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Unit of study_

NURS5082: Developing Nursing Practice

Semester 1, 2022 [Normal day] - Camperdown/Darlington, Sydney

This unit of study complements NURS5081Introduction to Nursing Practice and further develops the understanding of clinical judgement in practice and the role of nurses in providing comprehensive care to those experiencing hospitalisation. This includes but is not limited to: maintenance of appropriate fluid status, preventing and controlling healthcare associated infection control, quality use of oral medications, effective levels of oxygenation and pain management. This knowledge will be extended to incorporate the experience of caring for patients when the body fails to function as expected, and particularly where surgery is required. Students undertaking this unit of study will further develop skills in physical assessment, communication, and documentation and will be introduced to safe medication administration. All learning experiences focus on providing effective and safe care to people from diverse cultural and social population groups. Unit content is underpinned by the National Safety and Quality Health Service Standards (ACSQHC, 2011).

Unit details and rules

Unit code NURS5082
Academic unit Nursing and Midwifery
Credit points 6
Prohibitions
? 
None
Prerequisites
? 
None
Corequisites
? 
NURS5081
Assumed knowledge
? 

None

Available to study abroad and exchange students

No

Teaching staff

Coordinator Carolyn Hayes, c.hayes@sydney.edu.au
Tutor(s) Beulah Benedict, beulah.benedict@sydney.edu.au
Su Aung, su.aung@sydney.edu.au
Cheryl Hyde, cheryl.hyde@sydney.edu.au
Jillian Davey, jillian.davey@sydney.edu.au
Type Description Weight Due Length
Placement hurdle task Assessment 5: Off-campus clinical performance
n/a
0% Multiple weeks Two weeks (80 hours)
Outcomes assessed: LO3 LO8 LO7 LO4 LO2 LO1
Assignment group assignment Assessment 1: Communicating with the surgical patient
Group assignment - development of Education Package
20% Week 05
Due date: 27 Mar 2022 at 23:59
1000 words or 10 slides
Outcomes assessed: LO1 LO2 LO3 LO5 LO8
Assignment Assessment 2: Case study
case study of pre-operative patient
40% Week 08
Due date: 17 Apr 2022 at 23:59
2000 words
Outcomes assessed: LO1 LO2 LO3 LO4 LO6
Assignment Assessment 3: Case study
case study of post-operative patient
40% Week 10
Due date: 08 May 2022 at 23:59
2000 words
Outcomes assessed: LO1 LO2 LO3 LO6
Skills-based evaluation hurdle task Assessment 4: CPA
n/a
0% Week 12 35 minutes
Outcomes assessed: LO1 LO5 LO4 LO3
hurdle task = hurdle task ?
group assignment = group assignment ?

Assessment summary

  • Assessment 1 – Group work: the goal of this assessment item is to demonstrate an understanding of the importance of placing effective communication at the centre of patient care for marginalised surgical patients and to underpin that understanding with current research evidence

  • Assessment 2 – Case study: the pre-operative patient The goal of this assessment item is to demonstrate an understanding of the importance of effective preoperative education and care as it relates to preparing a patient for theatre and the underlying pathophysiology of, and nursing care required, to prevent and manage possible post-operative complications. In addition, this assessment aims to provide an opportunity for you to demonstrate an understanding of intraoperative care, and finally to underpin these understandings with current research evidence

  • Assessment 3 – Case study: the post-operative patient: The goal of this assessment item is to demonstrate an understanding of patient assessment, and identifying and responding to postoperative complications, and finally to underpin these understandings with current research evidence.

  • Assessment 4 – Clinical Performance Appraisal (CPA): Students will be required to respond appropriately to several patient scenarios by demonstrating the appropriate nursing practices developed and practised throughout the semester as well as those learned throughout previous nursing practice units. Students who do not demonstrate competency in the performance of the critical elements for a designated number of skills in this assessment will be offered the opportunity for reassessment.
  • Assessment 5 – Off-campus clinical performance: Performance appraisal during clinical weeks for this unit of study will attract a satisfactory/unsatisfactory grade. Obtaining a satisfactory grade in clinical performance is a requirement for successful completion of this unit of study.

