Guided Practice 1, Part 2 (14cr)

Objective

14 ECTS (Second Year)
• can perceive the nursing pathway of an internal medicine patient
• works as a member of a multi-professional team with patients who suffer from the most common national diseases and internal medical problems.
• can define the nursing care needs of a patient, and plan, implement and assess the nursing care of a client/patient
• guides, counsels and supports clients/patients and their families according to the principles of professional responsibility and ethical conduct
• can give oral and written clinical reports in the context of his/her own patient
• gets familiar in theory and practice with the principles of infection control and aseptic techniques in nursing
• participates under supervision in the medical care and blood transfusion procedure of an internal medical patient
• gets familiar with and participates in examinations and testing of a patient with an internal medical disease
• is able to apply and follow the principles of patient safety and occupational safety

Content

Nursing Interventions
Anathomy and physiology
Medical Nursing and Internal Medicin

Assessment criteria, satisfactory (1)

GUIDED PRACTICE competences - evaluation
Grades: Passed/Failed
Methods:Self-assessment, clinical supervisors’ assessment, peer assessment by dialogic discussion.
Competences:
Learning process of the student
Attainment of the student’s self-set competence goals, purposefulness, self-directedness, information/data retrieval, and justifying the action taken.
Self- and peer-assessment in the learning process, and feedback from the supervisors.
Ethical competence
Compliance with confidentiality, secrecy and privacy protection policies, and legislative issues, acting according to the values and principles of professional ethics, compliance with safety regulations at work, taking responsibility for own action, therapeutic attitude towards the client/patient/family/cooperation and study networks. Responsibility for own professional development.
Co-operation and communication competence
Ability to start and maintain professional communication at work: patient and client relationships, employee skills, collegiality, team-work skills, pair work skills, multi-professional work skills, co-operation with care and service units/institutions, organisations and networks. Co-operation and interaction is focused on the main objective/mission of the unit.
Mentoring and Counseling Competence
Ability to mentor and counsel different patients/clients, their next-of-kin and groups. Supports and guides the client in self-care and management of personal health problems and concerns. Health promotion competence.
Decision-making competence
Nursing process, reporting, information provision and documentation, coordination. Self-leadership competence, awareness, autonomy, positive outlook, creativity, responsibility.
Clinical competence in nursing
Identification of the biopsychosocial needs and problems of the patient/client/close network. Holistic evaluation of the patient. Planning, implementation and evaluation of the nursing interventions. Use of methods and tools in nursing. Functioning in care relationship. Examination- and nursing procedures. Ergonomy. Aseptics. Fluid therapy and pharmacotherapy.
Criteria for the grade “Fail” of Guided practice:
Student can fail the guided clinical practice based on the assessment criteria of professional, co-operational or development competencies. Guided practice can be assessed as a “Fail” based on a single criterium in the context of the following competencies:
Professional competence
- neglect of ethical principles, regulations, legislation,

- endangering patient safety,

- insufficient knowledge and skills in nursing

Co-operation competence
- drawbacks in co-operation competence

- non-commitment in care relationships

- non-collegiality in action

- essential deficiency in professional interaction

Development and developing competence
- lack of motivation and self-initiative

- lack of purposefulness

- unplanned training/guided practice

- drawbacks in self-assessment and reflection

- drawbacks in working life (employment) skills