’s dignity, culture, values, beliefs and rights
2.4 A Provides support and directs people to resources to optimise health related decisions
2.7 A 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
3.3 P Uses a lifelong learning approach for continuing professional development of self and others
3.5 P A Seeks and responds to practice review and feedback
3.6 A Actively engages with the profession
3.7 A Identifies and promotes the integral role of nursing practice and the profession in influencing better health outcomes for people
4.1 A Conducts assessments that are holistic as well as culturally appropriate
5.1 T A Uses assessment data and best available evidence to develop a plan
5.2 T A Collaboratively constructs nursing practice plans until contingencies, options priorities, goals, actions, outcomes and timeframes are agreed with the relevant persons
5.4 A Plans and negotiates how practice will be evaluated and the time frame of engagement
5.5 A Coordinates resources effectively and efficiently for planned actions
6.1 T A Provides comprehensive safe, quality practice to achieve agreed goals and outcomes that are responsive to the nursing needs of people
6.6 P Uses the appropriate processes to identify and report potential and actual risk related system issues and where practice may be below the expected standards
7.1 P A Evaluates and monitors progress towards the expected goals and outcomes
7.2 A Revises the plan based on the evaluation
7.3 P A Determines, documents and communicates further priorities, goals and outcomes with the relevant persons

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

Following student feedback in 2019 this unit has had a reduction in the number of assessment items.

More information can be found on Canvas and will be provided in class.

 

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.

Additional costs

There are no additional costs for this unit.

Site visit guidelines

There are no site visit guidelines for this unit.

Work, health and safety

There are no specific WHS requirements for this unit.

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.