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
Week 01 Introduction to the unit of study and Introduction to Pre-operative care Lecture (2 hr) LO1 LO2 LO3
Communication in healthcare, interpreter services Tutorial (2 hr) LO1 LO2 LO3 LO5 LO6 LO8
Week 02 The medico-legal aspects of consent and documentation Lecture (2 hr) LO1 LO2 LO3
Communication - pre-operative documentation and ISBAR handover Tutorial (2 hr) LO1 LO2 LO3 LO6
Pre-operative assessment and patient education Simulation laboratory (2 hr) LO1 LO2 LO3 LO5 LO6 LO8
Week 03 Hospital acquired infections and their prevention Lecture (2 hr) LO1 LO2 LO3 LO6
Introduction to aseptic technique –basic wound dressings Simulation laboratory (2 hr) LO1 LO2 LO3 LO5 LO6
Week 04 Introduction to medication administration Lecture (2 hr) LO1 LO2 LO3 LO4
Medication calculations Tutorial (2 hr) LO1 LO2 LO3 LO4
Medication administration Simulation laboratory (2 hr) LO1 LO2 LO3 LO4 LO5 LO6
Week 05 Surgical wounds, wound care and healing Lecture (2 hr) LO1 LO2 LO3
Wound care and assessment Tutorial (2 hr) LO1 LO2 LO3 LO6
Wound care - removal of sutures and staples and assessing wound pain Simulation laboratory (2 hr) LO1 LO2 LO3 LO5 LO6
Week 06 Intra-operative care and recovery, pain management and O2 therapy Lecture (2 hr) LO1 LO2 LO3 LO4
Post-operative pain management - PCA, epidurals, and introduction to oxygen therapy Tutorial (2 hr) LO1 LO2 LO3 LO4 LO6
Nursing management of PCA, epidurals, administration of oxygen therapy and inhaled medications Simulation laboratory (2 hr) LO1 LO2 LO3 LO4 LO5 LO6
Week 07 Nursing management of post operative complications and fluid balance Lecture (2 hr) LO1 LO2 LO3 LO4 LO8
Management of post-operative complications, fluid balance and intravenous fluid therapy Independent study (2 hr) LO1 LO2 LO3 LO6 LO8
IV fluid therapy & management of post operative complications Simulation laboratory (2 hr) LO1 LO2 LO3 LO4 LO5 LO6
Week 08 Care of the patient in their final stages of life and the role of the nurse in a coroner’s case Lecture (2 hr) LO1 LO2 LO3 LO8
Caring for the patient in the final stages of life: group 1 Tutorial (2 hr) LO1 LO2 LO3 LO6 LO8
Caring for the patient in the final stages of life Simulation laboratory (2 hr) LO1 LO2 LO3 LO4 LO5 LO6 LO8
Week 09 Surgical issues across the lifespan Lecture (2 hr) LO1 LO2 LO3 LO8
Caring for a patient in the final stages of life: group 2 Tutorial (2 hr) LO1 LO2 LO3 LO5 LO6 LO8
Week 10 Patient Discharge Lecture (2 hr) LO1 LO2 LO3 LO8
Preparation for clinical placement Tutorial (2 hr) LO1 LO2 LO3 LO8
Patient discharge and surgical issues across the lifespan Simulation laboratory (2 hr) LO1 LO2 LO3 LO5 LO6 LO8
Week 11 Revision of core clinical skills Simulation laboratory (2 hr) LO1 LO2 LO3 LO4 LO5 LO6 LO8
Week 12 CPA’s Simulation laboratory (2 hr) LO1 LO3 LO4 LO5
Week 13 Clinical Practicum Clinical practice (40 hr) LO1 LO2 LO4 LO5 LO7 LO8
Week 14 (STUVAC) Clinical Practicum Clinical practice (40 hr) LO1 LO2 LO4 LO5 LO7 LO8

Attendance and class requirements

 

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, 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.

