HLBN621B – Nursing Practice 2

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Module code
HLBN621B
Module title
Nursing Practice 2
Prescription
The aim of this module is to prepare nursing students for practice with people along the continuum of health, with a focus on developing nursing knowledge in relation to adults in acute and complex care contexts.
Programmes
  • HL0902
NZQA Level
Level 6
NZQA Credits
30
Delivery method
  • Not Web enabled
Learning hours
Directed hours
150
Self directed hours
150
Total learning hours
300
Resources required
Content
1. Understand the implications of specific health experiences for nursing practice
- Theoretical and research bases for the scope of nursing practice in acute and complex care contexts
- Therapeutic modalities for acute and complex care contexts
- Impact of health needs on clients and their families in the acute and complex context
- Clinical guidelines and practice standards in acute and complex care contexts
- Changes in the client's health status
- Ethical, legal and professional responsibilities for nursing practice
- Relational practice as part of the acute and complex care context in which nursing is delivered

2. Analyse issues related to health education for adults in the acute and complex care context
- Knowledge and skills appropriate for individual and small group health education

3. Analyse the principles of cultural safety for nursing practice
- Cultural context of the person and their whanau /family
- Cultural context and implications of acute illness and trauma for specific client populations
- Client's and families' unique cultural responses to illness events

4. Facilitate effective use of health informatics in health care settings
- Health informatics as an evolving disciple in health care settings
- Legal, ethical, and professional accountability in the use of health informatics
- Range and scope of health informatics
- Changing and reshaping of traditional health care systems
- Health models and services

5. Demonstrate knowledge of the principles of preventative measures and therapeutic interventions
- Pharmacological principles during management of selected acute and complex conditions

6. Describe the pathogenesis and pathophysiological changes associated with selected processes and acute and complex conditions
Acute conditions include:
- Pneumonia
- Allergic reactions
- Primary fluid and electrolyte imbalances
- Acute renal failure
- Gastro-intestinal disturbances
- Pancreatitis/ Hepatitis
- Acute head injuries
- Vomiting, diarrhoea, peptic ulcers
- Fractures
- Lacerations, wounds and specific inflammatory conditions
- Acute cardiac and cardiovascular disorders
- Acute cerebrovascular disorders
- Schizophrenia
- Bipolar disorders
- Organ transplantation

7. Describe the principles behind methods of monitoring of physiological parameters and sampling for laboratory tests
- Physical monitoring of acute conditions

8. Demonstrate strategies to manage and document clinical reasoning supported by health informatics
- Health informatics for delivery of quality care
- Clinical reasoning and decision-making strategies using health informatics for specific client situations
- Documentation for clinical decisions, therapeutic plans and client outcomes
- Clinical reasoning for acute and complex practice with adults
- Resource and risk management

9. Discuss clinical judgement for nursing practice in acute and complex care
- Seamless care for a client experiencing acute illness or trauma
- Nursing knowledge / theories / skills for the delivery and documentation of safe effective client care

10. Demonstrate a comprehensive knowledge of nursing practice management for clients experiencing high and complex needs
- Evidence based practice
- Assessment data related to client, family and community in planning care
- Factors which enhance/constrain nursing practice in the care of those with complex and or high needs
- Treaty of Waitangi in the context of acute and complex needs
- Recovery philosophy in mental health nursing
Learning Outcomes
On completion of this module students will be able to:

1. Understand the implications of specific health experiences for nursing practice
2. Analyse issues related to health education for adults in the acute and complex care context

3. Analyse the principles of cultural safety for nursing practice
4. Facilitate effective use of health informatics in health care settings
5. Demonstrate knowledge of the principles of preventative measures and therapeutic interventions in acute and complex care
6. Describe the pathogenesis and pathophysiological changes associated with selected processes and conditions
7. Describe the principles behind methods of monitoring of physiological parameters and sampling for laboratory tests
8. Demonstrate strategies to manage and document clinical reasoning supported by health informatics
9. Discuss clinical judgement for nursing practice in acute and complex care
10.Demonstrate a comprehensive knowledge of nursing practice management for clients experiencing high and complex needs
Learning and Teaching Resource
Blended Delivery


Required Texts:
Brown, D., Edwards, H., Lewis, S., Heitkemper, M., Dirksen, S., O'Brien, P., Bucher, L. (2008). Lewis's medical - surgical nursing: assessment and management of clinical problems, (2nd ed). Marrickville: Elsevier Mosby.

Elder, R., Evans, K., & Nizette, D. (2009) Psychiatric and mental health nursing. Australia: Mosby

Science texts as prescribed each semester


Recommended Reading:
Reading Lists will be provided each semester