Decision Making Process in Clinical Nursing (10cr)

Evaluation scale

H-5

Objective

Competence goals

You can explain different care and service chains and plan and implement comprehensive patient care in a multi-professional team.
You can describe the mechanisms of the most common internal diseases, surgical, cancerous and mental health-related diseases and the changes they cause in the human body.
You can define a patient's need for nursing care by combining and utilizing evidence-based information.
You will be able to utilize basic diagnostic tests and procedures required in clinical nursing as part of the patient's overall care.
You know how to plan, implement and evaluate safe, natural routes of medication.
You can utilize a multi-professional team in your work and decision-making, and reflect on your own work at different stages of the nursing process.
You are able to utilize various digital applications and solutions in customer and patient care and decision making.
You are able to encounter and maintain therapeutic interactions with the patient and their loved ones in different care settings that promote mental health, prevent mental disorders and are resource-oriented.
You know how to support a person in an acute crisis.

Content

Contents

Care and service chains
- National and international treatment recommendations and guidelines for the treatment of different disease groups
- Nurse's work in different operating environments
- Digital solutions in health services and their special features

Defining the need for nursing, decision-making process
- Therapeutic relationship in nursing
- Evidence-based action and decision-making
- Effects of health and illness on the patient's life situation
- Means of assistance and guidance in an acute crisis

Clinical nursing
- Pathology and pathophysiology, medical knowledge base
- The most common mental disorders and addiction as a phenomenon
- Action in situations requiring immediate care and in emergencies
- Resuscitation
- Pharmacotherapy and pharmacology
- Use of care and monitoring equipment

Materials

- Skhole-net material
- Lewis, L. et al. 2011. Medical-surgical nursing : assessment and management of clinical problems.
- Adams, Michael Patrick ; Holland, Leland Norman,:Urban, Carol Quam, 2014. Pharmacology for nurses: a pathophysiologic approach.
- Tait,D.et al. 2012. Acute and critical care in adult nursing
- Peate et al. 2012. Acute nursing care: recognising and responding to medical emergencies
- Harrison, R. & Daly, L. 2011. A nurse's survival guide to acute medical emergencies
- Garza, D. & Becan-McBride, K. 2015. Phlebotomy handbook. Blood specimen collection from basic to advanced.
- Ewles, L. & Simnett, I. 2009. Promoting Health. A practical guide.
- Edelman, C.& Mandle, C. 2010. 7. edition. Health promotion throughout the life span.
- Abbott, H., Brainthwaite, W. & Ranson, M.2014. Clinical Examination Skills for healthcare professionals.
- Gavin et al. 2013. Lifestyle wellness coaching.
- Finnish Center for Evidence Based Health Care, www.hotus.fi
- EBMG, JBI
- Terveysporttiand Oppiportti - Käypä-hoito suositukset, Hoitotyön suositukset (ja sairaanhoitajan ja lääkärin tietokannat, verkkokurssit (erikseen ilmoitettavat)
- Alahuhta ym. 2016. Peruselintoimintojen häiriöt ja niiden hoito.
- Akuuttihoidon tietokannat (tarkempi sisältö ilmoitetaan opintojakson alussa)

- Alanen ym. 2016. Oireista työdiagnoosiin. Ensihoitopotilaan tutkiminen ja arviointi.
- Castrén ym. 2009 tai uudempi. Ensihoidosta päivystyspoliklinikalle (soveltuvin osin)
- Syväoja, P. & Äijälä, O (2009) Hoidon tarpeen arviointi
- Ahonen ym. 2016. Kliininen hoitotyö. Sisätauteja, kirurgisia sairauksia ja syöpätauteja sairastavan hoito
- Nienstedt, Hänninen ym: Ihmisen fysiologia ja anatomia/ /tai Leppäluoto, Kettunen ym: Anatomia ja fysiologia, rakenteesta toimintaan// tai muu AMK-tason anatomian ja fysiologian oppikirja
- Saano & Taam-Ukkonen. Lääkehoidon käsikirja. Laskimoon annettava lääke- ja nestehoito
- All the additional material used during the course.

Teaching methods

Tutorials, Independent studies, Virtual courses, lectures, workshops and training

Assessment criteria, satisfactory (1)

You define the basic principles of the comprehensive process for treating patients and those of treatment and service chains.
You describe illnesses related to internal medicine, types of cancer and psychological health, and the mechanisms behind them.
You define the basic principles of the key procedures and examinations required in clinical nursing.
You describe the safe medication administration via natural routes in the medicinal treatment of different illnesses and different patient groups.
Under guidance, you can use a multidisciplinary team in your work and decision making and reflect on your work in different phases of the nursing process.
Under guidance, you can use different digital applications and solutions in client and patient care and decision making.
You describe the significance of evidence-based information as part of decision making and different technological applications as part of comprehensive patient care.
You define nursing-based interaction to improve psychological health and prevent disruptions and based on resources in different nursing environments for the patient and people close to them.
You identify patients facing an acute crisis.

Assessment criteria, good (3)

You apply the process of comprehensive patient care and consider it as part of the activities of patients’ treatment and service chains.
You classify the changes in the organ system resulting from the most common illnesses related to internal medicine and psychological health.
You use the key studies and procedures required in clinical nursing in comprehensive patient care.
You provide safe medication administration via natural routes in the medicinal treatment of different illnesses and different patient groups.
You can use a multidisciplinary team in your work and decision making and reflect on your work in different phases of the nursing process.
You can use different digital applications and solutions in client and patient care and decision making.
You use evidence-based information and based on your assessments, the benefits of different technological applications as part of patient care.
You provide, with justification, nursing-based interaction to improve psychological health and prevent disruptions and based on resources in different nursing environments for the patient and people close to them.
You face patients in acute crisis.

Assessment criteria, excellent (5)

You assess the need for patient care and plan the process of comprehensive nursing based on evidence.
You connect the significance of treatment and service chains as part of comprehensive patient care.
You connect and interpret changes caused by the most common illnesses related to internal medicine and psychological health based on the patient’s symptoms.
You use the key studies and procedures required in clinical nursing and interpret information obtained from them. You use the information obtained in decision making in nursing.
You plan, provide and assess safe medication administration via natural routes in the medicinal treatment of different illnesses and different patient groups.
You can broadly use a multidisciplinary team in your work and decision making and reflect on your work in different phases of the nursing process.
You critically assess and use different digital applications and solutions in client and patient care and decision making.
You critically assess and use evidence-based information and plan the use of different technological applications as part of comprehensive patient care and decision making in nursing.
You provide and maintain nursing-based interaction to improve psychological health and prevent disruptions and based on resources in different nursing environments for the patient and people close to them.
You support patients facing an acute crisis.