Students must also attend 100% of all clinical simulation laboratories (CSL) and off campus clinical, which are supplemented with online and group activities.

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.

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

Brotto, V. & Rafferty, K. (2016). Clinical dosage calculations (3rd ed.). Cengage Learning.

Brown, Edwards, H., Buckley, T., Aitken, R. L., & Lewis, S. M. (2020). Lewis’s medical-surgical nursing : assessment and management of clinical problems (5e, Australia and New Zealand edition.). Elsevier Australia. 

Crisp, J., & Taylor, C., Douglas, C & Rebeiro, G. (2021). Potter & Perry's fundamentals of nursing (6th edition.). Elsevier Australia.

Hamlin, L., Davies, M., Richardson-Tench, M. & Sutherland-Frazer, S. (2016). Perioperative nursing: an introduction (2ed.). Cengage. 

Please also see the reading list in Canvas for additional recommended 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. Understand the underlying principles of comprehensive care for a surgical patient in order to perform clinical skills within this context
  • LO2. Critically analyse and apply evidence informed by research to the practice of caring for the surgical patient.
  • LO3. Apply the Practice Thinking Framework within the context of the surgical patient to guide practice thinking and judgement.
  • LO4. Demonstrate a comprehensive understanding of legal guidelines relevant to quality use of medicines, patient confidentiality, consent and documentation applicable to patient encounters during the peri-operative experience.
  • LO5. Rehearse and refine core verbal and non-verbal communication skills for use with patients and other health professionals.
  • LO6. Utilise case study methodology to develop critical thinking and problem- solving skills.
  • LO7. Demonstrate satisfactory achievement in a professional experience placement undertaken in the surgical setting (as outlined in the UoS specific Clinical Record Log Book).
  • LO8. Demonstrate and critically reflect upon professional behaviours within a developing professional identity through safe ethical nursing practice for people from diverse social and cultural groups, including Aboriginal and Torres Strait Islander peoples.

