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Clients with Complex Health States (NURS90053)

Graduate courseworkPoints: 25On Campus (Parkville)

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Year of offer2019
Subject levelGraduate coursework
Subject codeNURS90053
Semester 1
FeesSubject EFTSL, Level, Discipline & Census Date

This subject integrates the knowledge and skills gained in Nursing Science 1 & 2, Nursing Assessment & Care, and Clients with Acute & Chronic Illness. Students will develop skills that focus on processes of nursing care necessary for patients experiencing complex health problems. The aim of this subject is to consolidate, reinforce and expand previously learnt skills in assessment, data collection, problem identification and the selection of relevant nursing interventions. The role of nurses in collaborating with allied disciplines to deliver health care to clients with complex health issues will be discussed. Care of the patient with invasive lines and attachments, complex pain issues and multiple medications will be explored.

In the simulated learning laboratory students will practice the procedural skills necessary for care of complex patients including venepuncture, blood transfusion, central venous catheters, management of the artificial airway and underwater seal drainage. Students will develop skills in the identification and interpretation of abnormal arrhythmias and cardiac monitoring.

During the professional experience placement, under the guidance of clinical educators and clinical mentors, students will gain experience in settings that enable them to meet the learning objectives of this subject.

The major focus for the professional experience practicum component of this subject is integration of the principles for holistic nursing, clinical decision making and more complex and advanced nursing interventions. On completion of the subject it is expected that students, while providing therapeutic interventions, are able to incorporate the collection of health assessment data, identify actual and potential patient problems, plan care with the selection of appropriate nursing interventions, implement interventions and evaluate the outcome of nursing care accordingly for 3 to 4 patients.

Intended learning outcomes

At the completion of this subject the should be able to:

  • identify ethical and legal principles of end of life support and enduring powers of attorney as they apply to nurse patient interactions;
  • demonstrate competence in completing a physical, psychosocial and cultural assessment in Aboriginal and Torres Strait Islander (ATSI) and other populations across the lifespan;
  • assess the health education needs of individuals/families/carers in the acute and community setting;
  • identify and utilize strategies that facilitate a therapeutic nurse patient relationship;
  • incorporate the principles of cultural safety and understanding when developing and implementing care;
  • incorporate the principles of evidence-based practice and apply an evidence based approach to the delivery of nursing care;
  • apply clinical reasoning and problem solving skills to care for patients with complex disease processes;
  • accurately and professionally document data collected by applying health assessment principles;
  • plan, develop, implement, evaluate and revise evidence based comprehensive nursing care plans for patients with acute, chronic and complex illnesses including Aboriginal and Torres Strait Islander and other vulnerable populations across the lifespan;
  • utilise strategies that facilitate a therapeutic nurse patient relationship, refine patient assessment by using a comprehensive nursing framework and utilise assessment data
  • demonstrate skills in prioritising care and time management;
  • apply the principles to plan, implement and evaluate health teaching programs;
  • in a professional and culturally safe and appropriate manner communicate verbally and in writing with the patient, their families and other members of the health care team;
  • demonstrate the capacity to work effectively as a member of an inter-professional team in the delivery of health care;
  • understand resource use and sustainability issues that require management within the healthcare system.

Generic skills

At the completion of this subject, students should be able to demonstrate:

  • the capacity for information seeking, retrieval and evaluation;
  • critical thinking and analytical skills;
  • an openness to new ideas;
  • cultural awareness;
  • planning and time management skills;
  • the ability to work effectively in a team;
  • the ability to communicate knowledge through classroom and web-based discussions and written material.

Last updated: 4 February 2019