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

Alignment with Competency standards

Outcomes Competency standards
LO1
Registered Nurses Standards for Practice - NMBA
1. Standard 1: Thinks critically and analyses nursing practice
2. Standard 2: Engages in therapeutic and professional relationships
3. Standard 3: Maintains the capability for practice
4. Standard 4: Comprehensively conducts assessments
5. Standard 5: Develops a plan for nursing practice
6. Standard 6: Provides safe, appropriate and responsive quality nursing practice
7. Standard 7: Evaluates outcomes to inform nursing practice
LO2
Registered Nurses Standards for Practice - NMBA
1. Standard 1: Thinks critically and analyses nursing practice
2. Standard 2: Engages in therapeutic and professional relationships
3. Standard 3: Maintains the capability for practice
4. Standard 4: Comprehensively conducts assessments
5. Standard 5: Develops a plan for nursing practice
6. Standard 6: Provides safe, appropriate and responsive quality nursing practice
7. Standard 7: Evaluates outcomes to inform nursing practice
LO3
Registered Nurses Standards for Practice - NMBA
1. Standard 1: Thinks critically and analyses nursing practice
3. Standard 3: Maintains the capability for practice
4. Standard 4: Comprehensively conducts assessments
5. Standard 5: Develops a plan for nursing practice
LO4
Registered Nurses Standards for Practice - NMBA
1. Standard 1: Thinks critically and analyses nursing practice
2. Standard 2: Engages in therapeutic and professional relationships
3. Standard 3: Maintains the capability for practice
4. Standard 4: Comprehensively conducts assessments
6. Standard 6: Provides safe, appropriate and responsive quality nursing practice
7. Standard 7: Evaluates outcomes to inform nursing practice
LO5
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
2. Standard 2: Engages in therapeutic and professional relationships
LO6
Registered Nurses Standards for Practice - NMBA
1. Standard 1: Thinks critically and analyses nursing practice
3. Standard 3: Maintains the capability for practice
4. Standard 4: Comprehensively conducts assessments
5. Standard 5: Develops a plan for nursing practice
7. Standard 7: Evaluates outcomes to inform nursing practice
LO7
Registered Nurses Standards for Practice - NMBA
1. Standard 1: Thinks critically and analyses nursing practice
2. Standard 2: Engages in therapeutic and professional relationships
3. Standard 3: Maintains the capability for practice
4. Standard 4: Comprehensively conducts assessments
5. Standard 5: Develops a plan for nursing practice
6. Standard 6: Provides safe, appropriate and responsive quality nursing practice
7. Standard 7: Evaluates outcomes to inform nursing practice
LO8
Registered Nurses Standards for Practice - NMBA
1. Standard 1: Thinks critically and analyses nursing practice
2. Standard 2: Engages in therapeutic and professional relationships
6. Standard 6: Provides safe, appropriate and responsive quality nursing practice
7. Standard 7: Evaluates outcomes to inform nursing practice
Registered Nurses Standards for Practice -
Competency code Taught, Practiced or Assessed Competency standard
1.1 T P A Accesses, analyses, and uses the best available evidence, that includes research findings for safe quality practice
1.2 T P A Develops practice through reflection on experiences, knowledge, actions, feelings and beliefs to identify how these shape practice
1.3 T P A 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 T P A Complies with legislation, common law, policies, guidelines and other standards or requirements relevant to the context of practice when making decisions
1.5 T Uses ethical frameworks when making decisions
1.6 T P A Maintains accurate, comprehensive and timely documentation of assessments, planning, decision- making, actions and evaluations
2.1 T P A Establishes, sustains and concludes relationships in a way that differentiates the boundaries between professional and personal relationships
2.2 T P A Communicates effectively, and is respectful of a person’s dignity, culture, values, beliefs and rights
2.3 T P A Recognises that people are the experts in the experience of their life
2.4 T Provides support and directs people to resources to optimise health related decisions
2.5 T P A Advocates on behalf of people in a manner that respects the person’s autonomy and legal capacity
2.7 T 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
2.8 T P Participates in and/or leads collaborative practice
2.9 T P A Reports notifiable conduct of health professionals, health workers and others
3.1 T P A 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 T P A Provides the information and education required to enhance people’s control over health
3.4 T 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 T P A Seeks and responds to practice review and feedback
3.7 T Identifies and promotes the integral role of nursing practice and the profession in influencing better health outcomes for people
4.1 T P A Conducts assessments that are holistic as well as culturally appropriate
4.2 T P A Uses a range of assessment techniques to systematically collect relevant and accurate information and data to inform practice
4.3 T Works in partnership to determine factors that affect, or potentially affect, the health and well being of people and populations to determine priorities for action and/or for referral
4.4 T P A Assesses the resources available to inform planning.
5.1 T P A Uses assessment data and best available evidence to develop a plan
5.2 T Collaboratively constructs nursing practice plans until contingencies, options priorities, goals, actions, outcomes and timeframes are agreed with the relevant persons
5.3 T Documents, evaluates and modifies plans accordingly to facilitate the agreed outcomes
5.5 T P A Coordinates resources effectively and efficiently for planned actions
6.1 T P A Provides comprehensive safe, quality practice to achieve agreed goals and outcomes that are responsive to the nursing needs of people
6.2 T P A Practises within their scope of practice
6.5 T P A Practises in accordance with relevant nursing and health guidelines, standards, regulations and legislation
7.1 T P A Evaluates and monitors progress towards the expected goals and outcomes
7.3 T 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.

In response to student feedback changes have been made to this unit since it was last offered .

Sensitive materials in teaching: Please note that in this Unit of Study sensitive and potentially distressing or disturbing content will 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 (coordinator is to provide examples relevant to their unit). 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.